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February 1, 2020

TABLE OF CONTENTS

Articles
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Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive Care

David A. Klein, Scott L. Paradise, Corinne A. Landis

Healthy development in adolescents occurs when risk factors are limited and when protective factors are fostered; this is encouraged when adolescents feel valued, feel empowered, and form healthy social connections. Threats typically result from experimentation and...

    Chronic Wounds: Evaluation and Management

    Steven Bowers, Eginia Franco

    Chronic wounds do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. Common lower extremity wounds include arterial, diabetic, pressure, and venous ulcers. Physical examination alone can often guide the...

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    Clostridioides difficile Infection: Update on Management

    Anne Mounsey, Kelly Lacy Smith, Vinay C. Reddy, Sarah Nickolich

    Clostridioides difficile (formerly called Clostridium difficile) is the most commonly reported nosocomial pathogen in the United States. Risk factors for C. difficile infection include recent exposure to health care facilities or antibiotics, especially clindamycin. C....

    Editorials

      Shared Decision-Making for Administering PCV13 in Older Adults

      Amit A. Shah, Mark R. Wallace, Heather Fields

      In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.

      AFP Clinical Answers Cochrane for Clinicians Photo Quiz

        Painful Lower Extremity Ulcerations with Hyperpigmentation

        Erik A Kumetz, Nicholas F. Logemann, Shayna C. Rivard

        A 25-year-old woman presented with ulcerations of the lower extremities that developed one week earlier in the setting of hyperpigmentation over two to three years. She initially noticed multiple angular-shaped, erythematous nodules on the distal lower extremities that became...

        Implementing AHRQ Effective Health Care Reviews FPIN's Clinical Inquiries

          Treatments for Postmenopausal Hypoactive Sexual Desire Disorder

          Erin McAdams, Zoë Cross, Clarivette Bosch, José E. Rodriguez, Joan Nashelsky

          Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications

          Practice Guidelines

            Breast Cancer Screening: ACP Releases Guidance Statements

            Lindsey Hoover

            The American College of Physicians reviewed guidelines from other organizations and developed four statements to provide advice to clinicians about breast cancer screening for women who are at average risk.

            Medicine by the Numbers

              Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease

              Kim Hagarty, Daniel Runde

              Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.



              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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