• Articles

    Urinary Incontinence in Women: Evaluation and Management

    PATRICK J. CULLIGAN, MICHAEL HEIT

    Urinary incontinence is a common problem requiring treatment that is specific to the patient and the type of incontinence experienced.

    The Importance of Beta Blockers in the Treatment of Heart Failure

    WILLIAM E. CHAVEY, II

    Beta-blocker therapy is appropriate in patients with New York Heart Association (NYHA) class II or III symptoms resulting from left ventricular systolic dysfunction. Pending the results of current trials, beta blockers should not be used in patients with NYHA class IV symptoms.

    Updated Treatment for Influenza A and B

    NORMAN J. MONTALTO, KIMBERLY D. GUM, JEFFREY V. ASHLEY

    Antiviral agents for the prevention and treatment of influenza should not replace a broad-based immunization program.

    Gamma-Hydroxybutyrate (GHB): A Newer Drug of Abuse

    TED O'CONNELL, LILY KAYE, JOHN J. PLOSAY, III

    Gamma-hydroxybutyrate (GHB) is quickly becoming a drug of abuse among “party-goers” and bodybuilders and has been linked to at least 122 illnesses and as many as six deaths.

    Myxedema Coma: Diagnosis and Treatment

    CRISTEN RHODES WALL

    Myxedema coma, the extreme manifestation of hypothyroidism, is an uncommon but potentially lethal condition. It occurs when the body's compensatory responses to hypothyroidism are overwhelmed by a precipitating factor, such as infection.

    AFP 50 Years Ago

    O. BRANDON HULL, SUMI MAKKAR

    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.

    Inside AFP

    AFP—Getting to Know You

    Janis Wright

    The past decade brought AFP new ways of keeping in touch with readers—such as e-mail, voice mail, focus groups and mass surveys—adding to traditional modes of communication. No matter how we keep in touch, we still find that the more feedback we receive from readers, the...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    Selected policy and health issues news briefs from AAFP News Now.

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    What a relief! A recent issue of Family Practice News reports that it may be unnecessary for patients to have a full bladder while undergoing pelvic ultrasonography. The results of a recent study were announced at the annual meeting of the American Institute of Ultrasound in...

    Editorials

    Beta Blockers and Congestive Heart Failure

    Assad Movahed

    Recent advances in the treatment of systolic congestive heart failure are based on the results of randomized, double-blind, placebo-controlled, multicenter trials. Heart failure is a complex condition, and its treatment requires consideration of two separate goals: symptom...

    Diary from a Week in Practice

    Diary from a Week in Practice

    WLL practices in the office only part time now. Outside of the office, he applies his medical knowledge in the television and radio arenas. Because of his travel schedule, it has been difficult to remain apace with the practice. After several heart-to-heart discussions, our...

    Photo Quiz

    A Serpiginous Eruption on the Buttocks

    ELAINE H. LE, SYLVIA HSU

    A 25-year-old woman presented with a one-month history of a pruritic eruption on the buttocks (see the accompanying figure). She had recently returned from a beach vacation in Mexico. She was given a methylprednisolone dose pack during a visit to the emergency department, but...

    FDA Perspective

    Online Information for Health Care Professionals

    WILLIAM M. RADOS

    The home page of the U.S. Food and Drug Administration (http://www.fda.gov) has undergone a major revision. The agency's Web site, which includes more than 100,000 documents, is now easier to search and covers the full scope of the FDA's activities in protecting the public...

    Practice Guidelines

    Guidelines on Migraine: Part 5. Recommendations for Specific Prophylactic Drugs

    SHARON SCOTT MOREY

    The U.S. Headache Consortium guidelines for the treatment of migraine summarize data from clinical studies of various drugs used in preventive therapy of migraine.

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Pediatric AIDS of the American Academy of Pediatrics (AAP) has issued a statement on the identification and care of infants, children and adolescents in foster care who have been exposed to or infected with human immunodeficiency virus (HIV). The AAP...

    Curbside Consultation

    A Daughter Estranged from Her Dying Father

    KERRY BOWMAN

    This case scenario clearly represents the challenges, complexities and paradoxes often faced by physicians working with dying patients and their families. Views and reactions regarding the end of life encompass a breadth of emotional, spiritual, personal and cultural factors...

    Letters to the Editor

    Osteopathic Medicine in the Treatment of Low Back Pain

    Tips from Other Journals

    Collagen Injection Therapy for Urinary Incontinence

    KARL E. MILLER

    Empiric Antibiotic Treatment of Infectious Diarrhea

    RICHARD SADOVSKY

    Severe Coronary Stenosis and Hemodynamics of Sildenafil

    JEFFREY T. KIRCHNER

    Radiographic Evaluation of Ankle Fractures: Two Views?

    KARL E. MILLER

    Managing Sexual Dysfunction in Cardiac Patients

    RICHARD SADOVSKY

    Methotrexate for Maintaining Remission of Crohn's Disease

    JEFFREY T. KIRCHNER

    Erb's Palsy Is Unlikely to Have Iatrogenic Cause

    ANNE D. WALLING

    Topical Steroid Effectiveness in Herpes Labialis Infection

    KARL E. MILLER

    Benzodiazepines and Falls in Nursing Home Residents

    GRACE BROOKE HUFFMAN

    Acute Mountain Sickness Is a Constellation of Symptoms

    RICHARD SADOVSKY

    Statins and the Reduced Risk of Bone Fractures

    GRACE BROOKE HUFFMANN

    Cervical Cancer During Pregnancy and the Puerperium

    ANNE D. WALLING

    Multidisciplinary Approach in Managing Chronic Pain

    KARL E. MILLER

    Helping Patients Recognize and Avoid ‘Date Rape’ Drugs

    ANNE D. WALLING

    Early Detection of Metastatic Melanoma Using Ultrasound

    KARL E. MILLER

    Predicting Success in Trial of Labor After Cesarean Delivery

    ANNE D. WALLING

    Pediatric Sigmoid Volvulus in Children and Adolescents

    RICHARD SADOVSKY

    Information from Your Family Doctor

    Exercising Your Pelvic Muscles

    Pelvic muscles help stop the flow of urine.Pregnancy, childbirth and being overweight canweaken the pelvic muscles. Fortunately, pelvicmuscles are just like other muscles—exercises canmake them stronger.Women who leak urine mayhave better control of these muscles by...

    Urinary Incontinence in Women

    Urinary incontinence is when urine leaks unintentionally. It is a common problem and many women have urinary leakage once a week or more. While accidental leakage of urine is common, it should not be considered normal.

    Gamma-Hydroxybutyrate (GHB)

    Gamma-hydroxybutyrate (GHB) is an illegal drug that is used as a muscle builder, a “party drug” and a “date-rape” drug. GHB comes in a liquid and a powder form. GHB has been linked to many serious illnesses and even deaths.



    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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