• Articles

    Controlling Hypertension in Patients with Diabetes

    SHERRI L. KONZEM, VICTORIA S. DEVORE, DAVID W. BAUER

    Patients with diabetes are twice as likely as persons in the general population to have hypertension. Most patients with concomitant diabetes and hypertension require more than one agent to attain adequate blood pressure control to help prevent diabetic complications.

    Prevention of Iron Deficiency in Infants and Toddlers

    LOUIS A. KAZAL, JR.

    Clinicians caring for infants and toddlers should focus on the primary prevention of iron deficiency and be aware of the risk factors and screening techniques for iron deficiency.

    Adverse Reactions to Contrast Material: Recognition, Prevention, and Treatment

    THOMAS G. MADDOX

    Adverse reactions to contrast agents range from itching to life-threatening emergencies. Awareness of the different types of adverse reactions allows for early recognition and prompt treatment.

    Diagnosis and Treatment of Premenstrual Dysphoric Disorder

    SUBHASH C. BHATIA, SHASHI K. BHATIA

    Patients with premenstrual dysphoric disorder, a severe form of premenstrual syndrome, often respond to treatment with antidepressants and lifestyle changes.

    Electrosurgery for the Skin

    BARRY L. HAINER, RICHARD B. USATINE

    The purposes of electrosurgery are to destroy benign and malignant lesions, control bleeding, and cut or excise tissue. Electrosurgery is simple to perform and master.

    Vulvar Cancer

    TIMOTHY P. CANAVAN, DONNA COHEN

    Early detection and biopsy of any abnormal vulvar lesions are imperative to diagnosing vulvar cancer in the early stages and improving morbidity and mortality.

    Inside AFP

    Cancer Screening Article by Thomas J. Gates, M.D., Wins AFP Kemp Award

    Janis Wright

    Among the top articles published in AFP last year were those nominated for the Kemp Award, which the AAFP has presented each year in recognition of the most outstanding AFP article written by family physicians. Articles are judged on the basis of quality of editorial...

    Newsletter

    Newsletter

    Matthew Neff

    Getting HIPAA Deadline Extension Is Easy, but Deadline Is Oct. 15 | Congress to Decide Title VII Budget for Fiscal Year 2003 | Survey Results Demonstrate Need for Response Training to Bioterrorism | HRSA Awards $49.7 Million in Health Profession Grants

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Katie Gigax, Heather McNeill

    Boring, they're not. But are school-based sex education programs helping teenagers? In a randomized trial of 8,430 adolescents published in BMJ, researchers compared a teacher-delivered sex education program that focused on active learning and skills development with standard...

    Editorials

    Hypertension and Diabetes: Family Physicians' Pivotal Role

    GEORGE L. BAKRIS

    In the United States, diabetes is the most common cause of both blindness and end-stage renal disease requiring dialysis. Diabetes is responsible for almost one half of the approximately 326,000 persons currently receiving dialysis, with an annual Medicare cost of more than ...

    Diary from a Week in Practice

    Diary from a Week in Practice

    The painful lesion on his foot brought a homeless man to the mobile clinic. After walking 55 miles from Columbus to Dayton one week earlier, the patient naturally developed sore feet. But the pain was now barely tolerable. The skin over the ball of the foot was callused and...

    Cochrane for Clinicians

    Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support Person Affect Maternal-Child Outcomes?

    JULIE SCOTT TAYLOR

    A 23-year-old gravida 1, para 0 woman who is 32 weeks pregnant is being followed for uncomplicated prenatal care. At her next routine visit, you intend to discuss her labor plans, including who will be with her during labor and delivery.

    CLINICAL EVIDENCE CONCISE: A PUBLICATION OF BMJ PUBLISHING GROUP

    Obesity

    DAVID ARTERBURN

    What are the effects of drug treatments for obesity in adults?

    Photo Quiz

    Red Knuckles

    SYLVIA HSU, MARIAN E. NORTHINGTON

    A 45-year-old woman presented with a one-year history of erythematous patches on her hands, chest, and upper back. She recently began having difficulty lifting her arms to brush her hair and climbing stairs.

