• Articles

    Diagnostic Evaluation of Erectile Dysfunction

    THOMAS A. MILLER

    A thorough history, focused physical examination and limited laboratory testing will provide the primary care physician with the information necessary to appropriately manage most patients with erectile dysfunction.

    Anticipatory Guidance in Infant Oral Health: Rationale and Recommendations

    OLGA M. SANCHEZ, NOEL K. CHILDERS

    Early application of preventive measures may reduce or even eliminate dental disease. The American Academy of Pediatric Dentistry recommends that infants be scheduled for an initial oral evaluation within six months of the eruption of the first primary tooth but by no later...

    Contemporary Management of Angina: Part II. Medical Management of Chronic Stable Angina

    DIANE R. ZANGER, ALLEN J. SOLOMON, BERNARD J. GERSH

    Knowing how and when to use nitrates, beta blockers, calcium channel blockers, aspirin and cholesterol-lowering agents holds the key to the management of chronic stable angina.

    The Older Adult Driver

    DAVID B. CARR

    Many disorders that impair driving ability in older adults can be detected and treated by family physicians. When driving cessation is recommended, counseling is essential.

    Osteochondritis Dissecans: A Diagnosis Not to Miss

    ALLEN L. HIXON, LISA M. GIBBS

    Clinical findings are often subtle in patients with osteochondritis dissecans, so diagnosis of this condition requires a high index of suspicion.

    1999 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected with HIV: Part I. Prevention of Exposure

    This is part I of a three-part series of articles derived from the USPHS/IDSA guidelines. New data about the prevention of opportunistic diseases have emerged since the guidelines were first published in 1997, and the first part of this series will discuss prevention of exposure.

    Newer Intranasal Migraine Medications

    CRAIG D. LOGEMANN, LYNN M. RANKIN

    Two new intranasal migraine medications may offer specific advantages for patients who are seeking alternatives to various oral or parenteral migraine abortive therapies.

    AFP 50 Years Ago

    This feature is part of a year-long series of excerpts and special commentaries celebrating AFP's 50th year of publication. Excerpts from the two 1950 volumes of GP, AFP's predecessor, appear along with highlights of 50 years of family medicine.

    Inside AFP

    2000—The Year of AFP

    Janis Wright

    If you received this issue, chances are that we've avoided major Y2K glitches and are off to a great start in AFP's 50th year of publication. In case you flipped straight to your favorite starting place without stopping to admire this issue's cover, with its striking...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

    As a result of legislation passed by Congress in late November, the name of the Agency for Health Care Policy and Research (AHCPR) has officially been changed to the Agency for Healthcare Research and Quality (AHRQ). Under the new law, AHRQ is designated as the lead agency in...

    Quantum Sufficit

    Quantum Sufficit

    Jessica Greene

    Holidays and heart attacks go hand in hand, according to a report in Circulation. The months of December and January score highest in recorded heart-attack deaths. The rise in heart trouble is attributed to holiday bingeing on fatty foods and alcohol and the increased use of...

    Editorials

    The Physician's Role in the Assessment of Older Drivers

    RICHARD A. MAROTTOLI

    As the number of older drivers in the United States increases, concern about the potential implications for safety and mobility is growing. The roles and responsibilities of the driver, the family, the licensing agency and the physician in the process of determining who...

    Diary from a Week in Practice

    Diary from a Week in Practice

    We are often called on to give fatherly advice to our patients. Today, a somewhat bewildered 16-year-old girl came in with her mother. The girl had a rash on her earlobe and a painful lump just below the lobe. After JRH had diagnosed contact dermatitis and attendant...

    Photo Quiz

    Cry Ungual!

    Marc S. Berger, JEFFREY J. MEFFERT

    An eight-year-old boy presented with an uncomfortable nodule under the distal great toenail (see the accompanying figure). The lesion was firm and fixed, and had not responded to the application of an over-the-counter remedy for warts (topical salicylic acid) or several...

