Articles
Management of Hypertension in Older Persons
Antihypertensive therapy reduces morbidity and mortality in elderly persons, but less than one third of these patients have adequate blood pressure control. Low-dose thiazide diuretics are first-line therapy for these patients, and second-line therapy should include beta…
Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain
The development of newer antidepressant drug classes and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. The actions of these agents differ in neuropathic and non-neuropathic pain, and agents within each…
Ambulatory Detoxification of Patients with Alcohol Dependence
Alcohol detoxification can be undertaken on an outpatient basis in alcohol-dependent patients with signs of mild to moderate withdrawal. Sedatives, sympatholytics, and neuroleptics are used to treat the clinical manifestations of alcohol withdrawal syndrome. Progress can be…
Cultural Diversity at the End of Life: Issues and Guidelines for Family Physicians
By paying attention to patients' values, spirituality, and relationship dynamics, family physicians can elicit and accommodate cultural preferences.
Inside AFP
AFP Salutes its Artists
One of the the greatest joys I have had as managing editor of AFP is working with the many talented artists who light up the cover and inside pages with their creative and colorful illustrations. Working under the guidance of AFP's art coordinator, David Klemm, whose office is…
Newsletter
Newsletter
AAFP Joins Center for Practical Health Reform | Grants Are Available for Family Medicine Research Projects | AAFP Offers Online Resource for Meeting HIPAA Security Rule Deadline | CDC Issues Reminder About Proper Use of Antibiotics | NIH Opens 2005 Director's Pioneer Award…
Quantum Sufficit
Quantum Sufficit
Breastfeeding may help fend off joint pain, according to a recent study published in Arthritis & Rheumatism. The study, which examined the health of over 120,000 women since 1976, found that those who breastfed for 13 to 23 months were only one fifth as likely to develop…
Editorials
Moving Beyond Cultural Stereotypes in End-of-Life Decision Making
Imagine that all of our patients are invited to attend a “cultural competence” workshop called “Understanding the Medical Culture,” where they will learn how the strange and mysterious environment of medical practice affects physicians, so that their otherwise incomprehensible…
Linking the Hospital and the Office in Cardiovascular Secondary Prevention
Cardiovascular disease and stroke cause 38.5 percent of all deaths in the United States.1 Despite the existence of guidelines for secondary prevention of cardiovascular disease from the American Heart Association (AHA) and the American College of Cardiology (ACC),2 many…
Diary from a Week in Practice
Diary
The majority of medical problems can be handled on the mobile clinic. Today was an exception. JT, a family nurse practitioner, was staffing the mobile clinic with a third-year medical student, AW. The first patient was complaining of chest pain and had ST elevations in the…
Cochrane for Clinicians
Spinal Manipulative Therapy for Low Back Pain
In the short term, manipulative therapy is as effective for acute or chronic low back pain as other treatments such as analgesics, physical therapy, exercises, back school, and routine care from a primary care physician. Radiation of pain, type of manipulation, and use of…
Clinical Evidence Handbook
Irritable Bowel Syndrome
What are the effects of treatments in people with irritable bowel syndrome (IBS)?
FPIN's Clinical Inquiries
Treatments for Persistent Otitis Media with Effusion
Treatments such as antibiotics, steroids, antihistamines/decongestants, and mucolytics afford no long-term benefit in the treatment of patients with otitis media with effusion (OME).
Photo Quiz
Hemorrhagic Pustules, Tenosynovitis, and Arthritis
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
POEMs
Sildenafil Does Not Interact with Alcohol
Physical Therapy Adds Little to Back Pain Treatment
Esterified Estrogen and Venous Thrombotic Risk
Fathers Can Promote Breastfeeding
Complementary/Alternative Medicine for Anxiety
Are ACE Inhibitors or ARBs Beneficial in Diabetes?
Tips from Other Journals
Long-Term Care of Patients with Alzheimer's Disease
Response to PPI Treatment May Not Confirm GERD
Individualizing Nicotine Replacement Therapy
Rectal Bleeding and Small Colon Polyps
Concerns over Antidepressant Therapy in Children
Topical Capsaicin for the Relief of Chronic Pain
Endorectal Ultrasonography and Malignant Rectal Adenomas
Does Pergolide Therapy Damage Heart Valves?
Ginger May Relieve Nausea During Early Pregnancy
Corticosteroid Injections for Osteoarthritis of the Knee
Effect of Episiotomy on Pelvic Floor Weakness
Controlling Lipids in Persons with Type 2 Diabetes Mellitus
Treating Suicidal Teens in the Emergency Department
Physical Function and Levels of Activity in the Elderly
Drugs for Weight Reduction
Higher Cholesterol Levels Are Not as Risky in the Elderly
Post-traumatic Seizures and Hospitalization in Children
Anxiety and Depression in Cardiovascular Disease
Practice Guidelines
ACG Releases Updated Practice Guidelines for Ulcerative Colitis in Adults
Updated practice guidelines for the treatment of ulcerative colitis in adults have been issued by the American College of Gastroenterology's (ACG's) Practice Parameters Committee.
Practice Guideline Briefs
Practice Guideline Briefs
Guidelines for Cardiovascular Disease Prevention in Women
Letters to the Editor
Preventing the Progression of Diabetes Mellitus
Clarifications on Patients Presenting with Jaundice
Information from Your Family Doctor
Alcoholism—What Should I Know About It?
Alcoholism is a disease that affects the part of the brain that controls your feelings, the way you make decisions, and the way you act. People with alcoholism cannot control how much they drink.
Constipation
When you have trouble having bowel movements, you have constipation. Your stools may be very hard, making them so difficult to pass that you have to strain and push. Or you may feel like you still need to have a bowel movement after you just had one.
Irritable Bowel Syndrome
Irritable bowel syndrome (IBS) is a problem with the intestines. In people with IBS, the intestines squeeze too hard or not hard enough and food moves too quickly or too slowly through the intestines.
Inflammatory Bowel Disease
Inflammatory bowel disease is the name of a group of disorders that cause the intestines to become inflamed (red and swollen). The inflammation lasts a long time and usually comes back over and over again.
