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AFP Journal Club Department Collection - American Family Physician

Three presenters review an interesting journal article on topics that affect family physicians and give their opinions about the clinical value of the studies.

For key concepts in evidence-based medicine, tips on assessing the quality of research studies, and teaching ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=17

AFP Journal Club Department Collection - American Family Physician

Three presenters review an interesting journal article on topics that affect family physicians and give their opinions about the clinical value of the studies.

For key concepts in evidence-based medicine, tips on assessing the quality of research studies, and teaching ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=17&page=0

AFP Online: We're on a Mission - Editorials - American Family Physician

Dec 15, 2016 - An overview of the many features and recent improvements of AFP Online.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1215/p966.html

AFP Podcast

The AFP Podcast is a discussion of the key evidence-based learning points from each issue of American Family Physician (AFP). Each episode includes brief summaries of articles and other features.

American Family Physician

https://www.aafp.org/journals/afp/multimedia/podcast.html

AFP Podcast Wins Innovative Program Award

description

https://www.aafp.org/news/media-center/more-releases/afp-podcast-wins-innovative-program-award.html

AFP Policy on Using Generic and Brand Names for Drugs - Letters to the Editor - ...

Sep 15, 2004 - ...and balanced review,1 which included a broader consideration of most aspects of PTSD. We would like to encourage a greater emphasis on a number of these aspects. First, an emphasis on pharmacologic treatment of distressing symptoms neglects the fact that recovery from trauma...

American Family Physician : Letter

https://www.aafp.org/afp/2004/0915/p1031.html

AFP-FPM-AFM-FPE-Journal-Policies-Rates-2021.pdf

...journal subscription rates for American Family Physician (AFP), FPM, Annals of Family Medicine (AFM), and FP Essentials (FPE). The following details policies, rates, and volume and issue numbers for 2021. ➤ NO RATE INCREASE FOR SITE LICENSE RATES With the many challenges being...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/AFP-FPM-AFM-FPE-Journal-Policies-Rates-2021.pdf

AFP’s Conflict of Interest Policy: Disclosure Is Not Enough

...February 1, 2014 ◆ Volume 89, Number 3 www.aafp.org/afp American Family Physician 161 AFP’s Conflict of Interest Policy: Disclosure Is Not Enough JAY SIWEK, MD, Georgetown University Med- ical Center, Washington, District of Columbia ▲ See related Letter to the Editor on page...

American Family Physician

https://www.aafp.org/afp/2014/0201/afp20140201p161.pdf

afp20040515p2421.pdf

...May 15, 2004 / VoluMe 69, NuMber 10 www.aafp.org/afp aMericaN FaMily PhysiciaN‑2421 This guide is one in a series that offers evidence-based tools to assist family physicians in improving their deci- sion-making at the point of care. Clinical Question How can physicians most...

American Family Physician

https://www.aafp.org/afp/2004/0515/afp20040515p2421.pdf

afp20040715p332.pdf

...Diagnosing Heel Pain in Adults TRACY ALDRIDGE, M.D., Southern Illinois University School of Medicine, Springfield, Illinois Heel pain is a common condition in adults that may cause significant discomfort and dis- ability. A variety of soft tissue, osseous, and systemic disorders...

American Family Physician

https://www.aafp.org/afp/2004/0715/afp20040715p332.pdf

afp20040801p489.pdf

...Beta-Cell Function JENNIFER A. MAYFIELD, M.D., M.P.H., Seattle, Washington RUSSELL D. WHITE, M.D., University of South Florida College of Medicine, Tampa, Florida Type 2 diabetes is characterized by progressive beta-cell failure. Indications for exogenous insulin therapy in...

American Family Physician

https://www.aafp.org/afp/2004/0801/afp20040801p489.pdf

afp20041101p1685.pdf

...November 1, 2004 ◆ Volume 70, Number 9 www.aafp.org/afp American Family Physician 1685 ▲ This is part I of a two-part article on rhino- sinusitis in adults. Part II, Treatment, appears in this issue of AFP on page 1697. ▲ Editorial: page 1642. See page 1621 for...

American Family Physician

https://www.aafp.org/afp/2004/1101/afp20041101p1685.pdf

afp20041101p1697.pdf

...November 1, 2004 ◆ Volume 70, Number 9 www.aafp.org/afp American Family Physician 1697 This is part II of a two- part article on bacterial sinusitis in adults. Part I, Evaluation, appears in this issue of AFP on page 1685. ▲ Patient informa- tion: A handout on sinus infections,...

