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Articles

Exercise Prescriptions in Older Adults

PEARL GUOZHU LEE, ELIZABETH A. JACKSON, CAROLINE R. RICHARDSON

Older adults, especially those with chronic conditions, can benefit from regular physical activity and exercise to improve fitness, manage weight and chronic disease, and prevent falls. Physicians can help patients set individual goals to increase physical activity and reduce...

Chronic Obstructive Pulmonary Disease: Diagnosis and Management

SHARI GENTRY, BARRY GENTRY

The diagnosis of chronic obstructive pulmonary disease (COPD) may be suspected based on findings from the history and physical examination, but it must be confirmed by spirometry to detect airflow obstruction. Findings that are most helpful to rule in COPD include a smoking...

Postpartum Hemorrhage: Prevention and Treatment

ANN EVENSEN, JANICE M. ANDERSON, PATRICIA FONTAINE

As many as 5% of obstetric patients will experience postpartum hemorrhage, and not all will have associated risk factors. Appropriate management requires prompt diagnosis and treatment. Active management of the third stage of labor provides the most effective strategy for...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

Federal Appeals Court Strikes Down Physician Gag Law | White Paper Outlines Recommendations to Improve EHR Usability | Family Medicine Faculty More Diverse Than Most, but Still Lacking | Proposed Law Would Create Commission on Complex Diseases

Editorials

Chronic Pain Management and Opioid Misuse: Guidance for Family Physicians

DAVID T. O'GUREK, ROBERT RICH, JR.

Family physicians are committed to advancing population and community health, and we must take the lead in reducing opioid misuse and overdose before outside entities mandate practice strategies that may not be patient-centered.

Cochrane for Clinicians

Preventing Unintended Adolescent Pregnancy

DAVID A. KLEIN, MARY E. RAY

Among adolescents, educational interventions increase reported condom use at most recent intercourse, whereas contraceptive-promoting interventions increase use of hormonal contraception.

Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease

AMY CRAWFORD-FAUCHER, R. MICHAEL HUIJON

Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.

Close-ups

Invisible Disabilities: Mine and Theirs

MARIA F. CIMINELLI, GERONIMA ALDAY

At age 50, Dr. Mellor developed a disability that has entirely changed the way she relates to her patients and their struggles.

FPIN's Help Desk Answers

Alzheimer Disease: Monotherapy vs. Combination Therapy

ELISABETH LAWLER, AMBER AVILA

Combination treatment with memantine and donepezil results in a small improvement in cognitive function that is of uncertain clinical significance in patients with moderate to severe Alzheimer disease, but no improvement in patients with mild to moderate disease.

Photo Quiz

Pruritic Rash in Pregnancy

JAMES S. STUDDIFORD, NYASHA GEORGE, KATHRYN TRAYES

A pregnant woman presented with scattered periumbilical and lower extremity pruritic papules.

POEMs

Repeat Cytology Within Six Months Equals Colposcopy for Younger Women with ASCUS or LSIL

LINDA SPEER

Among women 22 to 27 years of age with an index cervical cytology showing abnormal squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (LSIL), the incidence of invasive cervical cancer did not differ between repeat cytology within...

PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main Coronary Artery Disease

MARK H. EBELL

Placebo Plus Message of Benefit Decreases Chronic Low Back Pain

ALLEN F. SHAUGHNESSY

These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores...

If You Give Amoxicillin/Clavulanate to Six- to 23-Month-Olds with AOM, 10 Days Is Preferable to Five Days

MARK H. EBELL

These authors begin with the assumption that we should treat children who have AOM with amoxicillin/clavulanate. The greatest benefit was in children one to two years of age who had more severe pain and fever. In children with less severe symptoms, observation should still be...

Practice Guidelines

Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP

LISA HAUK

Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the...

Medicine by the Numbers

Vitamin E in Pregnancy

PATRICIA VAN LEER

Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.

Letters to the Editor

Importance of Careful Corneal Inspection Prior to Fluorescein Examination

JEFF WOLFREY

Interpreting the Statistics on Potential Benefits of Prostate Cancer Screening

Conversations About Vaccines Should Underscore Their Public Health Benefits to Patients

ANTHONY L. SCHLAFF

Information from Your Family Doctor

What Seniors Should Know About Exercise

Exercise can improve your health and help keep you strong and fit. Exercise can help you stay independent as you get older.

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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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