• Articles

    Care of the Premature Infant: Part I. Monitoring Growth and Development

    DAVID E. TRACHTENBARG, THOMAS B. GOLEMON

    Premature infants require special care in the physician's office after hospital discharge. Care of these infants should be planned to promote normal growth and minimize morbidity and mortality.

    Psychotherapy in Primary Care: The BATHE Technique

    JANET MCCULLOCH, SIMON RAMESAR, HEATHER PETERSON

    The BATHE technique is a psychotherapy model that allows the physician to assess the background situation, the patient's affect, the most troubling problem and the patient's manner of handling the problem. It concludes with a physician response that conveys empathy.

    Slipped Capital Femoral Epiphysis

    RANDALL T. LODER

    Slipped capital femoral epiphysis has a good prognosis if stable and diagnosed early. When the condition is unstable, the prognosis is poor because of the high risk of avascular necrosis. Early radiographic clues are the metaphyseal blanch sign and Klein's line.

    The Woman with Dysuria

    KURT KUROWSKI

    Symptoms alone often do not distinguish cystitis and upper urinary tract infections. An altered vaginal flora is associated with most forms of vaginitis and recurrent cystitis.

    Stuttering: A Brief Review

    MICHAEL LAWRENCE, DAVID M. BARCLAY, III

    Stuttering in children may be a self-limited disorder, or it may require treatment, including speech therapy and psychologic counseling.

    Implementing the Guidelines for Adolescent Preventive Services

    NORMAN J. MONTALTO

    The Guidelines for Adolescent Preventive Services (GAPS) may increase awareness of high-risk health behaviors in young adults, enabling physicians to provide appropriate intervention that may prevent premature morbidity and mortality.

    Management of Dyslipidemia in Adults

    SYED M. AHMED, MARK E. CLASEN, JOHN F. DONNELLY

    Assessment of the patient's risk for coronary heart disease helps the physician determine which treatment should be initiated, what the target low-density lipoprotein cholesterol level should be and how often to perform lipid analysis.

    Prescription to Over-the-Counter Drug Reclassification

    LORI R. JACOBS

    Many medications that are now available without a prescription were previously classified as prescription products. Reclassified products have had clinical and economic effects on health care in the United States.

    Family Practice International

    (Great Britain—The Practitioner, January 1998, p. 16.) Excessive use of alcohol may be undiagnosed or may present as a range of physical conditions (irritability, insomnia, diarrhea, nausea) or social consequences (broken relationships, “accidents,” lawbreaking). The...

    Inside AFP

    Writing Patient Education Materials

    JANIS WRIGHT

    An ever-increasing demand for high-quality patient education materials led AFP to venture into publishing patient information handouts a few years ago. What we soon discovered was that developing educational materials for patients is a lot different from editing and writing...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

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

    Quantum Sufficit

    Quantum Sufficit

    Monica A. Preboth, Rachel Richards, Shyla Wright

    The crying we do at movies is not the same as the crying we do when recalling personal emotionally-charged events, according to a study reported in the American Journal of Psychiatry. Researchers identified certain brain regions that are activated depending on whether an...

    Editorials

    Adolescent Guidelines: Should We Use Them?

    NANCY STEVENS

    After reading the article by Montalto on implementing the Guidelines for Adolescent Preventive Services (GAPS) in this issue of American Family Physician,1 the family physician is likely to ask: Should we begin implementing these guidelines in our practice? The answer: Not...

    Diary from a Week in Practice

    Diary from a Week in Practice

    “Has Dr. Hartman been putting Clomid in the coffee maker again?” inquired a curious patient after hearing the news that SEF was expecting twins. One could certainly wonder what the chances are of two female physicians in a small practice each having twins. Recent data have...

    Photo Quiz

    “Toxic Sock” Syndrome

    JEFFREY J. MEFFERT

    For several months, a 17-year-old male athlete noticed that his feet had an itchy, burning sensation at the heels and toes. His foot odor had become so malodorous (somewhat akin to rotting fish) that he would not remove his shoes except immediately before washing his feet....

