New Issue: Irritable Bowel Syndrome, Mobility Assistive Device Use, Obstetric Lacerations

Thứ năm, 17/06/2021, 15:30 GMT+7

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JUNE 15, 2021

AFP Issue Frequency Change Coming Soon

Beginning with the July 2021 issue, AFP will publish 12 issues per year instead of 24, with twice the amount of editorial content and CME credit in each one. Look for the first “double issue” in mid-July. Additional information is available.


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Irritable Bowel Syndrome: Questions and Answers for Effective Care

Irritable bowel syndrome (IBS) is a heterogeneous group of conditions related to biologic and cellular abnormalities. Psychological factors do not cause IBS, but many people with IBS also have anxious or depressed mood, prior adverse life events, or psychosocial stressors. Physicians should understand the concerns and expectations of patients and the models the patients use to explain their illness and should empathetically respond to psychosocial cues. Anxiety related to the unpredictability of symptoms may have a greater effect on quality of life than the symptoms themselves. Treatments should focus on symptom relief and improved quality of life.

SEE MORE IN AFP BY TOPIC ▶ ABDOMINAL PAIN, ACUTE
Mobility Assistive Device Use in Older Adults

Assistive devices such as canes, crutches, walkers, and wheelchairs can help to alleviate the effects of mobility limitations in older adults, providing improved independence and quality of life. Clinicians should understand how to select the appropriate device and size for individual patients and prescribe the device using the patient’s health insurance plan.

FOR YOUR PATIENT ▶ HOW TO USE CANES AND WALKERS [FREE FULL TEXT]
SEE MORE IN AFP BY TOPIC ▶
GERIATRIC CARE
 

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Obstetric Lacerations: Prevention and Repair

Obstetric lacerations are a common complication of vaginal delivery and can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved. Late third-trimester perineal massage can reduce perineal lacerations in primiparous women. Lacerations involving the anal sphincter complex require additional expertise, exposure, and lighting. Postdelivery care should focus on pain control, preventing constipation, and monitoring for urinary retention. Acetaminophen and nonsteroidal anti-inflammatory drugs should be administered for pain as needed. Osmotic laxative use leads to earlier bowel movements and less pain during the first bowel movement.

SEE MORE IN AFP BY TOPIC ▶ LABOR, DELIVERY, AND POSTPARTUM ISSUES
ONLINE AHEAD OF PRINT
Top 20 Research Studies of 2020 for Primary Care Physicians

The annual installment of this series summarizes the top studies of 2020. These studies were summarized as POEMs (patient-oriented evidence that matters) and were highly rated by Canadian Medical Association members for clinical relevance. Topics in this group of studies include COVID-19, prevention and screening, and respiratory conditions.

CME credit for this article will be available when it is published in print.

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Diagnostic Methods, Treatments, and Guidelines to Keep You Current

FP Essentials provides you with comprehensive, up-to-date, peer-reviewed information on important subjects in family medicine.

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AFP CLINICAL ANSWERS
Endometrial Biopsy, Circumcision, Fever in Children, Thyroid Nodules, Pancreatitis
EDITORIALS
AFP 2021: Updates, New Fellow, Top 20 Articles, AFP Statistics, and Thanking Peer Reviewers [FREE FULL TEXT]
DIARY OF A FAMILY PHYSICIAN
Diary of a Family Physician [FREE FULL TEXT]
LOWN RIGHT CARE: REDUCING OVERUSE AND UNDERUSE
Poor Physician-Patient Communication and Medical Error
POINT-OF-CARE GUIDES
Predicting True Penicillin Allergy in Adults
SEE MORE IN AFP BY TOPIC ▶ ALLERGY AND ANAPHYLAXIS
PRACTICE GUIDELINES
Hypertension: New Guidelines from the International Society of Hypertension
SEE MORE IN AFP BY TOPIC ▶ HYPERTENSION
PUTTING PREVENTION INTO PRACTICE
Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons
SEE MORE IN AFP BY TOPIC ▶ TOBACCO ABUSE AND DEPENDENCE
U.S. PREVENTIVE SERVICES TASK FORCE
Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: Recommendation Statement [FREE FULL TEXT]
SEE MORE IN AFP BY TOPIC ▶ TOBACCO ABUSE AND DEPENDENCE
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Find the best available content from AFP on more than 70 clinical topics in one place.

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Take the AFP CME Quiz on your computer or mobile device to receive instant credit. AAFP members and others who recieve AFP in their own name can earn 7 credits for this issue.

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AFP's COVID-19 Collection

This collection includes research briefs, commentary, and other resources to help family physicians with the COVID-19 pandemic. See the latest resources in the collection that is open-access and frequently updated. See also our collection of COVID-19 Daily Research Briefs.

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