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Articles

Treatment and Prevention of Kidney Stones: An Update

LYNDA FRASSETTO, INGRID KOHLSTADT

Acute management of kidney stones includes oral hydration and pain management. Further evaluation and interventions are focused on the specific type of stone. Even when kidney stones cannot be retrieved, urine pH and 24-hour urine assessment can guide prevention measures.

Diagnosis and Management of Rheumatoid Arthritis

AMY M. WASSERMAN

Patients with rheumatoid arthritis typically present with pain and stiffness in multiple joints. If rheumatoid arthritis is suspected, testing for rheumatoid factor and anti-citrullinated protein antibodies, and measurement of C-reactive protein level or erythrocyte...

Personality Disorders: Review and Clinical Application in Daily Practice

KURT B. ANGSTMAN, NORMAN H. RASMUSSEN

Patients who have challenging personality traits must be carefully treated to ensure patient-centered quality medical care. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders.

Management of Falls in Older Persons: A Prescription for Prevention

LAINIE VAN VOAST MONCADA

The risk of falls and resulting serious injury increases with age, but falls are not an unavoidable consequence of aging. Multifactorial risk assessment should be performed in all older persons who report a single fall and have unsteadiness on gait examination; who report two...

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

Outcomes Data Demonstrate Effectiveness of Patient-Centered Medical Homes | Academy Creates Summary of Final Rule on Medicare Accountable Care Organizations | Deadline Approaching for Implementation of 5010 Electronic Transaction Standards | Study Shows Primary Care...

Editorials

Prolotherapy for Chronic Musculoskeletal Pain

DAVID RABAGO, MICHAEL YELLAND, JEFFREY PATTERSON, ALEKSANDRA ZGIERSKA

Prolotherapy is an injection-based complementary therapy for common chronic musculoskeletal conditions including tendinopathy, knee osteoarthritis, and low back pain. It involves the injection of irritant solutions into tender ligamentous and tendinous attachments and...

Graham Center Policy One-Pager

EHR Implementation Without Meaningful Use Can Lead to Worse Outcomes

JESSE C. CROSSON, ANDREW W. BAZEMORE, ROBERT L. PHILLIPS, JR.

Defying expectations, typical electronic health record (EHR) use in practices belonging to a primary care network has been associated with poorer diabetes care quality and outcomes. Current expansion of primary care EHR implementation must focus on use that improves care.

Close-ups Cochrane for Clinicians

Effect of Mammography on Breast Cancer Mortality

JOANNE E. WILKINSON

Although mammography can lead to false-positive results, emotional stress, and unnecessary biopsies, it appears to reduce deaths from breast cancer by about 15 percent.

Management of Constipation in Patients Receiving Palliative Care

WILLIAM E. CAYLEY, JR.

There is insufficient evidence to recommend one laxative over another for the treatment of constipation in patients receiving palliative care. Methylnaltrexone can increase the frequency of bowel movements at four hours (odds ratio = 7.0; 95% confidence interval, 3.8 to 12.6)...

Photo Quiz FPIN's Clinical Inquiries

Treatment of Nongenital Warts

ALYSON L. FEIGENBAUM, CARLA AINSWORTH, LEILANI ST. ANNA

Topical salicylic acid, cryotherapy, and topical fluorouracil are effective for treating nongenital warts.

SORT

SORT

AFP uses the Strength-of-Recommendation Taxonomy (SORT),1 to label key recommendations in clinical review articles. In general, only key recommendations are given a Strength-of-Recommendation grade. Grades are assigned on the basis of the quality and consistency of available...

Practice Guidelines

Updated Guidelines on Management of Atrial Fibrillation from the ACCF/AHA/HRS

MARA LAMBERT

The American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) have released updated guidelines for the management of atrial fibrillation. Since the previous guidelines were issued in 2006, new data have become...

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

Tips for Preventing Falls

Older adults are at risk of falling, but anyone who has had a previous fall, has weak leg muscles, or has problems with walking or balance has a higher risk.



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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