• Articles

    Temporomandibular Joint Disorders

    JENNIFER J. BUESCHER

    Temporomandibular joint disorders are common and often self-limited in the adult population. Only 5 percent of patients require treatment and few develop chronic or debilitating symptoms. Noninvasive therapies should be attempted before pursuing invasive treatments that have...

    Metastatic Carcinoma of the Long Bones

    ANTHONY I. RICCIO, FELASFA M. WODAJO, MARTIN MALAWER

    Breast, prostate, renal, thyroid, and lung carcinomas commonly metastasize to bone. If plain-film radiography is not sufficient for diagnosis, a bone scan may detect occult lesions. Patients who are not at risk for impending fracture can be treated with a combination of...

    Nonspecific Low Back Pain and Return to Work

    TRANG H. NGUYEN, DAVID C. RANDOLPH

    As long as no “red flags” exist, patients with low back pain should be encouraged to remain as active as possible, minimize bed rest, use ice or heat compresses, take anti-inflammatory or analgesic medications if desired, participate in home exercises, and return to work as...

    Acute Pericarditis

    LESLIE E. TINGLE, DANIEL MOLINA, CHARLES W. CALVERT

    Diagnosing pericarditis is often a process of exclusion, taking into account changes on electrocardiography, a history of abrupt-onset chest pain, and the presence of a pericardial friction rub. Echocardiography is recommended for most patients to confirm the diagnosis and...

    Mind-Body Therapies for Headache

    VICTOR SIERPINA, JOHN ASTIN, JAMES GIORDANO

    Mind-body therapies such as biofeedback, cognitive behavior therapy, hypnosis, meditation, and relaxation training have been shown to be effective treatments for various types of headache.

    Inside AFP

    Updated Adult Immunization Schedule; Call for Articles

    CARRIE ARMSTRONG, JOYCE A. MERRIMAN

    The 2007–08 adult immunization schedule from the Advisory Committee on Immunization Practices (ACIP) appears on page 1558 of this issue of AFP. Changes to this year's schedule include the addition of the quadrivalent human papillomavirus vaccine (Gardasil) for young women and...

    Newsletter

    Newsletter

    AAFP Denounces President Bush's Veto of SCHIP Legislation | Legislation Would Publicize Medical Industry Gifts to Physicians | Major Insurers Join Patient-Centered Primary Care Collaborative | Survey Results Show Demand Growing for Primary Care Physicians | Ruling Requires...

    Close-ups

    Musings on a New Life

    AMY CRAWFORD-FAUCHER

    The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

    Editorials

    The CDC and USPSTF Recommendations for HIV Testing

    JONATHAN E. RODNICK

    The Centers for Disease Control and Prevention (CDC) released new recommendations in 2006 for human immunodeficiency virus (HIV) testing.1 These far-reaching recommendations are a major revision from the CDC's previous guidelines. They aim to reduce the number of people with...

    It's Time to Normalize Testing for HIV

    JEFFREY T. KIRCHNER

    Testing for human immunodeficiency virus (HIV) became available in 1985 with the development of an enzyme-linked immunosorbent assay. The first test was actually developed to protect the blood supply, not to identify persons who were already infected. The more specific...

    Graham Center Policy One-Pagers

    Behavioral Change Counseling in the Medical Home

    BIJAL A. BALASUBRAMANIAN, DEBORAH J COHEN, MARTEY S. DODOO, ANDREW W. BAZEMORE, LARRY A. GREEN

    Health-related behavioral counseling can and should be a central offering in the medical home. Primary care practices currently address unhealthy behaviors with their patients, but most practices lack the integrated approaches needed to effectively change these behaviors....

    Point-of-Care Guides

    Predicting Delirium in Hospitalized Older Patients

    MARK H. EBELL

    Delirium is a common complication in hospitalized older patients, particularly in those in the intensive care unit.

    Photo Quiz

    Red, Scaly Lesion on the Upper Eyelid

    JEFFREY S. ALTMAN, DANIELLE G. TONELLI, MICHAEL BUKHALO

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

    STEPS

    Retapamulin (Altabax) 1% Topical Ointment for the Treatment of Impetigo

    BARRY COUTINHO

    Retapamulin is an effective alternative to topical mupirocin in the treatment of limited-area impetigo in patients older than nine months. Although it is more expensive, retapamulin does have a dosing advantage over mupirocin; it only requires a twice-a-day application for...

    Practice Guidelines

    ACIP Releases 2007–08 Adult Immunization Schedule

    DOUG CAMPOS-OUTCALT, JONATHAN L. TEMTE

    Guideline source: Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices

    Practice Guideline Briefs

    AHA Releases Recommendations on Preparticipation Screening in Student Athletes

    SHERRI DAMLO

    The American Heart Association (AHA) has issued recommendations that address preparticipation screening in high school and college athletes, which may identify cardiovascular disease (CVD) that could progress or cause sudden death.

    Letters to the Editor

    Identifying Patients at Risk of Chronic Kidney Disease

    SIMON W LAM, GREGORY A ESCHENAUER

    Tips from Other Journals

    Routine or Selective Surgery for Acute Coronary Syndrome?

    ANNE D. WALLING

    Antipsychotics for Acute Mania in Bipolar Disorder

    KARL E. MILLER

    Low-Carbohydrate Diet Effective in Women

    CAROLINE WELLBERY

    Effectiveness of Combined Therapy for Acute Migraine

    SARAH KEISER

    Preventive Health Visits Increase Cancer Screening

    KARL E. MILLER

    Which Factors Influence Progression of Pelvic Prolapse?

    ANNE D. WALLING

    Information from Your Family Doctor

    Temporomandibular Joint (TMJ) Pain

    The temporomandibular (tem-PUH-ro-man-DIB-yoo-ler) joint, or the TMJ, connects the upper and lower jawbones. This joint allows the jaw to open wide and move back and forth when you chew, talk, or yawn.

    Low Back Pain and Your Job: What You Can Do to Get Back to Work

    Tell your supervisor right away, and see your doctor as soon as possible. Treatment usually consists of cold or heat therapy, pain medicine, and exercise. Keep your employer and your doctor informed about your condition and work status.

    Headaches and Mind-Body Therapy: What You Should Know

    Many things can cause headaches. The most common types of headache are migraines and tension headaches. These can be caused by stress, certain foods and drinks, sleep problems, sinus and allergy problems, muscle tension, and mood problems. People with relatives who get...



    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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