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Articles

Contraception Choices in Women with Underlying Medical Conditions

RACHEL A. BONNEMA, MEGAN C. McNAMARA, ABBY L. SPENCER

Oral contraceptive pills may be used in women with a range of comorbidities, including well-controlled hypertension, uncomplicated diabetes mellitus, depression, and uncomplicated valvular heart disease. Progestin-only options are available for women with contraindications to...

Weight Loss Maintenance

SAMUEL N. GRIEF, ROSITA L.F. MIRANDA

Successful weight loss maintenance is defined as maintaining a weight loss of at least 10 percent for at least one year. Effective approaches include a consistent, healthy diet and regular exercise; behavioral interventions; weight loss medication; and bariatric surgery.

Recurrent Urinary Tract Infections in Women: Diagnosis and Management

CHARLES M. KODNER, EMILY K. THOMAS GUPTON

Diagnosis of recurrent urinary tract infections typically involves culture, assessment for risk factors, and identification of a causative organism. Treatment should be guided by community resistance patterns and whether the infection is complicated or uncomplicated....

Proteinuria in Children

ALEXANDER K.C. LEUNG, ALEX H.C. WONG

Proteinuria is usually benign, although it can be a marker for a serious underlying condition. Pertinent history, physical examination, and laboratory findings can help differentiate benign from clinically significant proteinuria.

Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease

LINDA NICI, SUZANNE LAREAU, RICHARD ZuWALLACK

Pulmonary rehabilitation includes patient assessment, exercise training, self-management education, and psychosocial support. Positive outcomes include increased exercise tolerance, reduced dyspnea and anxiety, improvement in health-related quality of life, and reduced...

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

ACIP Expands Influenza Vaccine Guidelines, Advises Against Afluria for Young Children | AAFP Responds to Proposed Medicare Rule, Creates Related Toolkit to Educate Patients | AHRQ Issues New Summary Guides on Adjunctive Therapy for Patients with CHD | AAFP, Other Medical...

AFP Journal Club

Autism and Childhood Vaccinations: Debunking the Myth

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

Are childhood vaccinations associated with subsequent development of autism? This month's article provides the science and statistics to dispel the theory that childhood vaccinations induce autism.

Graham Center Policy One-Pager

Income Disparities Shape Medical Student Specialty Choice

VENIS WILDER, MARTEY S. DODOO, ROBERT L. PHILLIPS, JR., BRIDGET TEEVAN, ANDREW W. BAZEMORE, STEPHEN M. PETTERSON, IMAM XIERALI

Currently, a gap of more than $135,000 separates the median annual subspecialist income from that of a primary care physician, yielding a $3.5 million difference in expected income over a lifetime. These income disparities dissuade medical students from selecting primary care...

Editorials

Preventive Health: Time for Change

COLIN KOPES-KERR

It is time to make a decision. Which will be our health promotion strategy—primary prevention or secondary prevention?

Clinical Evidence Handbook

Bacterial Conjunctivitis

JOHN EPLING

What are the effects of empiric treatment in adults and children with suspected bacterial conjunctivitis? What are the effects of treatment in adults and children with culture-confirmed bacterial or suspected or clinically confirmed gonococcal conjunctivitis?

Photo Quiz

Enlarged Tonsils and Fatigue

MALCOLM LEMYZE, FAVORY RAPHAEL

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

U.S. Preventive Services Task Force STEPS

Methylnaltrexone (Relistor) for Opioid-Induced Constipation

BRIAN CROWNOVER, null FAAFP, ETHAN ZIMMERMAN

Methylnaltrexone can temporarily relieve opioid-induced constipation in patients with advanced illness who have not responded to laxative treatment. However, it must be given by injection, is expensive, and has been studied only for short-term use.

Practice Guidelines

Updated Guideline on Diagnosis and Treatment of Intra-abdominal Infections

CARRIE ARMSTRONG

The Surgical Infection Society and Infectious Diseases Society of America recently updated recommendations for diagnosis and treatment of intra-abdominal infections. Intra-abdominal infections are the second most common cause of infectious mortality in intensive care units....

IDSA Releases Guidelines on Management of Cryptococcal Disease

CARRIE ARMSTRONG

The Infectious Diseases Society of America (IDSA) recently updated its guidelines on the management of cryptococcal disease. The new guidelines include a discussion of the management of cryptococcal meningoencephalitis in three risk groups: patients who are HIV-positive,...

Letters to the Editor Tips from Other Journals Information from Your Family Doctor

Proteinuria in Children

The kidneys remove waste from the blood. This waste leaves the body in urine. Usually, proteins are too big to go through the kidneys and into the urine. But sometimes, protein can leak into the urine. This is called proteinuria.

Pulmonary Rehabilitation in COPD

Pulmonary rehabilitation is a program for patients with lung diseases, such as chronic obstructive pulmonary disease (COPD). It helps you breathe and makes it easier for you to do normal activities. The program includes exercise, social support, and tools to help you cope...



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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