• Articles

    Prevention of Group B Streptococcal Disease in the Newborn

    BARBARA S. APGAR, GRANT GREENBERG, GARY YEN

    Universal screening for group B streptococcus (GBS) among women at 35 to37 weeks of gestation is more effective than administration of intrapartumantibiotics based on risk factors. Women with GBS bacteriuria in the currentpregnancy and those who previously delivered a GBS...

    Oral Analgesics for Acute Nonspecific Pain

    CAROLYN J. SACHS

    This review of the available evidence guides physicians in the use of oral analgesics for acute nonspecific pain.

    Clostridium difficile–Associated Diarrhea

    MICHAEL S. SCHROEDER

    Clostridium difficile is responsible for up to 20 percent of antibiotic-related casesof diarrhea and nearly all cases of pseudomembranous colitis. C. difficile–associated diarrhea is treated with metronidazole, vancomycin, or both. Judicious useof antibiotics is important in...

    Diagnosis and Management of Acute Pyelonephritis in Adults

    KALYANAKRISHNAN RAMAKRISHNAN, DEWEY C. SCHEID

    Acute pyelonephritis is an infection of the upper urinary tract that is mostcommonly caused by Escherichia coli. Outpatient oral antibiotic therapy with a fluoroquinolone is successful in most patients who have mild uncomplicatedpyelonephritis.

    Inside AFP

    Big Changes Back Stage

    ROBERT L. EDSALL

    For the past seven years, you have seen Janis Wright’s name as the byline for this page. That it’s not there now is one of the few on-stage signs of major changes going on behind the scenes of AFP in the editorial staff. Janis, who recently used this space to talk about her...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    AAFP Program Provides Updates on Health Care Issues | “Together Rx Access” Offers Prescription Drug Discounts to Uninsured | HHS Redistributes $643 Million in Unspent SCHIP Funds | NIH Report Updates List of Cancer-Causing Agents | Genomics CME Video Series Available Online |...

    Quantum Sufficit

    Quantum Sufficit

    AMBER HUNTZINGER, LAURA COUGHLIN

    There’s something in the air, and it’s affecting death rates in urban communities. A study published in JAMA found that short-term exposure to ozone pollution, caused by cars, power plants, and industry, was associated with higher death rates in 95 urban communities over a 14...

    Editorials

    Blood Pressure Measurement in Public Places

    JOHN W. GRAVES

    In recent years, many persons with undiagnosed or diagnosed hypertension have begun checking their blood pressure in public places using devices that are provided as a free service by pharmacies or other retail stores. These devices offer persons who might not have the...

    Diary from a Week in Practice

    Diary

    TONY MIKSANEK

    “My hands bleed,” Julie proclaimed. “I don’t know whether I need to see a doctor or a priest.” She smiled weakly and asked, “Do the stigmata itch?” The 34-year-old woman looked worn out. I knew she had her hands full juggling a job and raising two young children. Someone had...

    Cochrane for Clinicians

    Antiplatelet Therapy and Anticoagulation in Patients with Hypertension

    GLENN GRIFFIN

    A new patient tells you that he read in a men’s health magazine that people with hypertension should take daily aspirin. He asks if you agree.

    Cochrane Briefs

    Cochrane Briefs

    MARK H. EBELL

    Insulin Monotherapy vs. Combination Therapy

    Cochrane Briefs

    CLARISSA KRIPKE

    Use of Beta Agonists in Preterm Labo

    Clinical Evidence Handbook

    Neonatal Jaundice

    ANTHONY KWAKU AKOBENG

    Exchange Transfusion. We found no randomized controlled trials (RCTs) on the effects of exchange transfusion versus no treatment or versus phototherapy. There is general consensus that exchange transfusion is effective in reducing serum bilirubin levels and in preventing...

    Putting Prevention Into Practice

    Screening for Hepatitis C in Adults

    GURVANEET RANDHAWA, CLODAGH CASHMAN

    DV, a 35-year-old woman, is concerned about hepatitis C virus (HCV) infection after reading about celebrities who have the infection. She has been in a monogamous relationship for 10 years, has never used illicit drugs, and has never received a blood transfusion. She has no...

    FPIN's Clinical Inquiries

    Colorectal Cancer Screening

    SEAN GASKIE

    To screen for colorectal cancer, is annual fecal occult blood testing (FOBT) just as good as flexible sigmoidoscopy?