    Tips from Other Journals

    Reliability of Prostate Disease Nutritional Supplements

    RICHARD SADOVSKY

    Evaluation and Management of Male Infertility

    RICHARD SADOVSKY

    Intervention Can Improve Baby's Sleep, Mother's Mood

    ANNE D. WALLING

    Intervention Can Improve Baby's Sleep, Mother's Mood

    ANNE D. WALLING

    Urinary Incontinence: Try Behavior Therapy First

    ANNE D. WALLING

    Supportive Care Important with Recurrent Miscarriage

    ANNE D. WALLING

    Metered-Dose Inhalers vs. Nebulizers in Treating Asthma

    KARL E. MILLER

    Preventing Risky Sexual Behaviors in Adolescents

    KARL E. MILLER

    Control of Polycystic Kidney Disease: An Overview

    ANNE D. WALLING

    Menstrual Cycle Influences Surgery-Related Blood Loss

    ANNE D. WALLING

    Is Herbal Therapy Safe in Cardiovascular Disease?

    KARL E. MILLER

    Magnetic Resonance Imaging for Small Bowel Obstruction

    ANNE D. WALLING

    Hair Apposition: Use of Tissue Glue vs. Standard Sutures

    RICHARD SADOVSKY

    Women's Regret After Sterilization Procedures

    ANNE D. WALLING

    Treating Toenail Onychomycosis with Oral Medications

    RICHARD SADOVSKY

    Anastrozole vs. Tamoxifen for Treating Breast Cancer

    ANNE D. WALLING

    Evaluating Lower Back Pain: An Imaging Strategy

    RICHARD SADOVSKY

    Practice Guidelines

    Obstructive Sleep Apnea Syndrome in Children

    Barrett M. Schroeder

    A subcommittee for the American Academy of Pediatrics (AAP) recently developed an evidence-based clinical practice guideline on the diagnosis and management of obstructive sleep apnea syndrome in children. This guideline was published in the April 2002 issue of Pediatrics.

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    ACOG Cervical Cancer Guidelines | CDC Update on AIDS | USPSTF Osteoporosis Screening Recommendations

    Curbside Consultation

    Sexually Transmitted Disease: A Private Matter?

    JAYNE D. RIVAS, DANIEL P. SULMASY

    One of my patients, a well-respected citizen in our small community, came to see me with a complaint of hematuria. My partner had recently treated him on an urgent basis for prostatitis, but the patient's symptoms had persisted in spite of antibiotic treatment. Now fearful...

    Letters to the Editor

    An Overlooked Cause of Amenorrhea and Infertility

    Doyle Coleman

    Breastfeeding Should Be Suppored as the 'Norm'

    ‘Bad News’ May Predispose Patients’ Attitudes

    ROBERT W. MATTHIES

    Figure Is Inaccurate Depiction of Procedure

    RICHARD D. THRASHER

    Self-Referred Screening CT Scans in an Unselected Population

    ALLEN L. PELLETIER, ANGELA P. POTTER

    Information from Your Family Doctor

    How to Prevent Iron Deficiency Anemia in Infants and Toddlers

    Anemia means having fewer or smaller red blood cells than normal. Iron is a key part of hemoglobin, which is the part of the red blood cell that carries oxygen from the lungs out to the rest of the body. Children can get iron deficiency anemia when there is not enough iron in...

    Premenstrual Dysphoric Disorder (PMDD)

    PMDD is a severe form of a common problem called premenstrual syndrome, or PMS. About 75 percent of women of childbearing age have some PMS problems. About 2 to 10 percent of women in this age group have PMDD.

    Vulvar Cancer

    The vulva is the skin and fatty tissue between the upper thighs of women, from the area of the anus to about an inch below the pubic hairline. Cancer of the vulva most often affects the two skin folds (or lips) around the vagina, known as the labia.

    Mental Health: Keeping Your Emotional Health

    People with good emotional health are in control of their thoughts, feelings, and behaviors. They feel good about themselves and have good relationships. They can keep problems in perspective.

    Generalized Anxiety Disorder

    Generalized anxiety disorder (GAD) is ongoing, excessive worry or fear that is not related to a particular event or situation. It is out of proportion to what you would expect. For instance, a parent who has GAD may constantly worry about a child who is perfectly healthy.

    Panic Disorder: Panic Attacks and Agoraphobia

    Panic disorder is a common condition in which a person has episodes of intense fear or anxiety that occur suddenly (often without warning). These episodes—called panic attacks—can last from minutes to hours. They may occur only once in a while, or they may occur frequently....



    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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