• Articles

    Chronic Bronchitis: Primary Care Management

    JOHN M. HEATH, RUPA MONGIA

    For optimal management, chronic bronchitis requires judicious episodic antibiotic therapy combined with sustained relief of airway inflammation and bronchospasm.

    Office Care of the Premature Infant: Part II. Common Medical and Surgical Problems

    DAVID E. TRACHTENBARG, THOMAS B. GOLEMON

    Common medical problems in premature infants include anemia, intraventricular hemorrhage, bronchopulmonary dysplasia, apnea, retinopathy of prematurity and gastroesophageal reflux.

    Panic Disorder: Effective Treatment Options

    S. ATEZAZ SAEED, TIMOTHY J. BRUCE

    Early recognition and prompt, appropriate treatment are the keys to management of this common, distressing and disabling disorder.

    Skin and Wound Infections: An Overview

    MICHAEL L. O'DELL

    Bacterial, viral and fungal skin infections are common and generally have distinctive patterns that can be helpful in diagnosis.

    Urinary Tract Infections in Children: Why They Occur and How to Prevent Them

    STANLEY HELLERSTEIN

    Currently, the most effective intervention for preventing recurrent UTIs in children is the identification and treatment of voiding dysfunction. Imaging evaluation of the urinary tract following an infection should be individualized, based on clinical judgment and the child's...

    Preterm Labor: Diagnosis and Treatment

    BEVERLY A. VON DER POOL

    In the United States, preterm labor affects approximately one in 10 births. To minimize fetal morbidity, family physicians who provide obstetric care should familiarize themselves and their patients with the predisposing risk factors.

    Diagnosis and Management of the Adnexal Mass

    JANET DRAKE

    The diagnosis and management of an adnexal mass can be influenced by many factors, particularly the age of the patient, family history, characteristics of the mass, and data from ultrasonography and selected laboratory studies.

    Pseudoneurologic Syndromes: Recognition and Diagnosis

    AZIZ SHAIBANI, MARWAN N. SABBAGH

    Pseudoneurologic syndromes can be identified by use of a careful history and physical examination, and expensive diagnostic tests and unnecessary treatments can be avoided.

    Family Practice International

    Anne D. Walling

    (Great Britain—The Practitioner, February 1998, p. 84.) Approximately 20 percent of women have vaginal bleeding during the first trimester of pregnancy. Between 50 and 60 percent of these cases end in miscarriage, but if fetal heart activity can be demonstrated by ultrasound...

    Inside AFP

    AFP's Reader Services

    JANIS WRIGHT

    Prompted by AFP's continuing popularity and widening audience, and by the concomitant increase in the number of requests we receive from readers, we recently created a department of the AAFP Publications Division that specializes in reader services. The reader services...

    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

    Athletes who can successfully train their brains as well as their bodies may be able to gain that extra edge needed during competition. According to a report in The Brain in the News, founders of the Brain-Body Center for Performance Enhancement are helping athletes teach...

    Editorials

    Panic Disorder: Diagnosis and Treatment in Primary Care

    JOHN R. VANIN, SANDRA K. VANIN

    Anxiety disorders affect millions of persons in the United States and are among the most common psychiatric disorders. Everyone experiences anxiety at one time or another, especially in situations such as meeting someone new, giving a speech or taking a test. Some individuals...

    Diagnosis of Urinary Tract Infection in Children

    ALEJANDRO HOBERMAN, ELLEN R. WALD

    The article by Hellerstein1 in this issue focuses on risk factors for urinary tract infection in children and reviews methods of prevention. Leaving aside the issue of circumcision and abnormal voiding patterns, this commentary will focus on the diagnosis of urinary tract...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Today, JSR was working with a fourth-year medical student who was rotating through our practice. One of the first patients they saw was a four-year-old girl accompanied by her mother. Both were new to our practice. A father of two young girls himself, JSR quickly recognized...

    Conference Highlights

    Conference Highlights

    Verna L. Rose

    (American Heart Association's 23rd International Joint Conference on Stroke and Cerebral Circulation) Use of the cholesterol-lowering drug pravastatin (Pravachol) can significantly reduce the risk of stroke or transient ischemic attack (TIA) in persons who have previously had...

