• Articles

    Prevention and Treatment of Overweight in Children and Adolescents

    ANGELA FOWLER-BROWN, LEILA C. KAHWATI

    Overweight in childhood and adolescence is an important public health issue because of its rapidly increasing prevalence and multiple associated adverse medical and social consequences. Family physicians should focus on early intervention and counseling strategies to help...

    Hemolytic Anemia

    GURPREET DHALIWAL, PATRICIA A. CORNETT, LAWRENCE M. TIERNEY, JR.

    Hemolysis, which is defined as a shortened red blood cell life span, most frequently presents as anemia. Hemolytic anemia is caused by a number of acquired and inherited conditions.

    Diastolic Heart Failure: Challenges of Diagnosis and Treatment

    CECILIA GUTIERREZ, DANIEL G. BLANCHARD

    Diastolic heart failure, a major cause of morbidity and mortality, is difficult to distinguish from systolic heart failure. Doppler echocardiography is best for confirming the diagnosis. Pharmacologic treatment should focus on normalizing blood pressure, promoting regression...

    Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine

    PAUL M. GAHLINGER

    Club drugs are used commonly to enhance social intimacy and sensory stimulation and as “daterape” drugs. Because of the variations in manufacturing of these drugs, they can easily cause overdose by excessive central nervous system stimulation or depression.

    Sialorrhea: A Management Challenge

    NEIL G. HOCKSTEIN, DANIEL S. SAMADI, KRISTIN GENDRON, STEVEN D. HANDLER

    Sialorrhea (drooling or excessive salivation) is a condition that causes many medical and psychosocial complications. A team approach to management is most appropriate.

    Inside AFP

    Overweight in Children

    Janis Wright

    The illustration on the cover of this issue (above), by Mark E. Schuler, Prairie Village, Kan., shows the struggle that children face in maintaining physical fitness in a world filled with the temptations of fast foods and sedentary pleasures. Hamburgers and fries loom in...

    Newsletter

    Newsletter

    Genevieve Ressel

    Legislation Clears Resident Matching Program of Antitrust Allegations | AHRQ Report States That Poor Literacy Hinders Health Care Quality | Decisions Define Scope for Chiropractors Within the VHA | CMS Reminds Medicare Providers About HIPAA Compliance | Commonwealth Fund...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather McNeill

    What were the top health concerns of Americans in 2003? Of more than 900 adults surveyed for the American Cancer Society and the Trust for America's Health, 35 percent ranked the flu epidemic as their top health concern last year. The flu epidemic ranked higher than biologic...

    Editorials

    A Joint Clinical Practice Guideline for Acute Otitis Media

    THEODORE G. GANIATS, ALLAN S. LIEBERTHAL, LARRY CULPEPPER, MARTIN C. MAHONEY

    An evidence-based clinical practice guideline1 to inform physicians on the management of uncomplicated acute otitis media (AOM) among children ages two months through 12 years is now available. It was developed by the multidisciplinary Subcommittee on Management of Acute...

    The Persistent Value of the Autopsy

    KAVEH G. SHOJANIA, ELIZABETH C. BURTON

    An extensive literature documents substantial rates of missed diagnoses that are detected at autopsy, including diagnoses that likely affected outcome.1–4 Physicians generally have attributed these findings to selection bias. With the national autopsy rate for nonforensic...

    Graham Center Policy One-Pagers

    Chiropractors Are Not a Usual Source of Primary Health Care

    Chiropractors are the largest source of office-based care in the United States that does not involve a physician, but people do not view chiropractors as primary providers of health care or advice. Unlike the care given by primary care providers, the majority of care provided...

    Medicine and Society

    Counseling Patients on Mass Media and Health

    BRIAN A. PRIMACK

    “Good evening and welcome to the six o'clock news. Tonight we're going to skip our usual sensationalistic stories and inform you of something truly important. Did you know that your children are exposed to more than 45 hours each week of various forms of electronic media,...

    Diary from a Week in Practice

    Diary from a Week in Practice

    “Doc, I really need help!” Tom was a huge man with hands like baseball mitts. This evening on the mobile clinic, he appeared desperate and had obviously been drinking. The triage nurses had been unable to get him to stop crying, the emotional floodgates having been opened by...

