• Articles

    Antimicrobial Resistance: A Plan of Action for Community Practice

    THOMAS M. HOOTON, STUART B. LEVY

    Concern about the implications of antibiotic resistance has heightened with recent reports of pediatric morbidity and mortality associated with ineffective antibiotics in communities across the United States.

    Cancer Screening Guidelines

    ROGER ZOOROB, RUSSELL ANDERSON, CHARLES CEFALU, MOHAMAD SIDANI

    Faced with the broad and sometimes conflicting range of recommendations for cancer screening, family physicians must determine the most reasonable and up-to-date method of screening.

    Acute and Chronic Paronychia

    PAMELA G. ROCKWELL

    Paronychia, a localized superficial infection or abscess of the perionychial tissues, is one of the most common infections of the hand. Treatment options vary depending on whether the infection is acute or chronic.

    Osteoporosis: Part II. Nonpharmacologic and Pharmacologic Treatment

    JEANNETTE E. SOUTH-PAUL

    Osteoporosis is a common, usually silent, clinical condition; treatment with behavior modification and exercise, or therapy with estrogen, calcium, calcitonin, bisphosphonates or raloxifene, is governed by the presentation.

    Endometrial Biopsy

    THOMAS J. ZUBER

    Endometrial biopsy is valuable in the work-up of abnormal uterine bleeding, cancer screening, endometrial dating and infertility evaluation. This article provides the details necessary to perform this procedure.

    Asymptomatic Microscopic Hematuria in Adults: Summary of the AUA Best Practice Policy Recommendations

    GARY D. GROSSFELD, J STUART WOLF, JR, MARK S. LITWIN, HEDVIG HRICAK, CATHRYN L. SHULER, DAVID C. AGERTER, PETER R. CARROLL

    Based on extensive literature review and expert opinions of a multispecialty panel, the AUA recommendations are intended to serve as a resource for urologists and primary care physicians in the evaluation, treatment and follow-up of adult patients with asymptomatic...

    Insulin Resistance Syndrome

    GOUTHAM RAO

    Intervention in patients with the insulin resistance syndrome may prevent the development of several serious associated conditions.

    Inside AFP

    AFP Expands Office Procedures Series

    Janis Wright

    The article on page 1131 represents the first in a series of “Office Procedures” articles adapted from The Academy Collection: Quick References for Family Physicians, a series of reference guides for family physicians originally published by a joint arrangement between the...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    AAFP Seeks Physicians to be Key Legislative Contacts | Online Site Offers Latest Health News | HRSA Awards $42.3 Million for Early HIV Treatment | President's Prescription Drug Proposal at Issue | NRHA Issues Legislative Agenda for 2001 | U.S. Registry Created for Alopecia...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    “A cold front is moving in—look for snow, sleet, and the probability of heart attacks, strokes and broken bones.” Think that's a strange weather forecast? It's perfectly normal for people living in some regions of England. According to the British Medical Journal, some areas...

    Editorials

    Controlling Antibiotic Resistance: Will We Someday See Limited Prescribing Autonomy?

    ARCH G. MAINOUS, III, WILLIAM J. HUESTON

    In their article in this issue of American Family Physician, Hooten and Levy1 point out that drug-resistant microorganisms are a growing global problem. Use of antimicrobial agents creates an environment open to the development of resistance, placing both general populations...

    Cancer Screening in Perspective

    THOMAS J. GATES

    One of the most common reasons for visits to family physicians is the detection of asymptomatic disease, or screening—especially screening for cancer. In this issue of American Family Physician, Zoorob and colleagues1 provide a useful summary of current guidelines for cancer...

    Policy Center One-Pager

    The Patient Safety Grid: Toxic Cascades in Health Care Settings

    The Patient Safety Grid shows the fields where action is necessary in a comprehensive national effort to reduce harm from medical errors. Each segment of the grid is important and connected to others, sometimes forming a toxic cascade.

    Diary from a Week in Practice

    Diary from a Week in Practice

    At times, family physicians are called on to counsel patients in areas that might seem to be off limits at first glance. Today, JTL visited with an elderly man who has been married for more than 50 years and who, in the past, has received sildenafil to improve his sexual...

