• Articles

    Diagnostic Evaluation of Urinary Incontinence in Geriatric Patients

    BARRY D. WEISS

    Diagnosis and management plans can usually be established based on the history, the physical examination, urinalysis and measurement of postvoid residual urine volume.

    Eyelid Disorders: Diagnosis and Management

    SUSAN R. CARTER

    Eyelid problems range from benign to malignant; inflammation, infection, benign and malignant tumors and structural problems such as ectropion, entropion and blepharoptosis may occur. Warm compresses and antibiotics suffice for many conditions, while excision, cryotherapy or...

    The Charcot Foot in Diabetes: Six Key Points

    GREGORY M. CAPUTO, JAN ULBRECHT, PETER R. CAVANAGH, PAUL JULIANO

    The Charcot foot is a complication of sensory neuropathy in patients with diabetes mellitus. The acute Charcot foot is usually painless and may mimic cellulitis or deep venous thrombosis. If undiagnosed or improperly managed, it can result in disastrous complications for the...

    Prevention of Neonatal Group B Streptococcal Infection

    CHRIS KEENAN

    Neonatal group B streptococcal infection may be prevented through intrapartum treatment of women at high risk for delivering an infected infant.

    Current Guidelines for Antibiotic Prophylaxis of Surgical Wounds

    RONALD K. WOODS, E. PATCHEN DELLINGER

    Preoperative antibiotics reduce rates of wound infection, although antibiotics administered postoperatively do not. An appropriately chosen cephalosporin is generally recommended for single-regimen antibiotic prophylaxis.

    Assessment and Treatment of Bulimia Nervosa

    BETH M. MCGILLEY, TAMARA L. PRYOR

    Successful management of bulimia nervosa requires early detection, comprehensive assessment for comorbid conditions and complications, and individualized therapy.

    Treatment of Systemic Lupus Erythematosus: An Update

    MICHELLE PETRI

    Systemic lupus erythematosus is a complex autoimmune disorder with a prolonged course that can involve more than one organ system. Treatment approaches emphasize using a combination of drugs to minimize chronic exposure to corticosteroids.

    Sudden Death in Young Athletes: Screening for the Needle in a Haystack

    FRANCIS G. O'CONNOR, JOHN P. KUGLER, RALPH G. ORISCELLO

    Nontraumatic sudden death in young athletes is, despite public perception to the contrary, quite rare, occurring most often in male athletes. Congenital cardiovascular disease, especially hypertrophic cardiomyopathy, is the leading cause. Screening athletes is a challenge.

    Evaluating Hoarseness: Keeping Your Patient's Voice Healthy

    CLARK A. ROSEN, DEBORAH ANDERSON, THOMAS MURRY

    Vocal abuse is one of the most common causes of hoarseness and can lead to vocal pathologies such as vocal nodules. In a patient with a history of tobacco use, cancer of the head and neck must be ruled out before any other diagnosis can be accepted.

    Combination Antiretroviral Therapy for HIV Infection

    JANINE MAENZA, CHARLES FLEXNER

    Combination antiretroviral therapy is now standard treatment for HIV infection. The therapeutic goal is to decrease the viral load to undetectable levels within four to six months of initiating a new treatment regimen.

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, December 1997, p. 1386.) Although most snakebites are dramatic, the diagnosis may be missed in patients who are unconscious or severely ill or if the bite occurs in the dark or in heavy vegetation. Presenting symptoms may vary from...

    Inside AFP

    STFM and Editors' Workshops

    JANIS WRIGHT

    Do you want to learn more about the publication process? Think you'd like to write an article? Consider attending one of the workshops to be presented by Jay Siwek, M.D., and others at AAFP's Annual Assembly in San Francisco, September 17–20. Dr. Siwek recently helped conduct...

    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

    Many older adults have trouble sleeping, but sleeping pills aren't the answer. According to sleep researchers at Duke University who conducted a three-month study comparing two sleep remedies, behavior modification works better than sleeping pills because patients learn to...

    Editorials

    Thoughts on the Prevention of Neonatal Group B Streptococcal Infection

    MARK DEUTCHMAN

    Physicians who care for pregnant women and for infants have struggled for the past several years in weighing evidence regarding the usefulness of various strategies for preventing neonatal group B streptococcal infection. The difficulty in determining the value of these...

    Diary from a Week in Practice

    Diary from a Week in Practice

    A youth baseball coach recently shared with TBS a technique he uses for treating minor ankle sprains in young athletes. He previously found that applying ice bags to these small players was often cumbersome and, therefore, the athletes were not cooperative. Also, he was aware...

    Photo Quiz

    Flowering Dermatosis

    Marc S. Berger, JEFFREY J. MEFFERT

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

    Conference Highlights

    Conference Highlights

    Verna L. Rose

    (Annual Meeting of the American Psychosomatic Society) A study to determine the effects of racist provocations in blacks showed that holding back anger places an unhealthy load on the blood vessels which, over time, may cause hypertension. In the study, 46 male college...

