• Articles

    Travel Immunizations

    VINCENT LO RE, III, STEPHEN J. GLUCKMAN

    Advising travelers on vaccine-preventable illnesses is increasingly becoming the responsibility of primary care physicians. The approach to vaccine recommendations should be based on a thorough assessment of the risks for travel-related diseases, the time available before...

    Evaluation and Management of Nonulcer Dyspepsia

    LORI M. DICKERSON PHARM.D., DANA E. KING M.D.

    When no organic cause for dyspepsia is found, the condition generally is considered to be functional, or idiopathic. Nonulcer dyspepsia can cause a variety of symptoms, including abdominal pain, bloating, nausea, and vomiting. Many patients with nonulcer dyspepsia have...

    Management of Corneal Abrasions

    STEPHEN A. WILSON M.D., ALLEN LAST M.D.

    Corneal abrasions result from cutting, scratching, or abrading the thin, protective, clear coat of the exposed anterior portion of the ocular epithelium. These injuries cause pain, tearing, photophobia, foreign body sensation, and a gritty feeling. Symptoms can be worsened by...

    Omega-3 Fatty Acids

    MAGGIE B. COVINGTON

    Omega-3 fatty acids have been shown to significantly reduce the risk for sudden death caused by cardiac arrhythmias and all-cause mortality in patients with known coronary heart disease. Fatty fish, such as salmon and tuna, and fish oil are rich sources of the omega-3 fatty...

    Effects of Omega-3 Fatty Acids on Cardiovascular Health

    LAWRENCE J. APPEL M.D.

    The potential beneficial effects of omega-3 polyunsaturated fatty acids on cardiovascular health have become of substantial interest to patients, physicians, researchers, and policy makers. In this issue of American Family Physician, Covington provides a clinical review1 of...

    Should Risk Factors for Breast Cancer Influence Evaluation of Breast Abnormalities?

    SUSAN ROSS, RHONDA P. ESTOK, CINDY LEVINE, KATRINA ARMSTRONG

    When a woman presents with a breast complaint, initial management nearly always includes a clinical breast examination and an imaging study. Frequently, risk factors for breast cancer are assessed. Individualized risk predictions employing more formalized tools, such as the...

    Inside AFP

    Look and See the New AFP

    JANIS WRIGHT

    If you are looking at this issue of AFP and think you are seeing things, you’re right. AFP has undergone a transformation, and maybe you’ve flipped to this page to find out what’s happening. AFP has reached a new level “in design” with this issue. Readers who are curious...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    FDA Denies Over-the-Counter Status for Plan B Emergency Contraception | Two-Week Payment Delay for Noncompliant Medicare Claims Begins July 1 | AAFP and NHTSA Provide Toolkit for Assessing Older Drivers | HHS Issues Grant to AAFP for Implementing Electronic Health Records |...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS, HEATHER MCNEILL, LORI PARRY

    “Open your mouth and say aaahhh—now let me check your heart.” Cytokines produced in oral infections have been postulated to contribute to the development of coronary heart disease (CHD). In a study conducted in a Finnish hospital and published in Circulation , dental factors...

    Diary from a Week in Practice

    Diary

    TONY MIKSANEK

    “My foot really hurts,” Mona winced as she gently massaged her right heel. The middle-aged woman was devoted to walking. Rain or shine, wind or snow—it didn’t matter. She was up early every morning and walked five miles before eating breakfast. As I palpated the medial...

    Cochrane for Clinicians

    Medical Methods for First-Trimester Abortion

    MELISSA NOTHNAGLE M.D., JULIE SCOTT TAYLOR M.D.

    A regimen that includes mifepristone in a dosage of 200 mg administered orally, followed by misoprostol in a dosage of 800 mcg administered vaginally, is highly effective for medical abortion up to 63 days’ gestation. Side effects include bleeding, pain, nausea, vomiting, and...

    Cochrane Briefs

    MARK H. EBELL

    Gowning in Newborn and Special-Care Nurseries

    Cochrane Briefs

    CLARISSA KRIPKE M.D.

    Intensive Management of Gestational Diabetes

    Clinical Evidence Handbook

    Asthma

    J. MARK FITZGERALD, RODOLFO J. DENNIS, IVAN SOLARTE

    What are the effects of treatments for chronic and acute asthma?

