• Articles

    Evaluation of Clumsiness in Children

    S. SUTTON HAMILTON

    Clumsiness in children should be recognized as a serious medical problem that can adversely affect a child's emotional, academic, and social adjustment. Treatment involves education of the child and family, and individualized occupational therapy.

    Childhood Discipline: Challenges for Clinicians and Parents

    J. BURTON BANKS

    Because discipline plays an important role in the social and emotional development of children, physicians should be trained to discuss this issue with parents during routine well-child examinations.

    Preoperative Care of Patients with Kidney Disease

    MAHESH KRISHNAN

    Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks. Issues that need to be addressed include hyperkalemia, potential for perioperative bleeding, anemia, potential for infection, acid-base...

    What to Do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder

    MARK A. ZAMORSKI, RONALD C. ALBUCHER

    A significant number of patients with panic disorder do not respond favorably or completely to selective serotonin reuptake inhibitor therapy. Eight strategies have been developed to help primary care physicians optimize treatment of these patients.

    Epilepsy in Women

    MARTHA J. MORRELL

    Hormonal changes that occur with puberty, during the menstrual cycle, and at menopause can affect seizure control in women with epilepsy. There are unique challenges in contraception, reproductive health, and pregnancy in women using antiepileptic drugs.

    Knee Joint Aspiration and Injection

    THOMAS J. ZUBER

    Knee joint aspiration and injection are used to help diagnose and treat knee joint diseases.

    Inside AFP

    Problem-Oriented Diagnosis Series from the University of Cincinnati

    Janis Wright

    The article “Diagnosis of Clumsiness in Children” (page 1435) by S. Sutton Hamilton, M.D., marks the first in a new series of “Problem-Oriented Diagnosis” articles contributed by the Department of Family Medicine at the University of Cincinnati College of Medicine, Cincinnati...

    Newsletter

    Newsletter

    Matthew Neff

    New Web Site Offers Physician Training for Use of CDC Growth Charts | AAFP Web Site Offers CME Program on Physician Bioterrorism Preparedness | HHS Awards $140 Million to HCOs Affected by Sept. 11 Terrorist Attacks | NHLBI Launches Web Site to Promote Positive Sleeping Habits...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Katie Gigax, Heather McNeill

    “To err is human…” Obtaining timely and accurate information from patients may be difficult if paper diaries are used, reveals a study published in BMJ. Researchers gave 80 patients with chronic pain either a handheld computer or a paper diary and asked them to answer...

    Editorials

    Resident Hours: Reform Is at Hand

    JORDAN J. COHEN

    The Association of American Medical Colleges (AAMC) has been hard at work as a member organization of the Accreditation Council on Graduate Medical Education (ACGME) to place an 80-hour limit on weekly resident hours and otherwise limit resident time on duty. For almost two...

    Diary from a Week in Practice

    Diary from a Week in Practice

    PC, a second-year resident, was examining an eight-year-old boy who complained of nasal congestion and cough that had lasted for three days. Aside from a red throat, PC noted the presence of darkened, velvety skin around the child's neck and elbows. canthosis nigricans is...

    U.S. Preventive Services Task Force

    Screening for Osteoporosis in Postmenopausal Women: Recommendations and Rationale

    This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for osteoporosis and the supporting scientific evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, Second Edition.

    Practice Guidelines

    American Cancer Society Releases Guidelines on Nutrition and Physical Activity for Cancer Prevention

    Genevieve W. Ressel

    The American Cancer Society (ACS) has issued its 2002 update on guidelines for reducing the risk of cancer with healthy food choices and physical activity.

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    AAP Recommendations on Children in Foster Care | Cervical Cytologic Abnormalities Guidelines | <i>AFM</i> Call for Papers, Reviewers | FDA Norplant Advisory | Expanded WONCA Web Site

    Resident and Student Voice

    Resident Education and Patient Safety

    JAYA AGRAWAL, JOSHUA P. RISING

    The earliest studies documenting the effects of resident fatigue on patient care took place in the late 1960s and early 1970s. During that time, an article in the New England Journal of Medicine noted, “There never was a good reason to indulge in the false heroism of 36-hour...

    Letters to the Editor

    Recommendation for Modified Metered-Dose Inhaler

    SHAZIA AHMED, NARESH T. GUNARATNAM, WILLIAM F. PATTON

    Treatment of Tobacco Dependence

    CHRIS COVERT-BOWLDS

    Should Patients be Referred for Endoscopy?

    CARY E. BICKEL

    Techniques and Tips for Lipoma Excision

    KALYANAKRISHNAN RAMAKRISHNAN

    Tips from Other Journals

    Decreasing the Rate of Late Postpartum Eclampsia

    RICHARD SADOVSKY

    Severity of Strokes in Patients with Atrial Fibrillation

    GRACE BROOKE HUFFMAN

    Recognizing Suicidal Patients in a Primary Care Practice

    RICHARD SADOVSKY

    What Are the Risks of Spinal Manipulation?

    GRACE BROOKE HUFFMAN

    Reducing Physician Delays in Diagnosing Breast Cancer

    RICHARD SADOVSKY

    Association Between STDs and Depression in Adolescents

    KARL E. MILLER

    Eye Patching Not Helpful for Corneal Abrasions in Children

    RICHARD SADOVSKY

    Use of Alternative Therapies During Menopause

    ANNE D. WALLING

    Bacterial Infection Risk in Young Children with Fever

    KARL E. MILLER

    Acarbose Delays Onset of Type 2 Diabetes Mellitus

    ANNE D. WALLING

    Treating Newly Diagnosed Asymptomatic Hypertension

    ANNE D. WALLING

    Management of Cancer-Related Anorexia with Megestrol

    KARL E. MILLER

    Screening Colonoscopy in Patients 40 to 49 Years of Age

    BILL ZEPF

    Should Pap Smears Include HPV Testing?

    GRACE BROOKE HUFFMAN

    Information from Your Family Doctor

    How to Teach Good Behavior: Tips for Parents

    Children must be taught good behavior so they can live and work well in society when they grow up. Good teaching includes rewards for good behavior. Your child's age should guide your choice of ways to teach. Some tips to help you teach your child are listed below.

    Joint Aspiration and Injection

    Joint aspiration and injection refer to the placement of a needle into a joint cavity to remove fluid for analysis or study, and to inject medicine for pain relief or treatment of a disease (rheumatoid arthritis, gout, pseudogout, infectious arthritis). Sometimes the doctor...

    How to Care for Your Ankle Sprain

    The injury that occurs when your foot “rolls,” or turns in on itself, is called an ankle sprain. In this injury, the ligaments that hold the ankle and foot bones in place are stretched and weakened.

    Knee Bracing: What Works?

    Knee braces are supports that you wear for a painful or injured knee. Some people use them to prevent knee injuries during sports. Braces are made from combinations of metal, foam, plastic, elastic material, and straps. They come in many sizes, colors, and designs.

    Cast Care

    A cast can help keep the injured area from moving so you can heal faster without risking further injury. How long you'll need to wear a cast depends on the type of injury you have and how serious it is. Your doctor may want to check your cast 1 to 3 days after putting it on...



    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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