• Articles

    Screening for Breast Cancer: Current Recommendations and Future Directions

    DOUG KNUTSON, ELIZABETH STEINER

    Although breast cancer screening is an important component of health maintenance, recent studies have generated questions about the appropriateness of traditional screening modalities.

    Dystocia in Nulliparous Women

    SARA G. SHIELDS, STEPHEN D. RATCLIFFE, PATRICIA FONTAINE, LARRY LEEMAN

    Dystocia may be caused by inadequate uterine contractions, fetal malposition, or cephalopelvic disproportion, and it is responsible for more than 50 percent of pri-mary cesarean deliveries. Physicians providing maternity care should be skilled at diagnosing, managing, and...

    Medical Emergency Preparedness in Office Practice

    SETH L. TOBACK

    Primary care physicians report at least one emergency presenting to their office per year, and most offices are not prepared to handle such emergencies. Offices can decrease the risk of unfavorable outcomes in medical emergencies by acquiring the correct equipment, ensuring...

    Ginger: An Overview

    BRETT WHITE

    One of the more commonly used herbal supplements, ginger has been shown to be effective for pregnancy-induced and postoperative nausea and vomiting. There is less evidence to support its use for nausea and vomiting from other causes, and evidence regarding its use for the...

    Inside AFP

    Breast Cancer Screening, Authors' Guide, and Clinical Quiz

    Joyce A. Merriman, Matthew J. Neff

    The ideal treatment strategy or best diagnostic tool for a disease often changes as new techniques or technologies are developed. The various methods of screening for and diagnosing breast cancer have been no exception over the years, and the recommended modalities will most...

    Newsletter

    Newsletter

    Legislation Seeks to Enhance Access to Cancer Screenings | Alaska Medicare Environment Highlights Payment Crisis | Speakers Say Medicare Payment Rates Major Reason for Physician Shortages | AAFP Asks CMS to Increase Estimation of Notice of Noncoverage Burdens | Former House...

    Quantum Sufficit

    Quantum Sufficit

    Sherri Damlo

    According to results from a National Sleep Foundation poll, 60 percent of American women get enough sleep only a few nights each week, and 67 percent frequently have problems sleeping. Although women of all ages experience sleep problems, working mothers and single working...

    Editorials

    Screening for Breast Cancer: What to Do with the Evidence

    RUSSELL HARRIS

    For many of the conditions we encounter in primary care, there is insufficient evidence to tell us the best course of action. Breast cancer screening is different. We now have nine randomized controlled trials (RCTs) and numerous case-control, cross-sectional, and cohort...

    Graham Center Policy One-Pager

    Use of Patient Registries in U.S. Primary Care Practices

    Patient registries are necessary for high-quality health care, but even in innovative practices, their presence and utilization is inadequate. Registry uptake in primary care may be enhanced by improving the functionality of electronic health records (EHRs) and implementing...

    Cochrane for Clinicians

    Occupational Therapy Improves Activities of Daily Living After Stroke

    Nathan Hitzeman, Mimi Reiss

    Compared with standard rehabilitation, ADL-based occupational therapy significantly decreases death or institutionalization and deterioration in the ability to perform ADL after stroke. The optimal length and type of therapy is not well defined.

    Cochrane Briefs

    CHRISTOPHER W. WALKER

    Fecal Occult Blood Tests Reduce Colorectal Cancer Mortality

    Cochrane Briefs

    CHINASA ANUGWOM, SHERYL SULANGI, ROBERT DACHS

    Adenosine vs. Calcium Channel Blockers for Supraventricular Tachycardia

    U.S. Preventive Services Task Force

    Screening for Hemochromatosis: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for hemochromatosis and the supporting scientific evidence.

    Clinical Evidence Handbook

    Bulimia Nervosa

    PHILLIPA J. HAY, JOSUE BACALTCHUK

    What are the effects of treatments for bulimia nervosa in adults? What are the effects of discontinuing treatment in persons in remission?

    FPIN's Clinical Inquiries

    Monitoring Therapy for Patients with Alzheimer's Disease

    JAQUELINE RAETZ

    Patients with Alzheimer's disease who undergo treatment of any kind should be monitored eight weeks after initiation of therapy and at least every six months thereafter.

    Photo Quiz

    New-Onset Seizures

    BRYCHAN M. CLARK, BRIAN K. AGAN

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    Practice Guidelines

    IDSA Releases Guidelines on Travel Medicine

    AMBER HUNTZINGER

    The Infectious Diseases Society of America (IDSA) has released recommendations on travel medicine standards based on evidence, expert opinion, and clinical experience.

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE ARMSTRONG

    CDC Changes Treatment Guidelines for Gonorrhea

    Practice Guideline Briefs

    CARRIE ARMSTRONG

    ACS Recommendations on MRI and Mammography for Breast Cancer Screening

    Letters to the Editor

    Principles to Help Prevent Youth Sports-Related Injuries

    MARK B. STEPHENS, ANTHONY BEUTLER

    Tips from Other Journals

    Physical Activity Alone May Not Reduce Obesity in Children

    ANNE D. WALLING

    Does Cognitive Training Improve IADL in Older Patients?

    CAROLINE WELLBERY

    Does Depression Impact Heart Failure?

    KARL E. MILLER

    Information from Your Family Doctor

    Emergencies in the Family Medicine Office

    An office emergency is when someone in the doctor's office needs emergency medical care. For example, a patient may have a stroke, or a child may be brought in with meningitis.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME Continuing Medical Education Credit
    POC Point-of-Care Resource
    FREE Free Access
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education