• Articles

    Guideline for the Management of Heart Failure Caused by Systolic Dysfunction: Part I. Guideline Development, Etiology and Diagnosis

    WILLIAM E. CHAVEY, II, CAROLINE S. BLAUM, BARRY E. BLESKE, RICHARD VAN HARRISON, SEAN KESTERSON, JOHN M. NICKLAS

    This two-part article discusses an evidence-based guideline for primary care physicians to use in evaluating and treating patients with heart failure. Part I provides background information and offers guidance on appropriate diagnostic testing.

    New Tests for Cervical Cancer Screening

    JIM NUOVO, JOY MELNIKOW, LYDIA P. HOWELL

    A number of new technologies to improve cervical cancer screening have been developed in recent years. Whether these tests offer meaningful advantages over the conventional Papanicolaou smear is a source of significant controversy.

    Over-the-Counter Foot Remedies

    JOAN M. BEDINGHAUS, MARK W. NIEDFELDT

    Minor but troubling foot problems are common complaints in primary care practice. A variety of products are available over the counter for the treatment of common foot problems.

    Management of Common Symptoms in Terminally Ill Patients: Part I. Fatigue, Anorexia, Cachexia, Nausea and Vomiting

    DOUGLAS D. ROSS, CARLA S. ALEXANDER

    Management involves a diagnostic evaluation for the cause of each symptom when possible, treatment of the identified cause, and concomitant treatment of the symptom using nonpharmacologic and adjunctive pharmacologic measures.

    Evaluation and Treatment of ADHD

    WILLIAM D. SMUCKER, MARJANEH HEDAYAT

    Disorder-specific questionnaires can be used to rate core symptoms that occur at home and in school. Other key elements in the evaluation include documenting the type and severity of symptoms, verifying normal vision and hearing, screening for comorbid psychologic conditions,...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Matthew Neff

    AAFP Releases Recommendations for Distribution of Influenza Vaccine | Robert Graham, M.D., Is Selected as Director of CPTA | HHS Announces Grants to Improve HIV/AIDS Care for Women | Bayer Withdraws the Anticholesterol Drug Baycol from the Market

    Inside AFP

    Behind the Doors at AFP 's Annual Editors Meeting

    Janis Wright

    Once a year AFP's editors gather for a conference at the AAFP headquarters in Leawood, Kan. It's a time when professional staff editors join with physician editors to compare notes on editorial policies and procedures, define editorial philosophies, and generate new ideas. It...

    Editorials

    New Tests for Cervical Cancer Screening

    BARBARA S. APGAR

    The article by Nuovo and associates1 highlights some of the successes of cervical cancer screening and discusses some of the remaining dilemmas. Although use of the Papanicolaou (Pap) smear has significantly decreased the rate of cervical cancer, there is still much work to...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    “But Doctor, my foot pain can't be caused by old age—my other foot is just as old, and it doesn't hurt at all!” According to a report from the American College of Foot and Ankle Surgeons (ACFAS), foot pain is not a result of the natural aging process. Even so, many seniors...

    Diary from a Week in Practice

    Diary from a Week in Practice

    While the secondary prevention of osteoporosis through the use of bone density screening is increasingly popular, JTL still most enjoys counseling his adolescent and pre-adolescent female patients and their parents about strategies for enhancing bone mass and minimizing risk...

    Cochrane for Clinicians

    How Should We Treat Acute Maxillary Sinusitis?

    JUDITH NUDELMAN

    An adult patient presents with purulent nasal discharge and maxillary facial pain. Symptoms have been present for 10 days and initially started as cold symptoms.

    Tips from Other Journals

    Does Cellular Telephone Use Relate to Brain Tumor Risk?

    BILL ZEPF

    Reduction in Glycosylated Hemoglobin Urged for All

    ANNE D. WALLING

    Statin Use Immediately Post-MI: Is There a Benefit?

    GRACE BROOKE HUFFMAN

    Diagnostic Approaches to Possible Pulmonary Embolism

    SUMI MAKKAR

    Performing Carotid Sinus Massage in Elderly Patients

    GRACE BROOKE HUFFMAN

    Treatment of Acute Ischemic Stroke: A Current Review

    RICHARD SADOVSKY

    Lisinopril: a New Prophylactic Agent for Migraine Headache

    ANNE D. WALLING

    Laboratory Tests in the Diagnosis of Lyme Disease

    GRACE BROOKE HUFFMAN

    Which Tests Best Predict Ovulation in Infertile Women?

    ANNE D. WALLING

    Video Games, TV and Aggressive Behavior in Kids

    KARL E. MILLER

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Great Britain— The Practitioner, March 2001, p. 224.) Ulcerative colitis is a chronic, relapsing and remitting, superficial inflammatory bowel condition that spreads proximally from the rectum and can present with a spectrum of severity from acute total colitis to isolated...

    Practice Guidelines

    Principles of Appropriate Antibiotic Use: Part IV. Acute Pharyngitis

    GENEVIEVE RESSEL

    The Centers for Disease Control and Prevention (CDC) assembled a panel of national health experts, including physicians with expertise in internal, family, emergency and infectious disease medicine, to develop evidence-based guidelines for evaluating and treating adults with...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    CDC Report on Human Exposure to Chemicals | Minocycline Approved for Adult Periodontitis

    Curbside Consultation

    A Potentially Suicidal Patient

    EILEEN KOHUTIS

    My last appointment of the week was a new patient presenting with menstrual cramps. Entering the examination room, I noted that the patient had dysmorphic facial features, hearing aids and a wandering eye. I noted crutches leaning against the wall. Her boyfriend sat silently...

    Multimedia Review

    Multimedia Review

    ROBERT J. DELORENZO

    By Martin Brodie and Steven Schachter. Pp. 71. Price, $19.95. Health Press, 870 Market St. Ste. 720, San Francisco, CA 94102. 2000. Phone: 800–538–1287. ISBN: 1–899–54127–6.

    Letters to the Editor

    Liquid Sucralfate in the Management of Aphthous Ulcers

    JACK D. LEWIS

    Silver Nitrate Stick Helps Manage Aphthous Ulcers

    ALAN S. KAPLAN

    Incorrect Information in Patient Handout on Effects of Estrogen

    VICKI MEYER

    Information from Your Family Doctor

    Over-the-Counter Remedies for Common Foot Problems

    Caution: If you have blood vessel disease in your feet or have diabetes, talk to your doctor about any foot problems. Your feet need special care.

    What Is ADHD?

    ADHD stands for attention-deficit/hyper-activity disorder. This disorder is also known as hyperactivity, or attention deficit disorder (ADD). At least 9 percent of school-age children have ADHD.

    Corrections

    Correction

    An item in the “CME Calendar,” listed under Georgia (July 1, 2001, page 46, and July 15, 2001, page 232), gave incorrect contact information. For information about registering for this year's AAFP Scientific Assembly in Atlanta, October 3–7, the correct number to call is 800...



    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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