• Articles

    Travel Medicine: Helping Patients Prepare for Trips Abroad

    LEW DICK

    Appropriate medical advice for travelers is based on the most recent expert recommendations related to the destination plus an appreciation of the needs and risk factors of each patient.

    Henoch-Schönlein Purpura: A Review

    DEBRA M. KRAFT, DENISE MCKEE, CAROL SCOTT

    Henoch-Schönlein purpura is a vasculitis of childhood that results in a purpuric rash, abdominal pain and arthritis. The symptoms often do not appear as a triad, which can create difficulty in establishing the diagnosis.

    DOT Examinations: Practical Aspects and Regulatory Review

    FORREST POMMERENKE, KURT HEGMANN, NATALIE P. HARTENBAUM

    In performing medical certification examinations, the physician's primary responsibility is to protect the public from potentially unsafe drivers.

    Prostate Cancer Screening: More Harm Than Good?

    MICHAEL L. LEFEVRE

    When prostate-specific antigen (PSA) screening is examined critically from the standpoint of the general principles of screening, evidence from prospective studies to support the routine use of PSA testing is lacking.

    A Different Look at Corticosteroids

    ROGER J. ZOOROB, DAWN CENDER

    Commonly overlooked indications for steroid use include croup, Pneumocystis carinii pneumonia, hyperthyroidism, cancer-related pain and alcoholic encephalopathy.

    Intrauterine Growth Restriction: Identification and Management

    DAVID PELEG, COLLEEN M. KENNEDY, STEPHEN K. HUNTER

    Intrauterine growth restriction carries an increased risk of perinatal morbidity and mortality. General management measures include treatment of maternal disease, good nutrition and institution of bed rest.

    Drugs for Conversion of Atrial Fibrillation

    JOSEPH T. DELL'ORFANO, JERRY C. LUCK, DEBORAH L. WOLBRETTE, HEMANTKUMAR PATEL, GERALD V. NACCARELLI

    Management of atrial fibrillation may include control of heart rate and rhythm, anticoagulation therapy, or a combination of these strategies.

    Family Practice International

    Anne D. Walling

    (Canada—Canadian Family Physician, April 1998, pp. 749, 757.) Thyroid-related eye disease most commonly occurs in cases of Graves' disease, but the eye may also be involved in other forms of hyperthyroidism or hypothyroidism or may be affected in patients who are clinically...

    Inside AFP

    AFP's Editorial Fellow

    JANIS WRIGHT

    It's time once more to bid farewell to AFP's editorial fellow: Rosaire Verna, M.D., just completed the 1997–98 John C. Rose medical editing fellowship under the guidance of our editor, Jay Siwek, M.D., at Georgetown University Medical Center, Washington, D.C. As much as we...

    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, Shyla Wright

    Support from friends may help people recover from a traumatic injury more quickly, according to the American College of Surgeons. A 1997 study that assessed 302 patients stated that physical impairment counted for only 23 percent of a patient's continued dysfunction one year...

    Editorials

    Hospitalists and the Family Physician

    BRUCE BAGLEY

    Market-based health care reform has changed the face of medical practice. One change has been the emergence of inpatient admitting teams, now referred to as “hospitalists.” The hospitalist function is nothing new, but now that a small group of physicians has decided that they...

    Hospitalist Concept: Another Dangerous Trend

    ROBERT G. BROWN

    The fact that increasing numbers of family physicians are limiting themselves to an office practice is alarming. There always has been a small minority of family physicians who chose to practice in the “Doc in the Box” environment, but with the advent of the “hospitalist”...

    Prostate Cancer Screening

    MATTHEW N. WITTE, RONALD A. MORTON, JR.

    Because of heightened awareness and media attention directed at high-profile celebrity cases, prostate cancer is one of the most commonly discussed diseases in both the scientific and lay literature. Moreover, debates regarding the diagnosis and treatment of this common...

    Diary from a Week in Practice

    Diary from a Week in Practice

    It is always odd for a physician to be on the receiving end as the patient, but SEF has discovered that this experience gives physicians a new level of authority, especially when dealing with issues of maternity care or children's care. SEF is now pregnant for the first time...

    Photo Quiz

    The Pits

    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 Winter Meeting of the American Orthopaedic Foot and Ankle Society) Responding to plantar fasciitis quickly with a conservative care program can be an effective way to alleviate pain, according to results of a study of 120 patients with plantar fasciitis. The study...

