April 1, 2016

Articles

Common Questions About Recurrent Urinary Tract Infections in Women

JAMES J. ARNOLD, LAURA E. HEHN, DAVID A. KLEIN

Recurrent urinary tract infections are common. Recurrent infections present the same as acute cystitis. Imaging and repeat laboratory tests are typically unnecessary unless certain risk factors for complicated infection are present. After confirming concordance of symptoms with…

Prevention and Treatment of Drowning

TIMOTHY F. MOTT, KELLY M. LATIMER

Drowning causes nearly 4,551 deaths each year in the United States, and is the most common injury-related cause of death in children one to four years of age. Prognosis is better in younger persons and if submersion time is less than six minutes. Resuscitation efforts should…

Common Questions About Oppositional Defiant Disorder

MARGARET RILEY, SANA AHMED, AMY LOCKE

Oppositional defiant disorder is characterized by a pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness lasting for at least six months. There are no tools specifically designed for diagnosing this disorder, but multiple questionnaires can…

AFP News Now - AFP Edition

AAFP News: AFP Edition

Primary Care, Family Medicine Stats Stand Out in 2016 Osteopathic Match | New Application Deadline for Meaningful Use Hardship Exemption: July 1 | PCMH Model with Incentives Is Popular | CDC Braces for Zika Virus in United States

Editorials

Acknowledging and Thanking Our Peer Reviewers

JAY SIWEK

The peer review process greatly improves the articles we publish in American Family Physician. On behalf of the entire editorial team at AFP, many thanks to all of our wonderful reviewers!

Medicine by the Numbers

Leukotriene Receptor Antagonists in the Treatment of Acute Asthma

PATRICIA VAN LEER

Studies show there were no patient-important benefits and no hospital admissions were prevented. Want to know more?

Cochrane for Clinicians

Pilates for the Treatment of Low Back Pain

COREY D. FOGLEMAN

There is low- to moderate-quality evidence that Pilates exercises taught by certified instructors improve pain and reduce disability in patients with chronic low back pain. It is unclear whether a Pilates regimen is superior to other exercise plans for the treatment of low back…

Impact of Antenatal Dietary Education and Supplementation on Maternal and Infant Health Outcomes

KATHLEEN A. BARRY

Antenatal dietary education appears to decrease the rate of preterm birth and increase infant birth weight among undernourished women. Providing balanced energy and protein supplements to pregnant women decreases the risk of stillbirth, low birth weight, and having an infant…

FPIN's Help Desk Answers

Nonpharmaceutical Treatment of Anxiety in Institutionalized Older Adults

JOCELYN VANOPDORP, CONNIE KRAUS

Cognitive behavior therapy (CBT) or relaxation training, alone or in combination, can be used to treat anxiety in older adults. Music therapy can also be used to reduce anxiety in older adults. Appropriate training of institutional caregivers is also helpful in reducing anxiety…

POEMs

Best Approaches to Physical Diagnosis of Acute Red Eye

ALLEN F. SHAUGHNESSY

Eliciting photophobia via pupillary constriction and the presence of anisocoria (greater than 1 mm) in patients with an acute red eye are the best predictors of serious eye disease (e.g., uveitis, keratitis, corneal abrasion, scleritis) requiring prompt referral. Lack of…

Photo Quiz

A Fungating Lesion on the Tongue

ALYSON J. BRINKER

A man with a history of tobacco and alcohol use presented with a lesion on his tongue that he first noticed six months earlier as small red dots.

Practice Guidelines

AHA/ATS Release Guidelines on the Diagnosis and Treatment of Pediatric Pulmonary Hypertension

JENNIFER WILKES

These guidelines from the American Heart Association (AHA) and the American Thoracic Society (ATS) address evaluation and treatment of pediatric pulmonary hypertension, including diagnosis, pharmacotherapy, and outpatient treatment recommendations.

Information from Your Family Doctor

Preventing Drowning: What You Should Know

Almost 4,000 Americans die each year from drowning. It is the most common injury-related cause of death for children one to four years of age. Many drownings can be prevented by taking simple safety steps and with education.

Recurrent Urinary Tract Infections

A urinary tract infection occurs when bacteria move into the bladder and grow. This can cause painful or frequent urination, blood in the urine, or problems with emptying the bladder. People who get three or more of these infections in a year, or two in six months, have…

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

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