American Family Physician

https://www.aafp.org/afp/2004/1101/afp20041101p1697.pdf

afp20041115p1947.pdf

...percent of shoulder dislocations are anterior. Diagnosis of this injury is straightforward. The injury usually can be reduced by employing a number of nonsurgical techniques. Traumatic or acute rotator cuff tears can be managed conservatively or surgically, depending on the patient...

American Family Physician

https://www.aafp.org/afp/2004/1115/afp20041115p1947.pdf

afp20050301p933.pdf

...March 1, 2005 ◆ Volume 71, Number 5 www.aafp.org/afp American Family Physician 933 In more than 80 percent of cases of acute pyelonephri- tis, the etiologic agent is Escherichia coli. Downloaded from the American Family Physician Web site at www.aafp.org/afp. Copyright © 2005...

American Family Physician

https://www.aafp.org/afp/2005/0301/afp20050301p933.pdf

afp20050615p2313.pdf

...June 15, 2005 ◆ Volume 71, Number 12 www.aafp.org/afp American Family Physician 2313 ▲ Patient information: A handout on safe surfing, written by the authors of this article, is provided on page 2319. See page 2237 for strength-of-recommen- dation labels. M illions of...

American Family Physician

https://www.aafp.org/afp/2005/0615/afp20050615p2313.pdf

afp20050715p287.pdf

...MONTE C. UYEMURA, M.D., Wray Rural Training Tract Family Medicine Residency Program, Wray, Colorado Less than one percent of foreign body ingestions result in serious morbidity. July 15, 2005 ◆ Volume 72, Number 2 www.aafp.org/afp American Family Physician 287 Downloaded from...

American Family Physician

https://www.aafp.org/afp/2005/0715/afp20050715p287.pdf

afp20050715p297.pdf

...Control and Prevention (CDC) definition for reportable cases of Lyme disease, the annual number of cases increased from 7,943 in 1990 to 17,730 in 2000.2,3 The disease is most prevalent in children two to 15 years of age and in adults 30 to 59 years of age.3 Figure 14 shows the...

American Family Physician

https://www.aafp.org/afp/2005/0715/afp20050715p297.pdf

afp20050815p655.pdf

...can be managed with close monitoring, use of growth factors, or dose reductions. Depression also can be caused or exacerbated by these medicines and may require treatment with a selective serotonin reuptake inhibitor, comanagement with psychiatry, or cessation of pegylated...

American Family Physician

https://www.aafp.org/afp/2005/0815/afp20050815p655.pdf

afp20051015p1492.pdf

...www.aafp.org/afp Volume 72, Number 8 ◆ October 15, 2005 Evaluation of Syncope THOMAS H. MILLER, M.D., Southern Illinois University School of Medicine, Quincy, Illinois JERRY E. KRUSE, M.D., M.S.P.H., Southern Illinois University School of Medicine, Springfield, Illinois A...

American Family Physician

https://www.aafp.org/afp/2005/1015/afp20051015p1492.pdf

afp20051015p1547.pdf

...October 15, 2005 ◆ Volume 72, Number 8 www.aafp.org/afp American Family Physician 1547 Hidradenitis Suppurativa: A Treatment Challenge NIPA SHAH, M.D., University of Illinois College of Medicine, Chicago, Illinois H idradenitis suppurativa (from the Greek hidros, sweat, and aden,...

American Family Physician

https://www.aafp.org/afp/2005/1015/afp20051015p1547.pdf

afp20051215p2474.pdf

...2474 American Family Physician www.aafp.org/afp Volume 72, Number 12 ◆ December 15, 2005 Management of Staphylococcus aureus Infections DAVID M. BAMBERGER, M.D., and SARAH E. BOYD, M.D. University of Missouri-Kansas City, Kansas City, Missouri Approximately 20 percent of healthy...

American Family Physician

https://www.aafp.org/afp/2005/1215/afp20051215p2474.pdf

afp20051215p2483.pdf

...December 15, 2005 ◆ Volume 72, Number 12 www.aafp.org/afp American Family Physician 2483 Urinary Tract Infection in Children BRIAN S. ALPER, M.D., M.S.P.H., and SARAH H. CURRY, M.D. University of Missouri-Columbia, Columbia, Missouri U ntil recently, the management of urinary...

American Family Physician

https://www.aafp.org/afp/2005/1215/afp20051215p2483.pdf

afp20051215p2491.pdf

...Approach to the Postpartum Office Visit CAROL E. BLENNING, M.D., and HEATHER PALADINE, M.D. Oregon Health and Science University School of Medicine, Portland, Oregon T he postpartum period is an excit-ing, dynamic time in a woman’s life, and the family physician plays an...

