Articles - May 1, 1998 - American Family Physician


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Cover	p. 2135	p. 2215

Articles

2123 Care of the Premature Infant: Part I. Monitoring Growth and Development
DAVID E. TRACHTENBARG, M.D., and THOMAS B. GOLEMON, M.D.
Premature infants require special care in the physician's office after hospital discharge. Care of these infants should be planned to promote normal growth and minimize morbidity and mortality.

2131 Psychotherapy in Primary Care: The BATHE Technique
JANET MCCULLOCH, M.D., SIMON RAMESAR and HEATHER PETERSON
The BATHE technique is a psychotherapy model that allows the physician to assess the background situation, the patient's affect, the most troubling problem and the patient's manner of handling the problem. It concludes with a physician response that conveys empathy.

2135 Radiologic Decision-Making
Slipped Capital Femoral Epiphysis
RANDALL T. LODER, M.D.
Slipped capital femoral epiphysis has a good prognosis if stable and diagnosed early. When the condition is unstable, the prognosis is poor because of the high risk of avascular necrosis. Early radiographic clues are the metaphyseal blanch sign and Klein's line.

Patient information: "Slipped Capital Femoral Epiphysis," p. 2148

2155 The Woman with Dysuria
KURT KUROWSKI, M.D.
Symptoms alone often do not distinguish cystitis and upper urinary tract infections. An altered vaginal flora is associated with most forms of vaginitis and recurrent cystitis.

Patient information: "Causes of Painful Urination," p. 2169

2175 Stuttering: A Brief Review
MICHAEL LAWRENCE, M.D., and DAVID M. BARCLAY III, M.D., M.P.H.
Stuttering in children may be a self-limited disorder, or it may require treatment, including speech therapy and psychologic counseling.

2181 Implementing the Guidelines for Adolescent Preventive Services
NORMAN J. MONTALTO, D.O.
The Guidelines for Adolescent Preventive Services (GAPS) may increase awareness of high-risk health behaviors in young adults, enabling physicians to provide appropriate intervention that may prevent premature morbidity and mortality.

Patient information: "Health Care for Teenagers," p. 2189

2192 Practical Therapeutics
Management of Dyslipidemia in Adults
SYED M. AHMED, M.D., M.P.H., DR.P.H., MARK E. CLASEN, M.D., PH.D., and
JOHN F. DONNELLY, M.D.
Assessment of the patient's risk for coronary heart disease helps the physician determine which treatment should be initiated, what the target low-density lipoprotein cholesterol level should be and how often to perform lipid analysis.

Patient information: "Reducing the Lipid Levels in Your Blood," p. 2207

2209 Clinical Pharmacology
Prescription to Over-the-Counter Drug Reclassification
LORI R. JACOBS, PHARM.D.
Many medications that are now available without a prescription were previously classified as prescription products. Reclassified products have had clinical and economic effects on health care in the United States.

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	Articles
2123	Care of the Premature Infant: Part I. Monitoring Growth and Development DAVID E. TRACHTENBARG, M.D., and THOMAS B. GOLEMON, M.D. Premature infants require special care in the physician's office after hospital discharge. Care of these infants should be planned to promote normal growth and minimize morbidity and mortality.
2131	Psychotherapy in Primary Care: The BATHE Technique JANET MCCULLOCH, M.D., SIMON RAMESAR and HEATHER PETERSON The BATHE technique is a psychotherapy model that allows the physician to assess the background situation, the patient's affect, the most troubling problem and the patient's manner of handling the problem. It concludes with a physician response that conveys empathy.
2135	Radiologic Decision-Making Slipped Capital Femoral Epiphysis RANDALL T. LODER, M.D. Slipped capital femoral epiphysis has a good prognosis if stable and diagnosed early. When the condition is unstable, the prognosis is poor because of the high risk of avascular necrosis. Early radiographic clues are the metaphyseal blanch sign and Klein's line.
	Patient information: "Slipped Capital Femoral Epiphysis," p. 2148
2155	The Woman with Dysuria KURT KUROWSKI, M.D. Symptoms alone often do not distinguish cystitis and upper urinary tract infections. An altered vaginal flora is associated with most forms of vaginitis and recurrent cystitis.
	Patient information: "Causes of Painful Urination," p. 2169
2175	Stuttering: A Brief Review MICHAEL LAWRENCE, M.D., and DAVID M. BARCLAY III, M.D., M.P.H. Stuttering in children may be a self-limited disorder, or it may require treatment, including speech therapy and psychologic counseling.
2181	Implementing the Guidelines for Adolescent Preventive Services NORMAN J. MONTALTO, D.O. The Guidelines for Adolescent Preventive Services (GAPS) may increase awareness of high-risk health behaviors in young adults, enabling physicians to provide appropriate intervention that may prevent premature morbidity and mortality.
	Patient information: "Health Care for Teenagers," p. 2189
2192	Practical Therapeutics Management of Dyslipidemia in Adults SYED M. AHMED, M.D., M.P.H., DR.P.H., MARK E. CLASEN, M.D., PH.D., and JOHN F. DONNELLY, M.D. Assessment of the patient's risk for coronary heart disease helps the physician determine which treatment should be initiated, what the target low-density lipoprotein cholesterol level should be and how often to perform lipid analysis.
	Patient information: "Reducing the Lipid Levels in Your Blood," p. 2207
2209	Clinical Pharmacology Prescription to Over-the-Counter Drug Reclassification LORI R. JACOBS, PHARM.D. Many medications that are now available without a prescription were previously classified as prescription products. Reclassified products have had clinical and economic effects on health care in the United States.