• Articles

    Hypertension in Children and Adolescents

    GREGORY B. LUMA, ROSEANN T. SPIOTTA

    Childhood hypertension is a growing problem in the United States. It is important that family physicians be able to identify the causes and recognize and treat the stages of hypertension in children and adolescents.

    Managing Opioid Addiction with Buprenorphine

    PAUL A. DONAHER, CHRISTOPHER WELSH

    This therapy is a more accessible alternative to methadone for the treatment of opioid addiction. Federal law has made it easier for physicians to initiate officebased buprenorphine treatment for opioid addiction; however, physicians have to meet certain criteria to prescribe...

    Diagnosing Rhinitis: Allergic vs. Nonallergic

    DAVID M. QUILLEN, DAVID B. FELLER

    Differentiating among allergic rhinitis, nonallergic rhinitis, and mimicking conditions is important because therapies that are effective for allergic rhinitis may be less effective for other types. This differentiation generally can be achieved with a thorough patient...

    Testosterone Treatments: Why, When, and How?

    KATHERINE MARGO, ROBERT WINN

    Although controversial, prescriptions for testosterone are becoming more common. Primarily, testosterone is used to treat sexual dysfunction in men and women.

    Inside AFP

    Medical Editors Are a Strong Foundation

    ED ALDERMAN

    Every issue of AFP is carefully shaped by the medical editing team, a group of family physicians dedicated to ensuring the journal's accuracy, practicality, and currency. Under the direction of Editor Jay Siwek, M.D., these talented individuals work to bring readers the best...

    Newsletter

    Newsletter

    LIZ SMITH

    TransforMED Demonstration Project Will Test New Model of Care | California Adopts Policy Expanding Coverage to Unborn Children | CMS Relaxes Financing Rule for Residents in Disrupted Programs | AAFP Calls on Congress to Fund Training for Family Physicians | CDC Reports...

    Quantum Sufficit

    Quantum Sufficit

    LISA GRAHAM

    Civil War veterans suffered from post-traumatic stress disorder, according to a study in the Archives of General Psychiatry. Using a database managed by the University of Chicago, researchers analyzed the medical records of more than 15,000 Union Army soldiers. The...

    Editorials

    Buprenorphine: Effective Treatment of Opioid Addiction Starts in the Office

    DAVID A. FIELLIN

    Many physicians avoid involving themselves in the treatment of addictive disorders because of poor education about addiction, limited opportunities to coordinate a patient's transition to recovery, and limited access to effective treatments.1 In this issue of American Family...

    Graham Center Policy One-Pager

    The Diminishing Role of FPs in Caring for Children

    Nationwide, family physicians (FPs) deliver a smaller proportion of the outpatient care of children than they did 10 years ago. Millions of children depend on FPs for care. Family medicine should reevaluate how it will contribute to the care of the nation's children.

    Cochrane for Clinicians

    Carbamazepine for Acute and Chronic Pain

    JENNIFER J. BUESCHER

    Two small trials have shown carbamazepine to be beneficial in the treatment of diabetic neuropathic pain. Carbamazepine shows similar clinical effect to gabapentin (Neurontin) and phenytoin (Dilantin), but there have been no head-to-head trials directly comparing these drugs....

    Screening for Depression

    CLARISSA KRIPKE

    Sensitive and specific screening tools and effective treatments are available for depression. However, screening for depression has not been shown to increase the number of patients who receive treatment or to improve patient outcomes. This may be because the positive...

    Dietary Advice to Lower Cardiovascular Risk

    CLARISSA KRIPKE

    Dietary advice to lower fat and salt intake and increase intake of fruits, vegetables, and fiber produces modest improvements in cardiovascular risk factors. More intensive counseling yields greater effects.

    U.S. Preventive Services Task Force

    Screening for Speech and Language Delay in Preschool Children: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for speech and language delay in preschool children and the supporting scientific evidence.

    Clinical Evidence Handbook

    Nocturnal Enuresis

    JOHN MAKARI, H. GIL RUSHTON

    What are the effects of interventions for the relief of symptoms?

    Photo Quiz

    Swollen Masses in the Nose

    JENNIFER JUNNILA

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

    POEMs

    Benazepril Slows Progression of Renal Dysfunction

    MARK EBELL

    Sore Throat Complications Not Increased with Fewer Antibiotics

    MARK EBELL

    Low-Fat, High-Carbohydrate Diet Does Not Cause Obesity

    DAVID SLAWSON

    Clarithromycin Ineffective for Coronary Heart Disease

    ALLEN F. SHAUGHNESSY

    Tips from Other Journals

    Relationship Between Smoking and ADHD Behaviors

    KARL E. MILLER

    Risk of Stroke Increases After Myocardial Infarction

    KENNETH W. LIN

    Prompt Diagnosis of BPH Can Prevent Complications

    JILL GIORDANO

    Treatment of Patients Who Have DVT with or Without PE

    KARL E. MILLER

    Curbside Consultation

    Determining Eligibility for Gastric Bypass Surgery

    ALICIA I. ARBAJE

    This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for...

    Practice Guidelines

    2005 AHA Guidelines for CPR and Emergency Cardiac Care

    WILLIAM E. CAYLEY, JR.

    The American Heart Association (AHA) recently released new guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care.

    Practice Guideline Briefs

    ACOG Recommendations for Improving Care of Homeless Women

    MEREDITH DESMOND

    The American College of Obstetricians and Gynecologists (ACOG) Committee on Health Care for Underserved Women has released recommendations to improve health care of homeless women.

    Letters to the Editor

    Diagnosing Allergic Rhinitis: Skin Test vs. IgE Testing

    LEONARD FROMER

    Information from Your Family Doctor

    Opioid Addiction: What You Should Know

    Opioids (say: OH-pee-oyds) are a kind of drug. Sometimes doctors give these drugs to people to make pain go away. Some people become addicted to them.

    Testosterone Therapy: What You Should Know

    Testosterone (say: tess-TOSS-ter-own) is a hormone found in men and women. Men have much higher levels than women. In men, testosterone can cause thick and rough hair, deep voice, and strong muscles. The right levels keep sex drive normal. Some people who need extra...

    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.


    Tag Legend

    Legend

    CME Continuing Medical Education Credit
    POC Point-of-Care Resource
    FREE Free Access
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education