American Family Physician

https://www.aafp.org/afp/2005/1215/afp20051215p2491.pdf

afp20051215p2501.pdf

...December 15, 2005 ◆ Volume 72, Number 12 www.aafp.org/afp American Family Physician 2501 Treatment of Irritable Bowel Syndrome SUSAN K. HADLEY, M.D., Middlesex Hospital, Middletown, Connecticut STEPHEN M. GAARDER, PH.D., Applied Research Group, Middletown, Connecticut I rritable...

American Family Physician

https://www.aafp.org/afp/2005/1215/afp20051215p2501.pdf

afp20060101p105.pdf

...106 American Family Physician www.aafp.org/afp Volume 73, Number 1 ◆ January 1, 2006 Cervical Abnormalities (HPV) infection (i.e., CIN 1) and failure to identify and treat lesions with true malig- nancy potential (i.e., CIN 2-3). The degree of certainty that the most...

American Family Physician

https://www.aafp.org/afp/2006/0101/afp20060101p105.pdf

afp20060101p72.pdf

...72 American Family Physician www.aafp.org/afp Volume 73, Number 1 ◆ January 1, 2006 Medications for Migraine Prophylaxis SEEMA MODI, M.D., and DIONNE M. LOWDER, PHARM.D., B.C.P.S. Brody School of Medicine at East Carolina University, Greenville, North Carolina R ecurrent...

American Family Physician

https://www.aafp.org/afp/2006/0101/afp20060101p72.pdf

afp20060101p83.pdf

...for Depression STUART J. RUPKE, M.D., DAVID BLECKE, M.DIV., M.S.W., and MARJORIE RENFROW, M.D. Michigan State University College of Human Medicine, East Lansing, Michigan A lthough approximately two thirds of patients with depression are treated successfully with medica- tion...

American Family Physician

https://www.aafp.org/afp/2006/0101/afp20060101p83.pdf

afp20060101p91.pdf

...Cerebral Palsy: An Overview KAREN W. KRIGGER, M.D., M.ED., University of Louisville School of Medicine, Louisville, Kentucky C erebral palsy is characterized by motor impairment and can pres- ent with global physical and mental dysfunction. In 2001, the United Cerebral Palsy...

American Family Physician

https://www.aafp.org/afp/2006/0101/afp20060101p91.pdf

afp20060115p244.pdf

...244 American Family Physician www.aafp.org/afp Volume 73, Number 2 ◆ January 15, 2006 Initial Evaluation of Vertigo RONALD H. LABUGUEN, M.D., University of Southern California, Los Angeles, California O ne of the most common and frus- trating complaints patients bring to their...

American Family Physician

https://www.aafp.org/afp/2006/0115/afp20060115p244.pdf

afp20060115p271.pdf

...Therapy for the Patient with Newly Diagnosed HIV Infection ANN M. KHALSA, M.D., M.S.ED., University of Southern California, Keck School of Medicine, Los Angeles, California A s the prevalence of human immu- nodeficiency virus (HIV) contin- ues to increase,1,2 family physicians...

American Family Physician

https://www.aafp.org/afp/2006/0115/afp20060115p271.pdf

afp20060201p442.pdf

...M. NAWAL LUTFIYYA, PH.D., ERIC HENLEY, M.D., M.P.H., and LINDA F. CHANG, PHARM.D., M.P.H., B.C.P.S. University of Illinois College of Medicine at Rockford, Rockford, Illinois STEPHANIE WESSEL REYBURN, M.D., M.P.H., Mayo School of Graduate Medical Education, Rochester, Minnesota...

American Family Physician

https://www.aafp.org/afp/2006/0201/afp20060201p442.pdf

afp20060201p457.pdf

...Nonhormonal Therapies for Hot Flashes in Menopause DANA G. CARROLL, PHARM.D., B.C.P.S., University of Oklahoma-Tulsa College of Medicine, Tulsa, Oklahoma T he results of the Women’s Health Initiative (WHI) study1 of hor- mone therapy in postmenopausal women, published in 2002, have...

American Family Physician

https://www.aafp.org/afp/2006/0201/afp20060201p457.pdf

afp20060201p469.pdf

...of Constipation in Infants and Children WENDY S. BIGGS, M.D., and WILLIAM H. DERY, M.D. Michigan State University College of Human Medicine, East Lansing, Michigan C onstipation has been defined as a delay or difficulty in defeca- tion, present for two or more weeks, sufficient...

