Treatment Options for Insomnia

KALYANAKRISHNAN RAMAKRISHNAN, DEWEY C. SCHEID

Management of chronic insomnia should begin with nonpharmacologic therapies, such as relaxation therapy, exercise, and cognitive behavior therapy. Effective pharmacologic treatment options include benzodiazepine and nonbenzodiazepine hypnotics.

Radiologic Evaluation of Acute Chest Pain—Suspected Myocardial Ischemia

WILLIAM STANFORD

Many imaging tests are available to help accurately and quickly diagnose patients with acute chest pain. The American College of Radiology has developed appro-priateness criteria to rate and determine the applicability of each test and to help physicians make decisions...

Vibrio vulnificus Infection: Diagnosis and Treatment

MICHAEL H. BROSS, KATHLEEN SOCH, ROBERT MORALES, RAYFORD B. MITCHELL

This virulent bacterium causes septicemia and necrotizing wound infection. Treatment includes antibiotic therapy; appropriate wound care; and, when indicated, supportive therapy in the intensive-care setting.

Herbal and Dietary Supplements for Treatment of Anxiety Disorders

SY ATEZAZ SAEED, RICHARD M. BLOCH, DIANA J. ANTONACCI

Use of herbal remedies and dietary supplements has increased in recent years, especially among persons with anxiety and depression. For several of these products, data show that the potential for benefit seems greater than that for harm with short-term use. Physicians and...

Reaccreditation for the AAFP and a New Series for AFP

JOYCE A. MERRIMAN

The value of the continuing medical education (CME) offered by the Academy, particularly in American Family Physician, was described in this space in the April 1, 2007, issue. That column also briefly explained the reaccreditation process being conducted by the Accreditation...

Newsletter

House Bill Would Eliminate SGR-Based Payment System by 2010 | SCHIP Legislation May Promote Patient-Centered Medical Home | Law to Make Prescriptions Tamper-resistant Raises Concerns | State Scorecard Offers Models for Improving Health Care System | Medical Home Model Found...

Quantum Sufficit

SHERRI DAMLO

According to study results published in Medicine & Science in Sports & Exercise, former professional foot-ball players who have had multiple concussions may be at risk of clinical depression. Questionnaires that asked about previous injuries and other general health...

Introducing the American College of Radiology Series

SUMI SEXTON, MICHAEL BETTMANN

Since the creation of the “Radiographic Highlights” series in 1982, AFP has shown its dedication to helping readers learn about and use various radiographic tools for diagnosis and management. This series of short articles led to the comprehensive “Radiologic Decision-Making”...

The Empty Chair

CAROLINE WELLBERY

Commentary

Predicting Pneumonia in Adults with Respiratory Illness

MARK H. EBELL

How can I predict whether a patient with cough has pneumonia?

Yellow-White Retinal Lesion in a 48-Year-Old Woman

WICO W. LAI

A 48-year-old woman presented with a two-week history of progressively decreasing vision in her right eye. Her medical history included systemic lupus erythematosus, severe arthritis, hypertension, and diabetes mellitus. She had been taking oral prednisone, azathioprine ...

Quadrivalent HPV Recombinant Vaccine (Gardasil) for the Prevention of Cervical Cancer

ANGIE L. GOESER

The quadrivalent human papillomavirus (HPV) recombinant vaccine (Gardasil) is the first vaccine developed to prevent cervical cancer, precancerous genital lesions, and genital warts caused by HPV types 6, 11, 16, and 18.1 These four types are responsible for 70 percent of...

Vitamin E Does Not Protect Cognitive Function

KARL E. MILLER

Ketogenic Diet for Seizure Control in Children

CAROLINE WELLBERY

MRI Is More Appropriate for Initial Evaluation of Stroke

ANNE D. WALLING

Do Opioid Medications Relieve Chronic Back Pain?

KENNETH W. LIN

Lifestyle Intervention and BMD in AdolescentGirls

KARL E. MILLER

Treatment for Early Prostate Cancer Effective in Older Men

CAROLINE WELLBERY

ACIP Releases Recommendations for Hepatitis B Vaccine Use in Adults

SHERRI DAMLO

Guideline source: Advisory Committee on Immunization Practices

Practice Guideline Briefs

SHERRI DAMLO

ACOG Releases Guidelines on the Use of SSRIs During Pregnancy

Practice Guideline Briefs

SHERRI DAMLO

CDC Reports on Racial Differences in Patients with ESRD

Conflicting Evidence on Splints for Carpal Tunnel Syndrome

Insomnia: What You Should Know

Insomnia is when you often can';t fall asleep or when you wake up in the night and can';t go back to sleep. Most people need seven to eight hours of sleep every night. People 65 years and older may sleep less at night and nap during the day.

Vibrio vulnificus Infection: What You Should Know

Vibrio vulnificus (VIB-ree-oh vul-NIF-i-cus) is a germ found in warm seawater. If you eat shellfish (especially oysters) or other seafood that has the germ, you can get an infection.