June 1, 2005

Articles

AlgPtEd

Traveler’s Diarrhea

JOHNNIE YATES

Acute diarrhea in persons traveling to developing countries usually is caused by bacteria in food and water contaminated with fecal matter. Empiric treatment with antibiotics and loperamide is effective and often limits symptoms to one day.

Treatment of Edema

JAMES G. O’BRIEN, SHOBHA A. CHENNUBHOTLA, V. RAMANA CHENNUBHOTLA

A systematic approach is needed in patients with edema to determine the underlying diagnosis. Treatment should include sodium restriction, nonpharmacologic treatments, and appropriate diuretic use.

Evaluation and Prevention of Diabetic Neuropathy

ANN M. ARING, DAVID E. JONES, JAMES M. FALKO

Diabetic neuropathy occurs in type 1 and type 2 diabetes. Strict control of blood glucose levels and good daily foot care are key to preventing complications.

AlgDDxPtEdHeat Illness

Management of Heatstroke and Heat Exhaustion

JAMES L. GLAZER

Outdoor laborers, athletes, children, and elderly persons are at increased risk; however, preventive measures and early recognition may avert much of theassociated morbidity and mortality.

Inside AFP

A Look Inside this Issue

JOYCE A. MERRIMAN

Inside AFP typically explains what is going on “inside” in the sense of “behind the scenes” at AFP, but the title of the department really suggests that it’s about what you will find in the current issue. With that in mind, I plan to use this page to occasionally introduce some…

Newsletter

Newsletter

CARRIE A. MORANTZ

AAFP Joins National Call to Action on Adult Immunizations | Depression in Pregnant Women Is Common But Often Untreated | CDC Adopts New Mosquito Repellent Guidelines | HHS Launches Campaign to Reduce Infant Mortality Rates in Blacks | AAFP Updates Recommendations on Screening…

Quantum Sufficit

Quantum Sufficit

AMBER HUNTZINGER

Americans are living longer than ever, according to the latest numbers from the Centers for Disease Control and Prevention (CDC). The CDC reports that in 2003, the overall U.S. life expectancy was 77.6 years. The life-expectancy gap between women and men continued to narrow…

Editorials

The Vitamin E Saga: Lessons in Patient-Oriented Evidence

MARK H. EBELL

Hormone therapy, cyclooxygenase-2 inhibitors, and now vitamin E have all not fulfilled early promises. How can this be? What is wrong with the way we choose drugs for our patients?

Diary from a Week in Practice

Diary

JOHN O’HANDLEY

The holidays are supposed to be happy times with family and friends. Peter was returning to the mobile clinic for replenishment of his asthma medications and because of a history of red, matted eyes. He had been to a neighborhood health center, but they had to send away for his…

Cochrane for Clinicians

Improving Adherence to Treatment for Hypertension

FRANK J. DOMINO

The most effective strategy to improve patient compliance with antihypertensive medication is to simplify the dosing regimen. There is more limited evidence to support a variety of motivational strategies. Patient education alone is ineffective.

Treating GER in Children Younger Than Two Years

CLARISSA KRIPKE

Thickened feeds and metoclopramide reduce symptoms of GER in normally developing infants. However, elevating the head of the crib appears to have no effect.

Umbilical Cord Clamping in Preterm Infants

CLARISSA KRIPKE

Many patients request delayed umbilical cord clamping in their birth plans. Delayed cord clamping allows continued perfusion while the baby transitions to newborn circulation. However, when an infant is high risk, physicians frequently clamp and cut the cord early to allow the…

U.S. Preventive Services Task Force

Screening for Abdominal Aortic Aneurysm: Recommendation Statement

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for abdominal aortic aneurysm (AAA) and the supporting scientific evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

Clinical Evidence Handbook

Fracture Prevention in Postmenopausal Women

OLIVIER BRUYERE, JOHN EDWARDS, JEAN-YVES REGINSTER

What are the effects of treatments to prevent fractures in postmenopausal women?

Putting Prevention Into Practice

Screening for Abdominal Aortic Aneurysm

JANELLE GUIRGUIS-BLAKE, TRACY A. WOLFF

M.G., a 70-year-old black man, requests refills for his medicines. His medications include lisinopril, atorvastatin, glipizide, and daily aspirin. He smoked heavily when he was younger but quit about 15 years ago. He also asks that you order “whatever tests should be done at my…

FPIN's Clinical Inquiries

Treatment of Calf Deep Venous Thrombosis

ERIC M. ROTERT, JOHN R. BASARICH, JOAN NASHELSKY

Patients with a first episode of calf DVT with a transient risk factor should receive heparin therapy followed by oral anticoagulation for six to 12 weeks.

Photo Quiz

An Elderly Woman with a Non-healing Ulcer

AMOR KHACHEMOUNE, RAYMOND WELSH, ERIC EHRSAM

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

POEMs

Tips from Other Journals

Practice Guidelines

American Cancer Society Releases Annual Guidelines for the Early Detection of Cancer

LAURA COUGHLIN

The American Cancer Society (ACS) has released its annual recommendations for the early detection of cancer.

Practice Guideline Briefs

FDA Warns Against Off-Label Use of Antipsychotic Drugs

AMBER HUNTZINGER

FDA Warns Against Off-Label Use of Antipsychotic Drugs

Other FDA Advisories:

AMBER HUNTZINGER

Other FDA Advisories:

AAP Recommends Caring for Children with Special Needs at Home

AMBER HUNTZINGER

AAP Recommends Caring for Children with Special Needs at Home

Letters to the Editor

Information from Your Family Doctor

Traveler's Diarrhea: What You Should Know

Traveler's diarrhea can occur when you go to another country (usually a developing country). It also can occur shortly after you get home.

What You Should Know About Edema

Edema (say: eh-DEE-mah) is swelling or puffiness of parts of the body. Edema usually happens in the feet, ankles, and legs. It also can affect the face and hands. Pregnant women and elderly people often get edema, but it can happen to anyone.

Diabetic Neuropathy

Diabetic neuropathy is nerve damage that happens in people with diabetes. It is more common in men than in women.

PtEd

Heat Exhaustion and Heatstroke: What You Should Know

Heat exhaustion happens when your body gets too hot. It can be caused by exercise or hot weather. You may feel weak, dizzy, or worried. You also may have a headache or a fast heartbeat. You may get dehydrated and have very little urine.

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