• Articles

    Stroke: Part I. A Clinical Update on Prevention

    ROBERT G. HART, OSCAR BENAVENTE

    Stroke prevention is cost-effective and often cost-saving. Most strokes can be prevented using currently available, well-tolerated therapies.

    Interpretation of the Electronic Fetal Heart Rate During Labor

    AMIR SWEHA, TREVOR W. HACKER, JIM NUOVO

    A systematic approach to the interpretation of electronic fetal heart rate monitoring is critical to ensure appropriate patient management.

    Childhood Pancreatitis

    GORDON URETSKY, MARKUS GOLDSCHMIEDT, KYLE JAMES

    Because the symptoms of pancreatitis are similar to those of gastroenteritis, the diagnosis of pancreatitis is easily missed in children. Hereditary pancreatitis is frequently recurrent and can now be diagnosed by use of gene probe techniques.

    Fractures of the Proximal Fifth Metatarsal

    SCOTT M. STRAYER, STEVEN G. REECE, MICHAEL J. PETRIZZI

    An understanding of the two basic types of fractures of the proximal portion of the fifth metatarsal bone can improve both management and prognostic advice.

    Malaria Prevention in Travelers

    GREGORY JUCKETT

    Malaria, currently in resurgence throughout the tropics, is posing a greater threat to world travelers now than at any time in the past 30 years.

    Testicular Cancer

    SCOTT KINKADE

    Testicular cancer, the most common malignancy in young men, has excellent cure rates when detected early.

    Sleep Problems in the Elderly

    DAVID N. NEUBAUER

    Problems with sleep organization in elderly patients typically include difficulty falling asleep, less time spent in the deeper stages of sleep, early-morning awakening and less total sleep time.

    Combination Vaccines for Childhood Immunization

    The Advisory Committee on Immunization Practices, the American Academy of Pediatrics and the American Academy of Family Physicians have issued a joint statement to provide general guidance on the use of combination vaccines in childhood immunization and related issues and...

    Fractures of the Proximal Fifth Metatarsal

    SCOTT M. STRAYER, STEVEN G. REECE, MICHAEL J. PETRIZZI

    An understanding of the two basic types of fractures of the proximal portion of the fifth metatarsal bone can improve both management and prognostic advice.

    Inside AFP

    Simplifying the Business of Writing for AFP

    Janis Wright

    Upholding the editorial standards of a reputable medical journal like AFP requires not only vigilance in monitoring for violations of authorship criteria and detecting financial conflicts that would create biases, but also quite a paper trail documenting that policies are...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

    The Health Care Financing Administration (HCFA) has launched a new toll-free telephone line to help health care professionals prepare for year 2000. Callers to 800-958-HCFA (800-958-4232) will be able to get answers to Y2K questions that relate to medical supplies, their...

    Quantum Sufficit

    Quantum Sufficit

    Monica A. Preboth, Shyla Wright

    The government may help physicians join unions. According to The Kiplinger Washington Letter, only about 35,000 physicians out of a total of 680,000 now belong to unions. The government is likely to remove barriers to the unionization of physicians who are tired of managed...

    Editorials

    Why Are We Using Electronic Fetal Monitoring?

    CLARISSA C. KRIPKE

    In the 1960s and 1970s, continuous electronic fetal monitoring (EFM) was introduced with the idea that it would help clinicians diagnose fetal hypoxia in time to prevent perinatal neurologic damage. By the early 1990s, more than 75 percent of the nation's birth attendants had...

    Principles for Using Combination Vaccines

    RICHARD ZIMMERMAN

    The cooperation between the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP) and the Advisory Committee on Immunization Practices (ACIP) continues with the publication of a joint statement on combination vaccines for childhood...

    Diary from a Week in Practice

    Diary from a Week in Practice

    This past Sunday night, at 11:57 p.m., JTL introduced 7-lb, 4-oz Olivia Rose to the world, his first delivery since joining Heritage Family Physicians earlier in the year. The poignancy of this event was magnified by the news, learned earlier that same evening, that JTL's...

    Photo Quiz

    A Subtle ECG

    Marc S. Berger, B. CHANCE GENTRY, ANTHONY J. VIERA

    A Subtle ECG

    Tips from Other Journals

    The Differential Diagnosis of Joint Pain: Hemochromatosis

    ANNE D. WALLING

    Elevated Serum Creatinine Levels in Severe Hypothyroidism

    BARBARA APGAR

    Acute Pancreatitis: Identifying Patients at Greatest Risk

    ANNE D. WALLING

    Preventing Recurrence of Depression in the Elderly

    GRACE BROOKE HUFFMAN

    Spouses of Demented Patients: Stress and Immunity

    ANNE D. WALLING

    Summary of Data on Tamoxifen for Prevention of Breast Cancer

    BARBARA APGAR

    Does Surgery Relieve the Symptoms of Varicose Veins?

