• Articles

    The Athletic Preparticipation Evaluation: Cardiovascular Assessment

    ELIZABETH A. GIESE, FRANCIS G. O'CONNOR, FRED H. BRENNAN, JR., PATRICK J. DEPENBROCK, RALPH G. ORISCELLO

    An objective of the athletic preparticipation examination is to identify cardiovascular abnormalities that may contribute to sudden death. the cardiovascular assessment should include a review of symptoms, a thorough patient and family cardiac history, blood pressure...

    Work-Related Eye Injuries and Illnesses

    W.F. PEATE

    Work-related eye injuries can be prevented with proper eye protection. irrigation, initial evaluation, and foreign body removal can be performed by a family physician, with referral to an ophthalmologist when needed. allergic conjunctivitis is common in the workplace, and...

    Peppermint Oil

    BENJAMIN KLIGLER, SAPNA CHAUDHARY

    Peppermint oil may be modestly effective in relieving some of the most common symptoms of irritable bowel syndrome and in reducing colonic spasm during gastrointestinal procedures. Peppermint oil in combination with caraway oil may be effective in the treatment of nonulcer...

    Outpatient Management of Anticoagulation Therapy

    ANNE L. DU BREUIL, ELENA M. UMLAND

    To effectively manage outpatient anticoagulation therapy, physicians must understand the indications for warfarin and heparin, the goals and duration of treatment, how to initiate therapy, and how to troubleshoot common issues.

    Inside AFP

    Academy and AFP Offer Valuable CME Credit

    JOYCE A. MERRIMAN

    The Academy offers many sources of continuing medical education (CME) for members and nonmembers, including most articles published in AFP each year. The value of AAFP CME is further enhanced because the Academy is accredited by the Accreditation Council for Continuing...

    Newsletter

    Newsletter

    Primary Care Organizations Agree on Principles of Medical Home | CMS Will Use Physician Data to Drive Quality Improvements | Medicare Advisory Commission Presents Report on Physician Payment | AAP Issues Policy Statement on High-Deductible Health Plans | AHRQ Finds...

    Quantum Sufficit

    Quantum Sufficit

    SHERRI DAMLO

    It's no April Fools' joke—your patients could be radioactive enough to set off the “dirty bomb” detectors at the airport. Every day, nearly 60,000 patients undergo radiation treatment that leaves enough radioactive material in their bodies to trigger positive responses from...

    Editorials

    The Preparticipation Evaluation: Evolving to Enhance the Health and Safety of Athletes

    DENNIS A. CARDONE

    In 2005, representatives from six medical organizations (i.e., American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and...

    Cardiovascular Disease Prevention in Women

    THEODORE G. GANIATS, DOUGLAS CAMPOS-OUTCALT

    Recently, the American Heart Association (AHA) published an update to its 2004 guidelines for the prevention of cardiovascular disease in women.1 A summary of the update is available in this issue of American Family Physician.2

    Cochrane for Clinicians

    Are Opioids Effective in the Treatment of Neuropathic Pain?

    JANELLE GUIRGUIS-BLAKE, CHRISTINA KELLY

    Eight to 60 days of opioid therapy for the treatment of neuropathic pain effectively reduces pain scores as measured by a visual analog scale. A lack of response to opioids in the first 24 hours should not be used to predict whether longer-term opioid therapy might be...

    Cochrane Briefs

    CLARISSA KRIPKE

    Decongestants and Antihistamines Do Not Relieve Symptoms of Otitis Media with Effusion

    Cochrane Briefs

    MARK EBELL

    Effective Topical Treatments for Nongenital Warts

    Clinical Evidence Handbook

    Parkinson's Disease

    CARL E. CLARKE, A. PETER MOORE

    What are the effects of drug treatments in persons with early stage Parkinson's disease? What are the effects of adding other treatments in persons with motor complications from levodopa? What are the effects of surgery and nursing and rehabilitation treatments in persons...

