• Articles

    Management of Active Tuberculosis

    BETH POTTER, KIRSTEN RINDFLEISCH, CONNIE K. KRAUS

    Sputum samples should be obtained from patients with findings of tuberculosis and those suspected of having active disease. Most patients are treated with eight weeks of a four-drug regimen; some require an added two-drug regimen for 18 weeks.

    Plantar Fasciitis: Evidence-Based Review of Diagnosis and Therapy

    CHARLES COLE, CRAIG SETO, JOHN GAZEWOOD

    Plantar fasciitis is a common cause of heel pain. Many patients improve without intervention, although shoe inserts, stretching exercises, steroid injection, and custom-made night splints may be beneficial.

    St. John’s Wort

    SILVANA LAWVERE, MARTIN C. MAHONEY

    This herbal preparation has been found to be superior to placebo and equivalent to standard antidepressants for the treatment of mild to moderate depression.

    Klinefelter Syndrome

    DANIEL J. WATTENDORF, MAXIMILIAN MUENKE

    Males with an additional X chromosome (47,XXY) are infertile and have hypogonadism with gynecomastia and small testes. Early androgen replacement therapy may ameliorate many clinical findings.

    Cross-Cultural Medicine

    GREGORY JUCKETT

    Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural...

    Treatment of Constipation in Older Adults

    CHRISTINE HSIEH

    Symptoms of constipation often improve with increased fiber intake and laxatives; biofeedback and surgery may be necessary in some patients.

    Inside AFP

    A Salute to 30 Years of Light-hearted Art in AFP

    JOYCE A. MERRIMAN

    The Quantum Sufficit (QS) column in AFP was created more than 40 years ago. It is intended to add “just enough” information about short news items that may be of interest to you. The style is quite different from the typical clinical, academic style of most AFP articles....

    Newsletter

    Newsletter

    SARAH J. EVANS

    HHS Releases Pandemic Influenza Plan | Link to<i>AFP, FPM</i> Articles from PubMed Now Available | CMS Asks Physicians to Report on Quality of Care | HHS Adopts E-Prescribing Standards for Medicare Part D | United States and China Partner to Combat Infectious Diseases | NIH...

    Quantum Sufficit

    Quantum Sufficit

    LISA GRAHAM

    Striving for the perfect tan may be a form of addiction. The Archives of Dermatology released a study that shows sunbathing can be as addictive as alcohol or drugs. Using adapted alcohol and drug abuse questionnaires, researchers surveyed 145 beachgoers in Galveston, Tex. The...

    Editorials

    Culturally Competent Family Medicine: Transforming Clinical Practice and Ourselves

    ROBERT C. LIKE

    The subject of cross-cultural medicine is an enormous one, and the article by Juckett1 in this issue of American Family Physician provides a succinct overview of the nation’s changing demographics, racial and ethnic health disparities, and selected traditional health care...

    Diary from a Week in Practice

    Diary

    JOHN O’HANDLEY

    Seeing a few cases of an uncommon malignancy in patients can easily increase the index of suspicion when other patients present in a similar manner. Reuben is a middle-age, homeless man who came in looking for help. For two months, he had noticed food “sticking in my throat.”...

    Cochrane for Clinicians

    Pharmacologic Cardioversion for Atrial Fibrillation and Flutter

    WILLIAM E. CAYLEY, JR

    There is no evidence that rhythm control in older patients with atrial fibrillation is more effective than rate control for improving patient-oriented outcomes.

    Cochrane Briefs

    Duration of Therapy for Women with Uncomplicated UTI

    CLARISSA KRIPKE

    Three days of antibiotic therapy is as effective as longer courses for treatment of uncomplicated UTIs in women.

    Tiotropium Effective in Treatment of COPD

    CLARISSA KRIPKE

    In patients with moderate or severe COPD, tiotropium reduces exacerbations, hospitalizations, and symptom scores and improves health-related quality of life compared with placebo and ipratropium (Atrovent). However, more study is needed to determine tiotropium’s role in the...

    U.S. Preventive Services Task Force

    Screening for HIV: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for human immunodeficiency virus (HIV) infection and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical...

    Clinical Evidence Handbook

    Diabetic Nephropathy

    MICHAEL SHLIPAK

    What are the effects of treatments in persons with type 1 diabetes and early or late nephropathy? What are the effects of treatments in persons with type 2 diabetes and early or late nephropathy?

    FPIN's Clinical Inquiries

    Counseling or Antidepressants for Treating Depression?

    DONALD C. SPENCER, JOAN NASHELSKY

    Both antidepressant medications and psychologic treatment are beneficial for adult patients with mild to moderate depression, with no consistent evidence that one type of treatment is more effective than the other.

