February 15, 2010

Articles

PtEdAutism

Primary Care for Children with Autism

PAUL S. CARBONE, MEGAN FARLEY, TOBY DAVIS

Autism spectrum disorders include three core features: delays in social interaction, language impairments, and restricted and repetitive behaviors. Primary care physicians should perform developmental surveillance for autism at all well-child visits, and conduct screenings at…

Health Effects of Hawthorn

STEPHEN DAHMER, EMILIE SCOTT

Hawthorn is an herbal supplement with substantial evidence of clinical benefit for the treatment of chronic congestive heart failure. Although hawthorn is typically well tolerated, patients should be monitored closely because of theoretic concerns about interactions with other…

Evaluation and Treatment of Severe Asymptomatic Hypertension

CHAD S. KESSLER, YAZEN JOUDEH

Usually, patients with severely elevated blood pressure do not have signs or symptoms of end-organ damage and do not require immediate treatment. Most patients without end-organ damage can be treated with a maintenance dose of an oral hypertensive and discharged, with repeated…

Preterm Labor

WILLIAM G. SAYRES, JR.

Evaluation of women with preterm contractions includes assessing for ruptured membranes and infection, and determining the likelihood of true labor through cervical ultrasonography and/or fetal fibronectin testing. Management of preterm labor consists of antenatal…

Sexual Assault of Women

HELEN LUCE, SARINA SCHRAGER, VALERIE GILCHRIST

Sexual assault includes vaginal, oral, and anal penetration and is more broadly conceived than the legal definition of rape. Immediate care includes the treatment of injuries, prophylaxis for sexually transmitted infections, administration of emergency contraception, and the…

Inside AFP

Continuous Improvement at AFP

SARAH J. KATZ, JOYCE A. MERRIMAN

Everyone at AFP is working to take advantage of new technology and make the AFP experience more valuable for readers and authors. We have launched two new online systems to improve AFP—Editorial Manager and a new, improved Web site.

AFP News Now - AFP Edition

AAFP News Now: AFP Edition

AAFP Emphasizes Communication in Its Updated Breast Cancer Recommendations | FamilyDoctor.org Launches Content From Consumer Alliance With The Coca-Cola Co. | CMS Proposes Medicare Advantage Rule; Groups Urge Congress to Equalize Payment | AAFP Members Can Help Haiti Earthquake…

Close-Ups

Uncharted Territory

MARY ANN MAURER, AMY CRAWFORD-FAUCHER

The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

Editorials

Adolescent Dating Violence

JENNIFER G. VANDERLEEST, CECILIA P. URQUIDES

Adolescent dating violence is associated with increased rates of eating disorders, substance abuse, depression, sexually transmitted infections, and pregnancy, and continued perpetration and victimization, yet many physicians are unfamiliar with this term.1–3 Adolescent dating…

FPIN's Clinical Inquiries

Combination Therapy for Postmenopausal Osteoporosis

HEATHER TAGLIARINO JONES, ELLEN HOWARD

There is insufficient evidence to recommend combination therapy for the routine management of postmenopausal osteoporosis.

Clinical Evidence Handbook

Osteoarthritis of the Hip

DAVID SCOTT

What are the effects of nondrug, drug, and surgical treatments for osteoarthritis of the hip?

STEPS

Dapsone (Aczone) 5% Gel for the Treatment of Acne

BARRY COUTINHO

Dapsone is an antibiotic that has been used since the 1940s for the treatment of leprosy and skin disorders such as dermatitis herpetiformis and nodulocystic acne. Dapsone (Aczone) 5% gel is approved by the U.S. Food and Drug Administration (FDA) for the treatment of acne…

U.S. Preventive Services Task Force

Screening for Hepatitis B Virus Infection in Pregnancy: Reaffirmation Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

Screening for Asymptomatic Bacteriuria in Adults: Reaffirmation Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends screening for asymptomatic bacteriuria with urine culture for pregnant women at 12 to 16 weeks' gestation or at the first prenatal visit, if later.

Putting Prevention Into Practice

Screening for Asymptomatic Bacteriuria in Adults

KENNETH W. LIN, THEODORE R. BROWN

Case study: D.C., a 27-year-old woman at 15 weeks' gestation, comes to your office for her first prenatal visit. She is accompanied by her 56-year-old mother, whom you treat for type 2 diabetes.

Photo Quiz

Discrete Papules on the Thigh of a Child

ALEXANDER K.C. LEUNG, ALBERT Y.F. KONG

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

Chronic Rash Associated with Numbness

LINDA HILL, M.T. RICHARD HOANG

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

Tips from Other Journals

Practice Guidelines

AAP Updates Guidelines on Rotavirus Vaccination

CARRIE ARMSTRONG

A live, oral human-bovine reassortant rotavirus vaccine (RV5; Rotateq) was approved in 2006, followed by a live, oral human attenuated rotavirus vaccine (RV1; Rotarix) in 2008. Since the licensure of RV1, the American Academy of Pediatrics (AAP) has updated its guidelines on…

Letters to the Editor

Information from Your Family Doctor

PtEd

Helping a Child with Autism

Autism is a condition that makes it hard to communicate and relate to others. Sometimes it causes people to repeat behaviors over and over. People with autism will have it their whole lives. Some people will have mild symptoms and some will have more severe symptoms. Children…

Hawthorn

Hawthorn is an herb that has been used to treat many health problems. It has been studied most as a treatment for mild heart failure. It helps the heart pump out more blood and opens up blood vessels to help with circulation. You can find hawthorn in most drug or health food…

PtEd

Sexual Assault

It is when you are forced to have sexual contact that you do not want. You can be hurt or killed during a sexual assault. Many people get cuts, bruises, or broken bones.

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