Articles
Methods for Cervical Ripening and Induction of Labor
Prostaglandins, misoprostol, oxytocin, and a variety of mechanical techniques are successful in cervical ripening and labor induction. This article reviews the evidence for their use.
Congenital Toxoplasmosis
If Toxoplasma gondii is transmitted to the fetus, serious health problems, including mental retardation, seizures, blindness, and death, may occur. Preventive measures include educating women about not eating raw or undercooked meat, avoiding cross-contamination of other foods…
Diagnostic and Therapeutic Injection of the Hip and Knee
The use of diagnostic and therapeutic injection for common hip and knee pathologies is reviewed and pictorially demonstrated.
Diagnosing the Patient with Abdominal Pain and Altered Bowel Habits: Is It Irritable Bowel Syndrome?
A practical diagnostic approach is useful for the patient with suspected irritable bowel syndrome.
Evaluation of the Subfertile Man
Appropriate evaluation and treatment of male infertility are critical in delivering appropriate care to the infertile couple.
Inside AFP
A Farewell to Charles Smith, Jr., M.D., Deputy Editor
As we near the end of this month, we're preparing our goodbyes for one of AFP's long-time medical editors, Charles Smith, Jr., M.D. For the past 14 years, Dr. Smith (“Charlie” to all of us) has served as deputy editor of AFP, contributing significantly to the content of the…
Quantum Sufficit
Quantum Sufficit
Eradicating world hunger is a slow struggle. According to New Scientist, the Food and Agriculture Organization (FAO) of the United Nations predicts that 440 million persons will be chronically hungry in the year 2030, down from 776 million now. This prediction revises the goal…
Newsletter
Newsletter
FDA, CDC Respond to Increasing Threat of SARS | HHS Releases HIPAA-Related Documents on Patient Privacy Standards | New Research Journal, <i>Annals of Family Medicine</i>, to Debut This Month | HHS Announces $15 Million Health Initiative Focused on Prevention | Tar Wars…
Editorials
Labor Induction: A Decade of Change
In this issue of American Family Physician, Tenore1 provides a concisely written “how to” article on cervical ripening and labor induction. This is timely information for family physicians practicing maternity care, considering that the prevalence of induction has nearly…
Diary from a Week in Practice
Diary from a Week in Practice
As I walk down the street from our family health center, a familiar elderly woman catches my eye. She beams and veers toward me. Her halting English and crooked right arm bring it all back. Mrs. Puelo is an affable woman with a history of unexplained dizziness. Months ago, when…
Cochrane for Clinicians: Putting Evidence into Practice
Should Active Management of the Third Stage of Labor Be Routine?
Active management of the third stage of labor (i.e., administration of a uterotonic medication before the placenta is delivered, early clamping and cutting of the umbilical cord, and application of controlled traction to the cord) is associated with reduced maternal blood loss…
U.S. Preventive Services Task Force
Screening for Type 2 Diabetes in Adults: Recommendations and Rationale
This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for type 2 diabetes in adults and the supporting scientific evidence. They update the 1996 recommendations contained in the Guide to Clinical Preventive Services…
POEMs and Tips
Blood Pressure and Kidney Disease Progression in Blacks
Nitroglycerin Response Is Not a Predictor of Ischemic Etiology
Cilostazol Improves Symptoms of Intermittent Claudication
Asthma Medication Use and Adequacy of Asthma Control
Practice Guidelines
AAP Releases Policy Statement on Identifying and Treating Eating Disorders
The American Academy of Pediatrics (AAP) has released a statement on identifying and evaluating eating disorders; outpatient, hospital, and day-program treatment options; and prevention and advocacy suggestions.
Clinical Briefs
Clinical Briefs
EPA Report on Children's Health | FDA Approvals | ACCP Guidelines on Lung Cancer Treatment | ACOG/AAP Report on Infant Brain Damage
Letters to the Editor
Fathers Should Provide Support During Childbirth
Brucellar Spinal Epidural Abscess
Information from Your Family Doctor
Toxoplasmosis
Toxoplasmosis (say: tox-oh-plaz-moh-sis) is an infection caused by a tiny parasite. You would need a microscope to see it.
What Should I Know About Male Infertility?
Infertility is the inability to get pregnant after trying for at least one year without using birth control. About 15 percent of couples are infertile.
Low Back Pain
Injuries, such as a muscle strain or spasm, sprains of ligaments (they attach one bone to another bone), joint problems, or a “slipped disc,” can cause pain in your lower back. The most common cause of back pain is using your back muscles in activities you are not used to, like…
When You Have a Herniated Disc
When the soft part between the bones in the spine presses on the nerves around the backbone, it is called a herniated disc. The word “herniate” (say: her-nee-ate) means to bulge or to stick out. Sometimes this problem is called a ruptured disc.
Lumbar Spinal Canal Stenosis: A Common Cause of Back and Leg Pain
Lumbar spinal canal stenosis is a narrowing in the space in the lower spine that carries nerves to your legs. This space is very small. It gets even smaller if the bone and tissue around it grow. It takes many years for this bone and tissue to grow.