    Photo Quiz

    Widespread Pruritic Papulopustules After Returning from Thailand

    RONNI WOLF, BATSHEVA MARCOS, EDITH ORION, HAGIT MATZ

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

    POEMs

    Optimal Duration of Anticoagulation After VTE

    DAVID SLAWSON

    Vaccination Does Not Increase Risk of Hospitalization

    DAVID SLAWSON

    Minimal Effect of Cholinesterase for Alzheimer’s

    ALLEN F. SHAUGHNESSY

    Home Glucose Monitoring for Type 2 Diabetes

    ALLEN F. SHAUGHNESSY

    Curbside Consultation

    Nonmedical Ultrasonography During Pregnancy

    MARK DEUTCHMAN

    The quality and detail of ultrasonography has advanced to the point of providing easy-to-interpret, striking fetal images, especially with newer three-dimensional (static) and four-dimensional (real-time three-dimensional) imaging.

    Practice Guidelines

    AAP Releases New Guidelines on Preventing SIDS

    CARRIE A. MORANTZ

    The American Academy of Pediatrics (AAP) has released new recommendations for preventing sudden infant death syndrome (SIDS).

    USPHS Releases Updated Guidelines for Management of Occupational Exposure to HIV

    CARRIE A. MORANTZ

    The U.S. Public Health Service (USPHS) has issued updated guidelines for prophylaxis of health care professionals with occupational exposure to blood and other body fluids that might contain human immunodeficiency virus (HIV).

    Practice Guideline Briefs

    Guillain-Barré Syndrome Reported in Recipients of Meningococcal Conjugate Vaccine

    CARRIE A. MORANTZ, LIZ SMITH

    Guillain-Barré Syndrome Reported in Recipients of Meningococcal Conjugate Vaccine

    AAP Report on Assessment of Sexual Abuse in Children

    CARRIE A. MORANTZ, LIZ SMITH

    The American Academy of Pediatrics (AAP) has released recommendations for the recognition of possible sexual abuse in children, the need for diagnostic testing for sexually transmitted diseases (STDs) in these children, and determination of the need to inform child protective...

    Letters to the Editor

    Letters to the Editor

    Tips from Other Journals

    Can Fetal Monitoring Predict Risk of Cerebral Palsy?

    ANNE D. WALLING

    Do Known Risk Factors Predict CHD Events?

    KENNETH W. LIN

    Moderate Exercise Improves Breast Cancer Outcomes

    CAROLINE WELLBERY

    Human Herpesvirus Type 6 Infection and Roseola

    CHUCK CARTER

    Second Trimester Cervical Changes and Preterm Delivery

    ANNE D. WALLING

    IPT vs. CGT for the Patient with Complicated Grief

    CAROLINE WELLBERY

    Simplifying the Diagnosis of Bacterial Vaginosis

    ANNE D. WALLING

    School-based Intervention and Eating Disorders

    KARL E. MILLER

    Soybean Protein Supplements Improve Mild Hypertension

    KENNETH W. LIN

    Can Ginger Relieve Nausea and Vomiting in Pregnancy?

    ANNE D. WALLING

    Knowledge and Condom Use Among Adolescent Males

    CAROLINE WELLBERY

    Risk Factors for Vascular Events in Patients with Previous TIA

    ANNE D. WALLING

    How Reliable Is Urine Testing for Gonorrhea and Chlamydia?

    KENNETH W. LIN

    Effectiveness of the Varicella Vaccine for Preventing Chickenpox

    CAROLINE WELLBERY

    Reducing Warfarin Doses for Invasive Procedures

    KARL E. MILLER

    Adjuvant Therapy Improves Early Breast Cancer Survival

    ANNE D. WALLING

    Oral vs. Vaginal Misoprostol for Cervical Ripening

    KARL E. MILLER

    Information from Your Family Doctor

    Tuberculosis: What You Should Know

    Tuberculosis (say: too-bur-cue-LO-sis), or TB for short, is an infection caused by a germ. TB usually affects the lungs, but it can spread to other parts of the body. It is spread from one person to another by coughing.

    Plantar Fasciitis: What You Should Know

    The plantar fascia (say: PLAN-tar FASH-ee-ah) is a band of tough fiber on the bottom of your foot (see drawing). It runs from your toes to your heel and forms the arch of your foot. When this tissue becomes hot, red, swollen, and sore, it is called plantar fasciitis (say:...

    Constipation: What You Should Know

    Constipation is when you have fewer bowel movements than usual. You also may have hard, dry stools. If you don’t have a bowel movement every day, this does not mean you are constipated. Constipation usually means you have fewer than three stools each week.

    Corrections

    Corrections



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME CME
    POC POC
    FREE Free
    Alg Alg
    DDx DDx
    PtEd PtEd