American Family Physician

https://www.aafp.org/afp/2006/0201/afp20060201p469.pdf

afp20060201p485.pdf

...Pancreatic Cancer: Diagnosis and Management ROBERT FREELOVE, M.D., Smoky Hill Family Medicine Residency Program, Salina, Kansas ANNE D. WALLING, M.B., Ch.B., University of Kansas School of Medicine-Wichita, Wichita, Kansas T he American Cancer Society esti- mated that 31,860...

American Family Physician

https://www.aafp.org/afp/2006/0201/afp20060201p485.pdf

afp20060301p841.pdf

...842 American Family Physician www.aafp.org/afp Volume 73, Number 5 ◆ March 1, 2006 phases: isovolumetric relaxation, caused by closure of the aortic valve to the mitral valve opening; early rapid ventricular filling located after the mitral valve open- ing; diastasis, a period of...

American Family Physician

https://www.aafp.org/afp/2006/0301/afp20060301p841.pdf

afp20060415p1411.pdf

...April 15, 2006 ◆ Volume 73, Number 8 www.aafp.org/afp American Family Physician 1411 Diagnosis and Treatment of Chlamydia trachomatis Infection KARL E. MILLER, M.D., University of Tennessee College of Medicine, Chattanooga, Tennessee T he incidence of chlamydial infec- tion in...

American Family Physician

https://www.aafp.org/afp/2006/0415/afp20060415p1411.pdf

afp20060501p1558.pdf

...Hypertension in Children and Adolescents GREGORY B. LUMA, M.D., and ROSEANN T. SPIOTTA, M.D., Jamaica Hospital Medical Center Family Medicine Residency Program, New York, New York T he prevalence and rate of diagnosis of hypertension in children and adolescents appear to be increas-...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1558.pdf

afp20060501p1573.pdf

...Opioid Addiction with Buprenorphine PAUL A. DONAHER, M.D., Galena, Maryland CHRISTOPHER WELSH, M.D., University of Maryland School of Medicine, Baltimore, Maryland A n estimated 898,000 adults in the United States are opioid depen- dent.1 Treating opioid dependence as a chronic...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1573.pdf

afp20060501p1583.pdf

...Diagnosing Rhinitis: Allergic vs. Nonallergic DAVID M. QUILLEN, M.D., and DAVID B. FELLER, M.D. University of Florida Family Medicine Residency Program, Gainesville, Florida R hinitis is an inflammation of the nasal mucosa. Associated clini- cal symptoms include excessive mucus...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1583.pdf

afp20060501p1591.pdf

...Testosterone Treatments: Why, When, and How? KATHERINE MARGO, M.D., University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania ROBERT WINN, M.D., Jefferson Medical College, Philadelphia, Pennsylvania I n the United States, approximately 43 percent of women and 31...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1591.pdf

afp20060515p1748.pdf

...Hematuria in Adults MARY M. MCDONALD, M.D., DANIEL SWAGERTY, M.D., M.P.H., and LOUIS WETZEL, M.D. University of Kansas School of Medicine, Kansas City, Kansas T he prevalence of asymptomatic microscopic hematuria in adults ranges from 0.19 to 21 percent.1 The range is wide...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1748.pdf

afp20060515p1761.pdf

...Evaluation and Treatment of the Child with Febrile Seizure JAMES S. MILLAR, M.D., University of Oklahoma-Tulsa College of Medicine, Tulsa, Oklahoma F ebrile seizures are common, with 2 to 5 percent of children in North America experiencing at least one; the majority (65 to 90...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1761.pdf

afp20060515p1769.pdf

...May 15, 2006 ◆ Volume 73, Number 10 www.aafp.org/afp American Family Physician 1769 Downloaded from the American Family Physician Web site at www.aafp.org/afp. Copyright© 2006 American Academy of Family Physicians. For the private, noncommercial use of one individual user of the...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1769.pdf

afp20060515p1779.pdf

...Diagnosis and Treatment of Neisseria gonorrhoeae Infections KARL E. MILLER, M.D., University of Tennessee College of Medicine, Chattanooga Unit, Chattanooga, Tennessee N eisseria gonorrhoeae infections may present as a broad range of symptoms and can affect urogenital, anorectal,...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1779.pdf

afp20060601p1971.pdf

...1972 American Family Physician www.aafp.org/afp Volume 73, Number 11 ◆ June 1, 2006 Peripheral Vascular Disease SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References The most reliable physical findings of PVD are diminished or absent...

