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Articles

Diagnosis and Management of ADHD in Children

BARBARA T. FELT, BERNARD BIERMANN, JENNIFER G. CHRISTNER, PARAM KOCHHAR, RICHARD VAN HARRISON

Children four years and older with behavioral concerns or poor academic progress should be evaluated for attention-deficit/hyperactivity disorder using validated assessment tools, ideally including observers from several settings, such as the home and school. Treatment of...

Dyspareunia in Women

DEAN A. SEEHUSEN, DREW C. BAIRD, DAVID V. BODE

Dyspareunia, or persistent pain with sexual activity, has many possible causes. The history and physical examination are usually sufficient to make the diagnosis. Treatment depends on the diagnosis and may include pelvic floor physical therapy or cognitive behavior therapy...

Appropriate Use of Medical Interpreters

GREGORY JUCKETT, KENDRA UNGER

Patients with limited English proficiency are less able to access health care and are at higher risk of adverse outcomes. Title VI of the Civil Rights Act mandates that interpreter services be provided for patients who need it, despite the lack of reimbursement in most states...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

VA Adds Primary Care Services to Contract Program for Veterans' Health | More Physicians Using EHRs, but Data Sharing, Patient Engagement Lag Behind | October 1, 2015, ICD-10 Deadline Finalized | Study: Smaller Primary Care Practices May Help Keep Patients Out of Hospitals

Editorials

JNC 8: Relaxing the Standards

ROBERT GAUER, JUSTIN LAROCQUE

Evidence-based guidelines are indispensable and assist clinicians in providing the most effective care for patients. The Eighth Joint National Committee (JNC 8) recently issued the most anticipated guideline in some time.1 The JNC 8 committee was initially appointed in 2008...

Cochrane for Clinicians

Safety of Long-Acting Beta Agonists in Adults with Asthma

AARON SAGUIL, DAVID GARCIA

LABAs appear to be safe when used with inhaled corticosteroids. LABA monotherapy is associated with an increase in asthma-related mortality and nonfatal serious adverse events, but not in all-cause mortality.

Psychological Therapies for Chronic Posttraumatic Stress Disorder

AMY CRAWFORD-FAUCHER

Trauma-focused cognitive behavior therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are more effective than other therapies in reducing PTSD symptom severity up to four months after treatment, but more robust studies are needed to evaluate the long-term...

Implementing AHRQ Effective Health Care Reviews

Effectiveness of Outpatient Case Management for Adults

DEAN A. SEEHUSEN, MEGHAN RALEIGH

Does outpatient case management for adults with medical illness and complex care needs improve patient-centered outcomes, quality of care, or resource utilization?

Photo Quiz

Active Duty Soldier with Punctate Marks on the Feet

CARL COVEY, BRETT JOHNSON, TIMOTHY CRAGUN

A man on active military duty presented with severe sweating in both feet, and multiple discrete punctate depressions on the plantar surface.

Curbside Consultation

Challenges and Opportunities in the Care of Asian American Patients

GIANG T. NGUYEN

In cases such as this, patients are often told, “You don't need treatment now,” but they only hear, “You are fine.” Subsequent failure to follow up may result from a combination of issues related to health literacy, educational attainment, linguistic barriers, and cultural...

Close-ups

To Whipple or Not: Choices in Cancer Treatment

CAROLINE WELLBERY

Surviving 10 months after a pancreatic cancer diagnosis, a patient decides whether or not he should undergo the Whipple procedure, a potential cure.

POEMs

Oseltamivir Slightly Decreases Influenza Symptom Duration but Not Hospitalizations

ALLEN F. SHAUGHNESSY

Treatment of children with oseltamivir will decrease symptom duration by approximately one day, but will not reduce hospitalizations and does not seem to be effective in children with asthma. In adults, symptom reduction is less striking (less than one day), and...

Physical Therapy No Better Than Sham Therapy for Hip Osteoarthritis

DAVID SLAWSON

No Benefit to Prolonged Dual Antiplatelet Therapy After Drug-Eluting Stent Placement

MARK H. EBELL

Prolonging dual antiplatelet therapy with aspirin plus clopidogrel (Plavix) for more than one year after the placement of a drug-eluting stent confers no clinical benefit.

Practice Guidelines

JNC 8 Guidelines for the Management of Hypertension in Adults

CARRIE ARMSTRONG

• In the general population, pharmacologic treatment should be initiated when blood pressure is 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or higher in adults younger than 60 years.

Letters to the Editor

Consider Thin Basement Membrane Nephropathy as a Possible Cause of Asymptomatic Microscopic Hematuria

ALAN PETERSON

Information from Your Family Doctor

What You Should Know About Dyspareunia

Dyspareunia (DIS-puh-ROO-nee-uh) is pain that occurs during sex. The pain may begin the first time you have sex, or it can begin later. The pain may be near or in the opening of the vagina or deep inside your pelvis. It may feel like a muscle spasm that makes entry into the...

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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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