• Articles

    Management of Gestational Diabetes Mellitus

    DAVID K. TUROK, STEPHEN D. RATCLIFFE, ELIZABETH G. BAXLEY

    The path is unclear for the family physician trying to provide evidence-based care to women with gestational diabetes. This article uses objective data to help guide clinical decision-making, acknowledging when recommendations are based on expert opinion.

    Adverse Drug Reactions: Types and Treatment Options

    MARC A. RIEDL, ADRIAN M. CASILLAS

    Although adverse drug reactions are common, identifying a true drug hypersensitivity or drug allergy can be challenging.

    Combination Therapy with ACE Inhibitors and Angiotensin-Receptor Blockers in Heart Failure

    DEAN THOMAS SCOW, ELLEN G. SMITH, ALLEN F. SHAUGHNESSY

    Although the combination of an angiotensin-converting enzyme inhibitor and an angiotensin-receptor blocker theoretically may benefit patients with heart failure, most patients who take combination therapy will not experience marked improvement in symptoms or quality of life.

    Acute Dyspnea in the Office

    ROGER J. ZOOROB, JAMES S. CAMPBELL

    Dyspnea is a common problem in the outpatient primary care setting. Establishing a diagnosis can be challenging because dyspnea is a presenting symptom of many diagnostic entities.

    Approaching the Suicidal Patient

    JEFFREY STOVALL, FRANK J. DOMINO

    This article reviews risk factors, assessment strategies, and risk-appropriate interventions that may help family physicians prevent suicide.

    Inside AFP

    Some Questions for Readers

    Janis Wright

    Our recent travels to the 2003 AAFP Annual Scientific Assembly in New Orleans gave us an opportunity to talk to many of our readers. As I mentioned in a previous column, we spent some time talking to readers at the publications division booth on the exhibit hall floor and...

    Newsletter

    Newsletter

    Matthew Neff

    AAFP Selects New Officers and Board Members for Upcoming Year | AAFP Establishes Center for Health Information Technology | HHS Creates Six National Centers of Excellence in Women's Health | Arizona Physician Chosen AAFP Family Physician of the Year

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather McNeill

    When riding in cars, children older than four years are safer in belt-positioning booster seats. In a cross-sectional study published in JAMA, researchers collected data on injuries to children four to seven years of age from insurance claims records and telephone surveys in...

    Editorials

    Liver Biopsy and Screening for Cancer in Hepatitis C

    KELLY A. GEBO, ERIC B. BASS

    In June of 2002, the National Institutes of Health (NIH) convened a consensus development conference on the management of hepatitis C.1 This conference differed from a previous conference2 on management of hepatitis C by including presentations from a detailed systematic...

    Cochrane for Clinicians

    Antidepressants for Generalized Anxiety Disorder

    CHERYL A. FLYNN, Y.C. CHRISTINE CHEN

    A 40-year-old man is in counseling for generalized anxiety disorder (GAD). He asks about pharmacotherapeutic treatment options, expressing a desire to avoid addictive medications.

    Diary from a Week in Practice

    Diary from a Week in Practice

    For the past several years, Mr. and Mrs. Benedict have spent the winter months vacationing in the southwestern United States. This year, the 80-year-old couple was driving their pick-up truck back to Illinois when they encountered some ferocious weather in New Mexico. Wind...

    CLINICAL EVIDENCE CONCISE: A PUBLICATION OF BMJ PUBLISHING GROUP

    Rheumatoid Arthritis

    PAUL EMERY, MARIA E. SUAREZ-ALMAZOR

    One systematic review has found that hydroxychloroquine reduces disease activity and joint inflammation compared with placebo in people with rheumatoid arthritis. We found insufficient evidence about effects on functional status. One systematic review found no consistent...

    STEPS

    Atomoxetine for ADHD

    TOM LYNCH

    Synopsis: Atomoxetine (Strattera) is a new, nonstimulant medication approved for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children and adults. Unlike methylphenidate and dextroamphetamine, which act primarily by blocking the reuptake of dopamine,...

    Point-of-Care Guides

    Probability of Cirrhosis in Patients with Hepatitis C

    MARK H. EBELL

    How likely is cirrhosis in a patient with hepatitis C?

    Photo Quiz

    Worried Patient with Lesions

    RAYMOND T. KUWAHARA, RAASHID HAQUE

    A 25-year-old man presented to the dermatology clinic with a one-week history of intensely pruritic lesions on the hands and penis. The lesions appeared about the same time in both areas (see accompanying figure). The patient had one sexual partner who denied having any skin...

    POEMs and Tips

    Effect of Bed and Pillow Covers in Allergic Rhinitis

    MARK EBELL

    HPV Triage for ASC-US Pap Results Makes Sense

    LINDA FRENCH

    Is Herbal Tea Effective for Pain of Acute Pharyngitis?

    ALLEN F. SHAUGHNESSY

    Oxybutynin or Tolterodine for Overactive Bladder?

    ALLEN F. SHAUGNESSY

    Safety and Efficacy of Ephedra for Weight Loss: A Review

    CAROLINE WELLBERY

    Systolic Hypertension Affects Balance, Gait, and Fall Risk

    RICHARD SADOVSKY

    Accuracy of Blood Pressure Self-Monitoring

    ANNE D. WALLING

    Oral Magnesium Improves Outcomes in Patients with CAD

    RICHARD SADOVSKY

    Evaluating Older Adults with Mild Memory Problems

    RICHARD SADOVSKY

    Practice Guidelines

    ATS, CDC, and IDSA Update Recommendations on the Treatment of Tuberculosis

    Matthew Neff

    The American Thoracic Society (ATS), the Centers for Disease Control and Prevention (CDC), and the Infectious Diseases Society of America (IDSA) recently published a joint statement of recommendations for the treatment of tuberculosis in settings where mycobacterial cultures,...

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    AHRQ Report on Treatment of Parkinson's Disease | CDC Information on Moonflower Intoxication | Guide to Assessing and Counseling Older Drivers | FDA Advisory

    Curbside Consultation

    Rethinking the Gynecologic Examination

    Current guidelines recommend initial Papanicolaou (Pap) tests three years after females become sexually active or at age 21 in sexually inactive women.1 My patients seem comfortable when I tell them they don’t need annual Pap smears. Yet, in teaching settings and among...

    Letters to the Editor

    Statement About Risks of Acupuncture Is Misleading

    Physicians Need More Evidence on Treatments of Warts

    Information from Your Family Doctor

    Gestational Diabetes and Nutrition

    Gestational diabetes is a kind of diabetes some women get during pregnancy. (Say: jess-tay-shun-al die-ah-bee-tees) If you have gestational diabetes, your body cannot use glucose (blood sugar) the way it should. Too much sugar stays in your blood.



    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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