    ANNE D. WALLING

    Orlistat for Weight Control and Risk Factor Reduction

    GRACE BROOKE HUFFMAN

    Is Revaccination with the Pneumococcal Vaccine Safe?

    GRACE BROOKE HUFFMAN

    Determining Capacity to Provide Informed Consent to Treatment

    GRACE BROOKE HUFFMAN

    Analysis of Patients' Perspectives on Quality Care at the End of Life

    GRACE BROOKE HUFFMAN

    Review of Parkinson's Disease and Available Treatments

    ANNE D. WALLING

    Hypodermoclysis: A Cure for Moderate Dehydration

    GRACE BROOKE HUFFMAN

    Use of Buccal Midazolam in Childhood Seizures

    ANNE D. WALLING

    Do Plant and Pesticide Allergens Have a Place in Patch Testing?

    BARBARA APGAR

    Preventing Complications in Patients with Type 2 Diabetes

    ANNE D. WALLING

    Should Patients with CAD Risk Take Antioxidants?

    JIM NUOVO

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, December 1998, p. 1110.) Because more than 80 percent of persons who smoke begin the habit before age 18 years, prevention efforts are increasingly directed toward teenagers. Adolescents are believed to be at high risk for smoking...

    Curbside Consultation

    Communicating Effectively with a Patient Who Has a Somatization Disorder

    MARTHA JOHNS

    A well-dressed, intelligent 30-year-old woman presented to my office with pelvic pain that she described as occurring “on and off.” She was convinced that the pain was related to Gardnerella infection and requested intravenous antibiotic treatment for it. She had recently...

    Special Medical Reports

    NIH Issues Consensus Statement on Attention-Deficit/Hyperactivity Disorder

    Verna L. Rose

    The National Institutes of Health (NIH) has issued a draft consensus development conference statement on the diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD). The conference that culminated in the draft statement was convened by the NIH to address...

    Neurologic Group Develops Recommendations for Management of Epilepsy

    Sharon Scott Morey

    Recommendations for the medical management of epilepsy have been developed by a group of 40 neurologists. The recommendations, published in the November 1998 issue of Neurology, come from a symposium convened at the 1998 annual meeting of the Southern Clinical Neurological...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    Available evidence is insufficient to recommend regular use of oral antibiotics for the prevention of urinary tract infections (UTIs) in adults and adolescents who have abnormal bladder function because of spinal cord damage, according to an evidence-based report/technology...

    Physician's Bookshelf

    Book Reviews

    DOUGLAS PILE, ROBERT N. HENSINGER

    Also Received

    Letters to the Editor

    Pulmonary Mucormycosis in a Patient with COPD

    ALBERT KLEMPTNER

    Single vs. Multiple Daily Dosing of Aminoglycosides

    Anticipatory Grief in Parents of Dying Children

    GEORGE F. DAVIS

    Information from Your Family Doctor

    Preventing Stroke: Some Good Advice

    When an artery that carries blood to the brain is blocked or breaks, it damages the brain. We call this damage a “stroke.” Strokes can be mild, severe or even fatal. Most people who have strokes are 60 or older, but younger people can also have strokes.

    Preventing Malaria

    Malaria is an infection that causes high fevers and shaking chills. It's spread by a mosquito that feeds at night. The mosquito carries a parasite (“bug”) that causes malaria. If this mosquito bites you, the bug can get into your blood. The bug turns into many bugs, and they...

    Testicular Cancer—What to Look For

    Cancer of the testicles is the most common cancer in young men (15 to 34 years old). Testicular cancer has a very good cure rate if it's found early and treated. Your doctor can check your testicles during an exam. A self-exam is another way to find testicular cancer (see...

    Are You Having Trouble Sleeping as You Grow Older?

    Most of us need about eight hours of sleep at night to feel fully alert when we're awake. Many things can get in the way of sleeping well or sleeping long enough. As we get older, we might have more trouble sleeping.

    Corrections

    Corrections

    Corrections



    Disclosure

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


    Tag Legend

    Legend

    CME CME
    POC POC
    FREE Free
    Alg Alg
    DDx DDx
    PtEd PtEd