• Articles

    Asthma Update: Part II. Medical Management

    MATTHEW MINTZ

    Updated guidelines for the treatment of asthma recommend inhaled corticosteroids as first-line treatment in all patients with persistent asthma. Other medications, such as cromolyn, theophylline, and leukotriene-receptor antagonists, should have a more limited role in the...

    Management of Normal Pressure Hydrocephalus

    MEG VERREES, WARREN R. SELMAN

    Normal pressure hydrocephalus is an uncommon cause of dementia but is often treatable. Removing excess fluid from the brain may alleviate symptoms such as gait instability, dementia, and urinary incontinence.

    Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part II. Glomerular Filtration Rate, Proteinuria, and Other Markers

    CYNDA ANN JOHNSON, ANDREW S. LEVEY, JOSEF CORESH, ADEERA LEVIN, JOSEPH LAU, GARABED EKNOYAN

    Glomerular filtration rate is the best overall index of kidney function. It should be estimated using prediction equations that take into account the serum creatinine concentration and some or all of these variables: age, sex, race, and body size. In most circumstances,...

    Efficient Identification of Adults with Depression and Dementia

    JANE M. THIBAULT, ROBERT WILLIAM PRASAAD STEINER

    Serial testing with a brief questionnaire followed by a more detailed questionnaire (if the first test is positive) is a good strategy for detecting major depressive episodes in primary care settings. Although routine screening for dementia in older adults is not recommended,...

    Inside AFP

    AFP Counts

    JANIS WRIGHT

    Believe it or not, AFP does count. In addition to our everyday tasks as editors, we keep close tabs on numbers. We count. We count readers. We count hours of continuing medical education (CME). We count CME quiz card returns. We count reader feedback cards received. We count...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    AFMO Launches Web Site for Family Medicine Research | CMS Eliminates Grace Period for Expired Codes | AAFP Publishes Resource for Starting a Medical Practice | AAFP Board Approves Recommendation to Double EB CME Credit | CDC Releases State-Specific Breastfeeding Data | FDA...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS

    Sadly, many of us have been bullied or have witnessed bullying. A new Web site called “Take a Stand, Lend a Hand, Stop Bullying Now!” answers questions about bullying and offers suggestions for ways to prevent it. As reported in FDA Consumer, the site teaches children and...

    Editorials

    How Family Physicians Can Help Spread ‘The Heart Truth’

    CRISTINA V. BEATO

    Heart disease is the leading killer of American women.1 One in three American women dies of heart disease, and related health care costs are estimated at more than $57 billion per year.2 Yet most women don’t know that heart disease is their greatest health threat. Research...

    Graham Center Policy One-Pagers

    The Importance of Having Health Insurance and a Usual Source of Care

    The effects of insurance and having a usual source of care are additive. Efforts to improve health care access for all should provide a medical home and health insurance.

    Diary from a Week in Practice

    Diary

    PAUL GROSS

    When beginning a week on inpatient service, I always wonder what catastrophe might befall us—and today my fears are realized. Our first patient is a 21-year-old woman with type 1 diabetes who was transferred out of the intensive care unit yesterday after yet another bout of...

    U.S. Preventive Services Task Force

    Screening for Hepatitis C in Adults: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for hepatitis C virus (HCV) infection based on the USPSTF’s examination of evidence specific to asymptomatic persons for HCV testing and treatment. Explanations of the...

    STEPS

    Telithromycin (Ketek) for Respiratory Tract Infections

    M. SHARM STEADMAN, S. SCOTT SUTTON

    Telithromycin is the first member of the ketolides, a new subclass of the macrolide class of antibiotics. Its activity against common respiratory pathogens is similar to that of macrolide antibiotics clarithromycin (Biaxin) and azithromycin (Zithromax), but with in vitro and...

    Photo Quiz

    Blisters

    RAYMOND T. KUWAHARA

    A 50-year-old man in the intensive care unit has large bullae bilaterally on his inner thighs (see accompanying figure). The patient was admitted two days before the onset of the blisters with congestive heart failure and renal failure. On the day before the dermatology...

