September 1, 2007

Articles

Management of Type 2 Diabetes in Youth: An Update

KEVIN PETERSON, JANET SILVERSTEIN, FRANCINE KAUFMAN, ELIZABETH WARREN-BOULTON

Management of type 2 diabetes in youths differs from that in adults because it focuses on age-specific factors such as advancing sexual maturity, physical growth, and self-management ability.

PtEd

Treatment Options for Actinic Keratoses

WILLIAM J. MCINTYRE, MICHAEL R. DOWNS, SONDRA A. BEDWELL

The prevention of squamous cell carcinomas is the most compelling reason to treat actinic keratoses, although cosmetic concerns or symptom relief also may be factors. Treatment options include cryosurgery, curettage, photodynamic therapy, and topical therapy.

The Role of Allergens in Asthma

THOMAS PLATTS-MILLS, DONALD Y.M. LEUNG, MICHAEL SCHATZ

Identification and treatment of allergic responses should be considered in patients whose asthma symptoms are persistent and who require daily medication. Although simple allergen avoidance measures have proved ineffective, there is good evidence for the effectiveness of a…

Management of Foreign Bodies in the Skin

GWEN WAGSTROM HALAAS

Wounds that may contain a foreign body such as wood, metal, or glass should be evaluated to determine whether imaging, treatment, and/or removal of the foreign body is required. Depending on the type of foreign body, treatment options range from irrigation with tap water to…

Inside AFP

Assembly Offers Readers Chance to Meet AFP Editors

GENEVIEVE W. RESSEL

The American Academy of Family Physicians (AAFP) will be taking over Chicago next month for the Annual Scientific Assembly. Activities begin Thursday, October 3, and continue through Saturday, October 6. Thousands of family physicians, residents, and students will be attending…

Newsletter

Newsletter

Senate Finance Committee Passes SCHIP Reauthorization Bill | CMS Alerts Physicians That Some Clearinghouses Are Removing NPIs | Health IT Legislation Passed by Senate Committee Prompts Objections | Data Show Primary Care Residencies Provide Financial Benefit to Hospitals | AAFP…

Quantum Sufficit

Quantum Sufficit

SHERRI DAMLO

For one Canadian man, lightning and earphones don't mix, suggests correspondence published in the New England Journal of Medicine. Canadian doctors reported treating a patient who had second-degree burns on his neck, chest, left leg, and face. At the time of the injury, the…

Editorials

Preventing Diabetes in Youth: Lessons from Smoking-Cessation Efforts

KRISTINE A. MADSEN

Obesity in youth and its attendant complications, including type 2 diabetes, are of tremendous concern. In addition to future complications, youths with diabetes have a high risk of psychiatric disorders such as anxiety and depression.1 The disproportionate effect of obesity…

Cochrane for Clinicians

Counseling Women About Mammography: Benefits vs. Harms

MICHAEL B. POTTER

Studies of mammography show a 0.1 percent absolute reduction in breast cancer mortality with mammography. This means that if 2,000 women are offered mammography over 10 years, one woman would have her life prolonged, 10 healthy women would be treated unnecessarily for breast…

Advance Provision for Emergency Oral Contraception

CLARISSA KRIPKE

Providing oral emergency contraceptives in advance to fertile women for use after unprotected sexual intercourse (i.e., advance provision) does not affect pregnancy rates, condom use, sexually transmitted infection rates, or type of contraception used. Advance provision more…

U.S. Preventive Services Task Force

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation Statement

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for elevated blood lead levels in children and pregnant women and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to…

Photo Quiz

Painful Erythematous Nodules

STEPHEN H. PEARSON, DONALD W. SHENENBERGER

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

Clinical Evidence Handbook

Atrial Fibrillation (Chronic)

CHRISTOPHER J. BOOS, DEIDRE A. LANE, GREGORY Y.H. LIP

What are the effects of oral medical treatments to control heart rate in persons with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for persons with persistent nonvalvular atrial fibrillation?

Tips from Other Journals

Practice Guidelines

ACOG Releases Guidelines on Screening for Fetal Chromosomal Abnormalities

LISA GRAHAM

The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines that provide recommendations on screening for fetal chromosomal abnormalities.

Letters to the Editor

Information from Your Family Doctor

Type 2 Diabetes in Youth: What You Should Know

Diabetes is when your body cannot control the amount of sugar in your blood (blood sugar). Usually, a hormone called insulin helps turn the sugar from food into energy for your body. If you have diabetes, your body doesn't make enough insulin (type 1 diabetes) or doesn't use it…

Actinic Keratoses: What You Should Know

Actinic keratoses (ak-TIN-ik ker-uh-TOH-sees) are rough, scaly patches on the skin. They are usually on areas of your body that get the most sun (for example, the head, neck, arms, and hands).

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