• Articles

    Diagnosis and Management of Foodborne Illness

    TIMOTHY L. SWITAJ, KELLY J. WINTER, SCOTT R. CHRISTENSEN

    The most common causes of foodborne illness in the United States are viruses, such as norovirus; bacteria, such as Salmonella, Escherichia coli, Campylobacter, and Listeria; and parasites, such as Toxoplasma gondii and Giardia. Diagnosis and management of a foodborne illness...

    The Preparticipation Sports Evaluation

    MARK H. MIRABELLI, MATHEW J. DEVINE, JASKARAN SINGH, MICHAEL MENDOZA

    Although studies have not found that the preparticipation physical evaluation prevents morbidity and mortality associated with sports, it may detect conditions that predispose the athlete to injury or illness and can provide strategies to prevent injuries. The physical...

    Top 20 Research Studies of 2014 for Primary Care Physicians

    MARK H. EBELL, ROLAND GRAD

    Primary care clinicians have selected the top 20 research studies from 2014 based on relevancy, validity, and likelihood to change practice. The studies, known as POEMs (patient-oriented evidence that matters), cover topics ranging from respiratory, musculoskeletal, and...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Study Shows Primary Care Relationship Reduces ED Visits and Hospitalizations | Task Force Targets Opioid Abuse | Insurance Mergers May Reduce Choice, Raise Costs, AAFP Warns Regulators | Groups Call for Results from All Clinical Trials

    Editorials

    Yes: Screening ECG Is Cost-Effective

    SANJAY SHARMA, LYNNE MILLAR

    Deaths among several high-profile athletes have caused increased public awareness and anxiety about the risk of sudden cardiac death (SCD) in sports.1 The prevalence of a potentially fatal cardiac abnormality in a young person is as high as one in 300.2 The American Heart...

    No: There Is Not Enough Evidence to Support Including ECG in the Preparticipation Sports Evaluation

    RON WEXLER, N.A. MARK ESTES, III

    Screening athletes for cardiovascular disease and restricting athletic competition in those deemed at risk of sudden cardiac death (SCD) remain controversial. Several countries, including Italy and Israel, require cardiac screening with electrocardiography (ECG) in athletes.1...

    Cochrane for Clinicians

    Pharmacologic Therapy for Gastroesophageal Reflux Disease in Children

    NATHAN HITZEMAN, AARON KINNEY

    Among infants younger than 12 months diagnosed with GERD, weak evidence supports the use of proton pump inhibitors (PPIs) and histamine H2 antagonists. Among children 12 months and older, studies have shown moderate benefit from PPIs and weak benefit from H2 antagonists for...

    Tricyclic Antidepressants for the Treatment of ADHD in Children and Adolescents

    MEGHAN F. RALEIGH, KATHRYN K. GARNER

    TCAs, specifically desipramine and nortriptyline (Pamelor), are superior to placebo at reducing ADHD symptoms in the short term (two to six weeks); however, the quality of evidence is low. Increased heart rate and diastolic blood pressure may be noted with treatment.

    Photo Quiz

    Development of a Rash After Hot Tub Use

    EMILY K. SNODGRASS

    A man presented with a rash and fever a few days after using a hot tub.

    FPIN's Help Desk Answers

    Insulin Sensitizers for Treatment of Menstrual Irregularities Associated with PCOS

    DIMMY SOKHAL, CONNIE KRAUS

    Metformin, pioglitazone (Actos), and rosiglitazone (Avandia) can be used to improve menstrual cycling in women with PCOS.

    Curbside Consultation

    Late Presentation to Prenatal Care

    ANDREW SMITH, ERIN BASSETT-NOVOA

    Pregnancy carries concrete and immediate risks that need to be addressed and managed in a timely fashion. Patients who initiate prenatal care late in pregnancy tend to present with a challenging variety of concerns, encompassing the full range of their medical, psychosocial,...

    POEMs

    Bridging Anticoagulation in Patients with Atrial Fibrillation Associated with More Cardiovascular Events and Bleeding

    MARK H. EBELL

    This study provides more evidence that bridging in patients with nonvalvular atrial fibrillation does not improve outcomes, and is actually associated with a higher risk of bleeding complications and cardiovascular events.

    Practice Guidelines

    ACCP/CTS Provide Guidance on Preventing Acute COPD Exacerbations

    LISA HAUK

    The American College of Chest Physicians (ACCP) and Canadian Thoracic Society (CTS) have released a guideline with suggestions and recommendations for preventing COPD exacerbations based on available evidence.

    Medicine by the Numbers

    Bronchodilators for Bronchiolitis

    DEAN A. SEEHUSEN, DANIEL RUNDE

    Studies show that none were helped and the impact of harms such as decreased oxygen saturation and tachycardia was uncertain.

    Letters to the Editor

    Physicians Should Counsel Adolescents on Harms of Sexting

    BICH-MAY NGUYEN, GREGORY BOUNDS

    Information from Your Family Doctor

    Food Poisoning

    Food poisoning happens after someone eats food that has germs or viruses in it.

    Corrections

    Correction



    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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