    Special Medical Reports

    American College of Physicians Issues Guidelines on Laboratory Evaluation of Lyme Disease

    SHARON SCOTT MOREY

    The American College of Physicians (ACP) has developed a guideline for the laboratory evaluation of Lyme disease. The two-part guideline is published in the December 1997 issue of Annals of Internal Medicine. Part 1 is a position paper that summarizes the ACP recommendations...

    American Academy of Pediatrics Releases Report on Cholesterol Levels in Children and Adolescents

    SHARON SCOTT MOREY

    The Committee on Nutrition of the American Academy of Pediatrics (AAP) has developed a statement on cholesterol levels in children, which is published in the January 1998 issue of Pediatrics. The report reviews the scientific evidence for recommendations of dietary changes in...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    Routine supplementation of vitamin A during pregnancy is not recommended by the American College of Obstetricians and Gynecologists (ACOG), according to an ACOG committee opinion (number 196, January 1998). ACOG believes that the dietary intake of vitamin A in the United...

    Physician's Bookshelf

    Physician's Bookshelf

    JAMES G. RICCA, DAVID A. KATERNDAHL

    Software Reviews | Book Reviews | Also Received

    Letters to the Editor

    Thromboembolic Events Secondary to Estrogen Therapy

    ECG Findings and Hypertrophic Cardiomyopathy

    Gamma-Hydroxy Butyrate

    RICHARD H. SCHWARTZ

    Bacterial Meningitis and Antimicrobial Therapy

    Tips from Other Journals

    Different Fat-Restricted Diets and Effect on Lipid Levels

    GRACE BROOK HUFFMAN

    Outcomes of Infants Born at 24 to 26 Weeks of Gestation

    ANNE D. WALLING

    Effects of Diphenhydramine and Loratadine on Sedation

    BARBARA APGAR

    Alcohol Use and Mortality Rates from Various Causes

    JEFFREY T. KIRCHNER

    Shunt as an Effective Alternative for Esophageal Varices

    KARL MILLER

    Adverse Events and Age at Second MMR Vaccination

    GRACE BROOK HUFFMAN

    Use of Compression for Venous Leg Ulcers

    ANNE D. WALLING

    Seroprevalence of the Rubeola Antibody in Pregnant Women

    ANNE D. WALLING

    Evaluation of Patients with Transient Global Amnesia

    RICHARD SADOVSKY

    Prevalence of Depression in Healthy Elderly Persons

    KARL MILLER

    Cervical Score as a Predictor of Successful Labor Induction

    ANNE D. WALLING

    Strategies for Choosing Antidepressant Medications

    ANNE D. WALLING

    Management of Incidental Pituitary Microadenomas

    JAMES NUOVO

    Viremia Predicting Response to Interferon Therapy in Hepatitis C

    RICHARD SADOVSKY

    Pulmonary Function in Cases of Stable Chronic Bronchitis

    GRACE BROOKE HUFFMAN

    Withdrawing Elderly Patients From Chronic Diuretic Therapy

    ANNE D. WALLING

    Routine Pathologic Examination of Excised Tissue Specimens

    ANNE D. WALLING

    Rates of Compliance with Home Nebulizer Therapy

    KARL MILLER

    Order of Sampling as a Factor in the Quality of Pap Smears

    ANNE D. WALLING

    Information from Your Family Doctor

    Slipped Capital Femoral Epiphysis

    Slipped capital femoral epiphysis (or SCFE, for short) is a hip problem that starts if part of the growing end (the epiphysis) of the thigh bone (the femur) slips off from the top of the thigh bone. [ corrected] SCFE may occur in one or both legs. SCFE may develop in one leg...

    Causes of Painful Urination

    If you have a vaginal infection or inflammation, you may feel pain when urine passes over the inflamed tissue. And if the urethra is inflamed, you could feel pain as the urine passes through it. (The urethra is the tube that carries urine from your bladder.) You might be...

    Health Care for Teenagers

    Many fatal diseases in adults got started with poor health habits at a young age. For example, if you use tobacco as a teenager, you're more likely to get heart disease, cancer or stroke when you're an adult. Tobacco can also give you bad breath, wrinkles and stained teeth...

    Reducing the Lipid Levels in Your Blood

    Fats in the blood are called lipids. Lipids join with protein in your blood to form lipoproteins. Lipoproteins make energy for your body, so they're important to the cells in your body.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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