American Family Physician

https://www.aafp.org/afp/2006/0601/afp20060601p1971.pdf

afp20060701p115.pdf

...116 American Family Physician www.aafp.org/afp Volume 74, Number 1 ◆ July 1, 2006 Musculoskeletal Pain in Children sort: Key reCoMMendAtions for PrACtiCe Clinical recommendation Evidence rating References CBC and ESR tests are recommended for children with chronic joint...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p115.pdf

afp20060701p125.pdf

...Dermatitis: An Overview ROBERT A. SCHWARTZ, M.D., M.P.H., CHRISTOPHER A. JANUSZ, M.D., and CAMILA K. JANNIGER, M.D. University of Medicine and Dentistry at New Jersey-New Jersey Medical School, Newark, New Jersey S eborrheic dermatitis can affect patients from infancy to old...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p125.pdf

afp20060701p86.pdf

...July 1, 2006 ◆ Volume 74, Number 1 www.aafp.org/afp American Family Physician 87 Urinary Calculi have a mixed composition, with one type of crystal becoming a nidus for heterogeneous crystallization. Acute Episodes: Diagnosis and Treatment Most renal calculi do not cause...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p86.pdf

afp20060801p420.pdf

...Pertussis: A Disease Affecting All Ages DAVID S. GREGORY, M.D., Lynchburg Family Medicine Residency, Lynchburg, Virginia B ordetella pertussis, a highly com- municable gram-negative coccoba- cillus, causes pertussis (whooping cough). B. pertussis is an exclu- sively human...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p420.pdf

afp20060801p429.pdf

...430 American Family Physician www.aafp.org/afp Volume 74, Number 3 ◆ August 1, 2006 but also surgery for bowel obstruction or diseases of the female reproductive tract.6,7 If there are symptoms, they usually are vague, nonspecific, and organ-related, causing relatively long...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p429.pdf

afp20060801p437.pdf

...438 American Family Physician www.aafp.org/afp Volume 74, Number 3 ◆ August 1, 2006 exercise and older Patients effective balance training methods support combina- tion programs that include progressive resistance train- ing. Emphasis on muscle power (how fast the muscle...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p437.pdf

afp20060801p449.pdf

...450 American Family Physician www.aafp.org/afp Volume 74, Number 3 ◆ August 1, 2006 Antidepressant Discontinuation Syndrome serotonin with abrupt withdrawal of an SSRI.15 This deficiency is compounded by the fact that down-regulated receptors will remain in their relatively...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p449.pdf

afp20060815p594.pdf

...L. MOUNSEY, M.D., University of Virginia School of Medicine, Charlottesville, Virginia ALEX WILGUS, M.D., Lynchburg Family Medicine Residency Program, Lynchburg, Virginia DAVID C. SLAWSON, M.D., University of Virginia School of Medicine, Charlottesville, Virginia E ndometriosis...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p594.pdf

afp20060815p605.pdf

...AMY L. STUMP, PHARM.D., University of Alabama School of Medicine, Tuscaloosa, Alabama TERRI MAYO, PHARM.D., DCH Regional Medical Center, Tuscaloosa, Alabama ALAN BLUM, M.D., University of Alabama School of Medicine, Tuscaloosa, Alabama G rapefruit is a citrus fruit that is...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p605.pdf

afp20060815p613.pdf

...614 American Family Physician www.aafp.org/afp Volume 74, Number 4 ◆ August 15, 2006 Digoxin An ancillary trial included 988 patients with preserved ventricular function (i.e., ejec- tion fraction greater than 45 percent).9 The DIG investigators concluded that adding digoxin...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p613.pdf

afp20060815p619.pdf

...School of Medicine, Morgantown, West Virginia PRASHANT MAHAJAN, M.D., M.P.H., Wayne State University School of Medicine, Detroit, Michigan APARNA JOSHI, M.D., Children’s Hospital of Michigan, Detroit, Michigan DEEPAK KAMAT, M.D., PH.D., Wayne State University School of Medicine,...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p619.pdf

afp20060901p756.pdf

...September 1, 2006 ◆ Volume 74, Number 5 www.aafp.org/afp American Family Physician 757 SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References Although no laboratory test can diagnose cirrhosis accurately, liver function tests, a complete...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p756.pdf

afp20060901p767.pdf

...768 American Family Physician www.aafp.org/afp Volume 74, Number 5 ◆ September 1, 2006 Cirrhosis and Chronic Liver Failure-Part II than high ascitic fluid total protein level, and many fluid samples from patients with portal hypertension second- ary to heart failure have a...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p767.pdf

afp20060901p783.pdf

...Avian Influenza: Preparing for a Pandemic GREGORY JUCKETT, M.D., M.P.H., West Virginia University School of Medicine, Morgantown, West Virginia A vian influenza has emerged as the primary public health concern of the 21st century. Although vari- ous strains of avian influenza have...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p783.pdf

