• Articles

    Childhood and Adolescent Sports-Related Overuse Injuries

    KYLE J. CASSAS, AMELIA CASSETTARI-WAYHS

    Children and adolescents who engage in sports may be particularly at risk for overuse injuries. Most of these conditions can be managed conservatively with timely diagnosis and proper treatment.

    Preventing Postpartum Hemorrhage: Managing the Third Stage of Labor

    KAREN L. MAUGHAN, STEVEN W. HEIM, SIM S. GALAZKA

    The risk of postpartum hemorrhage may best be reduced through active management of the third stage of labor. Active management includes administration of uterotonic medication after delivery of the baby, controlled traction of the umbilical cord, and early umbilical cord...

    Older Adult Drivers with Cognitive Impairment

    DAVID B. CARR, JANET M. DUCHEK, THOMAS M. MEUSER, JOHN C. MORRIS

    In determining whether patients with dementia should stop driving, physicians should assess pertinent cognitive domains, determine the severity and etiology of the dementia, and screen for risky driving behaviors. Some states require reporting of specific medical conditions.

    Retinoblastoma

    ALEX MELAMUD, RAKHEE PALEKAR, ARUN SINGH

    Untreated, this intraocular malignancy causes death from intracranial extension and disseminated disease within two years. However, new diagnostic and treatment methods allow for a high cure rate. Diagnosis typically is made at 12 to 24 months of age, and the most common...

    The Patient with Excessive Worry

    STEVEN SHEARER, LAUREN GORDON

    Patients with excessive worry may present not with this complaint but with another problem (e.g., insomnia), or may display vague physical symptoms or a somatic syndrome (e.g., irritable bowel syndrome). Antidepressants and cognitive behavioral techniques delivered in primary...

    Corrections

    Corrections

    Inside AFP

    Web Site Enhancement Eases Access to AFP Departments

    JOYCE A. MERRIMAN

    Browsing past issues of AFP online just got easier. On average, the AFP Web site (https://www.aafp.org/afp) is visited by approximately 60,000 readers each month. Recent surveys show that most visitors come to the site to print out an article, use the search engine to find...

    Newsletter

    Newsletter

    LIZ SMITH

    CDC Recommends Increased Influenza Vaccination in Health Care Staff | Health Initiative to Improve Cancer Therapy with Biomarker Evaluation | Pharmaceutical Association Supports Lower Priced Drugs Act | Free Health Screenings for Black Children in Low-Income Communities |...

    Quantum Sufficit

    Quantum Sufficit

    MEREDITH DESMOND

    People seeking medical advice are more likely to turn to the Internet than to their physicians, according to a study published in the Archives of Internal Medicine. Researchers analyzed data from the Health Information National Trends Survey of more than 6,000 U.S. adults. Of...

    Editorials

    Out-of-Hospital Cardiac Arrest and Use of Automated External Defibrillators

    DEBORAH K. WITT, CHRISTOPHER V. CHAMBERS

    Cardiovascular disease remains the leading cause of death in the United States, and although many of these cardiovascular deaths are the result of progressive disease, most are sudden cardiac deaths. Sudden cardiac death most commonly refers to unexpected death in a person...

    Photo Quiz

    Red Streaks on the Leg

    MATTHEW E. FALAGAS, IOANNIS A. BLIZIOTIS, ANASTASIOS M. KAPASKELIS

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

    STEPS

    Amlodipine/Atorvastatin (Caduet) for Preventing Heart Disease

    STEPHEN A. WILSON, ANNETTE SANFORD

    Amlodipine/atorvastatin (Caduet) is a combination of two drugs, amlodipine (Norvasc) and atorvastatin (Lipitor). Amlodipine is a long-acting dihydropyridine calcium-channel blocker indicated for the treatment of hypertension, chronic stable angina, and vasospastic angina....

    POEMs

    Sequential Testing Best Detects Down Syndrome

    LINDA FRENCH

    Active Treatment for Partial Small Bowel Obstruction

    MARK EBELL

    Prevention and Treatment of Contact Dermatitis

    DAVID SLAWSON

    Effect of Caffeine Intake on Risk of Hypertension

    DAVID SLAWSON

    Embolization Usually Successful to Treat Fibroids

    LINDA FRENCH

    Topical Tretinoin May Hasten Healing of Diabetic Ulcers

    MARK EBELL

    Tips from Other Journals

    Antitobacco Advertising Has Positive Effect on Adolescents

    KARL E. MILLER

    Cognitive Therapy Reduces Subsequent Suicide Attempts

    CAROLINE WELLBERY

    Family History Indicator for Colorectal Cancer Screening

    KENNETH W. LIN

    Antibiotics Unnecessary for Management of Conjunctivitis

    ANNE D. WALLING

    Diagnosis and Management of Laryngopharyngeal Reflux

    CAROLINE WELLBERY

    Weight Loss Reduces Long-term Risk of Hypertension

    KARL E. MILLER

    Gabapentin Reduces Hot Flashes in Breast Cancer Survivors

    ANNE D. WALLING

    Practice Guidelines

    Guidelines for Delivering Quality Palliative Care

    LIZ SMITH

    The National Consensus Project for Quality Palliative Care (NCP), representing five major U.S. palliative care organizations, has established guidelines to promote consistent and high-quality palliative care and to guide the structure and development of existing services.

    Practice Guideline Briefs

    CDC Studies the Effectiveness of PCV7 Immunization in Children

    AMBER HUNTZINGER

    The 7-valent pneumococcal conjugate vaccine (PCV7) was approved in 2000 to prevent pneumococcal disease in children younger than five years. The Centers for Disease Control and Prevention (CDC) has released results from a study evaluating the vaccine’s impact on invasive...

    AHA Evaluates Exercise Testing as a Screening Tool in Asymptomatic Patients

    AMBER HUNTZINGER

    The Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention of the American Heart Association (AHA) has released a scientific statement on exercise testing to screen asymptomatic patients for disease.

    AAP Guidelines on Health Supervision of Patients with Achondroplasia

    AMBER HUNTZINGER

    The Committee on Genetics of the American Academy of Pediatrics (AAP) has released a clinical report that includes guidelines to help physicians oversee the health of patients with achondroplasia.

    Letters to the Editor

    Statins in Primary Prevention: Uncertainty in Women, Elderly

    Information from Your Family Doctor

    Driving and Dementia: What You Should Know

    Dementia (say: duh-MEN-shuh) is a problem that makes it hard for a person to remember things. Dementia in older people usually is caused by Alzheimer’s disease (say: ALLZ-hi-mers). People with Alzheimer’s disease slowly lose their memory, and over time they stop being able to...

    What You Should Know About Worrying Too Much

    Yes. Worry is a normal response when you are unsure about things. It may help you feel more prepared in the short run. It may even help you feel some control over what could happen. Worry may “work” at the time, but it can become a bad habit.



    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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