• Articles

    Diagnosis and Management of ADHD in Children

    BARBARA T. FELT, BERNARD BIERMANN, JENNIFER G. CHRISTNER, PARAM KOCHHAR, RICHARD VAN HARRISON

    Children four years and older with behavioral concerns or poor academic progress should be evaluated for attention-deficit/hyperactivity disorder using validated assessment tools, ideally including observers from several settings, such as the home and school. Treatment of...

    Dyspareunia in Women

    DEAN A. SEEHUSEN, DREW C. BAIRD, DAVID V. BODE

    Dyspareunia, or persistent pain with sexual activity, has many possible causes. The history and physical examination are usually sufficient to make the diagnosis. Treatment depends on the diagnosis and may include pelvic floor physical therapy or cognitive behavior therapy...

    Appropriate Use of Medical Interpreters

    GREGORY JUCKETT, KENDRA UNGER

    Patients with limited English proficiency are less able to access health care and are at higher risk of adverse outcomes. Title VI of the Civil Rights Act mandates that interpreter services be provided for patients who need it, despite the lack of reimbursement in most states...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    VA Adds Primary Care Services to Contract Program for Veterans' Health | More Physicians Using EHRs, but Data Sharing, Patient Engagement Lag Behind | October 1, 2015, ICD-10 Deadline Finalized | Study: Smaller Primary Care Practices May Help Keep Patients Out of Hospitals

    Editorials

    JNC 8: Relaxing the Standards

    ROBERT GAUER, JUSTIN LAROCQUE

    Evidence-based guidelines are indispensable and assist clinicians in providing the most effective care for patients. The Eighth Joint National Committee (JNC 8) recently issued the most anticipated guideline in some time.1 The JNC 8 committee was initially appointed in 2008...

    Cochrane for Clinicians

    Safety of Long-Acting Beta Agonists in Adults with Asthma

    AARON SAGUIL, DAVID GARCIA

    LABAs appear to be safe when used with inhaled corticosteroids. LABA monotherapy is associated with an increase in asthma-related mortality and nonfatal serious adverse events, but not in all-cause mortality.

    Psychological Therapies for Chronic Posttraumatic Stress Disorder

    AMY CRAWFORD-FAUCHER

    Trauma-focused cognitive behavior therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are more effective than other therapies in reducing PTSD symptom severity up to four months after treatment, but more robust studies are needed to evaluate the long-term...

    Implementing AHRQ Effective Health Care Reviews

    Effectiveness of Outpatient Case Management for Adults

    DEAN A. SEEHUSEN, MEGHAN RALEIGH

    Does outpatient case management for adults with medical illness and complex care needs improve patient-centered outcomes, quality of care, or resource utilization?

    Photo Quiz

    Active Duty Soldier with Punctate Marks on the Feet

    CARL COVEY, BRETT JOHNSON, TIMOTHY CRAGUN

    A man on active military duty presented with severe sweating in both feet, and multiple discrete punctate depressions on the plantar surface.

    Curbside Consultation

    Challenges and Opportunities in the Care of Asian American Patients

    GIANG T. NGUYEN

    In cases such as this, patients are often told, “You don't need treatment now,” but they only hear, “You are fine.” Subsequent failure to follow up may result from a combination of issues related to health literacy, educational attainment, linguistic barriers, and cultural...

    Close-ups

    To Whipple or Not: Choices in Cancer Treatment

    CAROLINE WELLBERY

    Surviving 10 months after a pancreatic cancer diagnosis, a patient decides whether or not he should undergo the Whipple procedure, a potential cure.

    POEMs

    Oseltamivir Slightly Decreases Influenza Symptom Duration but Not Hospitalizations

    ALLEN F. SHAUGHNESSY

    Treatment of children with oseltamivir will decrease symptom duration by approximately one day, but will not reduce hospitalizations and does not seem to be effective in children with asthma. In adults, symptom reduction is less striking (less than one day), and...

    Physical Therapy No Better Than Sham Therapy for Hip Osteoarthritis

    DAVID SLAWSON

    No Benefit to Prolonged Dual Antiplatelet Therapy After Drug-Eluting Stent Placement

    MARK H. EBELL

    Prolonging dual antiplatelet therapy with aspirin plus clopidogrel (Plavix) for more than one year after the placement of a drug-eluting stent confers no clinical benefit.

    Practice Guidelines

    JNC 8 Guidelines for the Management of Hypertension in Adults

    CARRIE ARMSTRONG

    • In the general population, pharmacologic treatment should be initiated when blood pressure is 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or higher in adults younger than 60 years.

    Letters to the Editor

    Consider Thin Basement Membrane Nephropathy as a Possible Cause of Asymptomatic Microscopic Hematuria

    ALAN PETERSON

    Information from Your Family Doctor

    What You Should Know About Dyspareunia

    Dyspareunia (DIS-puh-ROO-nee-uh) is pain that occurs during sex. The pain may begin the first time you have sex, or it can begin later. The pain may be near or in the opening of the vagina or deep inside your pelvis. It may feel like a muscle spasm that makes entry into the...

    Corrections

    Correction

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    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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