Editor's Message

Winter of Discontent

Now is the winter of our discontent Made glorious summer by this sun of York; And all the clouds that lour'd upon our house In the deep bosom of the ocean buried. Those words, spoken as the opening lines of William Shakespeare’s Richard III , have been widely quoted to tag political and soci...

From the President's Desk

A Family Reunion to Remember

As we embark on a new year with renewed hope that our scientific knowledge and public health awareness will continue to bring us closer to a sense of normalcy, it is time to reunite! We are excited to convene a “family reunion” of colleagues and friends at the ACOFP 59th Annual Convention & S...

Original Research

10–18
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Determinants of Postoperative Atrial Fibrillation

A Retrospective Evaluation of Postoperative Atrial Fibrillation in Cardiac Surgery
Introduction: Atrial fibrillation is the most common postoperative arrhythmia and is associated with increased length of stay, cost, morbidity and mortality. The incidence of postoperative atrial fibrillation for noncardiac, nonthoracic surgeries ranges from 0.4% to 26%. The incidence in...

Review Articles

19–22
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Acute Giardiasis and Chapman Reflexes

Musculoskeletal Symptoms Preceding, during and after Infection
Giardiasis is an acute infection caused by Giardia lamblia, which produces profuse secretory diarrhea that can lead to dehydration and electrolyte derangement. Musculoskeletal manifestations resulting because of giardiasis occur due to prolonged inflammation and viscero-somatic reflexes ...
23–28
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Prostate Disorders Diagnosis and Management Review with an Osteopathic Component

Physicians commonly encounter disorders of the prostate in the primary care setting, where shared decision making for prostate cancer screening should also occur. Hence, it is important for physicians to understand and differentiate the diagnoses of prostate disease. Initial evaluation s...
29–34
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Emerging Non-Invasive Neuroplastic-Targeting Therapies for Substance Use Disorder Treatment

Context: America is in the midst of a substance use disorder (SUD) epidemic, which has only worsened in the current COVID-19 pandemic. SUD is a public health crisis that affects an everincreasing proportion of the population and is extraordinarily difficult to treat. Misused substances i...
35–41
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Glaucoma

A review for the family physician
Glaucoma is an insidious disease process that causes damage to the optic nerve head and retinal nerve fiber layer, resulting in progressive vision loss. Multiple factors play a role in its pathophysiology, but intraocular pressure is a significant yet modifiable risk factor and therefore...

Clinical Images

42–44
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Hyperpigmented Nodular Rash in a 61-Year-Old African American Female

This article was originally published as a PDF. Please download the PDF to view the images.    A 61-year-old African American female presents to an outpatient family health center with a hyperpigmented nodular rash of 2 months’ duration. The rash first appeared on her abdomen before s...

Patient Education Handout(s)

Foot Care for People with Diabetes

This article was designed to be viewed and distributed as a PDF. Please download the PDF for easiest reading.            Diabetes mellitus (DM) is a disease associated with increased glucose, or sugar, in blood vessels. High blood sugar can damage blood vessels, caus...

Acute Back Pain

How OMT Can Help
This article was designed to be viewed and distributed as a PDF. Please download the PDF for easiest reading.            Acute back pain is a common condition that most people will experience at some point in their lives. Back pain is considered acute if it has been...