afp20060901p793.pdf

...success. Strategies to improve adherence in children include using simplified drug regimens (e.g., once-daily dosing), pleasant-tasting medicines, liquid or other nonpill formulations, regular phone contact between parents and physicians, reminders, infor- mation counseling,...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p793.pdf

afp20060915p956.pdf

...September 15, 2006 ◆ Volume 74, Number 6 www.aafp.org/afp American Family Physician 957 Medical Association Foundation. This project began in January 2000. More than 80 organizations are partners in the AWARE Project (http://www.aware.md). The work group is composed of practicing...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p956.pdf

afp20060915p971.pdf

...STEPHEN HAVAS, M.D., M.P.H., M.S., American Medical Association, Chicago, Illinois THOMAS DONNER, M.D., University of Maryland School of Medicine, Baltimore, Maryland R andomized clinical trials1-5 have demonstrated that tight control of blood glucose levels reduces the risk of...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p971.pdf

afp20060915p985.pdf

...School of Medicine, Baltimore, Maryland LINDSAY E. NICOLLE, M.D., University of Manitoba, Winnipeg, Canada ANDREW MCGLONE, M.D., University of Maryland School of Medicine, Baltimore, Maryland THOMAS M. HOOTON, M.D., University of Washington School of Medicine, Seattle,...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p985.pdf

afp20060915p991.pdf

...Hemolytic Uremic Syndrome: An Emerging Health Risk SAMIYA RAZZAQ, M.D., University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas H emolytic uremic syndrome is the most common cause of acute renal failure in children, and the incidence of this syndrome...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p991.pdf

afp20061001p1132.pdf

...The Homeless in America: Adapting Your Practice SUSAN LOUISA MONTAUK, M.D., University of Cincinnati College of Medicine, Cincinnati, Ohio E ach day in the United States, at least 800,000 persons are homeless. This includes 200,000 children in home- less families.1 As of the...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1132.pdf

afp20061001p1141.pdf

...of Health, Bethesda, Maryland STANFORD T. SHULMAN, M.D., Children’s Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois K awasaki disease was first described in 1967 by Tomisaku Kawasaki and has replaced acute rheu- matic fever as the...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1141.pdf

afp20061001p1151.pdf

...1152 American Family Physician www.aafp.org/afp Volume 74, Number 7 ◆ October 1, 2006 Counseling Adolescents adolescents.8 Evidence regarding the effects of specific counseling on adolescent health outcomes is limited. However, some studies suggest that implementing pro-...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1151.pdf

afp20061001p1159.pdf

...Guide to Crisis Management MICHAEL G. KAVAN, PH.D., THOMAS P. GUCK, PH.D., and EUGENE J. BARONE, M.D. Creighton University School of Medicine, Omaha, Nebraska P hysicians often are required to assist patients in crisis. An estimated 4 percent of visits to primary care physicians...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1159.pdf

afp20061015p1319.pdf

...1320 American Family Physician www.aafp.org/afp Volume 74, Number 8 ◆ October 15, 2006 Hirschsprung’s Disease in older children (Table 1).5,6 Approximately 80 percent of patients present in the first few months of life with difficult bowel movements, poor feeding, and progres-...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1319.pdf

afp20061015p1331.pdf

...Preventing Cardiovascular Disease in Women SHARONNE N. HAYES, M.D., Mayo Clinic College of Medicine, Rochester, Minnesota C ardiovascular disease (CVD) remains the most common cause of death in women and men in the developed world, despite the mul- tiple epidemiologic and...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1331.pdf

afp20061015p1347.pdf

...Management of Common Opioid-Induced Adverse Effects JOHN M. SWEGLE, PHARM.D., Mercy Family Medicine Residency Program, Mason City, Iowa CRAIG LOGEMANN, PHARM.D., Urbandale Family Physicians, Urbandale, Iowa O pioids are useful agents for man- aging acute and chronic pain.1 When...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1347.pdf

afp20061015p1357.pdf

...1358 American Family Physician www.aafp.org/afp Volume 74, Number 8 ◆ October 15, 2006 head and Neck Injuries be immobilized and the patient prepared for transport to an emergency department.4 Any focal neurologic symptom suggests a potential central nervous system injury....

