JOANNA M. DOUGLASS, ALAN B. DOUGLASS, HUGH J. SILK
Early childhood caries may develop as soon as teeth erupt. Promoting appropriate use of topical and systemic fluoride, and providing early oral hygiene instruction and regular dietary counseling to limit the frequency of sugar consumption can help reduce dental caries in...
MARION K. OWEN, TIMOTHY L. CLENNEY
Vaginitis most often is associated with infection or atrophic changes. Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis.
STEVEN A. DOSH
In patients with suspected heart failure, the initial evaluation includes a focused history and physical examination, a chest radiograph, and an electrocardiogram. The presence of heart failure can be confirmed by an echocardiogram.
JOHN R. MCCONAGHY, STEVEN R. SMITH
Outpatient treatment of systolic heart failure involves three goals that should be pursued simultaneously: controlling risk factors for the development and progressionof heart failure, treating heart failure, and educating patients.
DARREN M. LYNCH
Cranberry appears to be a safe, tolerable, and effective supplement for urinary tract infection prophylaxis.
December marks my 20th anniversary of employment at the American Academy of Family Physicians (AAFP), and most of my time here has been spent with American Family Physician. Such an anniversary milestone leaves one marveling at the passage of time and naturally asking: Why...
Physicians with Heart Delivers Medical Aid to the Republic of Georgia | AAFP Names David Satcher, M.D., as John G. Walsh Award Recipient | AAFP’s Consumer Health Publication Wins Award | AAFP Asks ABFP to Modify Maintenance of Certification Program | FDA Issues Advisory that...
SARAH EVANS, LINNEA KORINEK
Can you improve your vision while you sleep? According to a report published in The Wall Street Journal, the U.S. Food and Drug Administration has approved contact lenses to be worn during sleep to temporarily correct myopia. The idea is known as orthokeratology; the lenses...
PAUL S. CASAMASSIMO
In this issue of American Family Physician, Douglass and associates1 provide sound and useful information to address the epidemic of early childhood caries. The authors point out that among low-income preschoolers in the United States, about one in three has dental caries....
When someone tries to contact a physician by voice mail, pager, and cell phone at 8 a.m. on the first day of the week, one has the feeling that an urgent message is being conveyed. JOH took the call from a radiologist while driving to work. Thomas was a patient who was seen...
MICHAEL SCHOOFF, CASEY STELTER
A 35-year-old woman presents with recurrent episodes of abdominal pain, constipation, and a sense of incomplete emptying after defecation. She has a history of irritable bowel syndrome (IBS).
CLARISSA KRIPKE, MARK EBELL
Calcium and Prevention of Colorectal Cancer | Link Between Metformin and Lactic Acidosis?
G. MUSTAFA SOOMRO
Behavioral Therapy. We found no randomized controlled trials (RCTs) comparing behavioral therapy with no treatment. One systematic review and subsequent RCTs have found that behavioral therapy improves symptoms compared with relaxation. The review and one subsequent RCT found...
This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for suicide risk and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.1...
JANELLE GUIRGUIS-BLAKE, CRAIG M. HALES
SJ is a 17-year-old boy brought in by his mother for a pre-college physical. His mother pulls you aside and shares a story from the local newspaper about a college freshman who committed suicide after the first week of school. She is anxious because of SJ’s history of ...
JANE HUNTINGTON, VERONIKA ZANTOP
What is the safest and most effective antidepressant therapy in pregnant women?
JOHN G. BEAUMAN
A 65-year-old woman presented for evaluation of a rash on her bilateral lower extremities that she noticed several days earlier while gardening. She denied pruritus or pain. She had no other symptoms and was otherwise well. Her medical history consisted of hypertension,...
ALLEN F. SHAUGHNESSY
ANNE D. WALLING
ANNE D WALLING
ANNE D WALLING
ANNE D WALLING
ANNE D WALLING
MATTHEW J. NEFF
The American College of Obstetricians and Gynecologists (ACOG) recently issued guidelines for the clinical management of post-term pregnancy. The guidelines appeared in the September 2004 issue of Obstetrics and Gynecology.
CARRIE MORANTZ, BRIAN TORREY
The Agency for Healthcare Research and Quality has released a new report entitled, “Pharmacological and Surgical Treatment of Obesity.” The report is available online at http://www.ahrq.gov/clinic/epcsums/obesphsum.htm.
Every baby is different, but teeth normally start appearing when a baby is about six months old, although your baby may be drooling more at four months. When teeth start to come in, they can cause pain and fussiness.
Vaginitis (say: vaj-en-eye-tis) is an irritation of the vagina. If a woman has vaginitis, she may have a bad-smelling fluid coming out of her vagina. She also may have itching or burning in her vagina and genital area.
Heart failure happens when your heart can’t pump enough blood to meet your body’s needs and causes poor blood flow. Poor blood flow has a bad effect on many of your body’s organs, such as your brain, lungs, and kidneys.
The article “Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell Function” (August 1, 2004, page 489) incorrectly gave the unit of measurement for insulin as milligrams rather than as units. In the abstract on page 489, the ninth sentence...
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