• Articles

    Topical Therapy for Acne

    JOHN J. RUSSELL

    Topical preparations are used in almost all patients with acne. Cost, patient skin characteristics and lesion types are considerations in selecting a treatment regimen.

    Urinary Catheter Management

    DAVID D. CRAVENS, STEVEN ZWEIG

    Urinary catheterization, although sometimes necessary, creates many health problems and should be avoided whenever possible. Proper catheter selection and management may decrease the risk of catheter-related problems.

    Update on the Prevention and Treatment of Sexually Transmitted Diseases

    KARL E. MILLER, J. CHRISTOPHER GRAVES

    The Centers for Disease Control and Prevention has updated its guidelines for the diagnosis, treatment and prevention of sexually transmitted diseases.

    Perianal Streptococcal Dermatitis

    LAWRENCE C. BRILLIANT

    Perianal streptococcal dermatitis caused by group A beta-hemolytic streptococci primarily occurs in children between the ages of six months and 10 years and is often misdiagnosed. The rapid strep test is a valuable tool in the early diagnosis of this condition.

    When to Operate in Carotid Artery Disease

    JOSÉ BILLER, WILLIAM H. THIES

    Carotid endarterectomy is warranted in selected symptomatic patients. The procedure is safe when proper guidelines are followed.

    Knee Braces: Current Evidence and Clinical Recommendations for Their Use

    SCOTT A. PALUSKA, DOUGLAS B. MCKEAG

    Knee braces are an integral component of the management of various knee disorders in active persons.

    Smell and Taste Disorders: A Primary Care Approach

    STEVEN M. BROMLEY

    Common treatable causes of smell and taste disturbances include medication side effects and infections or allergies affecting the nose, sinuses or mouth.

    1999 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected with HIV: Part II. Prevention of the First Episode of Disease

    The Centers for Disease Control and Prevention has updated its 1997 report consolidating recommendations for the prevention of opportunistic diseases in patients with human immunodeficiency virus (HIV) infection. The second part of this three-part adaptation focuses on...

    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

    ‘Practical Therapeutics’: A Revisit from a Family Practice Department

    Janis Wright

    The article “Urinary Catheter Management” by David D. Cravens, M.D., M.S.P.H., and Steven Zweig, M.D., M.S.P.H., starting on page 369, is the first in a new “Practical Therapeutics” series from the Department of Family and Community Medicine at the University of Missouri...

    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

    Warm toes will help you get your Zs. The best physiologic predictor of rapid sleep onset is heat loss at the extremities. Nature reports that the degree of dilation of blood vessels in the skin of the hands and feet helps to determine the amount of time needed for an...

    Editorials

    Who Should Operate in Carotid Disease?

    JAMES R. PERRY

    With the publication of randomized controlled trials on carotid endarterectomy, the appropriate indications for this surgery (“when to operate”) are becoming better defined. From a public health perspective, however, the benefits of carotid surgery are convincing only when...

    Controversy in Otitis Media Management: Should We Follow the CDC Recommendations?

    JOHN R. MCCONAGHY, STEVEN R. SMITH

    In recent years, physicians have been moving toward using evidence-based, patient-oriented outcomes data to guide the management of a variety of medical conditions. Because of this evidence-based medicine approach, the treatment of acute otitis media has become controversial...

    Acute Otitis Media Caused by Resistant Pneumococci

    SCOTT F. DOWELL

    McConaghy and Smith are to be congratulated for their carefully reasoned review of the importance of reducing inappropriate and broad-spectrum antimicrobial treatment of acute otitis media, which concludes that “we should be focusing efforts on reducing indiscriminate use and...

    Diary from a Week in Practice

    Diary from a Week in Practice

    One of JRH's pleasures outside of the office is basketball. Gone are the days when he participated in this most noble of athletic endeavors. Nowadays, JRH takes great joy in watching his daughter's basketball team take on all the local teams and win its share of the contests....

    Conference Highlights

    Conference Highlights

    Matthew Neff

    (51st Annual Scientific Assembly of the American Academy of Family Physicians) Identifying and treating asymptomatic prostatitis in men with elevated prostate-specific antigen (PSA) levels reduced the number of biopsies by 18 percent, according to a study of 122 men in a...

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, July 1999, p. 663.) When adjusted for the distance driven, elderly drivers in Australia have the highest rate of fatal crashes of any age group, a statistic that may be mirrored in the United States. Because the number of elderly...

    FDA Perspective

    The U.S. Blood Supply

    JAY S. EPSTEIN

    According to a recent study, the supply of blood products available for transfusion in the United States may not be sufficient to keep up with an increasing demand associated with declining blood donations. A comprehensive survey of blood collection facilities and transfusion...

    Practice Guidelines

    American Thoracic Society Issues Consensus Statement on Sarcoidosis

    Sharon Scott Morey

    The American Thoracic Society (ATS) has issued a consensus statement on sarcoidosis. The statement provides information on the epidemiology, pathogenesis, diagnosis and treatment of sarcoidosis.

