August 1, 2015

Articles

Rosacea: Diagnosis and Treatment

LINDA K. OGE', HERBERT L. MUNCIE, AMANDA R. PHILLIPS-SAVOY

Rosacea is a chronic facial skin condition characterized by erythema, inflammatory papules and pustules, telangiectasia, and hyperplasia of the connective tissue. Treatment begins with avoiding triggers, using mild cleansers and moisturizers, and wearing hats and sunscreen for…

Management of Spontaneous Vaginal Delivery

LEE T. DRESANG, NICOLE YONKE

Most births in the United States are normal spontaneous vaginal deliveries, and most women who have had a previous cesarean delivery are candidates for a trial of labor. Methods to improve birth outcomes in the first stage include encouraging women to walk or stay in upright…

Common Skin Rashes in Children

AMANDA ALLMON, KRISTEN DEANE, KARI L. MARTIN

Rashes are common in children, and the various causes can be difficult to differentiate. Appearance of the rash and other key features can help with the diagnosis. Physicians should consider the duration of the rash, the initial appearance and how it has evolved, the location…

AFP News Now - AFP Edition

AAFP News: AFP Edition

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Editorials

Fluoride: The Family Physician's Role

HUGH SILK, WENDY McCALLUM

Fluoride is an important aspect of good oral care. With 181 million Americans not visiting the dentist annually, family physicians have an essential role in oral health care.

Graham Center Policy One-Pager

Primary Care Physicians Are More Likely to Participate in Medicare EHR Incentives than Other Eligible Physicians

TROY RUSSELL, STEPHEN PETTERSON, KATHLEEN KLINK, ANDREW BAZEMORE

Family medicine and general internal medicine physicians are more likely to participate in the Medicare electronic health record (EHR) incentive program compared with other subspecialties, after accounting for Medicare income and other factors. These findings support the…

Cochrane for Clinicians

The Epley Maneuver for Treatment of Benign Paroxysmal Positional Vertigo

DEAN A. SEEHUSEN, DONALD M. CHAFFEE, III

Treatment with the Epley maneuver resolves benign paroxysmal positional vertigo better than sham therapy or control. Minor adverse effects are uncommon.

Close-Ups

Beyond Meaningful Use: Reconciling Medications

SANAZ MAJD

Even though a certain medication may be listed in the electronic health record, it doesn't mean that the patient is actually taking it.

Photo Quiz

Hyperpigmented Plaques on the Feet

WENDI WOHLTMANN, ROBERT RAMPTON, KIMBERLY BEZDEK BENAGE, JOSHUA WISELL

A man presented with asymptomatic blue-gray lesions on both feet that were darkening over time. He was using several medications.

FPIN's Clinical Inquiries

Micronutrient Supplementation During Pregnancy

JENNIFER PENSE, JON O. NEHER, GARY KELSBERG, SARAH SAFRANEK

A multimicronutrient supplement is an oral tablet containing the recommended daily allowance of several vitamins and minerals. The World Health Organization does not recommend multimicronutrient supplementation because of the potential for increased neonatal mortality in some…

POEMs

Hand Washing Children's Dishes Associated with Fewer Allergies

ALLEN F. SHAUGHNESSY

These results add further credence to the idea that the gastrointestinal system plays a big role in the development of our immune system (i.e., the hygiene hypothesis). Washing children's bottles and eating utensils by hand instead of using an automatic dishwasher was…

Walking Program Effective for Chronic Low Back Pain

ALLEN F. SHAUGHNESSY

Giving patients a pedometer, a walking diary, and instructions to walk at least four days per week, then gradually increase the walk's duration and intensity (see synopsis) results in improvement in pain and disability similar to usual physical therapy or a group exercise…

Practice Guidelines

Management of ACL Injuries: Clinical Practice Guideline from the AAOS

LISA HAUK

Anterior cruciate ligament (ACL) injuries, which are usually related to sports, have an incidence of approximately 252,000 yearly. The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance in determining the best options for treating an ACL injury.

Medicine by the Numbers

Tap Water vs. Sterile Saline for Wound Irrigation

CHRISTINA CHAO, DAN RUNDE

Studies show that there was no significant difference and none were harmed by using tap water. Find out more.

Information from Your Family Doctor

Rosacea

Rosacea (ro-ZAY-shah) is a skin condition that causes redness (blushing) on the cheeks, nose, and forehead.

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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