    FPIN's Clinical Inquiries

    Glycemic Control in Patients with Type 2 Diabetes

    CHARLES GLENDENNING, LEE KAUFMANN, TIMOTHY E. HUBER

    There is no clearly superior oral agent for glycemic control in patients with type 2 diabetes.

    Photo Quiz

    An Infant with a Hypopigmented Macule

    NIKHIL HEMADY, COLLEEN NOBLE

    During a well-child examination, the mother of a two-month-old adopted infant expressed concern about a patch that she had recently noticed on the baby's skin. The infant had normal health, growth, and development up to this point. On examination, a solitary, ovoid,...

    Tips from Other Journals

    Smoking Ban Has Health Benefits for Bar Workers

    CAROLINE WELLBERY

    Calcium Supplementation May Not Benefit Healthy Children

    ANNE D. WALLING

    Oral Contraception Regimen and Breakthrough Bleeding

    KARL E. MILLER

    Constraining Healthy Limb Helps Function After Stroke

    CAROLINE WELLBERY

    Antibiotics for Children with Otitis Media

    ANNE D. WALLING

    Does Alcohol Consumption Lower the Risk of MI?

    KARL E. MILLER

    Fluticasone with HFA Is Effective in Preschool-Age Children

    KENNETH T. MOON

    Risk of Advanced Cervical Lesions After a Diagnosis of CIN 1 or Less

    KARL E. MILLER

    Combined Antithrombotic Therapy Increases Risk of Gastrointestinal Bleeding

    ANNE D. WALLING

    Patient Education Improves Adherence to Antidepressants

    CAROLINE WELLBERY

    Public Opinion vs. Science Concerning Sex Education

    KARL E. MILLER

    Statins Beneficial for Heart Failure Patients

    CAROLINE WELLBERY

    Pain Relief vs. Antibiotics in Patients with Pharyngitis

    AMY CRAWFORD-FAUCHER

    Is Pelvic Organ Prolapse Caused by Vaginal Delivery?

    ANNE D. WALLING

    Percutaneous Coronary Intervention for STEMI

    CAROLINE WELLBERY

    Long-term Outcomes of Collaborative Care for Depression

    KARL E. MILLER

    Curbside Consultation

    Physicians as Role Models

    THOMAS L. SCHWENK

    The basic questions asked in the scenario are whether physicians should always “practice what they preach,” and whether a physician's personal life should be accessible and relevant to patients. Professional role models are important.

    Practice Guidelines

    ACOG Releases Guidelines on Antibiotic Prophylaxis for Gynecologic Procedures

    CARRIE ARMSTRONG

    The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on the appropriate use of antibiotic prophylaxis in women undergoing gynecologic procedures.

    AHA Publishes Guidelines on CVD Prevention in Women

    SHERRI DAMLO

    Guidelines presented by the American Heart Association (AHA) represent the most current clinical recommendations for the prevention of cardiovascular disease (CVD) in women 20 years and older.

    Practice Guideline Briefs

    ACOG Releases Guideline for Management of Postpartum Hemorrhage

    LISA GRAHAM

    Postpartum hemorrhage is responsible for almost 140,000 deaths per year worldwide and can cause serious morbidity. It can occur without warning; therefore, all physicians should be prepared to manage it properly. The American College of Obstetricians and Gynecologists (ACOG)...

    Letters to the Editor

    Management of Diabetes Should Be a Team Approach

    DANIEL WEISS

    Case Report: Lemierre Syndrome Presenting with Fever and Pharyngitis

    WINSON Y. CHEUNG, JONATHON BELLAS

    Information from Your Family Doctor

    Work-Related Eye Injuries and Illnesses: What You Should Know

    A work-related eye injury is an injury that you get while at work. These injuries are most likely in people who work outside, in construction, or with machinery.

    Corrections

    Correction

    The article “Retinoblastoma” (March 15, 2006, page 1039) contained an error in the legend for Figure 2 on page 1041. The figure legend incorrectly identified the figure as an ultrasound B scan of the left eye rather than a computed tomography scan. The figure legend should...



    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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