Articles - October 1, 1998 - American Family Physician


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Articles

1113 Appropriate Use of Antibiotics for URIs in Children: Part I. Otitis Media and Acute Sinusitis
SCOTT F. DOWELL, M.D., M.P.H., BENJAMIN SCHWARTZ, M.D., WILLIAM R. PHILLIPS, M.D., M.P.H., and THE PEDIATRIC URI CONSENSUS TEAM
The first part of this two-part article reviews the principles of antibiotic use in the treatment of otitis media and acute sinusitis in children, and ways in which antibiotic use could be curtailed without compromising patient care.

Patient information: "Otitis Media with Effusion," p. 1123

1126 Postexercise Systolic Blood Pressure Response: Clinical Application to the Assessment of Ischemic Heart Disease
ALLEN J. TAYLOR, M.D., and GEORGE A. BELLER, M.D.
A three-minute systolic blood pressure ratio of greater than 0.90 has a diagnostic accuracy of about 75 percent for the detection of coronary artery disease. Higher values for this ratio are associated with more extensive coronary artery disease and an adverse prognosis after myocardial infarction.

1133 Herbal 'Health' Products: What Family Physicians Need to Know
THERESE ZINK, M.D., M.P.H., and JODI CHAFFIN, R.PH.
Family physicians can benefit from knowing about some of the popular herbal preparations their patients are taking and from becoming familiar with what is currently known about their effectiveness, dosages, side effects, toxicities and drug interactions.

1145 Evaluating Proteinuria in Children
MAHMOUD LOGHMAN-ADHAM, M.D.
Proteinuria is a common laboratory finding in children. It can be identified as either a transient or persistent finding and can represent benign conditions or serious disease.

Patient information: "Proteinuria in Children," p. 1158

1163 Breast Cancer in Older Women
LODOVICO BALDUCCI, M.D., and D. MELESSA PHILLIPS, M.D.
Screening mammography is recommended in women up to 85 years of age who have a life expectancy of three years. Several options for the management of localized and metastatic breast cancer are available to older women.

1175 Clinical Pharmacology
New Drugs for Alzheimer's Disease
VINCENT W. DELAGARZA, M.D.
Two cholinesterase-inhibiting medications are now available to delay the progression of Alzheimer's disease, and many other agents are presently being studied in the search for ways to minimize the ravages of this all-too-common disorder.

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	Articles
1113	Appropriate Use of Antibiotics for URIs in Children: Part I. Otitis Media and Acute Sinusitis SCOTT F. DOWELL, M.D., M.P.H., BENJAMIN SCHWARTZ, M.D., WILLIAM R. PHILLIPS, M.D., M.P.H., and THE PEDIATRIC URI CONSENSUS TEAM The first part of this two-part article reviews the principles of antibiotic use in the treatment of otitis media and acute sinusitis in children, and ways in which antibiotic use could be curtailed without compromising patient care.
	Patient information: "Otitis Media with Effusion," p. 1123
1126	Postexercise Systolic Blood Pressure Response: Clinical Application to the Assessment of Ischemic Heart Disease ALLEN J. TAYLOR, M.D., and GEORGE A. BELLER, M.D. A three-minute systolic blood pressure ratio of greater than 0.90 has a diagnostic accuracy of about 75 percent for the detection of coronary artery disease. Higher values for this ratio are associated with more extensive coronary artery disease and an adverse prognosis after myocardial infarction.
1133	Herbal 'Health' Products: What Family Physicians Need to Know THERESE ZINK, M.D., M.P.H., and JODI CHAFFIN, R.PH. Family physicians can benefit from knowing about some of the popular herbal preparations their patients are taking and from becoming familiar with what is currently known about their effectiveness, dosages, side effects, toxicities and drug interactions.
1145	Evaluating Proteinuria in Children MAHMOUD LOGHMAN-ADHAM, M.D. Proteinuria is a common laboratory finding in children. It can be identified as either a transient or persistent finding and can represent benign conditions or serious disease.
	Patient information: "Proteinuria in Children," p. 1158
1163	Breast Cancer in Older Women LODOVICO BALDUCCI, M.D., and D. MELESSA PHILLIPS, M.D. Screening mammography is recommended in women up to 85 years of age who have a life expectancy of three years. Several options for the management of localized and metastatic breast cancer are available to older women.
1175	Clinical Pharmacology New Drugs for Alzheimer's Disease VINCENT W. DELAGARZA, M.D. Two cholinesterase-inhibiting medications are now available to delay the progression of Alzheimer's disease, and many other agents are presently being studied in the search for ways to minimize the ravages of this all-too-common disorder.