• Articles

    Treatment and Prevention of Kidney Stones: An Update

    LYNDA FRASSETTO, INGRID KOHLSTADT

    Acute management of kidney stones includes oral hydration and pain management. Further evaluation and interventions are focused on the specific type of stone. Even when kidney stones cannot be retrieved, urine pH and 24-hour urine assessment can guide prevention measures.

    Diagnosis and Management of Rheumatoid Arthritis

    AMY M. WASSERMAN

    Patients with rheumatoid arthritis typically present with pain and stiffness in multiple joints. If rheumatoid arthritis is suspected, testing for rheumatoid factor and anti-citrullinated protein antibodies, and measurement of C-reactive protein level or erythrocyte...

    Personality Disorders: Review and Clinical Application in Daily Practice

    KURT B. ANGSTMAN, NORMAN H. RASMUSSEN

    Patients who have challenging personality traits must be carefully treated to ensure patient-centered quality medical care. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders.

    Management of Falls in Older Persons: A Prescription for Prevention

    LAINIE VAN VOAST MONCADA

    The risk of falls and resulting serious injury increases with age, but falls are not an unavoidable consequence of aging. Multifactorial risk assessment should be performed in all older persons who report a single fall and have unsteadiness on gait examination; who report two...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Outcomes Data Demonstrate Effectiveness of Patient-Centered Medical Homes | Academy Creates Summary of Final Rule on Medicare Accountable Care Organizations | Deadline Approaching for Implementation of 5010 Electronic Transaction Standards | Study Shows Primary Care...

    Editorials

    Prolotherapy for Chronic Musculoskeletal Pain

    DAVID RABAGO, MICHAEL YELLAND, JEFFREY PATTERSON, ALEKSANDRA ZGIERSKA

    Prolotherapy is an injection-based complementary therapy for common chronic musculoskeletal conditions including tendinopathy, knee osteoarthritis, and low back pain. It involves the injection of irritant solutions into tender ligamentous and tendinous attachments and...

    Graham Center Policy One-Pagers

    EHR Implementation Without Meaningful Use Can Lead to Worse Outcomes

    JESSE C. CROSSON, ANDREW W. BAZEMORE, ROBERT L. PHILLIPS, JR.

    Defying expectations, typical electronic health record (EHR) use in practices belonging to a primary care network has been associated with poorer diabetes care quality and outcomes. Current expansion of primary care EHR implementation must focus on use that improves care.

    Close-ups

    What My Cancer Taught Me: Quit Smoking Before It's Too Late

    ANNIE L. ROBINSON, COLLEEN T. FOGARTY

    The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

    Cochrane for Clinicians

    Effect of Mammography on Breast Cancer Mortality

    JOANNE E. WILKINSON

    Although mammography can lead to false-positive results, emotional stress, and unnecessary biopsies, it appears to reduce deaths from breast cancer by about 15 percent.

    Cochrane Briefs

    Management of Constipation in Patients Receiving Palliative Care

    WILLIAM E. CAYLEY, JR.

    There is insufficient evidence to recommend one laxative over another for the treatment of constipation in patients receiving palliative care. Methylnaltrexone can increase the frequency of bowel movements at four hours (odds ratio = 7.0; 95% confidence interval, 3.8 to 12.6)...

    Photo Quiz

    Large, Dark Lesion on the Arm Present Since Birth

    ALEXANDER K.C. LEUNG, ALEX H.C. WONG

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

    FPIN's Clinical Inquiries

    Treatment of Nongenital Warts

    ALYSON L. FEIGENBAUM, CARLA AINSWORTH, LEILANI ST. ANNA

    Topical salicylic acid, cryotherapy, and topical fluorouracil are effective for treating nongenital warts.

    Tips from Other Journals

    Effectiveness of Rifaximin for Symptomatic Relief of Irritable Bowel Syndrome

    BRIAN MARKOVICH, III

    Improving Insomnia with Melatonin, Magnesium, and Zinc

    KENNETH T. MOON

    Escitalopram Effective for Reducing Hot Flashes in Menopausal Women

    AMY CRAWFORD-FAUCHER

    SORT

    SORT

    AFP uses the Strength-of-Recommendation Taxonomy (SORT),1 to label key recommendations in clinical review articles. In general, only key recommendations are given a Strength-of-Recommendation grade. Grades are assigned on the basis of the quality and consistency of available...

    Practice Guidelines

    Updated Guidelines on Management of Atrial Fibrillation from the ACCF/AHA/HRS

    MARA LAMBERT

    The American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) have released updated guidelines for the management of atrial fibrillation. Since the previous guidelines were issued in 2006, new data have become...

    Letters to the Editor

    Is Childhood Sexual Abuse Related to Self-Injurious Behavior?

    Case Report: Bilateral PAES As Cause of Lower Leg Pain in Young Athlete

    DENICE KAMPHUIS, MENNO RABER, ROBBERT MEERWALDT

    Information from Your Family Doctor

    Preventing Kidney Stones with Diet and Nutrition

    Staying hydrated is not as simple as just drinking water. Other things to consider include:

    Tips for Preventing Falls

    Older adults are at risk of falling, but anyone who has had a previous fall, has weak leg muscles, or has problems with walking or balance has a higher risk.



    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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