October 1, 2006

Articles

The Homeless in America: Adapting Your Practice

SUSAN LOUISA MONTAUK

Patients who are homeless face a variety of obstacles when seeking health care. Educational tools and guidelines are available to help physicians recognize and overcome these obstacles to ensure they offer patient-centered care with few adherence barriers.

Kawasaki Disease: Summary of the American Heart Association Guidelines

ALEXANDRA F. FREEMAN, STANFORD T. SHULMAN

Kawasaki disease is the leading cause of acquired heart disease among children developed countries. Symptoms include fever, rash, and cervical lymphadenopathy, and some children develop ischemic heart disease or sudden death.

Preventive Health Counseling for Adolescents

MARK B. STEPHENS

Risk factors for adolescent morbidity and mortality include substance abuse, sexual activity, poor nutrition, and inadequate physical activity. Physicians should target the specific issues that impact this age group by providing age-specific guidance, screening, and preventive…

A Practical Guide to Crisis Management

MICHAEL G. KAVAN, THOMAS P. GUCK, EUGENE J. BARONE

Patients unable to cope with a critical incident can develop affective, behavioral, cognitive, or physical difficulties. Physicians can respond effectively by providing support, assessing the situation, ensuring the patient’s safety, and teaching coping strategies. Medication…

Inside AFP

Another Opportunity for Readers to Provide Feedback

JOYCE A. MERRIMAN

We look forward to meeting AFP readers each year at the AAFP Annual Scientific Assembly. At the Publications booth we conduct a survey to obtain feedback and suggestions for improving the journal. The survey below was distributed at the booth during the recent Assembly in…

AFP News Now - AFP Edition

Newsletter

LIZ SMITH

Selected policy and health issues news briefs from AAFP News Now.

Quantum Sufficit

Quantum Sufficit

SHERRI DAMLO

Broccoli has a cousin that’s “dyeing” to fight breast cancer. A study in the Journal of the Science of Food and Agriculture suggests that woad, a dye plant used by the ancient Celts to paint their faces before going to battle, may help fight breast cancer. Woad comes from the…

Editorials

Health Care for the Homeless in America

BECHARA CHOUCAIR

In this issue of American Family Physician, Montauk1 provides an excellent summary on the obstacles many persons who are homeless face when seeking health care, as well as the guidelines that are available to physicians to help them care for this population. Finding adequate…

Graham Center Policy One-Pager

Imperative Integration: Medical Care for Older Patients

The ecology of medical care changes for older people, with increases in usage of residential and institutional care, emergency departments, and home care. Care integrated across multiple settings, as is proposed for new models of primary care, is essential for the care of older…

Cochrane for Clinicians

Vaccines for Preventing Influenza in Healthy Children

STEVEN E. ROSKOS

Influenza vaccines have good efficacy (i.e., prevention of influenza) in children older than two years, and live, attenuated vaccine is more efficacious than trivalent, inactivated vaccine. Effectiveness (i.e., prevention of influenza-like illness, perhaps a clinically more…

Cochrane Briefs

CLARISSA KRIPKE

Expectant Management vs. Surgical Treatment for Miscarriage

Cochrane Briefs

MARK H. EBELL

Exercises for Mechanical Neck Disorders

Clinical Evidence Handbook

Hemorrhoids

R. JUSTIN DAVIES

What are the effects of treatments for hemorrhoidal disease?

Photo Quiz

Growing Plantar Lesion Following Trauma

NIKHIL HEMADY

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

POEMs

Tips from Other Journals

Curbside Consultation

Facilitating Shared Decision Making with Patients

JAMES W. MOLD

American society values autonomy and the belief that competent adults have the right to make virtually any decision pertaining to their health care. As health care professionals, we have a responsibility to try to make sure that our patients are mentally capable, well-informed…

Practice Guidelines

IDSA Releases Guidelines for the Diagnosis and Treatment of Skin and Soft Tissue Infections

CARRIE ARMSTRONG

The Infectious Diseases Society of America (IDSA) has released evidence-based guidelines on the diagnosis and treatment of skin and soft tissue infections.

Practice Guideline Briefs

Practice Guideline Briefs

AMBER HUNTZINGER

CDC Supports Vigorous Promotion of Child Safety Restraints

Practice Guideline Briefs

AMBER HUNTZINGER

ACOG Releases Guideline on Tamoxifen for Postmenopausal Women

Practice Guideline Briefs

LIZ SMITH

CDC Reports on Racial and Socioeconomic Disparities in Breastfeeding

Letters to the Editor

Information from Your Family Doctor

PtEd

Kawasaki Disease: What You Should Know

Kawasaki (say: kah-wah-SOCK-ee) disease is an uncommon illness that affects children younger than five years. It can cause these symptoms (see drawing):

PtEd

Crisis Management

A crisis is when you feel you cannot cope with something. You might feel that an event is out of your control or that it is dangerous for your physical or emotional health.

PtEd

Colds and the Flu: Tips for Feeling Better

Colds and the flu cause many of the same symptoms. But colds are usually mild, while the flu tends to be more severe.

PtEd

Sore Throat

Sore throats can be caused by many things. Viruses and bacteria can cause a sore throat, and so can smoking, breathing dirty air, drinking alcohol, and hay fever and other allergies.

PtEd

Antibiotics: When They Can and Can’t Help

Antibiotics are strong medicines that can stop some infections and save lives. But antibiotics can cause more harm than good when they are not used the right way.

Corrections

Correction

The article “Urinalysis: A Comprehensive Review” (March 15, 2005, page 1153) contained two errors. First, in the second paragraph of the right-hand column of page 1158, the time necessary for the dipstick reagent test to change color was incorrectly listed as five minutes…

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