• Articles

    Diagnosis and Management of Rheumatoid Arthritis

    J. ADAM RINDFLEISCH, DANIEL MULLER

    Diagnosis of this chronic inflammatory disease primarily is clinical but can beconfirmed with laboratory tests and imaging studies. Uncontrolled proliferationof synovial tissue and multiple comorbidities may be delayed with earlyidentification and treatment.

    Vasomotor Rhinitis

    PATRICIA W. WHEELER, STEPHEN F. WHEELER

    A treatment algorithm starts with a targeted history and physical examination,followed by a stepwise management approach that reflects evidence from theAgency for Healthcare Research and Quality.

    Coenzyme Q10

    ROBERT ALAN BONAKDAR, ERMINIA GUARNERI

    This vitamin-like substance is used to treat a variety of disorders related tosuboptimal cellular energy metabolism and oxidative injury.

    Herpes Zoster and Postherpetic Neuralgia: Prevention and Management

    ANNE L. MOUNSEY, LEAH G. MATTHEW, DAVID C. SLAWSON

    Typically easy to diagnose, these conditions may be preventable in the future.For now, multiple treatment options are available to the family physician.

    Inside AFP

    Reflections of an Editorial Fellow

    KENNY LIN

    editor’s note: The American Academy of Family Physicians and the Department of Family Medicine at Georgetown University Medical Center together announce the John C. Rose Fellowship in medical editing for 2006–2007. This one-year fellowship blends hands-on training in medical...

    Newsletter

    Newsletter

    CARRIE MORANTZ

    AAFP Web Resource Answers Questions About Medicare Part D | Ambulatory Care Quality Standards Endorsed by NQF | NIGMS Allocates $9 Million to Centers for Stem Cell Research | AHRQ Study Finds Medical Disparities Are Narrowing | AHRQ Issues New Data on Uninsured Americans |...

    Quantum Sufficit

    Quantum Sufficit

    LISA GRAHAM

    For those people who claim they are too busy to hit the gym, the Mayo Clinic Letter has the solution. It is called the NEAT (nonexercise activity thermogenesis) office. After years of research on the way people burn energy, the NEAT office was created to function as a working...

    Editorials

    Advances in the Treatment of Early Rheumatoid Arthritis

    EDWARD M. J. VITAL, PAUL EMERY

    Rheumatoid arthritis is the most common reversible disability in the world, and its economic burden has been estimated to be between $3,600 and $60,300 annually per patient.1 In this issue of AFP, Drs. Rindfleisch and Muller2 summarize the approach to the patient with newly...

    Graham Center Policy One-Pagers

    Number of Persons Who Consulted a Physician, 1997 and 2002

    Most people in the United States consult a general physician each year, and some see other subspecialists. However, the proportion of people consulting a general physician who sees adults and children appears to be declining.

    Diary from a Week in Practice

    Diary

    PAUL GROSS

    This is a momentous time for me. After 14 years, I’m leaving my current position at St. Joseph’s. As much as I love my job and my relationships here, I’m being drawn by the chance to work with another fine group of faculty and to do something I’ve dreamed of—start a magazine...

    U.S. Preventive Services Task Force

    Screening for Rh(D) Incompatibility: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for Rh(D) incompatibility and the supporting scientific evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.1 In...

    Point-of-Care Guides

    Predicting the Risk of Prostate Cancer on Biopsy

    MARK H. EBELL

    Considerable uncertainty surrounds the screening, diagnosis, and management of prostate cancer.

    Photo Quiz

    Penile Mass in a 53-Year-Old Patient

    JOSEPH S. HUNTER, MARK SASLAWSKY

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    STEPS

    Duloxetine (Cymbalta) for Treatment of Major Depressive Disorder

    CARLA COBB, RENEE CRICHLOW

    Duloxetine is safe and effective for the treatment of major depressive disorder. Because of its expense and the lack of data supporting its superiority over other antidepressants, it should be used as an alternative if other agents are ineffective or are not tolerated.

    POEMs

    Secondary Fracture Prevention with Calcium and Vitamin D

    ALLEN F. SHAUGHNESSY

    Negative CT Scan As Accurate As Angiography in Ruling out PE

    DAVID SLAWSON

    Practice Guidelines

    ACIP Updates Guidelines on Prevention and Control of Influenza

    CARRIE A. MORANTZ

    The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has released updated recommendations for the prevention and control of influenza.

    Practice Guidelines Briefs

    AHA Scientific Statement on Diagnosis and Management of Infective Endocarditis

    AMBER HUNTZINGER

    The American Heart Association (AHA) has released evidence-based guidelines for the diagnosis, treatment, and follow-up care of patients with endocarditis. The updated recommendations reflect the evolving nature of the condition and new issues that physicians face when...

    IDSA Guidelines for Diagnosis and Treatment of Asymptomatic Bacteriuria

    LAURA COUGHLIN

    The Infectious Diseases Society of America (IDSA) has released evidence-based recommendations for the diagnosis and treatment of asymptomatic bacteriuria in adults.

    Letters to the Editor

    Possible Interaction Between Warfarin and Cranberry Juice

    Tips from Other Journals

    Hyperglycemia Increases Cardiovascular Disease Risk

    KARL E. MILLER

    DHEA Reduces Abdominal Fat in Older Adults

    CAROLINE WELLBERY

    Exercise Training Beneficial for Older Women with CAD

    KARL E. MILLER

    Common Presenting Features of Bacterial Meningitis

    CHUCK CARTER

    Annual Screening for C. trachomatis Is Cost-Effective

    RICHARD SADOVSKY

    Do Pregnant Women Require Rectal Swabs for GBS?

    ANNE D. WALLING

    Information from Your Family Doctor

    Rheumatoid Arthritis: What You Should Know

    Rheumatoid (say: ROO-mah-toyd) arthritis is an autoimmune disease. Usually, your immune system keeps you from getting sick. But if you have an autoimmune disease, your immune system attacks your own body’s cells. Joints between bones usually are attacked first. Later, other...

    Shingles: Easing the Pain

    Shingles is a skin infection caused by the chickenpox virus. You can only get it if you have had chickenpox or have had the chickenpox shot. The chickenpox virus stays in your body and can cause shingles later. Shingles is most common in older people.



    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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