The Journal of the American Board of Family Practice / American Board of Family Practice
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J Am Board Fam Pract · Jan 2003
Improving firearm storage habits: impact of brief office counseling by family physicians.
Firearm injury is the leading cause of injury-related death among youth and second leading cause of injury-related death overall in the United States. Our objective is to determine the impact of brief office counseling by family physicians on patients' firearm storage habits. ⋯ Family physicians' brief counseling efforts made a significant positive impact in the firearm storage habits of their patients. With a verbal or written recommendation, a significant improvement was observed in firearm storage.
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J Am Board Fam Pract · Jan 2003
Epidural analgesia and severe perineal laceration in a community-based obstetric practice.
This study assessed whether epidural analgesia was an independent risk factor for severe perineal laceration. ⋯ Epidural analgesia is associated with an increase in severe perineal trauma as a result of an associated threefold increased risk of instrument use. Instrument use in vaginal delivery more than triples the risk of severe perineal laceration.