• Articles

    Medications for Migraine Prophylaxis

    SEEMA MODI, DIONNE M. LOWDER

    Preventive therapy can reduce the frequency of migraines and should be consideredin patients who experience significant disability or have no benefit from acutetreatment. First-line agents include propranolol, timolol, and amitriptyline.

    Cognitive Therapy for Depression

    STUART J. RUPKE, DAVID BLECKE, MARJORIE RENFROW

    Many patients with depression do not respond to antidepressant medications, areprone to relapse, or prefer nonpharmacologic therapy. Cognitive therapy can enablepatients to correct false self-beliefs that lead to negative moods and behaviors.

    Cerebral Palsy: An Overview

    KAREN W. KRIGGER

    As the number of adults with cerebral palsy is on the rise, newer evidence-basedrecommendations are challenging the historical management of this disorder.

    Management of Histologic Abnormalities of the Cervix

    MARK SPITZER, BARBARA S. APGAR, GREGORY L. BROTZMAN

    The American Society for Colposcopy and Cervical Pathology has issued evidencebasedguidelines for women with histologic abnormalities of the cervix. The optionsfor management of cervical intraepithelial neoplasia 1, 2, and 3 are ranked accordingto the strength of the...

    Inside AFP

    Experts in Many Areas of Medicine Contribute to AFP’s Success

    JOYCE A. MERRIMAN

    Many people work behind the scenes to ensure AFP remains the premiere resource for family physicians. Unfortunately, we rarely have the opportunity to recognize everyone who contributes to AFP’s success. One such group is the Editorial Advisory Board, which was created...

    Newsletter

    Newsletter

    LIZ SMITH

    CMS Transitions Dual Eligible Beneficiaries to Medicare Part D | Campaign to Provide Community Education About Medicare Part D | CDC Proposes Updates to Communicable-Disease Regulations | AAFP President Supports Family Medicine–Based Health System | Health IT Bill to Benefit...

    Quantum Sufficit

    Quantum Sufficit

    LISA GRAHAM

    Heart attack death rates peak in December, according to a study in the Annals of Internal Medicine. Researchers analyzed approximately 128,000 Medicare patients who were hospitalized with heart attacks over a two-year period. Almost 14,500 of those heart attacks occurred...

    Editorials

    Making Psychotherapy Work in Primary Care Medicine

    THOMAS E. SCHACHT

    Ideally, psychotherapy and pharmacotherapy are complementary and synergistic.1,2 They are inseparable because all clinical encounters, even those limited to medication management, contain at least informal psychotherapeutic elements and opportunities. However, not all...

    The 2006 Childhood and Adolescent Immunization Schedule: Reflections at the 50th Anniversary of the Polio Vaccine

    JONATHAN L. TEMTE

    The 2006 Recommended Childhood and Adolescent Immunization Schedule, published in this issue of American Family Physician,1 is a joint product of the Centers for Disease Control and Prevention’s (CDC’s) National Immunization Program, the American Academy of Family Physicians ...

    Cochrane for Clinicians

    IVF Therapy for Unexplained Infertility

    EMILY C. HARRISON, JULIE SCOTT TAYLOR

    Although IVF is used routinely for the treatment of unexplained infertility, there is limited evidence to show that it is more effective than expectant management, and there is insufficient evidence to recommend it as an alternative to other therapies such as clomiphene...

    Cochrane Briefs

    Is Oral Vitamin B12 as Effective as Intramuscular Injection?

    CLARISSA KRIPKE

    Is Oral Vitamin B12 as Effective as Intramuscular Injection?

    Anticholinergic Drugs for Overactive Bladder

    CLARISSA KRIPKE

    Tolterodine (Detrol) is as effective as immediate-release oxybutynin (Ditropan) and causes less dry mouth. A dose of 1 mg tolterodine twice daily is as effective as higher dosages of tolterodine. Extended-release preparations have less risk of dry mouth but are more expensive.

    U.S. Preventive Services Task Force

    Screening and Interventions for Overweight in Children and Adolescents: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening and interventions for overweight in children and adolescents and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to...

    Clinical Evidence Handbook

    Post-traumatic Stress Disorder

    JONATHAN BISSON

    What are the effects of preventive intervention and treatment?

    FPIN's Clinical Inquiries

    Urine Dipstick for Diagnosing Urinary Tract Infection

    OLIVIA RAE WRIGHT, SARAH SAFRANEK

    The sensitivity and specificity of the urine dipstick varies somewhat with the setting and population, as does its recommended interpretation. Women with classic urinary tract infection (UTI) symptoms have a high pretest probability of infection, and use of the dipstick adds...

    Photo Quiz

    Itchy and Painful Ulceration on the Penis

    NADIR GOKSUGUR, ALI HAYDAR PARLAK

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

    POEMs

    Melanoma Incidence Not Increasing

    ALLEN F. SHAUGHNESSY

    Clopidogrel May Decrease CVD Complications

    DAVID SLAWSON

    All PPIs Equivalent for Treatment of GERD

    MARK EBELL

    Fine-tooth Combing for Head Lice Effective

    ALLEN F. SHAUGHNESSY

    Curbside Consultation

    Physicians Who Do Not Follow Screening Guidelines

    JONATHAN RODNICK

    This scenario asks two basic questions: (1) Why would a physician perform screening tests more often than recommended? and (2) What should a physician do if he or she has a colleague who does not follow current practice recommendations?

    Practice Guidelines

    Recommended Childhood and Adolescent Immunization Schedule, United States, 2006

    CARRIE A. MORANTZ

    The Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on Immunization Practices (ACIP), the American Academy of Family Physicians (AAFP), and the American Academy of Pediatrics (AAP) have released the 2006 recommended immunization schedule for children...

    Practice Guideline Briefs

    Controlling Obesity: School, Work, and Leisure

    LIZ SMITH

    The Centers for Disease Control and Prevention’s (CDC’s) Task Force on Community Preventive Services reviewed school- and worksite-based strategies for the short-term prevention and control of overweight and obesity.

    Emergency Contraception: AAP Review

    LIZ SMITH

    The American Academy of Pediatrics (AAP) recommends that education and counseling about emergency contraception be incorporated into the annual preventive visits of adolescent patients when issues of sexuality are addressed.

    Letters to the Editor

    Government-Controlled Health Care Is Not the Solution

    Tips from Other Journals

    Oral Contraceptives and Dysmenorrhea in Adolescents

    ANNE D. WALLING

    Weight-loss Camps and Their Effect on Childhood Obesity

    CAROLINE WELLBERY

    Medical vs. Interventional Therapy for Stable CAD

    KENNETH W. LIN

    Brief Interventions Reduce Alcohol Consumption

    KARL E. MILLER

    Postnatal Depression in Fathers: Effects on Children

    ANNE D. WALLING

    Information from Your Family Doctor

    Medicines to Prevent Migraine Headaches

    A migraine is a type of headache that is very painful. Migraines aren’t the same for everyone. Often, people with migraines have blurred vision or a blind spot before the headache starts. If you have a migraine, you may feel a throbbing pain on one side of your head. Bright...

    Cognitive Therapy for Depression: What You Should Know

    Cognitive (say: KOG-na-tiv) therapy is when a doctor talks to you about your bad thoughts and helps you to replace them with good thoughts. This can put you in a better mood and stop you from being depressed.

    Cerebral Palsy in Children: What You Should Know

    Cerebral palsy is a disability caused by infection or brain damage. Children with cerebral palsy may have stiff muscles or make unusual muscle movements. These symptoms make normal movements hard to do. Babies with cerebral palsy may be slow to roll over, sit, crawl, smile,...

    Corrections

    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.


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