Ronald Goldschmidt, Carolyn Chu
One-half of the estimated 1.1 million people in the United States with HIV infection are not receiving effective antiretroviral therapy. HIV screening and diagnostic testing are essential for timely antiretroviral therapy initiation and transmission prevention because...
David R. Norris, Molly S. Clark
Suicide is the second leading cause of death in people 10 to 34 years and the 10th leading cause of mortality among adults overall. National rates of suicide are increasing, and how people are attempting suicide is becoming more lethal. Asking patients at high risk about...
Brian Shahan, Edwin Y. Choi, Gilberto Nieves
Urgent indications for lumbar puncture and analysis of cerebrospinal fluid (CSF) include suspected central nervous system infection or subarachnoid hemorrhage. CSF analysis can also be useful in the evaluation of other neurologic conditions, such as spontaneous intracranial...
Jennifer L. Middleton
Physicians who complete suicide are much less likely to have sought mental health care compared with nonphysicians, most commonly because of barriers to access and stigma in the medical community.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Karl T. Clebak, Jason R. Croad, Andrew I. Lutzkanin
Very low-quality evidence suggests that active management of the third stage of labor reduces the risk of severe primary postpartum hemorrhage greater than 1,000 mL.
Alan L. Williams, Jeffrey C. Leggit
Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.
Kathleen Barry, Chelsea Evans
There is currently not enough evidence to replace digital mammography with digital breast tomosynthesis for breast cancer screening in women at average or high risk.
D. Jason Frasca, Kayla Leach-Frasca
A Cochrane review demonstrated that anticoagulation was effective and superior to observation for deep venous thrombosis; however, given the quality of the evidence, the benefits are unclear.
Dan Kelley, Gary Kelsberg, Sarah Safranek
How effective is kinesiology taping (elastic tape applied to the knee to create patellar tension) for osteoarthritis pain of the knee?
Nandhini Veeraraghavan, Hussein Bharwani, Hadra Habib
A five-year-old child presented with a midline swelling on his neck
Allen F. Shaughnessy
Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief...
Henry C. Barry
Achieving cure from medication overuse headaches after six months was likely regardless of strategy: detoxification (discontinuation of analgesic) plus pharmacologic prophylaxis, pharmacologic prophylaxis without withdrawal, or detoxification with pharmacologic preventive...
Mark H. Ebell
In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.
Allen F. Shaughnessy
Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).
The U.S. Department of Veterans Affairs and Department of Defense (VA/DoD) approved a clinical practice guideline for the management of obstructive sleep apnea and chronic insomnia disorder.
Tim Aung, Lee Seng Ong
Bobeck S. Modjtahedi, Donald S. Fong, Susan Chiarito, Flora Lum
The Role of Family Medicine in Reducing the Risk of Myopia
Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis
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