Articles - February 1, 1998 - American Family Physician


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457 Cardiovascular Medicine Update
Preventing Bacterial Endocarditis: American Heart Association Guidelines
KATHRYN A. TAUBERT, PH.D., and ADNAN S. DAJANI, M.D.
The American Heart Association's recently revised guidelines for the prevention of bacterial endocarditis are intended to more clearly define when prophylaxis is and is not recommended, as well as to improve practitioner and patient compliance.

474 The Injured Ankle
RANDELL K. WEXLER, M.D.
Of the 1 million ankle injuries that occur annually in the United States, 85 percent are sprains of the lateral ligaments. Milder sprains respond to rest and immobilization, while more serious sprains may require casting or surgery.

Patient information: "How to Care for Your Ankle Sprain," p. 485

491 Hospice Care in the Nursing Home
TIMOTHY J. KEAY, M.D., M.A. - TH., and RONALD S. SCHONWETTER, M.D.
The Medicare Hospice Benefit allows hospice programs to provide valuable and effective interdisciplinary services to support the family physician's palliative care of teminally ill nursing home residents.

Patient information: "Hospice Care in the Nursing Home," p. 497

504 Practical Therapeutics
Transcervical Amnioinfusion
DAVID G. WEISMILLER, M.D., SC.M.
Amnioinfusion has been shown to decrease variable decelerations and, correspondingly, to decrease operative intervention associated with a nonreassuring fetal heart rate tracing. Dilution of thick meconium with amnioinfusion can potentially reduce the risk of meconium aspiration.

513 Clinical Pharmacology
Newer Antiepileptic Drugs: Gabapentin, Lamotrigine, Felbamate, Topiramate and Fosphenytoin
WILLIAM J. CURRY, M.D., and DAVID L. KULLING, M.D.
New choices in antiepileptic therapy provide improved seizure control, but a thorough understanding of drug interactions and possible life-threatening side effects is imperative for physicians who employ these medications.

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	Articles
457	Cardiovascular Medicine Update Preventing Bacterial Endocarditis: American Heart Association Guidelines KATHRYN A. TAUBERT, PH.D., and ADNAN S. DAJANI, M.D. The American Heart Association's recently revised guidelines for the prevention of bacterial endocarditis are intended to more clearly define when prophylaxis is and is not recommended, as well as to improve practitioner and patient compliance.
474	The Injured Ankle RANDELL K. WEXLER, M.D. Of the 1 million ankle injuries that occur annually in the United States, 85 percent are sprains of the lateral ligaments. Milder sprains respond to rest and immobilization, while more serious sprains may require casting or surgery.
	Patient information: "How to Care for Your Ankle Sprain," p. 485
491	Hospice Care in the Nursing Home TIMOTHY J. KEAY, M.D., M.A. - TH., and RONALD S. SCHONWETTER, M.D. The Medicare Hospice Benefit allows hospice programs to provide valuable and effective interdisciplinary services to support the family physician's palliative care of teminally ill nursing home residents.
	Patient information: "Hospice Care in the Nursing Home," p. 497
504	Practical Therapeutics Transcervical Amnioinfusion DAVID G. WEISMILLER, M.D., SC.M. Amnioinfusion has been shown to decrease variable decelerations and, correspondingly, to decrease operative intervention associated with a nonreassuring fetal heart rate tracing. Dilution of thick meconium with amnioinfusion can potentially reduce the risk of meconium aspiration.
513	Clinical Pharmacology Newer Antiepileptic Drugs: Gabapentin, Lamotrigine, Felbamate, Topiramate and Fosphenytoin WILLIAM J. CURRY, M.D., and DAVID L. KULLING, M.D. New choices in antiepileptic therapy provide improved seizure control, but a thorough understanding of drug interactions and possible life-threatening side effects is imperative for physicians who employ these medications.