    Putting Prevention Into Practice

    Counseling for Breastfeeding

    JANELLE GUIRGUIS-BLAKE

    Case study: BS, a 26-year-old woman in her second trimester of pregnancy, comes to your office for routine prenatal care. She expresses concern because one of her relatives has told her that she should not breastfeed. You want to recommend breastfeeding and wonder how to...

    FPIN's Clinical Inquiries

    Do ACE Inhibitors Decrease Mortality in Patients with Hypertension?

    JON O. NEHER

    When used to treat patients with hypertension, ACE inhibitors reduce cardiovascular and all-cause mortality as effectively as diuretics, beta blockers, and calcium channel blockers.

    Photo Quiz

    Painful Red Eye After Surgery

    ALBERTO J. MORALES, EYTAN Z. BLUMENTHAL

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

    POEMs

    Topical Lidocaine Prevents Catheter Insertion Pain

    ALLEN F. SHAUGHNESSY

    Useful Signs and Symptoms in the Evaluation of Vaginitis

    DAVID SLAWSON

    Magnet Therapy Produces Pain Relief in Knee Osteoarthritis

    ALLEN F. SHAUGHNESSY

    Using Signs and Symptoms to Diagnose Influenza

    DAVID SLAWSON

    Fall Prevention in Older Adults

    ALLEN F. SHAUGHNESSY

    Steroids Provide Brief Relief from Pain of Mononucleosis

    HENRY BARRY

    British Hypertension Society Guidelines Update

    ALLEN F. SHAUGHNESSY

    Beta-Lactam Monotherapy for Patients with Sepsis

    ALLEN F. SHAUGHNESSY

    Tips from Other Journals

    Echinacea for Respiratory Infections in Children

    CAROLINE WELLBERY

    Reproductive Risk Factors Increase in Depressed Women

    ANNE D. WALLING

    Predictors of Obesity from Adolescence to Adulthood

    KARL E. MILLER

    Active CAD and Chest Pain Relief with Nitroglycerin

    RICHARD SADOVSKY

    Advanced Heart Failure in Men and Women

    KARL E. MILLER

    Heart Rate Elevation May Be Predictor of Mortality Risk

    RICHARD SADOVSKY

    What Is the Best Way to Remove Cerumen in Children?

    KARL E. MILLER

    Impact of Oral Contraceptives on Premenstrual Mood

    KARL E. MILLER

    Use of Ketorolac for Pain Control After Cesarean Section

    KARL E. MILLER

    N-Acetylcysteine May Prevent Contrast Nephropathy

    RICHARD SADOVSKY

    Antihypertensive Medications in the Elderly: An Analysis

    KARL E. MILLER

    Practice Guidelines

    ACIP Releases 2004 Guidelines on the Prevention and Control of Influenza

    MATTHEW J. NEFF

    The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has issued recommendations on the prevention and control of influenza for the 2004–2005 influenza season.

    Practice Guideline Briefs

    Evaluation of Infants Born to Mothers with West Nile Virus Infection

    BRIAN TORREY

    The Centers for Disease Control and Prevention (CDC) has released interim guidelines for the evaluation of infants born to mothers with West Nile virus infection. “Interim Guidelines for the Evaluation of Infants Born to Mothers Infected with West Nile Virus During Pregnancy”...

    Letters to the Editor

    Recurrent Diplopia After Consuming Alcoholic Beverages

    KOICHI TSUNODA, NAOMI AMAGAI, MASANOBU HOUSUI, KENJI KONDOU, KENICHIROU ISHIO, NAONOBU TAKEUCHI, KIMITAKA KAGA

    Is Ophthalmologic Follow-Up for Corneal Abrasions Needed?

    LEO BUNUEL-JORDANA D.O., DAVID C. FIORE M.D.

    Information from Your Family Doctor

    Travel Vaccines

    Travel vaccines are shots you get before you travel to another country. In some countries, especially developing countries, certain diseases are common among the people. Sometimes you can get a disease by drinking water with tiny bugs in it or by getting bitten by a bug. To...

    Corneal Abrasions

    The cornea is a thin, clear, protective shield at the front of your eye. It covers the colored part of your eye and your pupil. A corneal abrasion is a scratch on the cornea.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME Continuing Medical Education Credit
    POC Point-of-Care Resource
    FREE Free Access
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education