• Articles

    Prevention of Recurrent Nephrolithiasis

    DAVID S. GOLDFARB, REDRIC L. COE

    Modifiable dietary risk factors for kidney stones include low fluid intake and excessive intake of protein, salt and oxalate. Urinary risk factors for recurrent stones include hypercalciuria, hyperoxaluria, hypocitraturia and hyperuricosuria.

    Obstructive Sleep Apnea

    LYLE D. VICTOR

    Although obstructive sleep apnea is fairly common, it continues to be underdiagnosed. Treatment can alleviate the substantial psychologic, social and cardiovascular morbidity of the disorder.

    Diagnosis of Stridor in Children

    ALEXANDER K.C. LEUNG, HELEN CHO

    Although stridor may be caused by a relatively benign condition, it may also be the first sign of a serious disorder.

    Assessment and Management of Acute Low Back Pain

    ROBERT L. BRATTON

    Acute low back pain can usually be managed with conservative therapy, but the examiner must be alert to “red flags” that warrant further evaluation.

    Social Anxiety Disorder: A Common, Underrecognized Mental Disorder

    TIMOTHY J. BRUCE, SY ATEZAZ SAEED

    Recognizing clinically significant social fears and tailoring the indicated pharmacologic and psychologic treatment to the individual patient are key to addressing this common, distressing and disabling anxiety disorder.

    Preventing Stroke in Patients with Transient Ischemic Attacks

    MELODY RYAN, GRETA COMBS, LAROY P. PENIX

    If a transient ischemic attack is recognized, measures can be instituted to prevent a subsequent stroke. These measures include lifestyle modification, antithrombotic therapy and, in selected patients, carotid endarterectomy.

    Type 1 Diabetes Mellitus and the Use of Flexible Insulin Regimens

    IRL B. HIRSCH

    New insulin strategies have made it possible to maintain near-normal glycemia. Flexible insulin regimens are based on predetermined actions in response to blood glucose self-monitoring or a situation that can affect glycemia.

    Inside AFP

    Rain, Shine or Hurricane, AFP Weathers Assembly

    Janis Wright

    The staff of AFP recently had a unique opportunity to witness the journal's tremendous reader support. Despite the antics of hurricane Floyd, which struck the eastern seaboard in mid-September during AAFP's Annual Scientific Assembly in Orlando, decreasing the overall...

    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

    Jessica Greene

    Are teenage smokers going up in smoke? A recent survey conducted by Health and Human Services found that 60 million persons or 27.7 percent of Americans over the age of 12 years smoke. Despite these significant numbers, the percentage of teenage smokers has decreased since...

    Editorials

    Coming Face-to-Face with Social Phobia

    MURRAY B. STEIN

    At a time when family physicians are being asked to do more in less time for less pay, how should they react to the article1 in this issue of American Family Physician that calls for physicians to diagnose and treat social phobia?

    Diary from a Week in Practice

    Diary from a Week in Practice

    Today was one of JRH's psychiatry days. Several patients came to visit for management of depression and a few for help with anxiety disorders, but the most intriguing patient came for something entirely different. During the course of the social history, JRH discovered that...

    Conference Highlights

    Conference Highlights

    Matthew Neff

    (59th Annual Scientific Sessions of the American Diabetes Association) Results of several studies in the United States and Canada show the incidence of type 2 diabetes mellitus (formerly called non–insulin-dependent diabetes mellitus) is increasing in children and adolescents...

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Great Britain—The Practitioner, September 1999, p. 664.) Although childhood cancer is rare, and the early symptoms are often insidious and nonspecific, a high index of suspicion should be maintained, especially when children complain of persistent lethargy or are noted to...

    Special Medical Reports

    Task Force Outlines Ways to Improve Vaccination Coverage

    Sharon Scott Morey

    The Task Force on Community Preventive Services has developed recommendations for interventions to improve vaccine coverage in children, adolescents and adults. The recommendations were developed to help communities achieve high levels of vaccination coverage and low rates of...

