October 1, 2016

Articles

Emerging Vector-Borne Diseases

MARK K. HUNTINGTON, JAY ALLISON, DILIP NAIR

Although the main impact of vector-borne viral diseases is abroad, these diseases are an emerging concern in North America. West Nile virus, dengue, chikungunya, and Zika virus are of particular importance because of their potential to become a significant public health threat…

Acute Bronchitis

SCOTT KINKADE, NATALIE A. LONG

Acute bronchitis is characterized by acute cough, with or without sputum production, and signs of lower respiratory tract infection in the absence of chronic lung disease or an identifiable cause, such as pneumonia. It is a clinical diagnosis, and radiography and laboratory…

Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign

ROLAND GRAD, MARK H. EBELL

This article highlights original clinical research studies summarized as POEMs (patient-oriented evidence that matters) that showed results consistent with principles of the Choosing Wisely campaign. Physicians rated these POEMs highly according to their potential to reduce…

AFP News Now - AFP Edition

AAFP News: AFP Edition

Free Toolkit Helps Physicians Assess, Maintain ICD-10 Progress | Physicians' Low Use of Telehealth Tied to Flawed Payment Models | AHRQ Releases Updated State Snapshot Tool for Health Care Quality Rankings | AAFP Calls for “All-Hands-on-Deck” Effort to End Opioid Crisis

Editorials

Top POEMs for Choosing Wisely: Another Tool to Help Physicians Practice Good Medicine

JAY SIWEK

If you're looking for concise lists of tips to change clinical practice for the better, consult this list of top POEMs for Choosing Wisely.

Of Wise Choices, Evidence That Matters, and Leaving Old Friends Behind

ALLEN F. SHAUGHNESSY

Initiatives such as Choosing Wisely and updating services such as POEMs let us decide what's best to do based on unbiased, updated information.

Graham Center Policy One-Pager

Rural Opioid Use Disorder Treatment Depends on Family Physicians

PETER WINGROVE, BRIAN PARK, ANDREW BAZEMORE

The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

FPIN's Help Desk Answers

Stretching for Prevention of Exercise-Related Injury

OLATUNDE BOSU, KERVIN DOCTOR, KAREN DIXON, LACY SMITH, JOHN B. WAITS

Stretching before exercise does not reduce the risk of injury. However, it may slightly reduce postexercise muscle soreness.

Cochrane for Clinicians

Selective Serotonin Reuptake Inhibitors for Fibromyalgia

JOSEPH YANCEY, ELIAS N. HYDRICK

SSRIs may have a small to moderate effect on pain (number needed to treat [NNT] = 10), global improvement (NNT = 7), and depression (NNT = 13) in patients with fibromyalgia, but the quality of evidence is very low because of bias and small studies. SSRIs do not reduce fatigue…

Topical Tacrolimus for Eczema

NATHAN HITZEMAN, CHRISTINA KINNEVEY

For children and adults with moderate to severe eczema, topical tacrolimus is an effective, albeit costly, alternative to topical corticosteroids. Both tacrolimus strengths (0.03% and 0.1%) are superior to low-potency topical corticosteroids, whereas tacrolimus 0.1% has similar…

Photo Quiz

Unusual Urine Color During Catheterization

MICHAEL D. BURG, EVA P. BAERENDS, CHRISTOFFEL HENDRIK BELL

A woman with chronic urine catheterization presented with purple colored urine.

Practice Guidelines

ACR Appropriateness Criteria for Acute Onset of Flank Pain with Suspicion of Stone Disease

MARSELLE BREDEMEYER

The American College of Radiology (ACR) has established appropriateness criteria to assist in the selection process. Procedures with a rating of 9 are considered most appropriate, and those with a rating of 1 least appropriate. These guidelines rate the suitability of computed…

Medicine by the Numbers

Rivaroxaban vs. Warfarin for Anticoagulation in Patients with Atrial Fibrillation Undergoing Ablation and Cardioversion

MATTHEW KENDALL HAWKS, CARL BRYCE

Studies showed that 433 patients needed to be treated with rivaroxaban to prevent one stroke and 629 patients needed to be treated with rivaroxaban to prevent one thromboembolic event. Read more.

Letters to the Editor

Information from Your Family Doctor

Acute Bronchitis

Acute bronchitis (say: brawn-KY-tiss) is a common cause of cough. Swelling and redness in the large tubes of the lungs (bronchial tubes) lead to coughing, shortness of breath, wheezing, chest pain, and fever. The cough can last for three weeks or more.

Corrections

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