• Articles

    Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic Use

    TYLER R. REESE, DERRICK J. THIEL, KATHERINE E. COCKER

    First-line nonpharmacologic treatments for behavioral and psychological symptoms of dementia include eliminating physical and emotional stressors, modifying the patient's environment, and establishing daily routines. Family members and caregivers benefit from education about...

    Systemic Lupus Erythematosus: Primary Care Approach to Diagnosis and Management

    NGUYET-CAM VU LAM, MARIA V. GHETU, MARZENA L. BIENIEK

    Systemic lupus erythematosus is an autoimmune disease that affects the skin, musculoskeletal, renal, neuropsychiatric, hematologic, cardiovascular, pulmonary, and reproductive systems. Family physicians should be familiar with its manifestations to aid in early diagnosis,...

    Failure to Thrive: A Practical Guide

    GRETCHEN J. HOMAN

    Failure to thrive is confirmed using valid growth measurements over time. Underlying causes are related to inadequate calorie intake, inadequate nutrient absorption, or increased metabolism. Appropriate growth velocity can usually be established with outpatient management...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    CMS Opens Door to Possible Delay in Implementation of MACRA | Retirement Age of Primary Care Physicians Stays Steady Despite Economy, Policies | VA Plans to Expand APRNs' Scope of Practice | AAFP Streamlines CME Requirements

    Editorials

    Increased Alignment in Preventive Services Recommendations for Children

    KENNETH W. LIN

    Increased alignment between preventive services recommendations from the two major physician specialty groups who care for children.

    Close-ups

    Joint Pain and Fatigue: It Could Be Anything

    NGUYET-CAM VU LAM

    Diagnosed with lupus, a physician reflects on the shift from usual aches and pains to fatigue that puts life on hold.

    Putting Prevention Into Practice

    Screening for Depression in Adults

    ELISABETH KATO, VINCENT BESWICK-ESCANLAR

    A.B., a 29-year-old man, presents to your office for a routine visit. He has a history of being overweight and has hypertension that is controlled by diet and exercise.

    Point-of-Care Guides

    Predicting Hospital Readmission

    SETH JELINEK, PETE YUNYONGYING

    In 2007, the Medicare Payment Advisory Committee reported that 18% of hospital admissions resulted in a readmission, of which 76% were potentially avoidable.1 The development of a clinical decision rule to identify patients at risk of readmission could aid in directing...

    STEPS

    Alirocumab (Praluent) for the Treatment of Hyperlipidemia

    PATRICK L. TURNER, KATHLEEN A. BARRY

    Alirocumab (Praluent) is a monoclonal antibody labeled for the treatment of hyperlipidemia in patients with heterozygous familial hypercholesterolemia or clinical atherosclerotic cardiovascular disease, who need additional lowering of low-density lipoprotein (LDL) cholesterol...

    Photo Quiz

    Foot Deformity at Time of Delivery in a Premature Infant

    CANDACE R. TALCOTT, ADAM W. KOWALSKI

    A newborn presented with a grossly externally rotated foot at birth.

    POEMs

    Single-Dose Dexamethasone Equals Three Days of Steroids in Children with Acute Asthma

    ALLEN F. SHAUGHNESSY

    In addition to usual beta-agonist treatment, a single dose of oral dexamethasone is as effective as three days of prednisolone (with less vomiting) in decreasing respiratory symptoms without increasing hospitalizations, follow-up visits, and days lost from school. Additional...

    Knee Surgery Does Not Reduce Knee Catching or Locking in Patients with Meniscal Tear

    ALLEN F. SHAUGHNESSY

    Stop Using Antipsychotics to Treat or Prevent Delirium—They Are No Better Than Placebo

    HENRY C. BARRY

    The available data indicate that antipsychotic medications are ineffective in preventing or treating delirium in hospitalized patients. Because there are concerns about falls and extrapyramidal effects with antipsychotics (not reported in this study), we should stop using them.

    Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms

    MARK H. EBELL

    In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to...

    Practice Guidelines

    AAP Updates Recommendations for Routine Preventive Pediatric Health Care

    MARA LAMBERT

    The American Academy of Pediatrics (AAP) has updated recommendations for preventive pediatric health care services, including evidence-based screenings and assessments that should be addressed at well-child visits. The recommendations are organized by age: infancy, early...

    U.S. Preventive Services Task Force

    Screening for Depression in Adults: Recommendation Statement

    The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

    Information from Your Family Doctor

    Behavior Problems in a Family Member with Dementia

    Dementia (duh-MEN-shuh) is a medical problem where the brain loses abilities over time. People with dementia have trouble with memory and can have changes in their personality and in the way they act. People with dementia might not want to do things they used to like. They...

    Lupus: What You Should Know

    Lupus is a disease of the immune system that can affect many parts of the body. Normally, the immune system makes antibodies to protect the body against infections. In people who have lupus, the immune system becomes overactive and attacks healthy cells and tissues by mistake.

    Failure to Thrive: What You Should Know

    Failure to thrive is used to describe children who weigh a lot less or who are growing much more slowly than most others their age. It is also called weight faltering. Sometimes, children with failure to thrive do not gain enough weight for normal healthy development. A...



    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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