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Articles

Recreational Waterborne Illnesses: Recognition, Treatment, and Prevention

ALLEN PERKINS, MARIROSE TRIMMIER

Symptoms of waterborne illness are primarily gastrointestinal, but upper respiratory and skin manifestations also occur. Symptoms are usually self-limited, and supportive treatment may be all that is necessary. However, some infections can cause significant morbidity and...

Health Maintenance in Postmenopausal Women

I. CORI BAILL, ANALIA CASTIGLIONI

Cardiovascular disease is the leading cause of death in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator to estimate the 10-year risk of atherosclerotic cardiovascular disease. Major...

Top 20 Research Studies of 2016 for Primary Care Physicians

MARK H. EBELL, ROLAND GRAD

The top 20 original research studies and systematic reviews of 2016 cover a variety of topics, including hypertension, respiratory conditions, diabetes mellitus, and musculoskeletal conditions. Selected by members of the Canadian Medical Association, these studies are known...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

AAFP Joins Campaign to Push Back Against Increasing Drug Prices | CDC Reports Birth Defects Occur in 10% of Zika-Infected Pregnancies | VA Changes Stance on Sharing Negative Results on HIV, Sickle Cell Tests | Opioid Task Force Issues Resource on Safe Storage, Disposal of...

Editorials

Pharmacologic Treatment of Hypertension in Adults 60 Years and Older: A Guideline You Can Trust

MICHAEL LEFEVRE, PAUL A. JAMES

Preventive medications treat asymptomatic individuals at risk of a disease, rather than those diagnosed with a disease. A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and...

Cochrane for Clinicians

Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis

WILLIAM E. CAYLEY, JR.

There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction ...

Citrate Salts for Preventing and Treating Calcium-Containing Kidney Stones in Adults

KATHLEEN A. BARRY

Citrate supplementation reduces stone size to less than 5 mm and prevents new stone formation when compared with placebo or no intervention. Citrate therapy also stabilizes existing stones and decreases the need for retreatment. These benefits come at the expense of upper...

Point-of-Care Guides

Estimating Cardiovascular Risk

JONATHON M. FIRNHABER

The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

FPIN's Help Desk Answers

Antibiotic Prophylaxis in Patients with Cirrhosis and Upper Gastrointestinal Bleeding

BERNARD NOVELOSO, BERNY BASTIAMPILLAI, NIHARIKA PERNI, AMANDA WATERMAN

Antibiotics should be used for prophylaxis in hospitalized patients with cirrhosis and upper gastrointestinal bleeding. Prophylaxis reduces all-cause mortality by 21%, as well as bacterial infections and rebleeding.

Photo Quiz

Severe Male Breast Enlargement

CHINWE E. UKAONU, GARY M. CLAY, JR., SHAYLA A. CURTIS

An 11-year-old boy presents with grade 3 gynecomastia, with sagging breasts and darkened areolas.

POEMs

One-Third of Adults with Diagnosed Asthma Can Be Weaned Off All Asthma Medications

DAVID SLAWSON

This study found that current asthma was ruled out after repeated testing in one-third of adults with physician-diagnosed asthma. Patients ruled out for current asthma were less likely to be using asthma medications or daily controlling medications and less likely to have...

Practice Guidelines

Pharmacologic Treatment of Hypertension: ACP and AAFP Release Recommendations for Adults 60 Years and Older

LISA HAUK

The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) have made recommendations for all clinicians to treat hypertension in persons 60 years and older, based on the benefits and harms of higher (less than 150 mm Hg) and lower (140 mm Hg or...

Medicine by the Numbers

Oral NSAIDs for Perineal Pain in the Early Postpartum Period

DEAN SEEHUSEN, TYLER ROGERS

Oral nonsteroidal anti-inflammatory drugs were able to adequately relieve perineal pain for many postpartum women at four hours and longer.

Information from Your Family Doctor

Waterborne Illnesses

Swimming is usually a safe and healthy activity. It is possible to get sick from water that has germs in it by swallowing it or getting it in a cut. You can get infections from swimming pools, too, even if the water has been treated with chlorine. There are bacteria, viruses,...



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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