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1357.pdf

afp20061101p1510.pdf

...November 1, 2006 ◆ Volume 74, Number 9 www.aafp.org/afp American Family Physician 1511 research by the U.S. military in the South Pacific confirmed a predominantly bacte- rial process as the cause.5,11 Approximately 50 percent of bacterial cases involve Pseu- domonas aeruginosa,...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1510.pdf

afp20061101p1521.pdf

...LURIE, M.D., PH.D., BARBARA GAWINSKI, PH.D., DEBORAH PIERCE, M.D., M.P.H., and SALLY J. ROUSSEAU, M.S.W., University of Rochester School of Medicine and Dentistry, Rochester, New York T he Diagnostic and Statistical Man- ual of Mental Disorders, 4th ed., (DSM-IV) categorizes...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1521.pdf

afp20061101p1527.pdf

...Nutrition in Toddlers RICHARD E. ALLEN, M.D., M.P.H., St. Mark’s Family Medicine Residency, Salt Lake City, Utah ANYA L. MYERS, R.D., M.SC., Chinook Health, Cardston, Alberta A n important change in nutritional habits occurs during the transi- tion from infancy to toddlerhood at...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1527.pdf

afp20061101p1537.pdf

...1538 American Family Physician www.aafp.org/afp Volume 74, Number 9 ◆ November 1, 2006 Abdominal Pain causes in younger patients; however, certain disease pro- cesses occur more often in older patients. CHOLECYSTITIS Biliary tract disease, including cholecystitis, is the...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1537.pdf

afp20061115p1714.pdf

...Acute Ankle Sprain: An Update DOUGLAS IVINS, M.D., M.S.C.E., University of Oklahoma College of Medicine-Tulsa, Tulsa, Oklahoma A cute ankle injury is one of the most common musculoskeletal injuries in athletes and sedentary persons, accounting for an estimated 2 mil- lion...

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1714.pdf

afp20061115p1729.pdf

...1730 American Family Physician www.aafp.org/afp Volume 74, Number 10 ◆ November 15, 2006 Granuloma Annulare lower than in the general population. Patients with dia- betes mellitus had a higher incidence of chronic relaps- ing granuloma annulare than patients without diabetes....

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1729.pdf

afp20061115p1739.pdf

...Testicular Torsion ERIKA RINGDAHL, M.D., and LYNN TEAGUE, M.D. University of Missouri-Columbia School of Medicine, Columbia, Missouri T he annual incidence of testicu- lar torsion is one in 4,000 males younger than 25 years.1 Intravagi- nal torsion, caused by a congenital...

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1739.pdf

afp20061115p1749.pdf

...1750 American Family Physician www.aafp.org/afp Volume 74, Number 10 ◆ November 15, 2006 Acute Coronary Syndrome/Acute Myocardial Infarction Acute coronary syndrome (ACS) represents an acute cardiac event, specifically unsta- ble angina or acute myocardial infarction (MI)....

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1749.pdf

afp20061201p1864.pdf

...December 1, 2006 ◆ Volume 74, Number 11 www.aafp.org/afp American Family Physician 1865 Unintentional Childhood Injuries InfAnts Suffocation. Most injury-related deaths in infants (66 percent) are the result of suf- focation.1 Today, most suffocation deaths occur because...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1864.pdf

afp20061201p1873.pdf

...Emergencies MARK L. HIGDON, LTC, MC, USA, Martin Army Community Hospital Family Medicine Residency Program, Fort Benning, Georgia JENNIFER A. HIGDON, D.O., The Medical Center Family Medicine Residency Program, Columbus, Georgia F amily physicians are more likely to encounter...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1873.pdf

afp20061201p1883.pdf

...Erythema Multiforme MICHELE R. LAMOREUX, M.D., MARNA R. STERNBACH, M.D., and W. TERESA HSU, M.D., PH.D., Drexel University College of Medicine, Philadelphia, Pennsylvania E rythema multiforme is an acute, self-limited, and sometimes recur- ring skin condition considered to be a...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1883.pdf

afp20061215p2046.pdf

...SHOBHA S. RAO, M.D., LAURA A. HOFMANN, M.D., and AMER SHAKIL, M.D., University of Texas Southwestern Medical School at Dallas Family Medicine Residency Program, Dallas, Texas P arkinson’s disease is a progres- sive neurodegenerative disorder with an estimated prevalence of 0.3...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2046.pdf

afp20061215p2061.pdf

...to validate this are lacking. Trials have shown that these newer agents decrease the frequency of incontinence episodes, the number of voids per day, and the number and severity of urgency episodes compared with placebo. These agents also have been shown to improve quality of life...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2061.pdf

afp20061215p2069.pdf

...Vasectomy: An Update PAUL DASSOW, M.D., M.S.P.H., and JOHN M. BENNETT, M.D., M.P.H., University of Kentucky College of Medicine, Lexington, Kentucky A lthough vasectomy is the safest and most inexpensive option for permanent sterilization,1 female sterilization is used about three...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2069.pdf

