• Articles

    Urinary Incontinence in Women: Evaluation and Management

    Jocelyn S. Hu, Elyse Fiore Pierre

    Urinary incontinence (UI) is a common problem in women, resulting in economic burden and decreased quality of life. The Women's Preventive Services Initiative is the only major organization that recommends annual screening for UI in all women. Initial evaluation should...

    Otitis Media: Rapid Evidence Review

    Heidi L. Gaddey, Matthew Thomas Wright, Tracy N. Nelson

    Acute otitis media, the most common diagnosis in childhood acute sick visits, can cause ear pain, fever, irritability, otorrhea, anorexia, and sometimes vomiting and lethargy. Acute otitis media is diagnosed in children with moderate to severe bulging of the tympanic membrane...

    Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention

    Amy Curry, Tracy Williams, Melissa L. Penny

    Pelvic inflammatory disease (PID) is an infection of the upper genital tract that predominantly occurs in sexually active young women. Chlamydia and gonorrhea are common causes, but other cervical, enteric, bacterial vaginosis–associated, and respiratory pathogens may be...

    Editorials

    Can We Prevent Perinatal Depression in the Primary Care Office?

    Robert C. Langan

    Even if we do not provide maternity care, our commitment to the total care of our patients, which includes addressing behavioral medicine needs, allows us to be the ideal physicians to champion interventions to prevent perinatal depression.

    The Family Physician's Role in the Prevention of Measles

    Pamela G. Rockwell

    Measles is one of the most highly transmissible diseases, with 90% of unvaccinated persons infected after contact.1 In 2000, the Centers for Disease Control and Prevention (CDC) declared that measles was eliminated in the United States, but that elimination status may be...

    AFP Clinical Answers

    Cervical Cancer, Febrile Seizures, HIV Infection, Dyspepsia

    Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

    Putting Prevention Into Practice

    Interventions to Prevent Perinatal Depression

    Justin Mills, Brendan Day

    A 25-year-old woman presents to your office after having recently missed her period. A urine pregnancy test confirms that she is pregnant. She takes acyclovir for suppression of genital herpes, which she acquired as a teenager. She reports a history of depression and sexual...

    Photo Quiz

    Enlarging Nodule on the Tongue

    Mohenish Daughtry, Gabrielle Hood

    A man presented with a nodule on his tongue that had been growing slowly for three years.

    Lown Right Care

    Diagnosing Dementia and Clarifying Goals of Care

    Nick Bott, Ann Lindsay

    A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

    STEPS

    Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis

    Michael J. Arnold, Cormac O'Connor

    Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.

    POEMs

    Vitamin D Is Not Effective as Primary Prevention of Cardiovascular Disease or Cancer

    Mark H. Ebell

    Vitamin D supplementation does not prevent cardiovascular events or cancer in mostly nondiabetic adults (men 50 years and older, women 55 years and older).

    Omega-3 Fatty Acids Do Not Prevent Cancer or Cardiovascular Disease Events

    Mark H. Ebell

    This is the second large, well-designed study (the first one included patients with diabetes mellitus; this one included patients without diabetes) that found no benefit from a 1-g daily dosage of marine n-3 fatty acid supplementation for the primary prevention of...

    Normal Vital Signs and Pulmonary Examination Results Rule Out CAP in Adults with Acute Respiratory Infection

    David C. Slawson

    Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).

    Weak Evidence Supports Augmentation Therapy for Treatment-Resistant Depression

    Allen F. Shaughnessy

    There is weak research to guide treatment decisions for patients who have not responded to two adequate courses of antidepressant treatment. One study of cognitive behavior therapy showed benefit over placebo.

    Practice Guidelines

    Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation

    Lisa Croke

    Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

    U.S. Preventive Services Task Force

    Interventions to Prevent Perinatal Depression: Recommendation Statement

    The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.



    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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