• Articles

    Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease in Women

    LORI J. MOSCA

    Gender-specific differences in risk factors for coronary heart disease should be considered in women. Established therapies directed at risk reduction should be more widely implemented in the primary care setting.

    Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life

    DONALD S. SILVERBERG, ADRIAN IAINA, ARIE OKSENBERG

    A growing body of evidence suggests that obstructive sleep apnea is a major contributing factor in the development of essential hypertension. Although many patients with obstructive sleep apnea have clear symptoms of the disorder, about 80 to 90 percent of cases are...

    Genitourinary Infections and Their Association with Preterm Labor

    LORIE F. CRAM, MARIA-ISABEL ZAPATA, EUGENE C. TOY, BENTON BAKER, III

    Genitourinary tract infections are one of the causes of preterm delivery; prematurity is one of the leading causes of perinatal mortality in the United States. Physicians can substantially decrease the risk of preterm delivery by diagnosing and treating genitourinary infections.

    How to Write an Evidence-Based Clinical Review Article

    JAY SIWEK, MARGARET L. GOURLAY, DAVID C. SLAWSON, ALLEN F. SHAUGHNESSY

    This article provides guidelines for writing an evidence-based article forAFP. Resources and a checklist are included.

    The Newborn Examination: Part II. Emergencies and Common Abnormalities Involving the Abdomen, Pelvis, Extremities, Genitalia, and Spine

    MAMTA FULORIA, SHELLEY KREITER

    Careful examination of the newborn at delivery can permit detection of anomalies, birth injuries, and disorders that may compromise successful adaptation to extrauterine life. Significant potential anomalies include abdominal wall defects, developmental hip dysplasia,...

    Inside AFP

    What's the Buzz? A Focus on Evidence in AFP

    Janis Wright

    If you have kept up with your journal reading lately, you might have noticed that AFP is enhancing its delivery of evidence-based clinical recommendations in a number of ways. This issue contains a special feature entitled, “How to Write an Evidence-Based Clinical Review...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Matthew Neff

    HIPAA Administrative Transaction Standards Requirements Delayed | ACIP Updates Vaccine Recommendations for Children | Overweight and Obesity Threaten Recent Gains in U.S. Health | Rural Health Agencies Need More Nurses, Educators, Scientists

    Quantum Sufficit

    Quantum Sufficit

    Heather McNeill, Sarah Morgan

    Only one third of older rural residents with memory-related problems associated with Alzheimer's disease consult their family physician. In contrast, results of a study published in the Journal of Behavioral Health Services and Research show that one half of urban residents...

    Editorials

    Writing Evidence-Based Clinical Reviews

    JAY SIWEK

    As mentioned in the August 1, 2001, “Inside AFP, ” we are strengthening the process for incorporating an evidence-based approach in our clinical review articles. We now ask all authors to rate the level of evidence for key clinical recommendations on diagnosis and treatment....

    Guideline Implementation: Why Don't We Do It?

    LEIF I. SOLBERG

    After 10 to 15 years of trying to improve the quality of medical care by developing and disseminating literally tons of clinical guidelines, it is time to admit that we have been doing it wrong. The best evidence for my claim is summarized in the latest report on quality from...

    Obstructive Sleep Apnea and Essential Hypertension—Is There a Link?

    BENJAMIN W. CHASKA

    Obstructive sleep apnea (OSA) occurs in 2 percent of women and 4 percent of men between 30 and 60 years of age.1 (This compares with an incidence of 4.5 percent for asthma in this age category.)2 OSA is infrequently diagnosed. The National Center on Sleep Disorders Research...

    Diary from a Week in Practice

    Diary from a Week in Practice

    JDF was in her office dictating charts while awaiting the arrival of her next patient when the commotion began. A local transportation aid appeared in the doorway and said the patient she had brought for a routine office appointment was in the van and was unresponsive. She...

    U.S. PREVENTIVE SERVICES TASK FORCE: RECOMMENDATIONS AND RATIONALE

    Screening for Lipid Disorders in Adults: Recommendations and Rationale

    This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations for screening for lipid disorders and the supporting scientific evidence, and it updates the 1995 recommendations contained in the Guide to Clinical Preventive Services, second...

