• Articles

    Nursing Home Care: Part I. Principles and Pitfalls of Practice

    BRIAN K. UNWIN, MARY PORVAZNIK, GERARD DAVID SPOELHOF

    Family physicians often lead the interdisciplinary team responsible for the care of nursing home residents. Nursing home care is a complex process that includes ongoing clinical assessment, communication among numerous health care professionals, advance care planning, and...

    Nursing Home Care: Part II. Clinical Aspects

    BRIAN K. UNWIN, MARY PORVAZNIK, GERARD DAVID SPOELHOF

    Nursing home care often includes specific clinical issues, such as nutrition, frailty, chronic pain, and deteriorating physical function and cognition. Understanding the differences between addressing these issues in the nursing home compared with the community setting is...

    Diagnosis and Initial Management of Acute HIV Infection

    CAROLYN CHU, PETER A. SELWYN

    Acute human immunodeficiency virus (HIV) infection should be considered in patients presenting with unexplained, nonspecific symptoms, such as fever and malaise. HIV RNA viral load is the preferred diagnostic test for acute infection. After diagnosis, physicians should...

    Primary Care of Adult Survivors of Childhood Cancer

    DEAN A. SEEHUSEN, DREW BAIRD, DAVID BODE

    In addition to cancer recurrence, adult survivors of childhood cancer are at an increased risk of long-term morbidities from adverse effects of cancer treatment. Their care plan should be individualized based on each patient's risk factors for future morbidity, including...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    AAFP Board Adopts CMSS Code of Standards for Business Interactions | MedPAC Report Addresses Medical Malpractice Reform Approaches | FDA Issues Final Rule to Phase Out All Chlorofluorocarbon Inhalers | IOM Report Says Average Sodium Intake Is Too High and Urges FDA to Set...

    Editorials

    Family Physicians and Nursing Home Medicine: Forging a Partnership for Quality Care

    D.A. BRECHTELSBAUER

    It has been demonstrated that the presence of a certified medical director is an independent predictor of nursing home quality.1 Medical leadership and expertise are critical given the complex medical care of persons living in nursing homes and other long-term care settings.

    AFP Journal Club

    Antidepressants for Initial Treatment of Depression

    ANDREA DARBY-STEWART, ROBERT DACHS, null FAAFP, MARK A. GRABER

    Which antidepressants should be used for the initial treatment of depression? This quality multiple-treatment meta-analysis gives physicians a good starting point for choosing an antidepressant. Sertraline and escitalopram should be considered first-line agents whereas...

    Graham Center Policy One-Pagers

    Greater Family Medicine Presence at NIH Could Improve Research Relevance and Reach

    SEAN C. LUCAN, ANDREW W. BAZEMORE, ROBERT L. PHILLIPS, JR., IMAM XIERALI, STEPHEN PETTERSON, BRIDGET TEEVAN

    Advisory committees perform pivotal tasks at the National Institutes of Health (NIH), informing funding decisions, helping establish research priorities, and contributing to the vision for the nation's biomedical research agenda. Family medicine has not had a substantial role...

    Clinical Evidence Handbook

    Delirium at the End of Life

    PAUL KEELEY

    What are the effects of interventions at the end of life in persons with delirium caused by underlying terminal illness?

    Photo Quiz

    Palatine Lesion in an Older Woman

    VIBHUTI ANSAR, DEREK WOESSNER

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    U.S. Preventive Services Task Force

    Primary Care Interventions to Promote Breastfeeding: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends interventions during pregnancy and after birth to promote and support breastfeeding.

    Putting Prevention Into Practice

    Primary Care Interventions to Promote Breastfeeding

    DAVID MEYERS, MELISSA CAMP

    Case study: L.M. is a 19-year-old woman who is pregnant for the first time. During her first prenatal visit, you ask what she has heard about breastfeeding.

    Point-of-Care Guides

    Diagnosis of Gastroesophageal Reflux Disease

    MARK H. EBELL

    Diagnosis of GERD may be clinical (presentation with typical symptoms, such as heartburn); physiologic (evidence of abnormal pH levels in the distal esophagus); anatomic (evidence of esophagitis on endoscopy); or functional (clinical response to antacid medications). However,...

    STEPS

    Febuxostat (Uloric) for Hyperuricemia and Gout

    BRYAN L. LOVE, null BCPS

    Febuxostat more effectively lowers serum uric acid to goal levels than does allopurinol; however, this benefit is offset by a slightly higher incidence of adverse effects and treatment discontinuation. Until superiority for patient-oriented outcomes is shown in comparative...

    Practice Guidelines

    Guidelines for the Diagnosis and Management of Hoarseness

    AMBER HUNTZINGER

    The American Academy of Otolaryngology–Head and Neck Surgery Foundation has released evidence-based guidelines for the evaluation and management of hoarseness. The goals of the guidelines are to improve diagnostic accuracy; reduce inappropriate medication and imaging use; and...

    Letters to the Editor

    Treatment of Actinic Keratoses with Topical Fluorouracil

    DANIEL A. WEST, DANIEL J. AIRES

    Myth of Not Using Lidocaine with Epinephrine in the Digits

    KEITH DENKLER

    Information from Your Family Doctor

    Staying Healthy After Childhood Cancer

    Almost 12,000 American children are diagnosed with cancer every year, although most survive if they get treatment. When these children become adults, the cancer they had is called childhood cancer.



    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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