May 15, 2018

Parents often ask physicians about general parenting strategies or management of specific child behavior problems, such as tantrums and fighting with siblings. Effective strategies for influencing a child's behavior include positive reinforcement to increase appropriate…

The goal of health care in patients with developmental disabilities is to improve their well-being, function, and participation in family and community. Physicians can support full inclusion and access to medical care for these patients by ensuring that their practices comply…

Colorectal cancer screening reduces mortality by removing adenomatous and serrated polyps or by detecting cancer early. The U.S. Preventive Services Task Force recommends colorectal cancer screening for average-risk adults 50 to 75 years of age. Several screening methods are…

Pathologic diseases, besides GERD, are becoming more prevalent and should be considered in the differential diagnosis of patients presenting with symptoms of esophageal dysfunction.

Researchers Explore Diminishing Scope of Family Physician Practice | CMS Releases New 2018 MIPS Eligibility Tool | Researchers Address How to Maintain Interest in Providing Maternity Care | Health Groups Sue FDA Over Delay in Regulating E-Cigarettes

Physicians can improve access to health care for patients with disabilities by listening to patients and their supporters, making reasonable accommodations, and advocating for patients.

A 10-year-old girl with no significant medical history presents to your clinic for a school physical and well visit. She will begin fifth grade in the fall and actively participated in a summer soccer program at a local sports club. She reports no associated injuries or pain.

Implantable buprenorphine is an expensive alternative for patients on a stable dosage of transmucosal buprenorphine. Based on current research and guidance, implantable buprenorphine should not be used as initial treatment for opioid dependence or as a substitute for medication…

Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with…

A 65-year-old woman was admitted to the hospital with a left elbow fracture after a fall. She had a history of recurrent joint dislocations since childhood and orthopedic procedures on several joints. When she was younger, she could rest her palms on the floor in a standing…

The Infectious Diseases Society of America (IDSA) has updated its 2001 guidelines for the management of children and adults with suspected or confirmed infectious diarrhea. Infectious diarrhea is usually self-limited, but diagnostic testing and treatment are indicated in some…

Although data are limited, the results have consistently shown a higher rate of success with first attempt reduction of nursemaids' elbow when the hyperpronation method was used. For other outcomes, including pain and adverse effects such as bruising, no conclusions could be…

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years.

Time-out is an effective way for parents to stop bad behaviors in their child. For time-out to work, you must do it the same way every time. Also, make sure to reward good behavior often when the child is not in time-out. For example, give a pat on the shoulder or a hug, give…

Colon cancer is a tumor of the large intestine (colon). It is the third most common cause of cancer-related death in the United States. However, most people with colon cancer get better if the cancer is found early.

Look for chances to catch your children being good. Recognize their good behavior with a kind word or a pat on the shoulder. Most children enjoy attention from their parents. Try to catch your children being good often, and only spend five to 10 seconds of time acknowledging…