afp20061215p2079.pdf

...with Reading Difficulties S. SUTTON HAMILTON, M.D., Underwood-Memorial Hospital Family Medicine Residency, Woodbury, New Jersey FRANCES P. GLASCOE, PH.D., Vanderbilt University School of Medicine, Nashville, Tennessee A t least one in five children has significant difficulty...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2079.pdf

afp20070101p56.pdf

...January 1, 2007 ◆ Volume 75, Number 1 www.aafp.org/afp American Family Physician 57 Lung Cancer Pathology To facilitate treatment and prognostic decisions, lung cancer is categorized as small cell carcinoma or non-small cell carcinoma. Light microscopy is used to further dif-...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p56.pdf

afp20070101p65.pdf

...Mary’s Family Medicine Residency Program, Grand Junction, Colorado GARY K. LUTTERMOSER, M.D., Penn State University/Good Samaritan Hospital Family and Community Medicine Residency Program, Lebanon, Pennsylvania KEITH SCOTT DICKERSON, M.D., M.S., St. Mary’s Family Medicine Residency...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p65.pdf

afp20070101p73.pdf

...to these disorders, an atypical presentation, a lack of adequate child mental health training for health care professionals, an inadequate number of child psychiatrists, and inequali- ties in mental health care insurance. Underdiagnosis and undertreatment are greater problems in...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p73.pdf

afp20070101p85.pdf

...86 American Family Physician www.aafp.org/afp Volume 75, Number 1 ◆ January 1, 2007 Vascular surgery stenosis greater than 50 percent.4 However, patients undergoing carotid endarterectomy should be good sur- gical candidates, and surgeons should have acceptably low...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p85.pdf

afp20070115p194.pdf

...PFPS to be the most common single diagno- sis among runners and in sports medicine centers.1,2 Eleven percent of musculoskeletal complaints in the office setting are caused by anterior knee pain (which most commonly results from PFPS), and PFPS constitutes 16 to 25 percent of all...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p194.pdf

afp20070115p211.pdf

...Common Skin Conditions During Pregnancy MARC TUNZI, M.D., and GARY R. GRAY, D.O., Family Medicine Residency Program, Natividad Medical Center, Salinas, California T here are three general categories of pregnancy-associated skin condi- tions: (1) benign skin conditions from normal...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p211.pdf

afp20070115p221.pdf

...222 American Family Physician www.aafp.org/afp Volume 75, Number 2 ◆ January 15, 2007 Child Abuse children.18,19 It is defined by the Office on Child Abuse and Neglect as failure to provide for a child’s basic physical, emotional, educa- tional/cognitive, or medical needs.7...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p221.pdf

afp20070115p231.pdf

...232 American Family Physician www.aafp.org/afp Volume 75, Number 2 ◆ January 15, 2007 become sensitive to the prescribed medication, his recurrent symptoms represent morbidity related to an unnecessary prescription. In scenario 4, it is assumed that the woman with sinus pain...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p231.pdf

afp20070201p351.pdf

...Update on Helicobacter pylori Treatment ADRIENNE Z. ABLES, PHARM.D., I. SIMON, M.D., and EMILY R. MELTON, M.D. Spartanburg Family Medicine Residency Program, Spartanburg, South Carolina T he discovery of Helicobacter pylori as a causative agent of peptic ulcer dis- ease has...

American Family Physician

https://www.aafp.org/afp/2007/0201/afp20070201p351.pdf

afp20070201p373.pdf

...374 American Family Physician www.aafp.org/afp Volume 75, Number 3 ◆ February 1, 2007 Parvovirus B19 four to 10 years of age,7 although a less-pronounced rash can occur in adults. Prodromal symptoms are mild and include fever, coryza, headache, and nausea. The first stage of...

American Family Physician

https://www.aafp.org/afp/2007/0201/afp20070201p373.pdf

afp20070301p656.pdf

...M.D., Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania LEE A. FLEISHER, M.D., University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania P erioperative myocardial infarction (MI) is a major cause of morbid- ity and mortality in patients who...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p656.pdf

afp20070301p667.pdf

...668 American Family Physician www.aafp.org/afp Volume 75, Number 5 ◆ March 1, 2007 APS II Fair-skinned patients may appear to have a suntan that does not fade. Hypotension, hypoglycemia, and hyponatremia are fairly late manifestations. Ovarian failure occurs in 10 percent of...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p667.pdf

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