    FDA Perspective

    Significant FDA Approvals in 1997

    PETER H. RHEINSTEIN, BARDIA AKBARI

    The U.S. Food and Drug Administration approved 132 new drugs and biologic products in 1997, the second highest number of approvals made in one year by the agency since initiation of the Prescription Drug User Fee Act of 1992.

    Special Medical Reports

    American Heart Association Releases Scientific Statement on Cardiovascular Disease in Women

    Verna L. Rose

    The American Heart Association (AHA) has issued a statement for health care professionals on cardiovascular disease in women. According to the AHA, there are still misperceptions that cardiovascular disease is not a real problem for women, even though nearly 50 percent of...

    AAP Issues Recommendations for the Use of Soy Protein–Based Formulas in Infant Feeding

    Verna L. Rose

    The use of soy protein–based formulas in infant feeding has increased in recent years and now accounts for nearly 25 percent of infant formula marketed in the United States. For this reason, the Committee on Nutrition of the American Academy of Pediatrics (AAP) has updated a...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    Physicians should include discussions of substance abuse as a part of the routine health care of their pediatric patients. Discussions should start with the prenatal visit and continue as a part of ongoing anticipatory guidance, according to a new policy statement from the...

    Physician's Bookshelf

    Book Reviews

    RAYMOND MARTIN

    Also Received

    Letters to the Editor

    Drug-Induced Disorders

    Bacterial Vaginosis: What's in a Name?

    RICHARD L. GARRISON

    Accidental Coin Swallowing and Sublingual Nitroglycerin

    DOUGLAS H. GRANT

    Screening for Prostate Cancer

    Air Bag Deployment and Hearing Loss

    MICHAEL S. MORRIS, LETICIA P. BORJA

    Novel Treatment for Leg Ulcers

    JOHN B. DAWSON

    Tips from Other Journals

    Treatment of Erythema Multiforme in Children

    JEFFREY T. KIRCHNER

    Preventive Occupational Therapy in Elderly Patients

    GRACE BROOKE HUFFMAN

    Inhaled Budesonide and Bone Formation in Children

    TERRENCE J. JOYCE

    Prevention of Angiographic Progression of Atherosclerosis

    BARBARA APGAR

    Toxic Side Effects Associated with Use of Kombucha Tea

    GRACE BROOKE HUFFMAN

    Cost of Interferon-Alfa for Chronic Hepatitis C

    RICHARD SADOVSKY

    Renoprotective Effect of Enalapril in Diabetic Patients

    JIM NUOVO

    Food Hypersensitivity and Atopic Dermatitis in Children

    RICHARD SADOVSKY

    Adverse Effects in Patients with Polymyalgia Rheumatica

    JEFFREY T. KIRCHNER

    Accuracy of Fine-Needle Aspiration Breast Biopsy

    JEFFREY T. KIRCHNER

    Nebulizers vs. MDIs with Spacers for COPD or Asthma

    KARL MILLER

    Minimally Invasive Incision vs. Sternotomy for Valve Repair

    RICHARD SADOVSKY

    Conservative Management of Ovarian Dermoid Cysts

    KARL MILLER

    Buproprion Therapy as an Aid for Smoking Cessation

    JEFFREY T. KIRCHNER

    Delivery of the Placenta by Means of Active Intervention

    BARBARA APGAR

    Routine Replacement of Peripheral IV Catheters

    BARBARA APGAR

    Tobacco Smoke Exposure and Meningococcal Disease Risk

    RICHARD SADOVSKY

    Quality of Life and Early Screening for Osteoporosis

    BARBARA APGAR

    Oropharyngeal Candidiasis and Candidal Diaper Dermatitis

    RICHARD SADOVSKY

    H. pylori Infection and Risk of NSAID–Induced Ulcers

    ANNE D. WALLING

    Oral and Rectal Mesalamine for Ulcerative Colitis

    KARL MILLER

    Treatment of Depression in Hospitalized Elderly Patients

    BARBARA APGAR

    Conventional vs. Ambulatory Blood Pressure Measurement

    GRACE BROOKE HUFFMAN

    Information from Your Family Doctor

    Finding Out About Incontinence

    If your bladder leaks urine between trips to the bathroom, this is called urinary incontinence. People of any age can have incontinence, but it happens more often in older adults. Incontinence can bother you and even make you embarrassed. It can make you stop taking part in...

    Group B Streptococcal Infection in Pregnancy—What It Means

    Group B strep is a common name for a certain kind of streptococcal germ that lives on the skin of some women. Up to one third of pregnant women have these germs (also called bacteria). A woman who has group B strep living on her skin is “colonized” with this germ. For every...

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    Corrections

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    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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