• Articles

    Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues

    COLLEEN KIRKHAM, SUSAN HARRIS, STEFAN GRZYBOWSKI

    Routine prenatal interventions are controversial, but fetal heart auscultation,urinalysis, and assessment of maternal weight, blood pressure, and fundal height generally are recommended. Women should be offered screening for anemia and ABO and Rh blood typing during the first...

    Evaluation of the Patient with Muscle Weakness

    AARON SAGUIL

    A comprehensive evaluation of patients with muscle weakness includes a thorough examination and coordinated laboratory, radiologic, electrodiagnostic, and pathologicstudies.

    Diagnosis of Gastrointestinal Bleeding in Adults

    LINDA L. MANNING-DIMMITT, STEVEN G. DIMMITT, GEORGE R. WILSON

    The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleed. Several diagnostic tools are available depending on these variables.

    Methadone Treatment for Pain States

    JAMES D. TOOMBS, LEE A. KRAL

    Methadone may be used to treat cancer and neuropathic pain states. It may bean appropriate replacement for other opioids when side effects have limitedfurther use.

    Inside AFP

    Looking Toward the Future with AFP

    JOYCE A. MERRIMAN

    After nearly 15 years of publishing clinical information in various forms for a nursing organization, I knew the move to the AAFP and this journal would be a big step, but it's one I took with enthusiasm and confidence. Not only are the Academy and AFP well known to family...

    Newsletter

    Newsletter

    LIZ SMITH

    AAMC Calls for 15 Percent Increase in Medical School Enrollment | Graham Center Report Emphasizes Quality Not Quantity | Family Medicine Residency Matches Continue to Increase | CHiT Survey Concludes EHRs Approaching Affordability | AAFP Consolidates News Publications and...

    Quantum Sufficit

    Quantum Sufficit

    AMBER HUNTZINGER, LAURA COUGHLIN

    Is a visit to the dentist’s office an important part of prenatal care? Research has shown that pregnant women with gum disease are more likely to give birth prematurely, according to a report in the University of Minnesota publication Pictures of Health. Now researchers from...

    Editorials

    Prenatal Care: Examining the Evidence for an Evolving Paradigm

    YINKA OYELESE

    The chief objective of prenatal care is to ensure good pregnancy outcomes. The concept evolved significantly in the 20th century, when advances in medical knowledge and practice contributed to a dramatic reduction in maternal and perinatal mortality and morbidity rates....

    Diary from a Week in Practice

    Diary

    JOHN O’HANDLEY

    This week, I returned to Palenque in the state of Chiapas, Mexico, for a mission with the Franciscan Sisters of Stella Niagra. The team consisted of two family physicians, one internal medicine/pediatric resident, a pediatric nurse practitioner, an interpreter/physical...

    Cochrane for Clinicians

    Antibiotics for Recurrent Urinary Tract Infections

    MICHAEL SCHOOFF, KRISTA HILL

    A 26-year-old woman visits your clinic with dysuria. She is diagnosed with her fourth urinary tract infection (UTI) of the year.

    Cochrane Briefs

    Cochrane Briefs

    CLARISSA KRIPKE

    Effects of Discontinuing Epidurals in Late Labor

    Cochrane Briefs

    CLARISSA KRIPKE

    Comparison of Short-Term Treatments for GERD

    Clinical Evidence Handbook

    Venous Leg Ulcers

    E. ANDREA NELSON, NICKY CULLUM, JUNE JONES

    Two systematic reviews and one subsequent randomized controlled trial (RCT) found that compression bandages or stockings healed more venous leg ulcers than no compression. We found insufficient evidence from the reviews and two subsequent RCTs to compare multilayer...

    Putting Prevention Into Practice

    Screening for Thyroid Disease

    JANELLE GUIRGUIS-BLAKE, CRAIG M. HALES

    LF, a 50-year-old woman, requests a “thyroid blood test.” You review the symptoms of hypothyroidism and hyperthyroidism with her and find that she has none of them. She still is concerned because “a doctor on television said all women should have this test.”

    FPIN's Clinical Inquiries

    St. John’s Wort for Depression

    WAIL MALATY

    Does St. John’s wort relieve depression in adult patients?