    Tips

    Low-Fat, Mediterranean Diets Improve Endothelial Function

    RICHARD SADOVSKY

    Uterine Hyperstimulation Depends on Misoprostol Route

    ANNE D. WALLING

    Ask Patients if They Want a Chaperone to be Present

    ANNE D. WALLING

    Indomethacin Tocolysis and Intraventricular Hemorrhage

    ANNE D. WALLING

    College Students' Knowledge of HPV and Educational Intervention

    KARL E. MILLER

    Eating Fruit and Vegetables Affects Coronary Heart Disease Risk

    RICHARD SADOVSKY

    Five-Year Experience with the Varicella Vaccine: An Update

    RICHARD SADOVSKY

    Transdermal Fentanyl vs. Sustained-Release Morphine

    ANNE D. WALLING

    Can Salmeterol Be Used as Monotherapy in Asthma?

    GRACE BROOKE HUFFMAN

    Self-Help Tape Benefits Patients with Depression

    ANNE D. WALLING

    Oral Contraceptives vs. a Weekly Contraceptive Patch

    GRACE BROOKE HUFFMAN

    Minor Head Trauma in Children Younger Than Two Years

    GRACE BROOKE HUFFMAN

    Choices in Noninvasive Cardiac Stress Testing

    BILL ZEPF

    Community-Based Firearm Safety and Gun Lock Program

    KARL E. MILLER

    Using Statin Therapy to Reduce C-Reactive Protein Level

    BILL ZEPF

    The Role of Cigarette Smoking in Pulmonary Metastasis

    KARL E. MILLER

    Which Mid-Age Patients Will Develop Alzheimer's Disease?

    ANNE D. WALLING

    Home Monitoring in Patients with Essential Hypertension

    RICHARD SADOVSKY

    Repeat Blood Cultures in Febrile Hospital Patients

    BILL ZEPF

    Acupuncture Therapy for Chronic Neck Pain

    ANNE D. WALLING

    Smoking Cessation Increases Risk of Major Depression

    ANNE D. WALLING

    An Out-Patient Cervical Spine Clearance Protocol

    RICHARD SADOVSKY

    Family Practice International

    CLINICAL INFORMATION FROM THE INTERNATIONAL FAMILY MEDICINE LITERATURE

    Anne D. Walling

    (Great Britain—The Practitioner, June 2001, p. 481.) Transient ischemic attacks (TIAs) affect approximately 40 per 100,000 persons per year but because symptoms are frequently brief and minor, the condition is significantly underdiagnosed. The symptoms depend on the affected...

    Practice Guidelines

    PHS Guidelines for Management of Occupational Exposure to HBV, HCV and HIV: HIV Postexposure Prophylaxis Regimens

    MONICA PREBOTH

    Guidelines for the management of health care personnel who have occupational exposure to blood and other body fluids that might contain hepatitis B virus (HBV), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) are available from the U.S. Public Health Service (PHS).

    Clinical Briefs

    Clinical Briefs

    Joanne E. Chatfield

    AAP Policy Statement on Use of Bicycle Helmets | FDA Approves Weekly Birth Control Patch | Scientific Exhibit Deadline for AAFP Assembly | Alcohol, Tobacco, and Drug Use Statistics

    Curbside Consultation

    It Sounds Like Child Abuse—But Is It?

    ELLEN L. GANDLE

    While I was reviewing the chart of a two-year-old girl brought into the clinic by her mother, a medical assistant pulled me aside and said, “That woman was really rough with her child in the waiting room. You might want to ask about abuse.” My small patient had a rash, but I...

    Letters to the Editor

    Benzodiazepines for Treatment of GAD?

    Medications and Breastfeeding

    KATHLEEN UHL, DIANNE KENNEDY, SANDRA KWEEDER

    Information from Your Family Doctor

    How to Lower Your Risk of Heart Disease if You Are a Woman

    Heart disease is a disease of the arteries that bring blood to the heart muscle. It is the number one killer of American women.

    How to Lower Your Cholesterol Level if You Are a Woman

    Heart disease is a disease of the arteries that bring blood to the heart muscle. It is the number one killer of American women. The build-up of cholesterol (say: ko-less-tur-all) in the arteries of the heart is an important risk factor for heart disease.

    Snoring, Obstructive Sleep Apnea and High Blood Pressure

    When you sleep, the muscles in your throat relax. This lets the airway partly close. Air then has to move faster through the narrower passage. This causes the palate and tongue to vibrate. We hear this vibration as snoring.

    Corrections

    Corrections

    Corrections



    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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