    Photo Quiz

    Yellowish, Verrucous Lesions on the Scalp

    GLEN WEISS, AVNER SHEMER, HENRY TRAU

    A 13-year-old girl presented with a 13-year history of slowly enlarging scalp lesions. Her medical history was unremarkable. Examination revealed yellow to dark-brown, hairless, verrucous and micronodular lesions on the right temporal area of her scalp (Figure 1). The results...

    POEMs

    Common Cerumenolytics Ineffective

    ALLEN F. SHAUGHNESSY

    Extracorporeal Shock Wave Therapy for Tennis Elbow

    HENRY BARRY

    Pollen Blocker Cream Is Effective for Allergic Rhinitis

    ALLEN F. SHAUGHNESSY

    Are Tacrolimus and Pimecrolimus Effective for Psoriasis?

    DAVID SLAWSON

    Cost-Effective Management of Nephrolithiasis

    DAVID SLAWSON

    Regression of LVH in Patients with Hypertension

    DAVID SLAWSON

    Isosorbide Dinitrate Plus Hydralazine in Black Patients

    MARK EBELL

    Useful Treatments for Fibromyalgia Syndrome

    DAVID SLAWSON

    Tips from Other Journals

    Albumin vs. Saline for Fluid Resuscitation in the ICU

    BILL ZEPF

    Transcutaneous Measurement of Bilirubin in Newborns

    CAROLINE WELLBERY

    Dying, from the Perspective of Terminally Ill Men

    KARL E. MILLER

    Vaginal pH for Diagnosing Status of Menopause

    KARL E. MILLER

    Occult Head Trauma Among Potential Child Abuse Victims

    RICHARD SADOVSKY

    How Vitamin K Intake Alters Oral Anticoagulation

    KARL E. MILLER

    Management of Patients with Incidental Esophageal Varices

    RICHARD SADOVSKY

    Anticoagulation in Patients with Suspected DVT

    RICHARD SADOVSKY

    Adipose Tissue as an Endocrine Organ

    RICHARD SADOVSKY

    Caregiver Training and Outcomes in Stroke Patients

    ANNE D. WALLING

    Handheld Ultrasonography in Assessing Penetrating Trauma

    ANNE D. WALLING

    Can Statins Benefit Patients with Multiple Sclerosis?

    ANNE D. WALLING

    Can Psychologic Interventions Improve Glycemic Control?

    ANNE D. WALLING

    Viral and Serious Bacterial Infections in Children

    CAROLINE WELLBERY

    Surgical or Medical Treatment for Refractory Menorrhagia?

    ANNE D. WALLING

    Effects of Contraception on Bone Mineral Density

    ANNE D. WALLING

    Food Compensation in Lean vs. Overweight Adolescents

    CAROLINE WELLBERY

    Pulsed Dye Laser Therapy for the Treatment of Acne

    CAROLINE WELLBERY

    Acetaminophen vs. Ibuprofen for Children’s Pain or Fever

    KARL E. MILLER

    Headache and Backache After Lumbar Puncture

    CAROLINE WELLBERY

    Diagnosing Dehydration in Children

    CAROLINE WELLBERY

    Reproductive Technology Presents Risk for Children

    ANNE D. WALLING

    Earlier Amniocentesis and Chorionic Villus Sampling

    ANNE D. WALLING

    Fast-Absorbing Sutures for Postpartum Perineal Repair

    ANNE D. WALLING

    Practice Guidelines

    Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents

    KAREN HELLEKSON

    The National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents has issued its Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. The full text, which appeared in...

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Treatment of Migraine Headache in Children and Adolescents | Availability of 24-Hour Clinician Information Line and Addition of Topics

    Letters to the Editor

    Measuring Severity of Tinnitus with a Visual Analog Scale

    Management of Traumatic Subungual Hematoma

    PAUL B. SKINNER, JR

    Case Report: Late-Onset Eclampsia Presents as Bilateral Cortical Blindness

    KATHERINE J. GOLD, CHRISTOPHER BARNES, JESSICA LALLEY, THOMAS L. SCHWENK

    Treatment of Patients with Obstructive Sleep Apnea

    JOSEPH A. LIEBERMAN, III



    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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