    POEMs

    Topical Capsaicin Minimally Effective for Pain

    ALLEN F. SHAUGHNESSY

    Petroleum Jelly Does Not Reduce Recurrent Epistaxis in Children

    MARK EBELL

    Few Data on Dietary Supplements for Sustained Weight Loss

    ALLEN F. SHAUGHNESSY

    Women Have Greater Analgesia from Butorphanol than Morphine

    ALLEN F. SHAUGHNESSY

    Misoprostol Therapy for Incomplete Abortion

    LINDA FRENCH

    Seizure Prophylaxis Unnecessary in Children with Acute Head Injury

    ALLEN F. SHAUGHNESSY

    Sildenafil Effective for Primary Pulmonary Hypertension

    ALLEN F. SHAUGHNESSY

    Inhaled Furosemide Does Not Improve Dyspnea in COPD

    HENRY BARRY

    Tips from Other Journals

    Coffee Decreases Risk for Type 2 Diabetes

    RICHARD SADOVSKY

    Risk of Cancer Associated with Diagnostic Radiology

    ANNE D. WALLING

    Coronary Artery Risk Score to Predict Heart Disease Events

    CAROLINE WELLBERY

    Intranasal Influenza Vaccination in Children

    KARL E. MILLER

    Clinical Findings as Predictors of Bacterial Culture Outcome

    BILL ZEPF

    Can Dinoprostone Placement Affect the Onset of Labor?

    ANNE D. WALLING

    Aspirin Dose that Reduces Colorectal Adenoma Risk

    RICHARD SADOVSKY

    Reducing Saturated Fat Intake in Children: Long-term Impact

    KARL E. MILLER

    Exercise in Chronic Heart Failure Improves Survival

    ANNE D. WALLING

    Treatment for Nonmassive Pulmonary Embolism

    RICHARD SADOVSKY

    Screening Immigrant Children for Tuberculosis

    RICHARD SADOVSKY

    Home-Based Rehabilitation Improves Function After Stroke

    ANNE D. WALLING

    Adjunctive Steroid Therapy for Guillain-Barré Syndrome

    ANNE D. WALLING

    Doubling Steroids Does Not Stop Asthma Exacerbations

    ANNE D. WALLING

    Plaque Rupture Occurs More Frequently in Morning Hours

    RICHARD SADOVSKY

    SSRIs for Depression and Comorbid Conditions in Adults

    CAROLINE WELLBERY

    Practice Guidelines

    Recommendations for Prescribing New Antiepileptic Drugs

    CARRIE A. MORANTZ

    Several new antiepileptic drugs (AEDs) are effective in treating selected patients with partial or mixed seizure disorders, but evidence for their efficacy in patients with generalized epilepsy syndromes is lacking, according to a meta-analysis by the American Academy of...

    Practice Guideline Briefs

    Practice Guideline Briefs

    MORANTZ CARRIE, BRIAN TORREY

    Influenza Vaccination Among Health Care Workers

    Practice Guideline Briefs

    MORANTZ CARRIE, BRIAN TORREY

    Updated Guideline on Jaundice in Newborns

    Practice Guideline Briefs

    MORANTZ CARRIE, BRIAN TORREY

    Treatment of Infants with HIV-1 Infection

    Practice Guideline Briefs

    MORANTZ CARRIE, BRIAN TORREY

    Behavioral Interventions to Modify Physical Activity

    Practice Guideline Briefs

    MORANTZ CARRIE, BRIAN TORREY

    Preventive Services Selector Tool for PDAs

    Practice Guideline Briefs

    MORANTZ CARRIE, BRIAN TORREY

    Consumer Advisory on Colloidal Silver Products

    Letters to the Editor

    Treatment of Post-traumatic Stress Disorder Can Be Complex

    RICHARD L. HOLLOWAY, DENNIS J. BUTLER

    AFP Policy on Using Generic and Brand Names for Drugs

    JIM MCCAULEY

    Learning Deficits May Account for Cases of School Phobia

    EUGENE HEYMAN

    Information from Your Family Doctor

    Normal Pressure Hydrocephalus: What It Is and How It Is Treated

    Normal pressure hydrocephalus (say: hi-drosef-uh-lus; or NPH for short) is a rare, but sometimes treatable, cause of dementia. It mainly affects people older than 60. It does not run in families. Sometimes it happens after a brain infection, such as meningitis. Other times,...



    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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