January 15, 1998

Articles

Commonly Missed Orthopedic Problems

MICHAEL T. BALLAS, JAMES TYTKO, FRANK MANNARINO

Common musculoskeletal injuries easily missed by physicians include anterior cruciate ligament tears, slipped capital femoral epiphysis, femoral neck stress fractures, scaphoid fractures, ulnar collateral ligament tears, Achilles tendon rupture and posterior tibial tendon tears…

Insulin Lispro: A Fast-Acting Insulin Analog

SARA L. NOBLE, ELIZABETH JOHNSTON, BILL WALTON

Insulin lispro, the first commercially available insulin analog, overcomes some of the limitations of regular human insulin.

Advances in the Treatment of Arrhythmias: Implantable Cardioverter-Defibrillators

WILLIAM J. GROH, LYNNE D. FOREMAN, DOUGLAS P. ZIPES

Family physicians should be familiar with the appropriate and inappropriate functioning of implantable cardioverter-defibrillators, devices that are commonly used to treat life-threatening ventricular arrhythmias.

Understanding the Guidelines for Treating HIV Disease

MARCIA J. CHESEBRO, W. DOUGLAS EVERETT

Guidelines for using viral load and antiretroviral drugs in the treatment of patients with human immunodeficiency virus infection are explained.

Family Practice International

(Australia—Australian Family Physician, May 1997, p. 560.) Prader-Willi syndrome is an uncommon genetic disorder of paternal chromosome 15 deletion that results in abnormalities of growth and development, including an insatiable appetite that leads to morbid obesity. The…

Inside AFP

Patient Information

JANIS WRIGHT

This issue of American Family Physician contains three patient information handouts: “Taking HIV Medicines on Schedule” (page 328), “Using Insulin Lispro” (page 289), and “The Implantable Cardioverter-Defibrillator” (page 310). These are just some examples of the high-quality…

AFP News Now - AFP Edition

Newsletter

Rosemarie Sweeney, Verna L. Rose

Selected policy and health issues news briefs from AAFP News Now.

Quantum Sufficit

Quantum Sufficit

Monica A. Preboth, Rachel Richards

A midnight snack of leftover pot roast and cherry pie at 3 a.m. isn't likely to do much damage. Indulge too often while most people are nestled in their beds, though, and you may end up with night eating syndrome, according to a study mentioned in Psychology Today. People with…

Editorials

JNC VI: Process, Product and Potential

LEE A. GREEN

In November, the National Heart, Lung, and Blood Institute (NHLBI) released the latest in its series of documents from the Joint National Committee on Hypertension (JNC). JNC VI, as this one is known, is the first to aim specifically at being an evidence-based clinical policy…

Diary from a Week in Practice

Diary from a Week in Practice

Husbands often give their wives the oddest presents. This year, JRH, after much thought and discussion, purchased a pressure washer that he and his wife had talked about buying for some time. Here in Florida, the uses for such tools are many and varied, because of the high…

Conference Highlights

Conference Highlights

Verna L. Rose

(49th Annual Scientific Assembly of the American Academy of Family Physicians) Although most family physicians do not make extensive use of formal diagnostic criteria in the diagnosis of depression, family practice recognition patterns and management practices for depression…

Tips from Other Journals

Special Medical Reports

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National Heart, Lung, and Blood Institute Releases New Guidelines for the Treatment of Hypertension

VERNA L. ROSE

Nearly half of 50 million persons in the United States who are affected by hypertension do not receive treatment, according to a new report issued by the National Heart, Lung, and Blood Institute (NHLBI). “The Sixth Report of the Joint National Committee on Prevention…

American Psychiatric Association Issues a Practice Guideline on Dementia

SHARON SCOTT MOREY

The American Psychiatric Association (APA) has released a practice guideline on the treatment of dementia titled “Practice Guideline for the Treatment of Patients with Alzheimer's Disease and Other Dementias of Late Life.” The guideline is published as a May 1997 supplement to…

Clinical Briefs

Clinical Briefs

VERNA ROSE

Addressing the threefold increase in suicide in adolescents over the past 40 years, the American College of Obstetricians and Gynecologists has released a committee opinion on the prevention of adolescent suicide (ACOG Committee Opinion No. 190). The statement discusses methods…

Letters to the Editor

Information from Your Family Doctor

Using Insulin Lispro

Insulin lispro (brand name: Humalog) is the newest type of insulin on the market. It's a fast-acting insulin that starts working sooner than other insulins. It also reaches peak activity faster and goes away sooner. Insulin lispro helps keep your blood sugar levels from going…

PtEd

The Implantable Cardioverter-Defibrillator

An implantable cardioverter-defibrillator system (often called an ICD) includes a pulse generator and one or more leads that are put into (surgically implanted in) your body. The pulse generator, which constantly watches your heart beat, is like a small computer. It runs on a…

Taking HIV Medicines on Schedule

The HIV virus is so strong, it can fight off the effect of HIV medicines if the level of medicine in your body goes down, even for only a few hours. To keep the level of medicine in your body from dropping too low, you have to take all your medicines on an exact schedule. This…

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