• Articles

    Exercise Prescriptions in Older Adults

    PEARL GUOZHU LEE, ELIZABETH A. JACKSON, CAROLINE R. RICHARDSON

    Older adults, especially those with chronic conditions, can benefit from regular physical activity and exercise to improve fitness, manage weight and chronic disease, and prevent falls. Physicians can help patients set individual goals to increase physical activity and reduce...

    Chronic Obstructive Pulmonary Disease: Diagnosis and Management

    SHARI GENTRY, BARRY GENTRY

    The diagnosis of chronic obstructive pulmonary disease (COPD) may be suspected based on findings from the history and physical examination, but it must be confirmed by spirometry to detect airflow obstruction. Findings that are most helpful to rule in COPD include a smoking...

    Postpartum Hemorrhage: Prevention and Treatment

    ANN EVENSEN, JANICE M. ANDERSON, PATRICIA FONTAINE

    As many as 5% of obstetric patients will experience postpartum hemorrhage, and not all will have associated risk factors. Appropriate management requires prompt diagnosis and treatment. Active management of the third stage of labor provides the most effective strategy for...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Federal Appeals Court Strikes Down Physician Gag Law | White Paper Outlines Recommendations to Improve EHR Usability | Family Medicine Faculty More Diverse Than Most, but Still Lacking | Proposed Law Would Create Commission on Complex Diseases

    Editorials

    Chronic Pain Management and Opioid Misuse: Guidance for Family Physicians

    DAVID T. O'GUREK, ROBERT RICH, JR.

    Family physicians are committed to advancing population and community health, and we must take the lead in reducing opioid misuse and overdose before outside entities mandate practice strategies that may not be patient-centered.

    Cochrane for Clinicians

    Preventing Unintended Adolescent Pregnancy

    DAVID A. KLEIN, MARY E. RAY

    Among adolescents, educational interventions increase reported condom use at most recent intercourse, whereas contraceptive-promoting interventions increase use of hormonal contraception.

    Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease

    AMY CRAWFORD-FAUCHER, R. MICHAEL HUIJON

    Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.

    Close-ups

    Invisible Disabilities: Mine and Theirs

    MARIA F. CIMINELLI, GERONIMA ALDAY

    At age 50, Dr. Mellor developed a disability that has entirely changed the way she relates to her patients and their struggles.

    FPIN's Help Desk Answers

    Alzheimer Disease: Monotherapy vs. Combination Therapy

    ELISABETH LAWLER, AMBER AVILA

    Combination treatment with memantine and donepezil results in a small improvement in cognitive function that is of uncertain clinical significance in patients with moderate to severe Alzheimer disease, but no improvement in patients with mild to moderate disease.

    Photo Quiz

    Pruritic Rash in Pregnancy

    JAMES S. STUDDIFORD, NYASHA GEORGE, KATHRYN TRAYES

    A pregnant woman presented with scattered periumbilical and lower extremity pruritic papules.

    POEMs

    Repeat Cytology Within Six Months Equals Colposcopy for Younger Women with ASCUS or LSIL

    LINDA SPEER

    Among women 22 to 27 years of age with an index cervical cytology showing abnormal squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (LSIL), the incidence of invasive cervical cancer did not differ between repeat cytology within...

    PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main Coronary Artery Disease

    MARK H. EBELL

    Placebo Plus Message of Benefit Decreases Chronic Low Back Pain

    ALLEN F. SHAUGHNESSY

    These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores...

    If You Give Amoxicillin/Clavulanate to Six- to 23-Month-Olds with AOM, 10 Days Is Preferable to Five Days

    MARK H. EBELL

    These authors begin with the assumption that we should treat children who have AOM with amoxicillin/clavulanate. The greatest benefit was in children one to two years of age who had more severe pain and fever. In children with less severe symptoms, observation should still be...

    Practice Guidelines

    Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP

    LISA HAUK

    Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the...

    Medicine by the Numbers

    Vitamin E in Pregnancy

    PATRICIA VAN LEER

    Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.

    Letters to the Editor

    Importance of Careful Corneal Inspection Prior to Fluorescein Examination

    JEFF WOLFREY

    Interpreting the Statistics on Potential Benefits of Prostate Cancer Screening

    Conversations About Vaccines Should Underscore Their Public Health Benefits to Patients

    ANTHONY L. SCHLAFF

    Information from Your Family Doctor

    What Seniors Should Know About Exercise

    Exercise can improve your health and help keep you strong and fit. Exercise can help you stay independent as you get older.

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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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