• Articles

    Diet and Exercise in the Management of Hyperlipidemia

    ROBERT B. KELLY

    Dietary factors that influence lipid levels include modification of nutritional components, consumption of specific foods, use of food additives and supplements, and major dietary approaches. Aerobic exercise also has beneficial effects. Recent evidence sheds light on which...

    Pelvic Organ Prolapse

    INDUMATHI KUNCHARAPU, BARBARA A. MAJERONI, DALLAS W. JOHNSON

    Most women with pelvic organ prolapse can be fitted with a pessary regardless of the stage or site of predominant prolapse. Other management options include observation, pelvic floor muscle training, and surgery.

    Glucose Control in Hospitalized Patients

    GREGORY SAWIN, ALLEN F. SHAUGHNESSY

    Tight control of blood glucose levels and the use of sliding-scale insulin do not show a mortality benefit and increase the risk of hypoglycemia in hospitalized patients. Home treatment regimens for diabetes mellitus should be continued for most patients, including those...

    Glycemic Control in Hospitalized Patients Not in Intensive Care: Beyond Sliding-Scale Insulin

    KONRAD C. NAU, ROSEMARIE C. LORENZETTI, MARK CUCUZZELLA, TIMOTHY DEVINE, JONATHAN KLINE

    Traditional sliding-scale insulin should no longer be the only method of glycemic control in hospitalized patients. Instead, physiologic subcutaneous insulin protocols with basal, nutritional, and correctional components should be used.

    Prevention, Diagnosis, and Management of Serotonin Syndrome

    ADRIENNE Z. ABLES, RAJU NAGUBILLI

    Serotonin syndrome is a potentially life-threatening set of symptoms usually caused by the use of multiple serotonergic agents. Symptoms may include mental status changes, autonomic instability, and neuromuscular hyperactivity.

    Editorials

    Glycemic Control in the Hospital: What to Do When Experts Disagree

    PETER HAM

    Readers hoping for clear protocols about glucose control in nonintensive care hospitalized patients with diabetes mellitus may note conflicting recommendations in this issue of American Family Physician. Nau and colleagues recommend stopping home oral diabetes medications,...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    DEA Issues Interim Final Rule Allowing E-Prescribing of Controlled Substances | FDA Issues Regulations Restricting Tobacco Sales and Marketing to Children | IRS to Refund Pre-2005 FICA Payroll Taxes for Some Medical Residents | IOM's Call for Increased Hepatitis Screening...

    Curbside Consultation

    Practical Considerations for Determining Patient Capacity and Consent

    JAMES GIORDANO, JAMES DUFFY, SJ

    The core issue is whether the patient possesses decisional capacity and can provide informed consent.

    Cochrane for Clinicians

    Opioids for Osteoarthritis of the Knee or Hip

    NATHAN HITZEMAN, NINAD ATHALE

    Compared with placebo, the benefits achieved from opioid therapy are modest in terms of pain relief and improvement in function, and do not outweigh the increase in adverse effects. No single opioid stands out as more effective or safer than the rest.

    Risperidone vs. Placebo for Schizophrenia

    CLARISSA KRIPKE, null FAAFP

    Compared with placebo, risperidone improves symptoms based on some disease-specific symptom scores for schizophrenia. However, it does not appear to improve symptoms on a more important Clinical Global Impression scale.

    Photo Quiz

    Infant with Vesicular Rash

    H.F. DURTSCHI, M.V. FARGO

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    Tips from Other Journals

    Effectiveness of Medications to Prevent Primary Breast Cancer

    KENNETH T. MOON

    Booster Seats Prevent Injuries in Children Four to Eight Years of Age

    AMY CRAWFORD-FAUCHER

    Can Exercise Improve Cognitive Function in Older Persons?

    KENNETH T. MOON

    Improving Long-Term CPAP Adherence with Eszopiclone

    KENNETH T. MOON

    Practice Guidelines

    ACP Releases Guideline on Hormone Testing and Pharmacologic Treatment of Erectile Dysfunction

    LISA GRAHAM

    As the general population ages and life expectancy increases, erectile dysfunction (ED) is anticipated to be a major health care burden. Therefore, the American College of Physicians (ACP) created a guideline on hormone testing and pharmacologic treatment of ED.

    Letters to the Editor

    Performing Digital Rectal Examination Can Detect Cancers

    Information from Your Family Doctor

    Improving Your Cholesterol with Diet and Exercise

    Low-density lipoprotein (LDL) is “bad” cholesterol. The more LDL you have in your blood, the higher your risk of heart disease. High-density lipoprotein (HDL) is “good” cholesterol. This type lowers your risk of heart disease.

    Pelvic Organ Prolapse

    Prolapse is when organs in your pelvis, such as the uterus, vagina, or bladder, protrude or sag through the opening of your vagina. It may feel like a bulge or a pouch.



    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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