    CLINICAL EVIDENCE CONCISE: A PUBLICATION OF BMJ PUBLISHING GROUP

    Sinusitis (Acute)

    KIM AH-SEE

    What are the effects of treatments in people with clinically diagnosed acute sinusitis?What are the effects of treatments in people with radiologically or bacteriologically confirmed acute sinusitis?

    Photo Quiz

    Persistent Pruritic Papules

    ANTHONY PORTER, PEARON LANG, ROBERT HUFF

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    POEMs

    Breast Augmentation Unlikely to Affect Cancer Identificaton

    DAVID SLAWSON

    Labor in Water Is Effective Treatment for Slow Labor

    LINDA FRENCH

    Use Single Course of Corticosteroids for PPROM

    LINDA FRENCH

    Clinical Rule for Prognosis of Coma After Cardiac Arrest

    David Slawson

    Practice Guidelines

    AAP, AAFP Release Guideline on Diagnosis and Management of Acute Otitis Media

    Matthew J. Neff

    Guidelines on the diagnosis and management of uncomplicated acute otitis media (AOM) in children between two months and 12 years of age are available from the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP).

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    Statin Use After Stroke and TIA | Antioxidants Are of Little, If Any, Benefit in CVD | Educational Booklets for Older Adults

    Curbside Consultation

    Using Medical Interpreters

    Many physicians are facing a similar dilemma because the Hispanic population is growing rapidly, and Spanish is the preferred language for many Hispanic people. The use of interpreters is a multifaceted issue.

    Letters to the Editor

    Subungual Slivers May Be Treated Conservatively

    ROBERT KAYE

    Removing Splinters Should Be A Very Simple Procedure

    Bupropion Should Be Included in Article on Antidepressants

    Tips from Other Journals

    Family-Focused Therapy Program for Bipolar Disorder

    KARL E. MILLER

    Physical Examination in Acute Coronary Syndromes

    CAROLINE WELLBERY

    Benzodiazepines and Physical Function in Elderly Patients

    CAROLINE WELLBERY

    Etanercept Effective for Moderate to Severe Psoriasis

    BILL ZEPF

    Managing Fever in Children Younger than Three Years

    RICHARD SADOVSKY

    Does Hysterectomy Have an Impact on Sexuality?

    ANNE D. WALLING

    Dementia with Lewy Bodies vs. Alzheimer's Disease

    ANNE D. WALLING

    Syrup of Ipecac Does Not Reduce Emergency Referral

    CAROLINE WELLBERY

    Evaluating Patients with Acute Knee Pain: A Review

    RICHARD SADOVSKY

    Lp(a) Lipoprotein Level and Cardiovascular Disease

    BILL ZEPF

    Pertussis in Vaccinated and Unvaccinated Children

    CAROLINE WELLBERY

    Smoking Cessation After Admission to a Cardiac Unit

    ANNE D. WALLING

    Influencing Attitudes Toward Mammography Screening

    CAROLINE WELLBERY

    Olanzapine vs. Haloperidol for Treatment of Schizophrenia

    CAROLINE WELLBERY

    Information from Your Family Doctor

    Club Drugs—Myths and Risks

    Club drugs make users feel more open, intimate, and less shy. They are popular in nightclubs, at parties, and at raves. The most common club drugs are MDMA (“Ecstasy”), GHB (“Liquid Ecstasy”), Rohypnol (“Roofies”), and ketamine (“Special K”). They have many other names. Often...

    Cuts, Scrapes, and Stitches

    The best way to clean a cut, scrape, or puncture wound is with cool water. You can hold the wound under running water or fill a tub with cool water and pour it from a cup over the wound.

    Bike Safety Tips

    Sometimes the person on the bike makes a mistake and causes a crash. Sometimes car drivers or loose gravel on the road cause a crash. You are more likely to be hurt seriously if you are hit by a car or if you are riding fast. Children can be hurt while doing tricks on their...

    Dog Bites: Teaching Your Child to Be Safe

    Most dogs never bite anyone. But any dog might bite if it feels threatened. Children are the most common victims of dog bites. Infants and young children should never be left alone with any dog.

    Sunshine Rules for Children

    Safe-sun rules are ways to protect your child's skin and reduce the risk of skin cancer later in life.



    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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