    Tips from Other Journals

    Use of Sildenafil as Treatment for Erectile Dysfunction

    BARBARA APGAR

    Dosage of Progesterone in Continuous Combined HRT

    ANNE D. WALLING

    Use of Ringer's Lactate with Emergency Blood Transfusion

    ANNE D. WALLING

    Interferon-alfa in Children with Chronic Hepatitis C

    RICHARD SADOVSKY

    Reduction in Low-Weight and Preterm Births by Intervention

    ANNE D. WALLING

    Role of Semen in the Sexual Transfer of Hepatitis Viruses

    ANNE D. WALLING

    Postexposure Varicella Vaccination in Siblings

    RICHARD SADOVSKY

    Long-Term Survival After Acute Myocardial Infarction

    ANNE D. WALLING

    Smoking in Women and Risk of Myocardial Infarction

    ANNE D. WALLING

    Safety of Combined Therapy for Parkinson's Disease

    ANNE D. WALLING

    Ipratropium Plus Albuterol for Treatment of Acute Asthma

    RICHARD SADOVSKY

    Antidepressants and Risk of Hip Fractures in the Elderly

    ANNE D. WALLING

    Use of Prophylactic Aspirin in Preventing Preeclampsia

    JEFFREY T. KIRCHNER

    Prevalence Survey of Abuse in Women at Urgent Care Clinics

    ANNE D. WALLING

    Effect of Growth Hormone Therapy in Short Normal Girls

    ANNE D. WALLING

    Spermicide-Coated Condoms and Urinary Tract Infections

    BARBARA APGAR

    Evaluation and Management of Headache Symptoms

    RICHARD SADOVSKY

    Estrogen Therapy After Surgery for Endometriosis

    ANNE D. WALLING

    Adult Psychiatric Status of Hyperactive Boys

    BARBARA APGAR

    Evaluation of Inappropriate Consumption of Sumatriptan

    ANNE D. WALLING

    Work Environment and the Safety of Pregnant Workers

    RICHARD SADOVSKY

    Initial Evaluation of Melanoma with Chest X-Ray

    BARBARA APGAR

    Antiretroviral Prophylaxis After Recent Sexual Exposure to HIV

    RICHARD SADOVSKY

    Prevention of High-Altitude Headache with Aspirin

    ANNE D. WALLING

    Sibutramine Not Advised for Treatment of Obesity

    BARBARA APGAR

    Using Inhaled Corticosteroids for Treatment of Patients with COPD

    ANNE D. WALLING

    Metformin and Troglitazone for Type 2 Diabetes Mellitus

    JEFFREY T. KIRCHNER

    Meta-Analysis of Prednisone for Rheumatoid Arthritis

    ANNE D. WALLING

    Oral Contraceptive Use and Risk of Cardiovascular Disease

    RICHARD SADOVSKY

    Special Medical Reports

    Advisory Committee on Immunization Practices Issues Recommendations for the 1998–99 Influenza Season

    Verna L. Rose

    The Advisory Committee on Immunization Practices (ACIP) has released recommendations for the prevention and control of influenza during the 1998–99 influenza season. The recommendations cover options for the control of influenza, inactivated vaccine for influenza A and B, use...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    During the past six years, the overall prevalence of smoking among high school students has increased by nearly one third, according to results of a study released by the Centers for Disease Control and Prevention. The study, “Tobacco Use Among High School Students—United...

    Physician's Bookshelf

    Book Reviews

    HENRY M. WIEMAN, WALT LARIMORE, MARK DEUTCHMAN

    Also Received

    Letters to the Editor

    The Vicious Path of Varicella in a Family

    DEBORAH S. ASNIS, PHILIP LARUSSA

    Richter's Hernia with Bowel Perforation

    URIEL R. LIMJOCO, JOHN MICHAEL GRUBBS, MICHAEL D. THOMAS

    A Novel Technique to Remove the Common Dog Tick

    LEX SCHULTHEIS

    Information from Your Family Doctor

    International Travel: Tips for Staying Healthy

    International Travel: Tips for Staying Healthy

    What Is Henoch-Schönlein Purpura?

    Henoch-Schönlein purpura (say: hen-awk shern-line purr-purr-ah) causes blood vessels to get inflamed (irritated and swollen). This inflammation is called vasculitis. It usually affects the small blood vessels in the skin (capillaries). It can also affect blood vessels in the...

    Intrauterine Growth Restriction: When Your Baby Stops Growing Before Birth

    Intrauterine growth restriction (“IUGR,” for short) is a term for a baby who is smaller than normal during pregnancy. The baby is not growing inside the uterus at the normal rate. These babies usually have a low weight at birth.



    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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