PHILIP D. SLOANE
Options for the management of Alzheimer's disease are expanding to include modification of the patient's environment, alterations in caregiving and medications such as tacrine and donepezil.
ELIZABETH H. MORRISON
Many obstetric complications occur in patients without risk factors. Common peripartum emergencies include nonreassuring fetal status, maternal hemorrhage, fetal shoulder dystocia and eclampsia.
SUSAN LOUISA MONTAUK
Patients who are homebound or whose needs require skilled care, such as wound care, intravenous therapy or monitoring for pain control, may be eligible to receive home health care benefits under the auspices of Medicare.
DANIEL J. CARLAT
The psychiatric review of symptoms is a useful screening tool in diagnosing psychiatric disorders. Rapid and thorough, it can easily be incorporated into the standard history and physical examination.
BRUCE T. VANDERHOFF, HEATHER M. RUPPEL, PETER B. AMSTERDAM
Beta blockers such as carvedilol may improve left ventricular function and survival rates in patients with congestive heart failure. Beta blockers provide family physicians with an additional therapeutic option for treating patients with this syndrome.
Rosemarie Sweeney, Verna L. Rose
Nancy Ann Min Deparle, director of the Health Care Financing Administration (HCFA), has created the Physician Regulatory Issues Team to look at the workload for physicians and their employees as a result of Medicare regulations. The team, headed by Steven Gleason, M.D., a...
Anne D. Walling
(Australia—Australian Family Physician, May 1998, p. 371.) Dysfunctional uterine bleeding is particularly common around menarche and during the perimenopausal period. Once other causes of abnormal bleeding have been eliminated, bleeding can usually be managed by manipulation...
JANIS WRIGHT
With this issue, AFP is publishing its 318th patient information handout. Placed in one stack, AFP's more than 650 pages of handouts represent a whole book full of carefully tailored educational materials for your patients. Well appreciated by our readers, these award-winning...
Monica A. Preboth, Shyla Wright
Apparently, there are just not enough people dying to get into New York's medical schools. According to The Wall Street Journal, the cadaver population has decreased dramatically in the city and schools are having a difficult time finding enough to go around. Cadavers are...
DAVID S. KOUNTZ, SUSAN L. LEVINE
As a population, blacks have one of the highest rates of coronary artery disease (CAD) in the world.1 Evidence from the National Hospital Discharge Survey (NHDS) suggests that CAD has an earlier onset and is particularly severe in this group. The median age at death from...
MICHELE L. MARZIANO, CHARLES A. CEFALU
Until recently, Medicare-financed home health care has escaped negative public opinion and cost-cutting. It is an area of health care that has grown at a phenomenal pace, because there is no out-of-pocket deductible or co-payment for the beneficiary except for medical...
From time to time, medical students and family practice residents visit our practice. Remembering how removed from reality our rotation experiences were when we were residents, we strive to give these visitors a taste of what life is like “on the outside.” On this particular...
Marc S. Berger, JEFFREY J. MEFFERT
A 47-year-old woman presented to the office with an “ugly” thumbnail on her right hand that she had had for more than a decade. After she began a more challenging job two years ago, the thumbnail on her left hand began to show similar changes (see the accompanying photograph)...
JIM NUOVO
ANNE D. WALLING
JEFFREY T. KIRCHNER
KARL MILLER
ANNE D. WALLING
BARBARA APGAR
JEFFREY T. KIRCHNER
JEFFREY T. KIRCHNER
GRACE BROOKE HUFFMAN
KARL MILLER
GRACE BROOKE HUFFMAN
JEFFREY. T. KIRCHNER
JEFFREY T. KIRCHNER
WILLIAM L. TOFFLER
A 15-year-old girl came into the office for a third visit in two weeks; it was, however, her first visit with me. Her mother, who was concerned about her daughter's constant vomiting, had accompanied her to each visit. The girl's last menstrual period was noted in the chart...
Verna L. Rose
Since 1995, fewer cases of measles, rubella and mumps have been reported than at any time since disease reporting began. The year 2000 objectives of the U.S. Public Health Service include eliminating measles, rubella and congenital rubella syndrome and reducing the incidence...
Verna L. Rose
Since 1982, no progress has been made in reducing the rate at which American women die of pregnancy and childbirth complications, according to a report in the September 4, 1998, issue of Morbidity and Mortality Weekly Report. Having declined substantially in the previous 40...
CAROLINE WELLBERY, LARS C. LARSEN
Book Reviews
Alzheimer's disease is a condition that damages several parts of the brain. Usually, the first sign is a poor memory or having trouble doing things that the person used to do, like balancing a checkbook, grocery shopping or finding the right words when talking. The disease...
Congestive heart failure, or CHF, is a type of heart disease. When the heart can't pump blood properly to the rest of the body, we call it CHF. This may be a temporary problem, or it may last a long time.
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