• Articles

    Adult Rhinosinusitis: Diagnosis and Management

    J. DAVID OSGUTHORPE

    Adult rhinosinusitis includes four subtypes: acute, recurrent acute, subacute and chronic. Sinusitis is one of the primary reasons for antibiotic prescriptions and lost productivity at work. Family physicians should be aware of the variety of treatment modalities.

    Spirituality and Medical Practice: Using the HOPE Questions as a Practical Tool for Spiritual Assessment

    GOWRI ANANDARAJAH, ELLEN HIGHT

    Studies indicate that there is a correlation between spirituality and health outcomes. The HOPE questions provide a format to incorporate consideration of a patient's spirituality into medical practice.

    Management of Ankle Sprains

    MICHAEL W. WOLFE, TIM L. UHL, CARL G. MATTACOLA, LELAND C. MCCLUSKEY

    Early mobilization is critical for the rehabilitation of grades I and II ankle sprains. Complete ligament tears (grade III sprains) may require surgical management.

    Obstetric Care in Patients with HIV Disease

    ALEX H. KRIST

    Current therapies can decrease the vertical transmission rate of human immunodeficiency virus from 30 to 40 percent to less than 5 percent. Early detection through aggressive screening programs is necessary to initiate therapy at the time when the benefits to infant health...

    Inside AFP

    A Special Issue to Kick Off the New Year

    Janis Wright

    To start the year off right, AFP has prepared a special issue with some features you won't want to miss:

    Newsletter

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    $45 Million Granted to Research Health Disparities | Deadline Is Set for Feedback on AAFP Health Coverage Proposal | Conference Recognizes Excellence in Patient Education | AAFP President-Elect Joins Board of National Health Council | AHRQ Names Senior Scholar-in-Residence

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    Your joint pain may not be in your head but, rather, in your protein. Researchers at the University of North Carolina School of Medicine discovered that before x-rays reveal joint damage, a naturally occurring protein known as COMP greatly increases in the blood of people...

    Editorials

    Spiritual Assessment in Medical Practice

    HAROLD G. KOENIG

    In some areas of the United States, up to 90 percent of patients rely on religion for comfort or strength during times of serious illness. Religious coping behaviors include prayer, inspirational reading, participating in worship services and seeking support from clergy or...

    Spirituality and Medical Practice: A Look at the Evidence

    RICHARD P. SLOAN, EMILIA BAGIELLA

    In the general public and within medicine, interest in the possibility that religious and spiritual activity may confer health benefits is increasing, as the article by Anandarajah and Hight1 in this issue of American Family Physician clearly demonstrates. The empiric support...

    Medicine and Society

    Providing Basic Spiritual Care for Patients: Should It Be the Exclusive Domain of Pastoral Professionals?

    WALTER L. LARIMORE

    A survey of 296 family physicians at a 1996 meeting of the American Academy of Family Physicians (AAFP) revealed that 99 percent believe that religious beliefs can heal, and 75 percent believe that others' prayers can promote healing.1 Another survey of family physicians in...

    Diary from a Week in Practice

    Diary from a Week in Practice

    WLL has previously commented on the evidence that pseudoephedrine (Sudafed) and phenylpropanolamine (PPA) are associated with a rare birth defect, gastroschisis. In 1992, researchers first reported a significantly elevated relative risk of gastroschisis (OR = 3.2; 95 percent...

    Photo Quiz

    Nodules in a Linear Distribution

    JOY CHEN, SYLVIA HSU

    A 36-year-old woman with no significant medical history presented with an asymptomatic eruption on her left arm. She noted that the first lesion appeared about a week after her cat had scratched her left arm. Over the next several weeks, more lesions developed proximally ...

    Tips from Other Journals

    Is Occupation a Risk Factor for Knee Osteoarthritis?

    KARL E. MILLER

    Effects of Weight Loss and Exercise on Comorbidities

    RICHARD SADOVSKY

    Pharmacologic Treatment of Irritable Bowel Syndrome

    RICHARD SADOVSKY

    Use of CT Scan in Assessing Minor Head Trauma

    JEFFREY T. KIRCHNER

    Diagnosis and Management of Nonalcoholic Steatohepatitis

    JIM NUOVO

    Laser Therapy for Benign Prostatic Hypertrophy

    KARL E. MILLER

    Simvastatin and Atorvastatin Effects on HDL and Apo A-I

    RICHARD SADOVSKY

    Diagnostic Considerations for Lymphadenopathy

    SUMI MAKKAR

    Cervical Spine Radiographs Following Blunt Trauma

    JEFFERY T. KIRCHNER

    Efficacy of Methylphenidate in Various Clinical Conditions

    JIM NUOVO

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Great Britain—The Practitioner, July 2000, p. 608.) All forms of serous otitis media, or “glue ear,” resolve spontaneously, but may take several months. Spontaneous resolution is particularly likely in the summer months; the incidence of glue ear in children falls from 20...

    Practice Guidelines

    The 2001 Recommended Childhood 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 2001 Recommended Childhood Immunization Schedule (see page 152). Several important...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Review of Injuries in Youth Soccer | FDA Approves Breath Test for <i>Helicobacter pylori</i> | Aquatic Programs for Infants and Toddlers | FDA Approval of Argatroban | AHRQ Report on Hospital Care in the United States | CDC Report on Frequency of Pap Testing | Reduction of...

    Curbside Consultation

    A Patient Seeking Disability

    STEPHEN L. DEMETER

    One of my patients has been on disability for three years, but I wonder if she is well enough to work again. When I started working at this clinic site, I saw a then–37-year-old woman with a history of multiple symptoms including headache, fatigue, aching joints, dizziness...

    AAFP Core Educational Guidelines

    Office Laboratory Medicine

    This document has been endorsed by the American Academy of Family Physicians and was developed in cooperation with the Association of Departments of Family Medicine, the Association of Family Practice Residency Directors and the Society of Teachers of Family Medicine.

    Letters to the Editor

    New Insights into Mental Illness

    CHRISTOPHER M. MAENDEL

    Family Physicians and End-of-Life Care

    RICHARD W. SUMRALL

    Information from Your Family Doctor

    Spirituality and Health

    Spirituality is the way you find meaning, hope, comfort and inner peace in your life. Many people find spirituality through religion. Some find it through music, art or a connection with nature. Others find it in their values and principles.

    HIV Infection and Pregnancy–Protecting Your Baby and Yourself

    HIV disease is a serious infection with no cure. Keeping your baby from getting infected can help your baby live a normal life. That is why it is important to know if you have HIV. If you have HIV, it will change the way your doctor cares for you while you are pregnant. Your...



    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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