    Tips from Other Journals

    Effect of Cancer on Physical Function in the Elderly

    KARL MILLER

    Antibacterial Activity of Azithromycin in Children

    RICHARD SADOVSKY

    Efficacy of Ginkgo Biloba in Treating Dementia

    GRACE BROOKE HUFFMAN

    Prevention of Wound Infection After Appendectomy

    ANNE D. WALLING

    Iron Deficiency in Children One to Three Years of Age

    JEFFREY T. KIRCHNER

    Influence of Fluoxetine on Length of Menstrual Cycle

    ANNE D. WALLING

    Risk of Influenza Infection in Infants From Birth to One Year

    RICHARD SADOVSKY

    Impact of Race and Gender on Location of Colorectal Cancer

    KARL MILLER

    Diagnosis of Osteomyelitis of the Foot in Diabetic Patients

    JEFFREY T. KIRCHNER

    Diagnosis and Management of Idiopathic Pulmonary Fibrosis

    ANNE D WALLING

    Domestic Violence and Women's Expectations of Physicians

    KARL MILLER

    Effect of Smoking Cessation on Levels of Anxiety

    KARL MILLER

    Underutilization of Beta Blockers After Infarction in the Elderly

    GRACE BROOKE HUFFMAN

    Ulcer Recurrence After Eradication of H. pylori

    RICHARD SADOVSKY

    Adolescent Diabetes and Use of Insulin-like Growth–Factor-1

    ANNE D. WALLING

    Strength Training in Cardiac Rehabilitation Patients

    RICHARD SADOVSKY

    Phyto-estrogens in the Etiology of Breast Cancer

    ANNE D. WALLING

    Olestra in Patients With Inflammatory Bowel Disease

    GRACE BROOKE HUFFMAN

    Special Medical Reports

    NIH Issues Consensus Statement on Acupuncture

    SHARON SCOTT MOREY

    The National Institutes of Health (NIH) has issued a consensus development statement on acupuncture. The two and one-half day conference that culminated in the consensus statement was organized by the NIH Office of Alternative Medicine and the NIH Office of Medical...

    ACOG Releases Practice Pattern on Shoulder Dystocia

    VERNA L. ROSE

    The American College of Obstetricians and Gynecologists (ACOG) has issued recommendations on the management of shoulder dystocia (ACOG Practice Pattern no. 7, 1997). The purpose of the document is to provide physicians with clinically useful information derived from a review...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    The U.S. Preventive Services Task Force and the American Heart Association recommend that all primary care physicians offer their patients counseling to promote physical activity, a healthy diet and smoking cessation as part of the preventive health examination. The Centers...

    Letters to the Editor

    Pneumococcal Vaccination in Elderly and At-Risk Patients

    HENRY H. ANDERSON, IV

    Paresthesias

    Reflex Sympathetic Dystrophy

    Information from Your Family Doctor

    Taking Care of Chronic Bronchitis

    Chronic bronchitis is an inflammation, or irritation, of the airways in the lungs. Airways are tubes in your lungs that air passes through. They are also called bronchial tubes. When the airways are irritated, thick mucus gets into the tubes. The tubes get plugged up with...

    Caring for Your Premature Baby

    If your baby was born prematurely (before the due date), he or she may need special care, especially during the first two years. Special care is often needed in babies who weigh less than 3 pounds at birth. Here are some ways you can give your baby this special care when he...

    Understanding Panic Disorder and Agoraphobia

    All humans have a built-in “alarm system” that goes off when they feel threatened. This alarm starts physical and emotional changes that prepare us to either flee or fight the danger that triggered the alarm. In some people, this alarm may go off unexpectedly, creating a very...

    Urinary Tract Infections in Children: Why They Occur and How to Prevent Them

    The urinary tract has these parts:

    Ovarian Cyst

    An ovarian cyst is a collection of fluid that comes from an ovary. Many cysts are completely normal. These are called functional cysts. In women who are having periods, functional cysts are normal. They occur as a result of ovulation (the release of an egg). Functional cysts...



    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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