• Articles

    Uterine Fibroid Embolization

    STEVEN JANNEY SMITH

    Uterine fibroid embolization is now considered a safe and effective nonsurgical treatment in women with symptomatic uterine fibroid tumors. It offers several advantages over conventional treatment and widens the options for patients who desire to avoid a hysterectomy.

    Successful Management of the Obese Patient

    WALKER S. CARLOS POSTON, II, JOHN P. FOREYT

    Successful management of obese patients involves modification of lifestyle behaviors that contribute to obesity, such as inappropriate diet and inactivity. Behavior modification involves self-monitoring, stimulus control, cognitive restructuring, stress management and social...

    Hyponatremia and Hypernatremia in the Elderly

    JOHN P. KUGLER, THOMAS HUSTEAD

    The complexities of water metabolism and the pathophysiology of hyponatremia and hypernatremia must be carefully considered in elderly patients.

    Evaluating Dysphagia

    MICHAEL R. SPIEKER

    Approximately 7 to 10 percent of adults older than 50 years, 25 percent of hospitalized patients and 30 to 40 percent of nursing home patients experience dysphagia. Family physicians can reduce the risks of complications through early and aggressive evaluation and management...

    Health Issues in Men: Part I. Common Genitourinary Disorders

    TED D. EPPERLY, KEVIN E. MOORE

    Prostatitis, benign prostatic hyperplasia, urogenital cancers, premature ejaculation and erectile dysfunction are genitourinary conditions commonly encountered in men. Screening questions to identify these health problems should be included in the comprehensive health evaluation.

    Cyclooxygenase-2 Enzyme Inhibitors: Place in Therapy

    SARA L. NOBLE, DEBORAH S. KING, JOYCE I. OLUTADE

    Cyclooxygenase-2 enzyme inhibitors are an option to traditional nonsteroidal anti-inflammatory drugs in patients with arthritis who are at high risk for ulcers.

    AFP 50 Years Ago

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

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, January 2000, p. 51.) While coxsackie B virus infection is rare in persons more than 60 years of age, it is more common in children and young adults. The infection is transmitted by hand-to-mouth contact and may become widespread in...

    Inside AFP

    SNAP, Crackle and Pop: AFP Wins Another Prestigious Award

    Janis Wright

    Award-winning illustration that appeared on the cover of the December 1999 issue of AFP.

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    In a May 22 letter to President Clinton, the American Academy of Family Physicians (AAFP) urged the White House to actively oppose H.R. 2260, the Pain Management Act of 1999. The legislation opposes physician-assisted suicide, which the AAFP also opposes. However, the bill,...

    Quantum Sufficit

    Quantum Sufficit

    Jessica Greene

    Be kind to your left-handed friends. According to a report in the American Journal of Public Health, as people age, the prevalence of left-handedness seems to become rarer. Many people born with an innate left-handedness switch to right-handedness in adulthood. According to...

    Editorials

    Is Hysterectomy Obsolete?

    ANTHONY R. SCIALLI

    Each working day in the United States, the uterus is surgically removed from about 3,000 women. An American woman who reaches the age of 60 has something like a one in three chance of losing her uterus. Uterine leiomyoma is the single most common reason for hysterectomy. The...

    Tempering the Enthusiasm for COX-2 Inhibitors

    JAMES NUOVO

    Treating the pain associated with osteoarthritis is a common challenge for family physicians. Nonsteroidal anti-inflammatory drugs (NSAIDs) have long been used to manage this disease. The adverse side effect profile of NSAIDs is well known and includes gastrointestinal and...

    Diary from a Week in Practice

    Diary from a Week in Practice

    A nurse practitioner in our group had been taught to obtain Papanicolaou (Pap) smears in all women older than 18 years, regardless of their level of sexual activity. Because our practice has many women who choose to remain chaste until marriage, JTL felt that this issue...

    Conference Highlights

    Conference Highlights

    Matthew Neff

    (49th Annual Scientific Session of the American College of Cardiology) Results of a two-part study showed a significantly higher incidence of recurrent acute ischemic cardiac events among patients with depression than in patients without depression, despite similar co...

    Tips from Other Journals

    Patient Education Intervention and Colon Cancer Screening

    KARL E. MILLER

    Screening and Management of Thyroid Disease

    RICHARD SADOVSKY

    Alendronate Therapy for Women with Vertebral Fractures

    BARBARA APGAR

    Toxicity of Rosiglitazone Treatment for Type 2 Diabetes

    RICHARD SADOVSKY

    Pravastatin Therapy and Myocardial Perfusion Defects

    KARL E. MILLER

    Antibiotic Treatment of Patients with H. pylori

    ANNE D. WALLING

    Urgent Colonoscopy for Severe Diverticular Bleeding

    JEFFREY T. KIRCHNER

    Corneal Surgery for Correction of Refractive Errors

    BARBARA APGAR

    A Review of Age-Related Macular Degeneration

    JEFFREY T. KIRCHNER

    Is Aerobic Training in COPD Patients Safe and Effective?

    KARL E. MILLER

    Using Ultrasound to Predict Spontaneous Preterm Birth

    ANNE D. WALLING

    Early Prognostic Features of Breast Cancer

    ANNE D. WALLING

    Reliability of Self-Reported Blood Pressure Measurements

    BARBARA APGAR

    Antimicrobial Resistance in Day-to-Day Clinical Practice

    AMY S. WEICHEL

    Use of Coronary Stents Plus Angioplasty After Acute MI

    JEFFREY T. KIRCHNER

    Evaluating the Risk of Breast Cancer

    JEFFREY T. KIRCHNER

    Outcomes of Acute MI Treatment Among Hospitals

    KARL E. MILLER

    Physical Therapy and Exercise for Osteoarthritis of the Knee

    RICHARD SADOVSKY

    Treatment of Antidepressant-Associated Sexual Dysfunction

    KARL E. MILLER

    Practice Guidelines

    American Urological Association Issues Guidelines on the Management of Bladder Cancer

    Sharon Scott Morey

    The American Urological Association (AUA) has issued guidelines for the management of nonmuscle invasive bladder cancer (Stages Ta, T1 and TIS). Developed by the AUA Bladder Cancer Clinical Guidelines Panel, the recommendations are based on outcomes data from randomized...

    Surgeon General Releases Mental Health Report

    Monica Preboth

    The surgeon general of the Department of Health and Human Services, U.S. Public Health Service, has issued the first report on mental health and mental illness. The report takes a lifespan approach to its consideration of mental health and mental illness by discussing in...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Adolescence of the American Academy of Pediatrics (AAP) has issued a statement on contraception and adolescents. The statement appears in the November 1999 issue of Pediatrics.

    Letters to the Editor

    The Role of Alcohol Use in Dyspepsia

    Information from Your Family Doctor

    Uterine Fibroid Embolization: A New Way to Treat Fibroids

    Your doctor has told you that you have a fibroid in your uterus. There are several ways to treat fibroids. One way to treat women with fibroids is called uterine fibroid embolization. If you and your doctor have decided that this may be appropriate treatment for you, this...

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    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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