• Articles

    Nonpharmacologic Management of Chronic Insomnia

    DAVID L. MANESS, MUNEEZA KHAN

    The criteria for diagnosis are difficulty falling asleep, difficulty staying asleep, or early awakening despite the opportunity for sleep that leads to impaired daytime functioning. A sleep history can confirm the diagnosis. Comorbid and associated conditions should be...

    Management of Sickle Cell Disease: Recommendations from the 2014 Expert Panel Report

    BARBARA P. YAWN, JOYLENE JOHN-SOWAH

    Recently published guidelines provide important recommendations for health maintenance, acute care, and monitoring of disease-modifying therapy in persons with sickle cell disease. Children with sickle cell anemia should receive prophylactic penicillin from birth through at...

    Evaluation of the Solitary Pulmonary Nodule

    GEORGE E. KIKANO, ANDRE FABIEN, ROBERT SCHILZ

    Identification of a solitary pulmonary nodule has become more common with the increased use of computed tomography. Nodules are typically assessed according to diameter and the probability of malignancy based on the patient's age, smoking and cancer history, and nodule...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    No Pay Raise for Physicians in 2016, but Shift to Value-Based Pay Continues | AAFP Joins Supreme Court Brief Supporting Diversity in Medical School Admissions | New Online Mapping Tool from CMS Details Prescribing Patterns for Opioids | Survey: Telehealth Increases Patients'...

    Editorials

    Influenza 2015–2016: Challenges and Recommendations

    RONALD H. GOLDSCHMIDT

    The influenza season is here. Accompanying it are the omnipresent influenza immunization programs in pharmacies, grocery stores, and of course, physicians' offices. Major points to note for this influenza season include changes in vaccination recommendations for children;...

    Graham Center Policy One-Pagers

    Fewer Americans Report a Personal Physician as Their Usual Source of Health Care

    ANURADHA JETTY, LARRY GREEN, ANDREW BAZEMORE, STEPHEN PETTERSON

    One in five Americans reports no usual source of health care, and the number of Americans reporting that they have a personal relationship with a usual source of care has declined steadily over the past 15 years. Given the positive association between having a usual source of...

    Curbside Consultation

    Addressing Suspected Labor Trafficking in the Office

    RANIT MISHORI, ANITA RAVI

    An estimated 18,000 persons are trafficked into the United States for labor each year. They most commonly originate from Latin America (31%), Southeast Asia (26%), and South Asia (13%), and 71% of persons enter on lawful visas. Health care may be one of the few fields in...

    STEPS

    Timothy Grass Pollen Allergen Extract (Grastek) for Allergic Rhinitis

    AALIYAH Y. RIZVI, AMIESHA S. PANCHAL

    Timothy grass pollen allergen extract produces small improvements in allergic rhinitis symptoms and the use of allergy relief medications, with a high rate of adverse effects. It may, however, be an option for patients who desire an alternative to standard allergy symptom...

    Putting Prevention Into Practice

    Screening for Iron Deficiency Anemia in Young Children

    TINA FAN, HEATHER FEAGINSFLETCHER

    C.C., a 32-year-old white woman, presents to your office with her nine-month-old son for a routine well-child visit. She is preparing to switch him from breast milk to formula and had noted that most formulas contain iron. She wonders if her son should be screened for iron...

    Photo Quiz

    Diffuse, Erythematous, Scaly Eruption

    MUKTI KULKARNI, AMANDA GAWIN, MORTEZA KHODAEE

    A male smoker with a history of alcohol abuse presented with a mildly pruritic rash on his back that spread to his scalp, trunk, and extremities, including the palms and soles.

    Practice Guidelines

    ACP Releases Best Practice Advice on Screening for Cervical Cancer

    MARA LAMBERT

    Based on the best available evidence, the American College of Physicians (ACP) has released best practice advice on cervical cancer screening in average-risk, asymptomatic women 21 years or older. This advice is targeted to all clinicians, and refers to screening for cervical...

    U.S. Preventive Services Task Force

    Screening for Iron Deficiency Anemia in Young Children: Recommendation Statement

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in children ages 6 to 24 months.

    Information from Your Family Doctor

    Chronic Insomnia: What You Can Do to Sleep Better

    Insomnia is when you have a hard time falling asleep or staying asleep, even if you have the chance to get good sleep. Waking up early in the morning and not being able to get back to sleep is also common with insomnia. You may not function well the next day because of a lack...

    Lung Nodules

    A lung nodule (NA-jule) is a small, ball-shaped mass that can grow in the lung. It can range in size from smaller than a pea to the size of a golf ball or larger. Your doctor can see it on a chest x-ray or CT scan. Most of the time, there are no symptoms.



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