    AMA Council on Scientific Affairs Reviews Alzheimer's Disease Guidelines

    Sharon Scott Morey

    The Council on Scientific Affairs of the American Medical Association (AMA) has reviewed the different guidelines on Alzheimer's disease. The review article is published in the July/August 1999 issue of Archives of Family Medicine. Included in the report are summaries of the...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The U.S. Food and Drug Administration has approved a first-of-a-kind urine test for Streptococcus pneumoniae, a leading cause of pneumonia. The test should be used in conjunction with review of a patient's symptoms to rule out other causes of pneumonia. Test results are...

    Letters to the Editor

    Hormone Replacement Therapy and Risk of Heart Disease

    Comments on Flexible Sigmoidoscopy

    WM. MACMILLAN RODNEY

    Clarification on Strongyloides Quiz Question

    LYNN W. KITCHEN

    Tips from Other Journals

    Are Oblique Radiographs Useful for Distal Extremity Injuries?

    KARL E. MILLER

    Does Vitamin E Help Prevent a Second Myocardial Infarction?

    ANNE D. WALLING

    Treatment of Childhood Genital Lichen Sclerosus

    BARBARA APGAR

    Phytoestrogens and Dietary Soy Supplementation

    ANNE D. WALLING

    Treatment of Fecal Incontinence in Men

    RICHARD SADOVSKY

    Montelukast and Dosage of Inhaled Steroids in Asthma

    ANNE D. WALLING

    Bacterial Infections in Febrile Infants Under One Month of Age

    JEFFREY T. KIRCHNER

    Exercise Classes Are Effective in Reducing Low Back Pain

    ANNE D. WALLING

    Treatment Options for Tinea Capitis

    JEFFREY T. KIRCHNER

    Prescribing Insulin for Women with Gestational Diabetes

    ANNE D. WALLING

    Can Shoes Help Diminish Falls in the Elderly?

    GRACE BROOKE HUFFMAN

    Daily Fluid Intake and the Risk of Bladder Cancer in Men

    JEFFREY T. KIRCHNER

    Is Structured Exercise Effective in Pediatric Weight Loss?

    KARL E. MILLER

    Long-Term Treatment of Febrile Seizures in Children

    GRACE BROOKE HUFFMAN

    Evaluating the Effect of Orlistat in Obesity Treatment

    BARBARA APGAR

    Surgery for ‘Asymptomatic’ Patients with Primary HPT

    JEFFREY T. KIRCHNER

    New Cholesterol-Lowering Margarines: Are They Better?

    BARBARA APGAR

    Nalmefene in the Treatment of Alcohol Dependence

    JEFFREY T. KIRCHNER

    Do Oral Corticosteroids Help Exacerbations of COPD?

    ANNE D. WALLING

    ASCUS: Identifying Women with Cervical Neoplasia

    GRACE BROOKE HUFFMAN

    Gemfibrozil and Secondary Prevention of Heart Disease

    JEFFREY T. KIRCHNER

    Review of Clinical Trials of Topical Antifungal Therapy

    ANNE D. WALLING

    Treatment of Port-Wine Stains With New Laser Techniques

    BARBARA APGAR

    Inhaled Steroids for Patients with COPD Who Smoke

    JEFFREY T. KIRCHNER

    Low-vs. High-Dose Aspirin After Carotid Endarterectomy

    ANNE D. WALLING

    Microbial Keratitis Associated with Contact Lens Use

    ANNE D. WALLING

    Alendronate Effective in Preventing Vertebral Fractures

    JEFFREY T. KIRCHNER

    Information from Your Family Doctor

    Low Back Pain: What to Expect

    Low back pain is a very common problem, because the lower back carries most of your weight. Four out of five adults have back pain at some time in their life.

    Understanding Social Phobia

    Most people feel nervous in social situations, like having a job interview, going to a high school reunion or giving a speech. Most of us worry about what we're going to say, do or even wear during these events. These events often become easier with some experience. However,...

    Preventing Ischemic Strokes and Treating Transient Ischemic Attacks

    An ischemic stroke happens when a part of the brain doesn't get enough blood. Without enough blood, that part of the brain doesn't work right. The cause is usually a blood clot in an artery.

    Flexible Insulin Regimens for People with Type 1 Diabetes

    Insulin is a hormone that controls the level of sugar (also called glucose) in your body. When you have type 1 diabetes, your body doesn't make enough insulin. This causes sugar to build up in your blood. Over time, high blood sugar levels can cause serious health problems,...

    Corrections

    Correction



    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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