May 1, 2015

Articles

Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults

AMY B. LOCKE, NELL KIRST, CAMERON G. SHULTZ

Diagnosis of generalized anxiety disorder and panic disorder requires consideration of a broad differential, keeping in mind that comorbidities are common with these conditions. Screening and monitoring tools can aid the diagnosis. Treatment often includes medications combined…

Provision of Contraception: Key Recommendations from the CDC

DAVID A. KLEIN, JAMES J. ARNOLD, ERIKA S. REESE

The Centers for Disease Control and Prevention has released recommendations to help physicians provide optimal sexual and reproductive health services. Physicians should first establish rapport with patients before helping them select the most effective and appropriate…

Nutrition Myths and Healthy Dietary Advice in Clinical Practice

LENARD I. LESSER, MARY CAROL MAZZA, SEAN C. LUCAN

Common nutrition myths that emphasize consuming or avoiding particular food constituents may stand in the way of a healthy diet. Consistent evidence supports recommendations to limit the consumption of ultraprocessed foods and instead to eat whole or minimally processed foods…

AFP News Now - AFP Edition

AAFP News: AFP Edition

AAFP Challenges Payment Inequities in Primary Care, Oncology Initiatives | HHS Lays Out Multifaceted Plan to Combat Opioid Abuse | Time Running Out for Physicians to Review Open Payments Data | MedPAC Tackles Complex Issue of Low-Value Medical Services

Editorials

The Continuing Evolution of AFP Online

KENNETH W. LIN

For most of its existence, American Family Physician (AFP) came in a single format: a print journal that was delivered by mail at regular intervals. AFP continues to thrive in print, with a circulation of more than 180,000. Starting with the launch of AFP's website, we have…

The Maternal Health Benefits of Breastfeeding

ELEANOR B. SCHWARZ, MELISSA NOTHNAGLE

Effective breastfeeding support is a fundamental component of providing family-centered care. For many years, the American Academy of Family Physicians and other leading health organizations have recommended that infants be breastfed for the first 12 months of life, and…

FPIN's Clinical Inquiries

Treatments for Sciatica

ADAM STEPHENSON, GARY KELSBERG, JON O. NEHER, LEILANI ST. ANNA

Surgical diskectomy can be offered to patients with refractory sciatica, but there is only modest, short-term improvement in leg pain and disability scores. Epidural steroid injections may be offered to patients with sciatica of more than six months' duration.

Curbside Consultation

Caring for Muslim Patients Who Fast During Ramadan

TASNIM KHALIFE, JESSIE M. PETTIT, BARRY D. WEISS

A 68-year-old Muslim man who was recently diagnosed with type 2 diabetes mellitus presented for a routine health visit. His initial A1C level was 8.2%, which decreased to 6.7% after dietary changes, exercise, and treatment with metformin (Glucophage). He stated that he wanted…

POEMs

No Long-Term Benefit of Arthroscopic Surgery for Meniscal Tears in Middle-Aged Persons

MARK H. EBELL

Arthroscopic repair of degenerative meniscal tears in middle-aged adults does not significantly improve long-term pain or function. Patients should do physical therapy and try to avoid surgery if possible.

Increased GI Bleeding After Switch from Warfarin to Dabigatran

ALLEN F. SHAUGHNESSY

The risk of bleeding increases (though remains small) when patients with atrial fibrillation are switched from warfarin to dabigatran to prevent stroke or transient ischemic attack. This study, conducted almost exclusively in male veterans, found an increase in gastrointestinal…

Photo Quiz

A Geometric Summertime Rash

VICTORIA BARRIO, LEAH SPRING, LAUREN PELLMAN

A girl with a history of asthma and eczema presented with burning rash on her legs after exposure to limes.

Practice Guidelines

AAP Releases Policy Statement on Screening for Nonviral Sexually Transmitted Infections in Adolescents and Young Adults

LISA HAUK

This policy statement from the American Academy of Pediatrics (AAP) provides recommendations on routine screening for nonviral STIs in adolescents and young adults (25 years and younger).

U.S. Preventive Services Task Force

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors: Recommendation Statement

The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

Screening for Vitamin D Deficiency in Adults: Recommendation Statement

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for vitamin D deficiency in asymptomatic adults.

Medicine by the Numbers

PSA Screening for Prostate Cancer

JOSHUA QUAAS

Studies show no deaths were prevented and 1 in 5 underwent a prostate biopsy for a false-positive test. Read more.

Information from Your Family Doctor

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

Disclosures

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.

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