• Articles

    Insomnia: Pharmacologic Therapy

    ERIC MATHESON, BARRY L. HAINER

    Although behavioral interventions are the mainstay of treatment for insomnia, pharmacologic therapy may sometimes be necessary. Controlled-release melatonin and doxepin are recommended as first-line agents in older adults. The so-called z-drugs (zolpidem, eszopiclone, and...

    Developmental Delay: When and How to Screen

    KIRSTEN VITRIKAS, DILLON SAVARD, MERIMA BUCAJ

    Tools used to screen for developmental delay present several options for physicians and parents. Many of the available instruments offer easy integration into electronic health record systems, and those administered by a parent before an office visit can facilitate better...

    Acute and Chronic Paronychia

    JEFFREY C. LEGGIT

    Acute paronychia is inflammation of the nail folds caused by polymicrobial infections after the protective nail barrier has been breached. Treatment consists of warm soaks with or without Burow solution or acetic acid. Topical antibiotics should be used with or without...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    CMS to Replace Social Security Numbers on Medicare Identification Cards | USDA Offers Grant Opportunities for Distance Learning, Telemedicine | Racial Segregation Linked to Higher SBP | CMS Accepting Applications for CPC+ Initiative

    Editorials

    Problematic Jumps in Drug Prices and What You Can Do

    ALLEN F. SHAUGHNESSY

    Health professionals can help patients lower their medication costs, whether they pay the whole charge or only part of it.

    Drug Price Gouging: When Will It End?

    JAY SIWEK

    Price gouging will end only when the structural elements responsible for the unchecked costs of drugs are addressed in a systematic way.

    Medicine by the Numbers

    Tenofovir for Prevention of HIV Infection

    BEN KAUFMAN, SHAHRIAR ZEHTABCHI

    The benefits are greater than the harm in using tenofovir for HIV prevention, but cost-effectiveness and personal preferences are critical.

    Cochrane for Clinicians

    Acupuncture for Migraine Prevention

    MICHAEL J. ARNOLD, JEANNETTE M. McINTYRE

    There is moderate-quality evidence that whole-body acupuncture is effective for migraine prevention. Compared with usual care, acupuncture is more effective at reducing headache frequency by at least 50% (number needed to treat [NNT] = 4).

    Surgery vs. Medical Therapy for Heavy Menstrual Bleeding

    ANNE MOUNSEY, JOHNATHAN BURDICK

    In women of reproductive age with chronic heavy menstrual bleeding, hysterectomy is the most effective treatment for controlling symptoms. Conservative surgery is more effective for controlling bleeding symptoms at one and two years than oral medications or the levonorgestrel...

    FPIN's Help Desk Answers

    Gluten-Free Diet for Irritable Bowel Syndrome

    JACQUELINE GENTRY, LAURA SHERWOOD, JAMES HAYNES

    The evidence is conflicting on whether gluten-free diets improve symptoms of IBS. Gluten-free diets may improve symptoms such as abdominal pain, stool consistency, and tiredness, and they can be recommended to patients with IBS.

    Photo Quiz

    Pigmented Lesion with a Depigmented Rim

    ALEXANDER K.C. LEUNG, BENJAMIN BARANKIN

    A 15-year-old girl presented with an asymptomatic pigmented mole on the right scapula that developed a white halo.

    POEMs

    Arthroscopic Meniscal Surgery Is Equivalent to Nonoperative Management

    HENRY C. BARRY

    The existing research base, with biases that typically make interventions look better, is unable to demonstrate that arthroscopy for meniscal injuries is any better than nonoperative approaches. Because this is a costly intervention and is being used more often, perhaps...

    Practice Guidelines

    Use of Media by School-Aged Children and Adolescents: A Policy Statement from the AAP

    LISA HAUK

    Children and adolescents are exposed to a variety of broadcast (e.g., television, movies) and interactive (e.g., social media, video games) media. The American Academy of Pediatrics (AAP) has released a policy statement on the use of media in children and adolescents five to...

    Information from Your Family Doctor

    Paronychia: What You Should Know

    Paronychia (pair-oh-NICK-ee-ah) is a common problem that affects the nail folds of the fingers and toes. There are two kinds of paronychia: acute and chronic. Acute paronychia happens quickly from an infection in the nail fold. Chronic paronychia is swelling that lasts longer...



    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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