• Articles

    Initial Management of Breastfeeding

    KEITH SINUSAS, AMY GAGLIARDI

    Proper support, hospital policies and education improve rates of successful breastfeeding.

    Appropriate Antimicrobial Prescribing: Approaches that Limit Antibiotic Resistance

    RICHARD COLGAN, JOHN H. POWERS

    Illnesses related to antibiotic-resistant organisms are on the rise as a result of indiscriminate prescribing. Physicians should evaluate patients carefully to determine if antibiotics are necessary.

    Concussion in Sports: Minimizing the Risk for Complications

    DAVID S. KUSHNER

    Concussions may be complicated by cerebral edema related to the second impact syndrome, cumulative neuropsychologic deficits, intracranial bleeding or the postconcussion syndrome. An athlete should not be allowed to resume play until all symptoms of a concussion have resolved.

    Management of Common Symptoms in Terminally Ill Patients: Part II. Constipation, Delirium and Dyspnea

    DOUGLAS D. ROSS, CARLA S. ALEXANDER

    With appropriate diagnosis and management, most end-of-life symptoms can be alleviated. Management of constipation involves manipulation of the components required for a normal bowel movement. Haloperidol is the pharmaceutical agent of choice for the management of delirium....

    Health Care Management of Adults with Down Syndrome

    DAVID S. SMITH

    Adults with Down syndrome need to have routine health screening and monitoring for special medical conditions that are more common in persons with this syndrome, such as thyroid disease, cervical spine disease and hearing loss.

    Guideline for the Management of Heart Failure Caused by Systolic Dysfunction: Part II. Treatment

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

    Based on the University of Michigan guideline, patients with heart failure resulting from ventricular systolic dysfunction should be treated with the following, if tolerated and not contraindicated: an angiotensin-converting enzyme inhibitor in all patients; a beta blocker in...

    Inside AFP

    Michael Springer Makes Plans as VP for Publishing and Communications

    Janis Wright

    Michael D. Springer, Vice President for Publishing and Communications

    Newsletter

    Newsletter

    Rosemarie Sweeney, Matthew Neff

    CDC Releases New Guidelines on Fluoride Use to Prevent Tooth Decay | Patient Education Conference Will Be in Seattle, November 15–18 | American Cancer Society Launches Redesigned Web Site | New Internet Resource Provides Health Care Information for All 50 States | NIAID...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    High-density lipoprotein (HDL) is living up to its reputation as the “good” cholesterol. Researchers at the University of Texas Southwestern Medical Center at Dallas have found that HDL, in addition to shuttling cholesterol, triggers a process that keeps arteries clean and...

    Policy Center One-Pager

    The Contemporary Ecology of U.S. Medical Care Confirms the Importance of Primary Care

    More women, men and children receive medical care each month in the offices of primary care physicians than any other professional setting. There is an urgent need for health policies that encourage further innovation and implementation of first-rate primary care for everyone.

    Editorials

    Promoting and Supporting Breastfeeding

    DAVID MEYERS

    Family physicians, as doctors of women and children, are in the ideal position to promote and support breastfeeding. The American Academy of Family Physicians' (AAFP) policy “Breastfeeding and infant nutrition“ states, “Human milk is the optimal form of nutrition for infants....

    The ABCs of Treating Congestive Heart Failure

    JAY SIWEK

    In a two-part article published in this issue and the previous issue of American Family Physician, Chavey and associates1,2 summarize current guidelines for the treatment of congestive heart failure caused by systolic dysfunction. As with guidelines in general, putting this...

    Concussion in Sports

    THEODORE G. GANIATS

    Evidence-based medicine offers the promise of improved health outcomes for our patients. The problem is that the evidence is often difficult to find, conflicting or insufficient to guide our practice. Sometimes, it is just impossible to keep up with the latest changes. For...

    Diary from a Week in Practice

    Diary from a Week in Practice

    In his nursing home practice, JTL has often been saddened to see so many elderly patients living out their final days in isolation from family members who, for whatever reason, choose not to visit them. On a brighter note, JTL received a note from the incredibly supportive...

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Canada—Canadian Family Physician, April 2001, p. 769.) Even apparently minor bite wounds should be thoroughly investigated, because external features may not reliably indicate the extent of internal damage. High-pressure irrigation (8 lb per square inch) is recommended to...

    Practice Guidelines

    Principles of Appropriate Antibiotic Use: Part V. Acute Bronchitis

    GENEVIEVE RESSEL

    The Centers for Disease Control and Prevention (CDC) has developed guidelines for evaluating and treating adults with acute respiratory disease. Information focusing on the appropriate use of antibiotics for treatment of uncomplicated acute bronchitis is included in these...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Baycol Pulled from the Market | Cryosurgical Device to Treat Menorrhagia | New Treatment for Alzheimer's Disease

    Letters to the Editor

    Additional Comments on Screening Mammography

    Tips from Other Journals

    Gamma-Hydroxybutyrate and Withdrawal Syndrome

    RICHARD SADOVSKY

    Improving Arterial Status with LDL Cholesterol Reductions

    ANNE D. WALLING

    Blood Pressure, DASH Diet and Sodium Reduction

    BILL ZEPF

    Management of Infectious Diarrhea: IDSA Guideline

    BILL ZEPF

    Salmonella Organisms Are Resistant to Some Antibiotics

    BILL ZEPF

    Treatment of Children with Giardia lamblia Infection

    RICHARD SADOVSKY

    Subcutaneous Enoxaparin in the Treatment of DVT

    RICHARD SADOVSKY

    Promoting Lifestyle Physical Activity and Health

    RICHARD SADOVSKY

    Pneumococcal Vaccine for Prevention of Otitis Media

    BILL ZEPF

    Acute Low Back Pain Is Rarely Due to a Serious Problem

    GRACE BROOKE HUFFMAN

    Neonatal Hyperbilirubinemia: A Review of the Current Scene

    BILL ZEPF

    Management of Acute Gallstone Cholangitis

    JIM NUOVO

    Inhaled Insulin Treatment in Patients with Type 2 Diabetes

    RICHARD SADOVSKY

    Preventing Spread of Influenza to Household Contacts

    GRACE BROOKE HUFFMAN

    Surgery vs. Omeprazole in Treatment of GERD

    RICHARD SADOVSKY

    Optimal Diagnostic Tests in Primary HIV-1 Infection

    RICHARD SADOVSKY

    Information from Your Family Doctor

    Tips For Breastfeeding Success

    Your breast milk is the perfect food for your baby. Breast milk is the only food needed for the first six months of life for most full-term, healthy babies. Each mother's milk is well suited to meet the needs of her own baby.

    Health Issues for Adults with Down Syndrome

    Many adults with Down syndrome are healthy, but they still need regular health care. People with Down syndrome should see their family doctor for regular check-ups. Perhaps you have an adult child with Down syndrome, or a brother or sister with this condition. Your relative...

    Corrections

    Correction

    Table 2 of the article “Topical Fluoroquinolones for Eye and Ear” (October 15, 2000, page 1872) contained an error regarding the recommended use of the topical medication ciprofloxacin-hydrocortisone (Cipro HC). The table incorrectly states that Cipro HC, a nonsterile...



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME CME
    POC POC
    FREE Free
    Alg Alg
    DDx DDx
    PtEd PtEd