• Articles

    Screening for Breast Cancer: Current Recommendations and Future Directions

    DOUG KNUTSON, ELIZABETH STEINER

    Although breast cancer screening is an important component of health maintenance, recent studies have generated questions about the appropriateness of traditional screening modalities.

    Dystocia in Nulliparous Women

    SARA G. SHIELDS, STEPHEN D. RATCLIFFE, PATRICIA FONTAINE, LARRY LEEMAN

    Dystocia may be caused by inadequate uterine contractions, fetal malposition, or cephalopelvic disproportion, and it is responsible for more than 50 percent of pri-mary cesarean deliveries. Physicians providing maternity care should be skilled at diagnosing, managing, and...

    Medical Emergency Preparedness in Office Practice

    SETH L. TOBACK

    Primary care physicians report at least one emergency presenting to their office per year, and most offices are not prepared to handle such emergencies. Offices can decrease the risk of unfavorable outcomes in medical emergencies by acquiring the correct equipment, ensuring...

    Ginger: An Overview

    BRETT WHITE

    One of the more commonly used herbal supplements, ginger has been shown to be effective for pregnancy-induced and postoperative nausea and vomiting. There is less evidence to support its use for nausea and vomiting from other causes, and evidence regarding its use for the...

    Inside AFP

    Breast Cancer Screening, Authors' Guide, and Clinical Quiz

    Joyce A. Merriman, Matthew J. Neff

    The ideal treatment strategy or best diagnostic tool for a disease often changes as new techniques or technologies are developed. The various methods of screening for and diagnosing breast cancer have been no exception over the years, and the recommended modalities will most...

    Newsletter

    Newsletter

    Legislation Seeks to Enhance Access to Cancer Screenings | Alaska Medicare Environment Highlights Payment Crisis | Speakers Say Medicare Payment Rates Major Reason for Physician Shortages | AAFP Asks CMS to Increase Estimation of Notice of Noncoverage Burdens | Former House...

    Quantum Sufficit

    Quantum Sufficit

    Sherri Damlo

    According to results from a National Sleep Foundation poll, 60 percent of American women get enough sleep only a few nights each week, and 67 percent frequently have problems sleeping. Although women of all ages experience sleep problems, working mothers and single working...

    Editorials

    Screening for Breast Cancer: What to Do with the Evidence

    RUSSELL HARRIS

    For many of the conditions we encounter in primary care, there is insufficient evidence to tell us the best course of action. Breast cancer screening is different. We now have nine randomized controlled trials (RCTs) and numerous case-control, cross-sectional, and cohort...

    Graham Center Policy One-Pagers

    Use of Patient Registries in U.S. Primary Care Practices

    Patient registries are necessary for high-quality health care, but even in innovative practices, their presence and utilization is inadequate. Registry uptake in primary care may be enhanced by improving the functionality of electronic health records (EHRs) and implementing...

    Cochrane for Clinicians

    Occupational Therapy Improves Activities of Daily Living After Stroke

    Nathan Hitzeman, Mimi Reiss

    A 74-year-old woman has continued left-sided hemiparesis after having a stroke one week ago. She is about to be discharged from the hospital, and her son has some questions about the benefit of outpatient occupational therapy to improve her function at home.

    Cochrane Briefs

    Cochrane Briefs

    CHRISTOPHER W. WALKER

    Fecal Occult Blood Tests Reduce Colorectal Cancer Mortality

    Cochrane Briefs

    CHINASA ANUGWOM, SHERYL SULANGI, ROBERT DACHS

    Adenosine vs. Calcium Channel Blockers for Supraventricular Tachycardia

    U.S. Preventive Services Task Force

    Screening for Hemochromatosis: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for hemochromatosis and the supporting scientific evidence. Explanations of the ratings and of the strength of overall evidence are given in Table 1 and Table 2,...

    Clinical Evidence Handbook

    Bulimia Nervosa

    PHILLIPA J. HAY, JOSUE BACALTCHUK

    One randomized controlled trial (RCT) identified by a systematic review found that CBT for bulimia nervosa improved the clinical effects of bulimia compared with a control group on a waiting list or no treatment. One RCT found no significant difference in remission rate or...

    FPIN's Clinical Inquiries

    Monitoring Therapy for Patients with Alzheimer's Disease

    JAQUELINE RAETZ

    How do you monitor patients with Alzheimer's disease to determine if they are benefiting from receiving a cholinesterase inhibitor?

    Photo Quiz

    New-Onset Seizures

    BRYCHAN M. CLARK, BRIAN K. AGAN

    A 35-year-old woman presented to the emergency department in status epilepticus with new-onset seizures. She was immediately intubated for airway protection. Her temperature was 98.4° F (36.9° C); respiratory rate, 22 breaths per minute; pulse, 102 beats per minute; and blood...

    Tips from Other Journals

    Physical Activity Alone May Not Reduce Obesity in Children

    ANNE D. WALLING

    Does Cognitive Training Improve IADL in Older Patients?

    CAROLINE WELLBERY

    Does Depression Impact Heart Failure?

    KARL E. MILLER

    Practice Guidelines

    IDSA Releases Guidelines on Travel Medicine

    AMBER HUNTZINGER

    Guideline source: Infectious Diseases Society of America

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE ARMSTRONG

    CDC Changes Treatment Guidelines for Gonorrhea

    Practice Guideline Briefs

    CARRIE ARMSTRONG

    ACS Recommendations on MRI and Mammography for Breast Cancer Screening

    Letters to the Editor

    Principles to Help Prevent Youth Sports-Related Injuries

    MARK B. STEPHENS, ANTHONY BEUTLER

    Information from Your Family Doctor

    Emergencies in the Family Medicine Office

    An office emergency is when someone in the doctor's office needs emergency medical care. For example, a patient may have a stroke, or a child may be brought in with meningitis.



    Disclosure

    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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