Articles
Asthma Update: Part II. Medical Management
Updated guidelines for the treatment of asthma recommend inhaled corticosteroids as first-line treatment in all patients with persistent asthma. Other medications, such as cromolyn, theophylline, and leukotriene-receptor antagonists, should have a more limited role in the…
Management of Normal Pressure Hydrocephalus
Normal pressure hydrocephalus is an uncommon cause of dementia but is often treatable. Removing excess fluid from the brain may alleviate symptoms such as gait instability, dementia, and urinary incontinence.
Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part II. Glomerular Filtration Rate, Proteinuria, and Other Markers
Glomerular filtration rate is the best overall index of kidney function. It should be estimated using prediction equations that take into account the serum creatinine concentration and some or all of these variables: age, sex, race, and body size. In most circumstances…
Efficient Identification of Adults with Depression and Dementia
Serial testing with a brief questionnaire followed by a more detailed questionnaire (if the first test is positive) is a good strategy for detecting major depressive episodes in primary care settings. Although routine screening for dementia in older adults is not recommended…
Inside AFP
AFP Counts
Believe it or not, AFP does count. In addition to our everyday tasks as editors, we keep close tabs on numbers. We count. We count readers. We count hours of continuing medical education (CME). We count CME quiz card returns. We count reader feedback cards received. We count…
Newsletter
Newsletter
AFMO Launches Web Site for Family Medicine Research | CMS Eliminates Grace Period for Expired Codes | AAFP Publishes Resource for Starting a Medical Practice | AAFP Board Approves Recommendation to Double EB CME Credit | CDC Releases State-Specific Breastfeeding Data | FDA…
Quantum Sufficit
Quantum Sufficit
Sadly, many of us have been bullied or have witnessed bullying. A new Web site called “Take a Stand, Lend a Hand, Stop Bullying Now!” answers questions about bullying and offers suggestions for ways to prevent it. As reported in FDA Consumer, the site teaches children and…
Editorials
How Family Physicians Can Help Spread ‘The Heart Truth’
Heart disease is the leading killer of American women.1 One in three American women dies of heart disease, and related health care costs are estimated at more than $57 billion per year.2 Yet most women don’t know that heart disease is their greatest health threat. Research…
Graham Center Policy One-Pager
The Importance of Having Health Insurance and a Usual Source of Care
The effects of insurance and having a usual source of care are additive. Efforts to improve health care access for all should provide a medical home and health insurance.
Diary from a Week in Practice
Diary
When beginning a week on inpatient service, I always wonder what catastrophe might befall us—and today my fears are realized. Our first patient is a 21-year-old woman with type 1 diabetes who was transferred out of the intensive care unit yesterday after yet another bout of…
U.S. Preventive Services Task Force
Screening for Hepatitis C in Adults: Recommendation Statement
This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for hepatitis C virus (HCV) infection based on the USPSTF’s examination of evidence specific to asymptomatic persons for HCV testing and treatment.
STEPS
Telithromycin (Ketek) for Respiratory Tract Infections
Telithromycin is similar to azithromycin and clarithromycin in side effects, dosing, and cost, but with enhanced activity against S. pneumoniae. Although 30 to 40 percent of S. pneumoniae cases are thought to be resistant to penicillin and/or macrolides, additional clinical…
Photo Quiz
Blisters
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
POEMs
Topical Capsaicin Minimally Effective for Pain
Few Data on Dietary Supplements for Sustained Weight Loss
Women Have Greater Analgesia from Butorphanol than Morphine
Misoprostol Therapy for Incomplete Abortion
Seizure Prophylaxis Unnecessary in Children with Acute Head Injury
Sildenafil Effective for Primary Pulmonary Hypertension
Tips from Other Journals
Coffee Decreases Risk for Type 2 Diabetes
Risk of Cancer Associated with Diagnostic Radiology
Coronary Artery Risk Score to Predict Heart Disease Events
Intranasal Influenza Vaccination in Children
Can Dinoprostone Placement Affect the Onset of Labor?
Aspirin Dose that Reduces Colorectal Adenoma Risk
Exercise in Chronic Heart Failure Improves Survival
Treatment for Nonmassive Pulmonary Embolism
Screening Immigrant Children for Tuberculosis
Home-Based Rehabilitation Improves Function After Stroke
Adjunctive Steroid Therapy for Guillain-Barré Syndrome
Doubling Steroids Does Not Stop Asthma Exacerbations
Plaque Rupture Occurs More Frequently in Morning Hours
SSRIs for Depression and Comorbid Conditions in Adults
Practice Guidelines
Recommendations for Prescribing New Antiepileptic Drugs
According to a meta-analysis by the American Academy of Neurology (AAN) and the American Epilepsy Society (AES), several new antiepileptic drugs (AEDs) are effective in treating selected patients with partial or mixed seizure disorders, but evidence for their efficacy in…
Practice Guideline Briefs
Practice Guideline Briefs
Influenza Vaccination Among Health Care Workers
Practice Guideline Briefs
Behavioral Interventions to Modify Physical Activity
Letters to the Editor
Treatment of Post-traumatic Stress Disorder Can Be Complex
Information from Your Family Doctor
Normal Pressure Hydrocephalus: What It Is and How It Is Treated
Normal pressure hydrocephalus (say: hi-drosef-uh-lus; or NPH for short) is a rare, but sometimes treatable, cause of dementia. It mainly affects people older than 60. It does not run in families. Sometimes it happens after a brain infection, such as meningitis. Other times, it…