    Photo Quiz

    Pruritic Rash During Pregnancy

    JOHN WALTERS, DWAYNE C. CLARK

    A 32-year-old pregnant woman, gravida one, para zero, at an estimated 32 weeks of gestation, complained of several weeks of a progressively worsening, “itchy” rash on her back. She denied having a similar rash before this pregnancy. She felt fine otherwise and had no other...

    POEMs

    Acupuncture Effective for Osteoarthritis of the Knee

    ALLEN F. SHAUGHNESSY

    Implantable Defibrillators and Nonischemic Cardiomyopathy

    DAVID SLAWSON

    Trial of Labor Carries Small but Real Increase in Risk

    MARK EBELL

    Raloxifene Reduces the Risk of Breast Cancer

    HENRY BARRY

    Can Patients with Cancer Postpone Death for Important Events?

    DAVID SLAWSON

    Bariatric Surgery Effective for Long-Term Weight Loss

    MARK EBELL

    Decision Rule for Spinal Manipulation for Low Back Pain

    ALLEN F. SHAUGHNESSY

    Is Meloxicam as Safe as Other NSAIDs?

    LINDA FRENCH

    Tips from Other Journals

    Impact of Community-Based Yoga on Quality of Life

    CAROLINE WELLBERY

    Behavioral Patterns Associated with Toilet Training Difficulties

    CAROLINE WELLBERY

    Association Between Illness and Suicide Risk in Older Adults

    KARL E. MILLER

    Update on Hepatitis A Infection in Children

    RICHARD SADOVSKY

    Selecting a Topical Treatment for Seasonal Allergic Conjunctivitis

    ANNE D. WALLING

    Can Statins Benefit Patients with Rheumatoid Arthritis?

    ANNE D. WALLING

    Psychotherapy Effective for Depressed Adolescents

    KARL E. MILLER

    Effectiveness of Influenza Vaccine in Patients with COPD

    KARL E. MILLER

    Asthma: Intramuscular vs. Oral Methylprednisolone

    KARL E. MILLER

    Vaginal Tape vs. Surgery for Stress Incontinence

    ANNE D. WALLING

    Statins Modulate Outcomes in Acute Coronary Syndromes

    RICHARD SADOVSKY

    Modifiable Lifestyle Factors That May Affect Hot Flashes

    CAROLINE WELLBERY

    Adding Aspirin to Clopidogrel Therapy: Benefit vs. Risk

    ANNE D. WALLING

    Early Epidural Analgesia and Labor Progression

    KARL E. MILLER

    Association of Multivitamins with Asthma and Allergies

    CAROLINE WELLBERY

    Depression: Psychologic and Pharmacologic Therapy

    KARL E. MILLER

    Practice Guidelines

    IDSA Releases Guidelines on the Diagnosis and Treatment of Diabetic Foot Infections

    KAREN HELLEKSON

    The Infectious Diseases Society of America (IDSA) has developed guidelines for the diagnosis and treatment of diabetic foot infections. The guidelines originally appeared in the October 1, 2004, issue of Clinical Infectious Diseases. The full text of the guidelines is...

    Practice Guideline Briefs

    Practice Guideline Briefs

    MATTHEW J. NEFF

    Antioxidant Vitamin Supplements and Cardiovascular Disease Risk Reduction

    Practice Guideline Briefs

    MATTHEW J. NEFF

    Medication Guide for Amiodarone

    Letters to the Editor

    Alternative to the Traditional Bilateral Neck Exploration

    Hemolytic Anemia Manifesting As Improved A1C Values

    Kai Ming Chow

    Patient Autonomy: Reflections from a Developing Country

    WARIS QIDWAI

    Defending the Use of EBM and Shared Decision Making

    BRIAN S. ALPER, JENNIFER L. HOOCK

    Case Report: Insect Bite Reveals Botfly Myiasis in an Older Woman

    NAEEM SAJJAD, GREGORY BIEDERMAN

    Information from Your Family Doctor

    Pregnancy: Keeping Yourself and Your Baby Healthy

    You can help make sure that you and your baby will be as healthy as possible by making some lifestyle changes while you are pregnant. It is important to check in with your doctor regularly. Tell him or her about any prescription, over-the-counter, and herbal medicines that...



    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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