June 1, 2021

Tinnitus is the perception of sound in the absence of an objective internal or external source. Tinnitus is a symptom, not a disease, and although it is typically not associated with a dangerous condition, it can significantly affect an individual's quality of life. Guidelines…

The rate of out-of-hospital births has increased in recent years. Out-of-hospital (or community) birth can be planned or unplanned. Of those that are planned, most occur at home and are assisted by midwives. Patients who choose a planned community birth do so for multiple…

Polycythemia vera is one of three common myeloproliferative neoplasms and is characterized by erythrocytosis; it commonly has associated leukocytosis and thrombocytosis. It has a substantial negative impact on overall mortality and morbidity in the form of arterial and venous…

The American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the American College of Nurse-Midwives, and the Society for Maternal-Fetal Medicine released a joint statement asserting that hospitals and community birth centers, with the…

Oxytocin decreases the chances of a blood transfusion and has fewer adverse effects compared with misoprostol.

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

Pessaries combined with pelvic floor muscle training (PFMT) probably improve pelvic organ prolapse symptoms in women and prolapse-specific quality of life compared with PFMT alone.

Are psychological therapies safe and effective for women who experience intimate partner violence?

The use of FreeStyle Libre increases time in euglycemic range and decreases hyperglycemic and hypoglycemic time and events in adults with type 1 diabetes.

A 26-year-old patient presented to urgent care with a worsening rash on the left forearm that developed four days earlier. The rash started after the patient spent a weekend at the beach. The rash was initially mildly erythematous but became hyperpigmented over the two days…

In patients with diabetes mellitus who are preparing for total joint replacement, what is the preoperative A1C goal to reduce postoperative periprosthetic joint infections?

POEMs

Does lipid lowering reduce major vascular events in patients 75 years and older?

What interventions are effective in managing patients with chronic low back pain?

In patients who have diabetes mellitus who are treated with intensive insulin regimens, continuous glucose monitoring modestly decreases A1C in short-term, unmasked studies.

The Kidney Disease: Improving Global Outcomes (KDIGO) group, an international organization dedicated to nephrology clinical practice guidelines, has developed a new guideline for management of diabetes with chronic kidney disease.

Reply: Dana G. Carroll, Anne Halli-Tierney

When you're having a baby, you can decide where to give birth. It is a personal choice, but you need good information to make the best choice. A hospital is the most common place, but there are other options. You should know the risks and benefits of each setting before you…

Tinnitus (TIN-ih-tus) is a sound you may hear when there is not sound coming from a source outside your body. It is not usually a serious condition, but it can be annoying. Tell your doctor if you notice a sound you think might be tinnitus.