    Tips from Other Journals

    Caregiver Stress in Partners of Cancer Patients

    KARL E. MILLER

    C-Reactive Protein as a Marker for Ischemic Cardiac Events

    RICHARD SADOVSKY

    Endometrial Cancer in Women Receiving Tamoxifen

    RICHARD SADOVSKY

    Nonsurgical Management of Spontaneous Abortion

    KARL E. MILLER

    Temperature of Saline Solution for Ear Irrigation

    RICHARD SADOVSKY

    Does Delayed BP Recovery after Exercise Indicate CAD?

    KARL E. MILLER

    Improvement of Sleep Patterns in Nursing Home Residents

    GRACE BROOKE HUFFMAN

    Salmeterol for Nocturnal Asthma Symptoms

    KARL E. MILLER

    Recent Analysis of Hormone Replacement Therapy

    RICHARD SADOVSKY

    Phenobarbital and Phenytoin for Seizures in Newborns

    JEFFREY T. KIRCHNER

    Is GERD an Exacerbation Factor for Asthma?

    KARL E. MILLER

    Overview of Methods for Treating Allergic Rhinitis

    RICHARD SADOVSKY

    Safety of Sotalol for Sinus Rhythm Maintenance

    RICHARD SADOVSKY

    Does Pregnancy After Breast Cancer Increase Mortality?

    KARL E. MILLER

    What are Patient Preferences for Site of Terminal Care?

    RICHARD SADOVSKY

    Can Poststroke Depression Affect Rehabilitation?

    KARL E. MILLER

    Blood Test for Diagnosing H. pylori Infections

    KARL E. MILLER

    Safety of Stress Testing Patients with CAD

    KARL E. MILLER

    Food Consumption in Nursing Home Residents

    GRACE BROOKE HUFFMAN

    Walking to Work Decreases Risk of Hypertension in Men

    RICHARD SADOVSKY

    How Safe Is the Combination of Aspirin and ACE Inhibitors?

    KARL E. MILLER

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Canada—Canadian Family Physician, September 1999, p. 2059.) Perianal erythema that persists after treatment for diaper rash may be caused by localized streptococcal dermatitis. Children three to four years of age are most susceptible to this condition, which has been...

    Curbside Consultation

    Why Can't This Patient Take Insulin?

    JAMES W. SELBY

    When I received my patient's laboratory results, they confirmed my fear that her diabetic condition was worsening. Her type 2 diabetes (formerly called non–insulin-dependent diabetes) had been controlled with oral glucose-lowering agents, but it now appeared clear that she...

    Practice Guidelines

    The 2000 Harmonized Immunization Schedule

    RICHARD KENT ZIMMERMAN

    The collaboration of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP) continues with the 2000 harmonized immunization schedule (see page 234). Several important changes...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) recommends the implementation of “standing orders” to ensure that influenza and pneumococcal immunizations are administered routinely to elderly and high-risk...

    Resident and Student Voice

    New Year's Resolution

    KEVIN E. BURROUGHS

    Never have I thought that I was the happy possessor of a “talent”; my sole concern has been to save myself by work and faith.

    Multimedia Review

    Software Reviews

    BARBARA APGAR

    Also Received

    Letters to the Editor

    Multiple Chemical Sensitivity

    Family Physicians and HIV Care

    Comments on Type 2 Diabetes Screening and Treatment

    Chronic Abdominal Pain and Abdominal Epilepsy

    MELVIN LEVENDORF

    Information from Your Family Doctor

    Erectile Dysfunction

    Erectile dysfunction is when men can't get a penile erection or can't keep an erection long enough to finish having sex. Erectile dysfunction is sometimes called “impotence,” although that's an older term that doctors aren't using as much these days.

    Taking Care of Your Child's Teeth

    Taking good care of your child's teeth is important because even “baby” teeth help your child chew food and speak clearly. Baby teeth also hold space so permanent teeth can grow in straight. If you start your child off with good dental habits, your child will find it easier...

    Driving Skills in Older Adults

    For many older adults, a time comes when they find that they can no longer drive safely. You might be worried about a health problem (such as poor sight, arthritis or memory loss) that affects your driving. Friends or family members might have asked if you can still drive...

    What Should I Know About Osteochondritis Dissecans?

    In osteochondritis dissecans (OCD for short), a loose piece of bone and cartilage separates from the end of the bone. The loose piece may stay in place or fall into the joint space, making the joint unstable. This causes pain and feelings that the joint is “catching” or ...

    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.


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