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Articles

Nursing Home Care: Part I. Principles and Pitfalls of Practice

BRIAN K. UNWIN, MARY PORVAZNIK, GERARD DAVID SPOELHOF

Family physicians often lead the interdisciplinary team responsible for the care of nursing home residents. Nursing home care is a complex process that includes ongoing clinical assessment, communication among numerous health care professionals, advance care planning, and...

Nursing Home Care: Part II. Clinical Aspects

BRIAN K. UNWIN, MARY PORVAZNIK, GERARD DAVID SPOELHOF

Nursing home care often includes specific clinical issues, such as nutrition, frailty, chronic pain, and deteriorating physical function and cognition. Understanding the differences between addressing these issues in the nursing home compared with the community setting is...

Diagnosis and Initial Management of Acute HIV Infection

CAROLYN CHU, PETER A. SELWYN

Acute human immunodeficiency virus (HIV) infection should be considered in patients presenting with unexplained, nonspecific symptoms, such as fever and malaise. HIV RNA viral load is the preferred diagnostic test for acute infection. After diagnosis, physicians should...

Primary Care of Adult Survivors of Childhood Cancer

DEAN A. SEEHUSEN, DREW BAIRD, DAVID BODE

In addition to cancer recurrence, adult survivors of childhood cancer are at an increased risk of long-term morbidities from adverse effects of cancer treatment. Their care plan should be individualized based on each patient's risk factors for future morbidity, including...

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

AAFP Board Adopts CMSS Code of Standards for Business Interactions | MedPAC Report Addresses Medical Malpractice Reform Approaches | FDA Issues Final Rule to Phase Out All Chlorofluorocarbon Inhalers | IOM Report Says Average Sodium Intake Is Too High and Urges FDA to Set...

Editorials AFP Journal Club

Antidepressants for Initial Treatment of Depression

ANDREA DARBY-STEWART, ROBERT DACHS, null FAAFP, MARK A. GRABER

Which antidepressants should be used for the initial treatment of depression? This quality multiple-treatment meta-analysis gives physicians a good starting point for choosing an antidepressant. Sertraline and escitalopram should be considered first-line agents whereas...

Graham Center Policy One-Pager

Greater Family Medicine Presence at NIH Could Improve Research Relevance and Reach

SEAN C. LUCAN, ANDREW W. BAZEMORE, ROBERT L. PHILLIPS, JR., IMAM XIERALI, STEPHEN PETTERSON, BRIDGET TEEVAN

Advisory committees perform pivotal tasks at the National Institutes of Health (NIH), informing funding decisions, helping establish research priorities, and contributing to the vision for the nation's biomedical research agenda. Family medicine has not had a substantial role...

Clinical Evidence Handbook

Delirium at the End of Life

PAUL KEELEY

What are the effects of interventions at the end of life in persons with delirium caused by underlying terminal illness?

Photo Quiz

Palatine Lesion in an Older Woman

VIBHUTI ANSAR, DEREK WOESSNER

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

U.S. Preventive Services Task Force Putting Prevention Into Practice

Primary Care Interventions to Promote Breastfeeding

DAVID MEYERS, MELISSA CAMP

Case study: L.M. is a 19-year-old woman who is pregnant for the first time. During her first prenatal visit, you ask what she has heard about breastfeeding.

Point-of-Care Guides

Diagnosis of Gastroesophageal Reflux Disease

MARK H. EBELL

Diagnosis of GERD may be clinical (presentation with typical symptoms, such as heartburn); physiologic (evidence of abnormal pH levels in the distal esophagus); anatomic (evidence of esophagitis on endoscopy); or functional (clinical response to antacid medications). However,...

STEPS

Febuxostat (Uloric) for Hyperuricemia and Gout

BRYAN L. LOVE, null BCPS

Febuxostat more effectively lowers serum uric acid to goal levels than does allopurinol; however, this benefit is offset by a slightly higher incidence of adverse effects and treatment discontinuation. Until superiority for patient-oriented outcomes is shown in comparative...

Practice Guidelines

Guidelines for the Diagnosis and Management of Hoarseness

AMBER HUNTZINGER

The American Academy of Otolaryngology–Head and Neck Surgery Foundation has released evidence-based guidelines for the evaluation and management of hoarseness. The goals of the guidelines are to improve diagnostic accuracy; reduce inappropriate medication and imaging use; and...

Letters to the Editor Information from Your Family Doctor

Staying Healthy After Childhood Cancer

Almost 12,000 American children are diagnosed with cancer every year, although most survive if they get treatment. When these children become adults, the cancer they had is called childhood cancer.



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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