• Articles

    HIV Counseling, Testing, and Referral

    JOEL E GALLANT

    Over the past decade, the annual number of new cases of human immunodeficiency virus (HIV) infection has been relatively stable but remains unacceptably high (an estimated 40,000 new cases per year). Furthermore, the demographics for HIV infection are changing. Rates of new...

    Sarcoidosis

    JENNIFER J WU, KARIN RASHCOVSKY SCHIFF

    Sarcoidosis is a systemic granulomatous disease of unknown cause affecting young and middle-aged adults. Patients commonly present with bilateral hilar lymphadenopathy, pulmonary infiltrates, and ocular and skin lesions. The heart, liver, spleen, salivary glands, muscles,...

    Diagnosing Heel Pain in Adults

    TRACY ALDRIDGE

    Heel pain is a common condition in adults that may cause significant discomfort and disability. A variety of soft tissue, osseous, and systemic disorders can cause heel pain. Narrowing the differential diagnosis begins with a history and physical examination of the lower...

    Geriatric Failure to Thrive

    RUSSELL G ROBERTSON, MARCOS MONTAGNINI

    In elderly patients, failure to thrive describes a state of decline that is multifactorial and may be caused by chronic concurrent diseases and functional impairments. Manifestations of this condition include weight loss, decreased appetite, poor nutrition, and inactivity....

    Preventing HIV—A Primary Care Imperative

    RONALD H GOLDSCHMIDT, REBECCA E POAGE

    How deceptive appearances can be! Maria resembled all the other young, healthy women who receive prenatal care at our clinic. She seemed to be a low-risk 18-year-old. She was in her first romantic relationship and, although her pregnancy was unplanned, she was happy about it....

    How Useful Is the Concept of ‘Failure to Thrive’ in Care of the Aged?

    DOUGLAS C WOOLLEY

    In this issue of American Family Physician, Robertson and Montagnini1 review the challenges of caring for an aged patient with multiple problems whose health and vitality are rapidly declining. The term “failure to thrive,” which was borrowed from health care for children to...

    Inside AFP

    A Review of HIV Counseling, Testing, and Referral

    JANIS WRIGHT

    In an article on page 295, Joel E. Gallant, M.D., M.P.H., John Hopkins University School of Medicine, provides a review of counseling, testing, and referral of patients with human immunodeficiency virus (HIV) infection. In an effort to reduce the annual number of new cases of...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    FDA Warns Against Using Domperidone to Increase Breast Milk Production | AAFP Members Visit Lawmakers in Washington, D.C. | CDC Reports Data on Suicide Behaviors, Risk Factors, and Prevention | AAFP Sponsors National Conference for Residents and Medical Students | HHS Awards ...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS, HEATHER McNEILL, LORI PARRY

    Man’s best friend also may be man’s best workout buddy. Two studies reported in the online version of USA Today show that dog owners and their pets can benefit from teaming up to lose weight. In the first study, 11 overweight dog owners were instructed to follow a low-fat...

    Diary from a Week in Practice

    Diary

    PAUL GROSS

    I get on edge when Mr. Torres, a Spanish-speaking man with AIDS, tells me he’s out of antiretroviral medications. How did this happen? Mr. Torres’ Medicaid insurance has a spend-down provision—every month he has to show proof that he’s purchased $170 worth of medications...

    U.S. Preventive Services Task Force

    Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on behavioral counseling interventions to reduce alcohol misuse in primary care patients and the supporting evidence, and it updates the 1996 recommendations contained in the Guide to...

    STEPS

    Tadalafil (Cialis) for Erectile Dysfunction

    JOHN A NOVIASKY, ASIF MASOOD, VINCENT LO

    Tadalafil is a reversible phosphodiesterase type 5 (PDE5) inhibitor approved for the treatment of erectile dysfunction (ED). As a class, PDE5 inhibitors (including sildenafil [Viagra] and vardenafil [Levitra]), enhance erectile response to sexual stimulation by increasing...

    Photo Quiz

    Rash and Fever in an Ill-Appearing Child

    CAROL L BLACKWOOD

    A seven-year-old girl with a three-day history of fever as high as 40°C (103°F) came to an urgent care clinic located in the Central Valley area of California. Twelve hours after the onset of fever, she started to have flank and abdominal pain. She had no complaints of cold...

    POEMs

    Effect of Fetal Fibronectin on Preterm Labor

    LINDA FRENCH

    Can Antibiotics Prevent Recurrent MI?

    ALLEN F SHAUGHNESSY

    Exemestane vs. Tamoxifen After Breast Cancer

    MARK EBELL

    Three Days of Ciprofloxacin for UTI in Older Women

    MARK EBELL

    Progesterone Intrauterine System for Menorrhagia

    DAVID SLAWSON

    PAPNET vs. Manual Reading of Pap Smears

    LINDA FRENCH

    Forcing Fluids in Respiratory Tract Infections

    ALLEN F SHAUGHNESSY

    Sterile Gloves Unnecessary for Laceration Repair

    ALLEN F SHAUGHNESSY

    Tips from Other Journals

    Does Tai Chi Reduce the Risk of Falling in Older Adults?

    CAROLINE WELLBERY

    Impact of Self-Management Education on Asthma

    KARL E MILLER

    Olanzapine vs. Haloperidol for Treatment of Acute Mania

    KARL E MILLER

    Weight-Bearing Exercise and Fall Prevention in the Elderly

    CAROLINE WELLBERY

    Coaching Patients on Cardiovascular Health Goals

    KARL E MILLER

    Effectiveness of Guaifenesin in the Treatment of Cough

    KARL E MILLER

    Role of Carvedilol and Digoxin in Heart Failure

    KARL E MILLER

    Is Treatment for Hypertension Aggressive Enough?

    KARL E MILLER

    Calcium Channel Blocker vs. Beta-Blocker Combinations

    CAROLINE WELLBERY

    Combination Therapy for Benign Prostatic Hypertrophy

    BILL ZEPF

    Practice Guidelines

    NAMS Releases Position Statement on the Treatment of Vasomotor Symptoms Associated with Menopause

    MATTHEW J NEFF

    The North American Menopause Society (NAMS) has released an evidence-based position statement on the treatment of vasomotor symptoms associated with menopause to provide recommendations on the most effective treatments. The Editorial Board that created the position statement...

    Practice Guideline Briefs

    Treatment of Infantile Spasms

    CARRIE MORANTZ, BRIAN TORREY

    Treatment of Infantile Spasms

    Treatment of Infantile Spasms

    CARRIE MORANTZ, BRIAN TORREY

    Dystocia and Augmentation of Labor

    Treatment of Infantile Spasms

    CARRIE MORANTZ, BRIAN TORREY

    Recommendations for Exercise After Stroke

    Letters to the Editor

    Evaluating Lymphadenopathy Using Lymph Node FNA

    KRISTIAN T SCHAFERNAK

    ‘Quantum Sufficit’ Artwork Considered Offensive

    DANA KENT

    Diagnosis of Malaria Should Be Considered by U.S. Physicians

    SALOUM CISSE

    Therapy with ACE Inhibitors and ARBs in Heart Failure

    WILLIAM E CAYLEY, JR.

    Information from Your Family Doctor

    HIV Infection—How to Lower Your Risk

    There are many ways to lower your risk of getting human immunodeficiency virus (HIV) infection. You can get HIV infection from blood, semen, or vaginal fluid. If a mother has HIV infection, her baby can become infected during birth or from breastfeeding.



    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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