December 15, 2002

Articles

The Mattress Sutures: Vertical, Horizontal, and Corner Stitch

THOMAS J. ZUBER

The interrupted vertical and horizontal mattress suture techniques promote wound edge eversion and less prominent scarring. The corner stitch is used to close angled skin flaps or corners without compromising blood flow to the tissue tip.

Overview of Histoplasmosis

RENE KUROWSKI, MICHAEL OSTAPCHUK

Histoplasmosis is an endemic infection in most of the United States, with a spectrum of illness ranging from asymptomatic infection to severe disseminated disease.

Gluten-Sensitive Enteropathy (Celiac Disease): More Common Than You Think

DAVID A. NELSEN, JR.

Exclusion of dietary gluten results in healing of the mucosa, resolution of the malabsorptive state, and reversal of most, if not all, of the effects of celiac disease.

Breast-Conserving Surgery for Breast Cancer

LECIA M. APANTAKU

Modern breast-conserving surgery provides equivalent survival to traditional methods of breast cancer treatment.

Inside AFP

Getting in Touch with Your AFP Editors

Janis Wright

In a recent column, I mentioned the names of a few of AFP's staff whose dedication to the journal would otherwise go unknown but whose contributions and talents have shaped and driven the journal over the years. These people have devoted their professional lives to bolstering…

Graham Center Policy One-Pager

Family Physicians' Declining Contribution to Prenatal Care in the United States

A substantial decline in prenatal care by family physicians has occurred over the past 20 years in all geographic regions of the country. Even so, during the past two decades, family physicians and general practitioners (FP/GPs) have provided more than 2 million prenatal visits…

Newsletter

Newsletter

Matthew Neff

HHS Issues Recommendations for Increasing Regulatory Efficiency | AHRQ Initiative Accelerates Process of Turning Research into Practice | IOM Report Recommends Improvements to the Public Health Infrastructure | Booklet Provides Guidelines for Identification and Prevention of…

Quantum Sufficit

Quantum Sufficit

Sarah Evans, Heather McNeill

Fashion could be harmful to your health. Some modern style trends may be causing health problems, according to American Medical News. Potentially unhealthy styles include thong underwear, which has been associated with reports of vaginal and urinary tract infections; body…

Editorials

The Mammography Debate

ALFRED O. BERG

As someone who has had a front-row seat at the mammography debate over the past few years and thinks it unlikely that more informative data will be available anytime soon, I am ready to weigh in. I will comment on the controversy about whether there is benefit to screening, on…

Diary from a Week in Practice

Diary from a Week in Practice

“We promised her so many times that we would not put her in a nursing home,” explained the distraught woman. She had brought her 72-year-old aunt to see KS for the third time in as many weeks. The patient had severe, progressive Alzheimer's dementia, which was becoming more and…

Putting Prevention Into Practice

Screening for Breast Cancer

GURVANEET RANDHAWA, KENNETH FINK

Case study: GK is a 46-year-old woman who presents to your office for a well-woman examination. She informs you that her 51-year-old friend was diagnosed with breast cancer one month ago and that she is worried about getting breast cancer. On further inquiry, you learn that she…

U.S. Preventive Services Task Force

Screening for Colorectal Cancer: Recommendation and Rationale

This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for colorectal cancer and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, Second…

Tips from Other Journals

Practice Guidelines

The 2003 Recommended Adult Immunization Schedule

RICHARD D. CLOVER, null ZIMMERMAN

The 2003 Recommended Adult Immunization Schedule provides age-based recommendations for routine vaccinations in a color-coded chart. In addition, it summarizes the recommendations and some contraindications of eight vaccines for adults with various medical conditions.

Clinical Briefs

Clinical Briefs

Carrie Morantz, Brian Torrey

HTAC Report on Coronary Artery Disease Screening | FDA Approvals | ACOG Guidelines on Obstetric Analgesia, Anesthesia

Letters to the Editor

Information from Your Family Doctor

What Is Histoplasmosis? How Is It Treated?

Histoplasmosis (say this: hiss-toe-plaz-mo-sis) is an infection caused by a fungus. The infection is in your lungs. In severe cases, it could spread through your whole body.

PtEd

Celiac Disease

Celiac disease causes your intestines to become swollen and to react badly to a protein called gluten (say: gloo-ten). Gluten is found in wheat, barley, and rye.

Breast-Conserving Surgery

Breast-conserving surgery is a treatment for breast cancer. Lumpectomy is considered a breast-conserving surgery because only the lump (the part of the breast that has cancer) and part of the breast tissue around the lump are removed. Another surgery for breast cancer is called…

Corrections

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