    ACOG Practice Bulletin on Management of Herpes in Pregnancy

    Monica Preboth

    The American College of Obstetricians and Gynecologists (ACOG) has developed a practice bulletin on the management of herpes in pregnancy. The guidelines were designed to help physicians make decisions about appropriate obstetric and gynecologic care.

    AHA Examines Cardiovascular Problems in Diabetes

    Sharon Scott Morey

    The American Heart Association (AHA) has issued recommendations for interventions to reduce the risk of cardiovascular complications in patients with diabetes mellitus.

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Fetus and Newborn of the American Academy of Pediatrics (AAP) has made recommendations on the use of surfactant replacement therapy for respiratory distress syndrome in low-birth-weight infants. The statement appears in the March 1999 issue of Pediatrics.

    Multimedia Review

    Book Reviews

    RICHARD SADOVSKY

    Also Received

    Letters to the Editor

    Comments on Vasectomy Closure Techniques

    Tips from Other Journals

    Progesterone Cream for Vasomotor Symptoms of Menopause

    ANNE D. WALLING

    Assessing the Diabetic Foot for Signs of Neuropathy

    GRACE BROOKE HUFFMAN

    Thrombolytic Therapy Options in Stroke

    RICHARD SADOVSKY

    Transdermal vs. Oral Combined Hormone Replacement Therapy

    ANNE D. WALLING

    Effect of Interferon Therapy in Hepatocellular Carcinoma

    RICHARD SADOVSKY

    Diagnosis of Acute Meningitis in Adult Patients

    GRACE BROOKE HUFFMAN

    Comparing Glyceryl Trinitrate and Ritodrine in Tocolysis

    ANNE D. WALLING

    Treating Dyslipidemia in Insulin Resistance

    RICHARD SADOVSKY

    Signs of Celiac Disease in Children and Adults

    ANNE D. WALLING

    Ipratropium Bromide for Acute Asthma Exacerbations

    RICHARD SADOVSKY

    Sentinel Lymph Node Biopsy in Patients with Breast Cancer

    RICHARD SADOVSKY

    Dietary Management in Patients with Type 2 Diabetes

    RICHARD SADOVSKY

    Predicting Life Expectancy of Terminal Cancer Patients

    KARL E. MILLER, null M.D

    Quality Information on Female Urinary Incontinence

    ANNE D. WALLING

    Oral Magnesium Inhibits Acute PDT

    RICHARD SADOVSKY

    Efficacy and Safety of Therapy for Human Scabies Infestation

    BARBARA APGAR

    Is Treatment of Acute Bronchitis with Antibiotics Effective?

    GRACE BROOKE HUFFMAN

    Calcium and Vitamin D in the Treatment of Rickets

    JEFFREY T. KIRCHNER

    Caregiver Errors in Calculating Correct Dosage of Albuterol

    JEFFREY T. KIRCHNER

    Tamoxifen Therapy and Contralateral Breast Cancer

    RICHARD SADOVSKY

    Rifampin Therapy in Nontuberculosis Infections

    RICHARD SADOVSKY

    Treating Enteroviral Infections with Antiviral Agents

    RICHARD SADOVSKY

    Effect of Low-Dose Hormone Replacement Therapy on Bone

    RICHARD SADOVSKY

    Does Raloxifene Reduce the Risk of Breast Cancer?

    GRACE BROOKE HUFFMAN

    Sentinel Lymph Node Biopsy in Breast Cancer Management

    KARL E. MILLER

    Concussion Evaluation in Sports: A Challenge

    KARL E. MILLER

    Effectiveness of Intranasal Influenza Vaccine

    GRACE BROOKE HUFFMAN

    Management of Ventricular Arrhythmias in the Elderly

    GRACE BROOKE HUFFMAN

    Diagnosis of Malignant Pleural Mesothelioma

    BARBARA APGAR

    Review of Atrial Fibrillation in Elderly Patients

    GRACE BROOKE HUFFMAN

    Information from Your Family Doctor

    What Can I Do About Pimples?

    Acne causes skin blemishes called “pimples”. If acne is bad, pimples can be large and painful.

    Diaper Rash

    Diaper rash is common in babies. The rash usually isn't serious and can be easily treated.

    Knee Bracing—What Works?

    Knee braces are supports that you wear for a painful or injured knee. Some people use them to prevent knee injuries during sports. Braces are made from combinations of metal, foam, plastic, elastic material and straps. They come in many sizes, colors and designs.

    Are You Having Trouble with Smelling or Tasting?

    The senses of smell and taste let you fully enjoy the flavors of foods and drinks, and the smells of flowers. These senses also protect you from food poisoning and warn you of dangers like fire, polluted air and poisonous chemicals.

    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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