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Articles

Heart Failure Due to Reduced Ejection Fraction: Medical Management

WILLIAM E. CHAVEY, ROBERT V. HOGIKYAN, R. VAN HARRISON, JOHN M. NICKLAS

Angiotensin-converting enzyme inhibitors are the cornerstone of therapy for heart failure. Clinical trials have also demonstrated consistent mortality benefit from angiotensin receptor blockers, direct-acting vasodilators, beta blockers, and aldosterone antagonists. Recent...

Esophageal Cancer

MATTHEW W. SHORT, KRISTINA G. BURGERS, VINCENT T. FRY

Esophageal cancer has a high mortality rate despite progress in diagnosis and treatment. Although patients are often asymptomatic in the early stages, the most common presentation in advanced disease is dysphagia, with or without unintentional weight loss. Patients with...

Patient-Centered Communication: Basic Skills

M. JAWAD HASHIM

Patient-centered communication is a top element of high-quality health care according to the Institute of Medicine, and it is an intrinsically desirable health care priority, even if its use alone does not improve clinical outcomes. A patient-centered approach to care is...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

AAFP: Don't Add Subspecialists to USPSTF | Surgeon General Issues Report on Drugs | Changes on the Way for Next Spring's ABFM Examination | Campaign Helps Physicians Focus on Obesity

Editorials

The CDC's Recommendations to Help Prevent Fetal Alcohol Spectrum Disorders

ANNE SCHUCHAT

Fetal alcohol spectrum disorders (FASDs) affect an estimated 2% to 5% of children in the United States.1 Persons with FASDs have lifelong behavioral, intellectual, and physical disabilities that are solely the result of maternal alcohol consumption during pregnancy. Through...

Cochrane for Clinicians

Extended-Release Bupropion for Preventing Seasonal Affective Disorder in Adults

MEGAN MAGOVERN, AMY CRAWFORD-FAUCHER

When started in the fall, extended-release bupropion, 300 mg once daily, is effective in preventing recurrent symptoms in high-risk adults with a history of SAD (number needed to treat [NNT] = 5), as well as those at lower risk (NNT = 8). Headaches, nausea, and insomnia may...

Interventions to Facilitate Shared Decision Making to Address Antibiotic Use for Acute Respiratory Tract Infections in Primary Care

TYLER BARRETO, KENNETH W. LIN

Interventions to facilitate shared decision making reduce the prescribing of antibiotics for acute respiratory tract infections in the short term (within six weeks of the consultation) without increasing return visits or decreasing patient satisfaction (number needed to treat...

FPIN's Help Desk Answers

Membrane Sweeping to Decrease Rates of Postdate Induction

RAE ADAMS, ANNA LICHORAD, JOHN SIMMONS

In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending...

Photo Quiz

Rash in a U.S. Marine After Predeployment Vaccinations

JASON L. FERGUSON, NICHOLAS M. HANNA

An active duty U.S. marine presents with a rash after receiving routine predeployment vaccinations.

Practice Guidelines

ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus

CARRIE ARMSTRONG

The American Diabetes Association (ADA) recently updated its standards of care to provide the components of diabetes care, general treatment goals, and tools to evaluate the quality of care. Key changes in the 2016 update include new screening recommendations, clarification...

Medicine by the Numbers

Alpha-adrenergic Agonists for the Management of Opioid Withdrawal

MATTHEW ROYALL, KATHRYN K. GARNER, SUSAN HILL, MATTHEW BARNES

Alpha-adrenergic agonists were more efficacious than placebo in the management of opioid withdrawal, but are best reserved as an alternative to methadone.

Information from Your Family Doctor

Heart Failure: What You Should Know

Heart failure is one of the most common causes of heart-related illness and death in the United States. It happens when the heart can't pump enough blood through your body. The blood backs up and fluid clogs your veins, tissues, and lungs.

Esophageal Cancer: What You Should Know

It is the tube that connects your mouth to your stomach. Food goes through this tube on the way to your stomach.



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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