• Articles

    Diagnosis and Management of Osteoporosis

    MICHAEL P. JEREMIAH, BRIAN K. UNWIN, MARK H. GREENAWALD, VINCENT E. CASIANO

    Osteoporosis is diagnosed based on bone mineral density determinations from dual energy x-ray absorptiometry of the hip and lumbar spine. Screening is recommended in women 65 years and older, and in younger women at increased risk of fracture. Recommendations for screening in...

    Counseling on Early Childhood Concerns: Sleep Issues, Thumb-Sucking, Picky Eating, School Readiness, and Oral Health

    ARWA NASIR, LAETH NASIR

    Family physicians are an important source of information for parents on early childhood concerns. A number of factors, including family dynamics, cultural expectations, and family resources, determine whether these issues are seen as problematic. Normal variations may deviate...

    Sexual Dysfunction in Women: A Practical Approach

    STEPHANIE S. FAUBION, JORDAN E. RULLO

    Female sexual dysfunction is often multifactorial, and treatment should address biological, psychological, sociocultural, and relational factors. Sexual health concerns become dysfunctions if they cause the woman distress. Discontinuing or reducing the dosage of causative...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    CMS to Cover HPV Testing with Pap Smear | Physicians Unsure How ACA Affects Practice | Incentives Help Drive Medical Home Success | <i>M<sc>ed</sc>W<sc>atch</sc></i>: Risk Updates for NSAIDs

    Editorials

    Global Health: It Matters Now More Than Ever

    RANIT MISHORI, JESSICA EVERT

    Diseases once confined to the third or developing world are now everyone's concern. Global has truly become local. Having some knowledge of and competencies in global health is not only relevant, but also essential, for every family physician.

    Photo Quiz

    Discoloration in the Hands

    ANTONIO L. AGUILAR SHEA, CRISTINA GALLARDO-MAYO

    A woman with systemic lupus erythematosus had pain in her hands and discoloration on the tips of her fingers and toes when exposed to cold.

    Putting Prevention Into Practice

    Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults

    IRIS MABRY-HERNANDEZ, PAUL LEWIS, III

    P.N. is a 35-year-old man whose parents were born in southeast Asia. Although he was born in the United States, P.N. does not have any vaccination records from his childhood. During an office visit, he mentions that a relative was recently diagnosed with hepatitis B virus ...

    STEPS

    Vorapaxar (Zontivity) for the Prevention of Thrombotic Cardiovascular Events

    KATHLEEN A. BARRY, NICHOLAS J. SOMERVILLE

    Vorapaxar should be limited to select patients with a history of MI or peripheral arterial disease who desire additional treatment for the prevention of MI.

    POEMs

    Early Imaging for Low Back Pain in Older Adults Raises Costs Without Improving Quality

    DAVID SLAWSON

    Among adults 65 years or older who present to primary care clinicians for a new episode of back pain, early imaging (before six weeks) resulted in no improved outcomes at one year, but increased overall health care costs by almost 30%.

    Practice Guidelines

    Prevention of Recurrent Nephrolithiasis: Dietary and Pharmacologic Options Recommended by the ACP

    LISA HAUK

    Nephrolithiasis occurs in 13% of men and 7% of women; if not managed appropriately, it will typically recur within five years in 35% to 50% of patients. The American College of Physicians (ACP) has provided recommendations regarding management of recurrent nephrolithiasis...

    U.S. Preventive Services Task Force

    Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or Younger: Recommendation Statement

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children aged 5 years or younger.



    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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