Articles
Prevention of Unintentional Childhood Injuries
Parent-focused and environmental strategies are effective in preventing injuries, particularly those occurring in young children at home. Priority topics for office-based injury prevention counseling include the use of motor vehicle passenger restraints, smoke detectors, and…
Treatment of Oncologic Emergencies
Oncologic emergencies usually are metabolic, hematologic, structural, or side effects from treatment agents. Family physicians should be familiar with these emergencies because treatment often is necessary before referral.
Erythema Multiforme
Erythema multiforme, a skin condition considered to be a hypersensitivity reaction to infections or drugs, consists of a polymorphous eruption of macules, papules, and characteristic “target” lesions. Management involves treating the existing infectious agent or discontinuing…
The Role of BNP Testing in Heart Failure
Because of the increasing availability of assays for the measurement of brain natriuretic peptide levels, testing for this cardiac hormonemay have a role in detecting, monitoring, and possibly preventing chronic heart failure.
Inside AFP
AFP Continues to Evolve
Medical journals need to continually reevaluate their policies, procedures, content, and style to remain a current and valid source of information. I’d like to draw your attention to a few changes we have made at AFP recently.
AFP News Now - AFP Edition
Quantum Sufficit
Quantum Sufficit
Would you like latex with that? A study in the Journal of the Science of Food and Agriculture says that consumers may get more than they bargained for when it comes to food packaging and latex. Researchers analyzed packaging from 21 different foods—including fruits, vegetables…
Editorials
New Recommendations to Reduce the Risk of SIDS: What Should We Advise Parents?
Despite decreased rates in the past decade, sudden infant death syndrome (SIDS) continues to be the leading cause of infant deaths in the United States after the neonatal period.1 In October 2005, the American Academy of Pediatrics (AAP) released updated recommendations on SIDS…
Improving Practice Guidelines in AFP
The care that patients receive too often depends on where they live, their race, or their physician. Large variations have been found in rates of hysterectomy, mammography, A1C testing, hip replacement, spinal surgery, and hospital admission that cannot be explained by…
Cochrane for Clinicians
Opioids for Management of Breakthrough Pain in Cancer Patients
Oral transmucosal fentanyl citrate (OTFC [Actiq]), a rapid-acting opioid, has been shown to be an effective treatment for breakthrough cancer pain. Other opioids, including immediate-release oral morphine (MSIR), also may be effective; however, evidence comparing these agents…
Clinical Evidence Handbook
Asthma and Other Wheezing Disorders in Children
What are the effects of treatments for acute asthma in children? What is the effect of single-agent prophylaxis in children taking inhaled beta agonists as needed for asthma?What are the effects of additional prophylactic treatments in patients with childhood asthma that is…
Photo Quiz
A Patient with Dyspnea and Swollen, Painful Wrists
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
FPIN's Clinical Inquiries
Risks and Benefits of Combination Contraceptives
The risks of using oral combination contraceptives include: a three- to sixfold increase in the incidence of venous thromboembolism (VTE) apparent by the fourth month of use and highest between six and 12 months of use; a two- to sixfold increase in the risk of ischemic stroke…
POEMs
In-Office Rapid Glycated Hemoglobin Testing
Orthotics Not Effective for Plantar Fasciitis
Tacrolimus Effective for Pityriasis alba
Tips from Other Journals
Is MRSA Infection a Potential Threat in Pregnancy?
Preventing Eating Disorders in College-Age Women
Do Supplements Prevent Cancer and Chronic Disease?
Improving Decision Making About End-of-Life CPR
Moderate Alcohol Consumption Beneficial to Older Women
Sexual Behavior vs. Self-reported Sexual Identity
How Often Does Rectal Bleeding Indicate Colorectal Cancer?
Varenicline Is Effective for Smoking Cessation
Anticholinergics First Choice for COPD
Firearm Safety in Homes with Adolescents
Non–HIV-Related Causes of Death in Patients with AIDS
Hyperglycemia in Patients with Heart Failure
Common Complications of Undiagnosed Diabetes
Curbside Consultation
STDs in Patients with Multiple Partners: Confidentiality
This scenario raises complex ethical questions. The physician-patient relationship is characterized by a network of obligations and expectations that becomes more complex when patients with close ties are treated by the same physician.
Practice Guidelines
CDC Releases Guidelines on Improving Preconception Health Care
Improving preconception health care can result in improved reproductive health outcomes and has the potential to reduce societal costs, as well. The Centers for Disease Control and Prevention (CDC) developed recommendations for physicians and public health officials that aim to…
Practice Guideline Briefs
Practice Guideline Briefs
Meningococcal Vaccine Supply Increased; Deferral Request Lifted
Practice Guideline Briefs
Self-study Course in Epidemiology Now Available Through CDC Web Site
Letters to the Editor
Medications for the Treatment of Alcohol Dependence
Information from Your Family Doctor
Preventing Injuries in School-age Children and Teenagers
The most common causes of injuries in this age group are car crashes, bicycle crashes, and fires.
Myths and Facts About Food Allergies
Fact: Although 25 percent of people think they’re allergic to certain foods, studies show that about only 8 percent of children and 2 percent of adults have a food allergy.
Celiac Disease: What You Should Know
Celiac (SEAL-ee-ack) disease causes problems in your intestines when you eat gluten, which is in wheat, rye, barley, and oats.
Lactose Intolerance: What You Should Know
If you have lactose intolerance, you have trouble digesting milk, cheese, and other dairy products. This condition is most common in people of Asian, American Indian, Hispanic, South American, or black heritage.