    Conference Highlights

    Conference Highlights

    Matthew Neff

    Urinary Incontinence Causes Negative Outlook of Overall Health | Illegal Drug Use, Being Overweight Are Predictors of Adolescent Suicide | Laboratory and Brain Imaging Studies for Dementia May Not Be Helpful | WAST Is Effective Tool for Identifying Domestic Abuse of Females |...

    Tips from Other Journals

    Alendronate Is Beneficial for Men with Osteoporosis

    JEFFREY T. KIRCHNER

    ACE Inhibitors in Patients with Asymptomatic LV Dysfunction

    RICHARD SADOVSKY

    Management of Pica: A Medical Enigma

    JEFFREY T. KIRCHNER

    Use of Neuroimaging in Children with Epilepsy

    GRACE BROOKE HUFFMAN

    Early Diagnosis and Management of Acute Stroke

    RICHARD SADOVSKY

    Can Visual Inspection of Urine Predict Childhood UTI?

    GRACE BROOKE HUFFMAN

    Using the ECG to Diagnose Pulmonary Embolism

    RICHARD SADOVSKY

    Treatment Recommendations for Obstructive Sleep Apnea

    GRACE BROOKE HUFFMAN

    Detection of Acute Illness in Long-Term Care Patients

    GRACE BROOKE HUFFMAN

    Update on Thromboangiitis Obliterans (Buerger's Disease)

    JEFFREY T. KIRCHNER

    Emergency Treatment of Migraine Headaches

    RICHARD SADOVSKY

    Testosterone Replacement for Menopausal Women

    JEFFREY T. KIRCHNER

    Superiority of Oral Steroids in Acute Pediatric Asthma

    JEFFREY T. KIRCHNER

    Endometrial Cancer Risk After Tamoxifen Therapy

    ANNE D. WALLING

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Hong Kong—The Hong Kong Practitioner, October 2000, p. 495.) Up to 10 percent of children are reported to snore almost every night. Because any narrowing of the upper airway can predispose children to snoring, it can be caused by a wide range of clinical conditions,...

    Patient Information Collection

    Asthma Medications

    Asthma: Taking Medicines Safely

    Outdoor Air Pollution

    Practice Guidelines

    AAP Technical Report on the Prevention of Pneumococcal Infections

    MONICA PREBOTH

    The Committee on Infectious Diseases of the American Academy of Pediatrics (AAP) has released a technical report on the prevention of pneumococcal infections, including the use of pneumococcal conjugate and polysaccharide vaccines and antibiotic prophylaxis. The AAP technical...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Role of Isoflavones in Menopausal Health Conditions | New Asthma Medication for Infants and Children | Call for Medical Informatics Papers | Delayed-Release Drug for Juvenile Rheumatoid Arthritis | AAP Statement on the Use of Inhaled Nitric Oxide | Women's Health Report on...

    Letters to the Editor

    Restless Legs Syndrome

    ROBERT WERRA

    Role of Papanicolaou Tests

    MARIA D. RODRIGUEZ

    Counseling to Reduce Noise-Induced Hearing Loss

    PETER M. RABINOWITZ

    Noise-Induced Hearing Loss in Shooters of Shoulder Firearms

    JAMES E. PECK

    Information from Your Family Doctor

    Avoiding Resistance to Antibiotics—When Do I Need an Antibiotic?

    Antibiotics are medicines that fight (or prevent) infections that are caused by bacteria. Bacteria are also called germs. If the infection is caused by a virus, antibiotics can't fight the virus.

    Endometrial Biopsy

    Endometrial biopsy is a safe and effective method for evaluating the tissue lining the inside of the uterus (or womb). A plastic catheter is slipped into the uterus, and a small amount of the endometrial lining is suctioned into the catheter. This technique has been...

    Insulin Resistance Syndrome

    Insulin is a kind of hormone. It helps your body store sugar in your tissues. Your body uses stored sugar for energy.



    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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