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Travel Medicine: Helping Patients Prepare for Trips Abroad

LEW DICK

Appropriate medical advice for travelers is based on the most recent expert recommendations related to the destination plus an appreciation of the needs and risk factors of each patient.

Henoch-Schönlein Purpura: A Review

DEBRA M. KRAFT, DENISE MCKEE, CAROL SCOTT

Henoch-Schönlein purpura is a vasculitis of childhood that results in a purpuric rash, abdominal pain and arthritis. The symptoms often do not appear as a triad, which can create difficulty in establishing the diagnosis.

DOT Examinations: Practical Aspects and Regulatory Review

FORREST POMMERENKE, KURT HEGMANN, NATALIE P. HARTENBAUM

In performing medical certification examinations, the physician's primary responsibility is to protect the public from potentially unsafe drivers.

Prostate Cancer Screening: More Harm Than Good?

MICHAEL L. LEFEVRE

When prostate-specific antigen (PSA) screening is examined critically from the standpoint of the general principles of screening, evidence from prospective studies to support the routine use of PSA testing is lacking.

A Different Look at Corticosteroids

ROGER J. ZOOROB, DAWN CENDER

Commonly overlooked indications for steroid use include croup, Pneumocystis carinii pneumonia, hyperthyroidism, cancer-related pain and alcoholic encephalopathy.

Intrauterine Growth Restriction: Identification and Management

DAVID PELEG, COLLEEN M. KENNEDY, STEPHEN K. HUNTER

Intrauterine growth restriction carries an increased risk of perinatal morbidity and mortality. General management measures include treatment of maternal disease, good nutrition and institution of bed rest.

Drugs for Conversion of Atrial Fibrillation

JOSEPH T. DELL'ORFANO, JERRY C. LUCK, DEBORAH L. WOLBRETTE, HEMANTKUMAR PATEL, GERALD V. NACCARELLI

Management of atrial fibrillation may include control of heart rate and rhythm, anticoagulation therapy, or a combination of these strategies.

Family Practice International

Anne D. Walling

(Canada—Canadian Family Physician, April 1998, pp. 749, 757.) Thyroid-related eye disease most commonly occurs in cases of Graves' disease, but the eye may also be involved in other forms of hyperthyroidism or hypothyroidism or may be affected in patients who are clinically...

Inside AFP

AFP's Editorial Fellow

JANIS WRIGHT

It's time once more to bid farewell to AFP's editorial fellow: Rosaire Verna, M.D., just completed the 1997–98 John C. Rose medical editing fellowship under the guidance of our editor, Jay Siwek, M.D., at Georgetown University Medical Center, Washington, D.C. As much as we...

AAFP News Now: AFP Edition

Newsletter

Rosemarie Sweeney, Verna L. Rose

Selected policy and health issues news briefs from AAFP News Now.

Quantum Sufficit

Quantum Sufficit

Monica A. Preboth, Shyla Wright

Support from friends may help people recover from a traumatic injury more quickly, according to the American College of Surgeons. A 1997 study that assessed 302 patients stated that physical impairment counted for only 23 percent of a patient's continued dysfunction one year...

Editorials

Hospitalists and the Family Physician

BRUCE BAGLEY

Market-based health care reform has changed the face of medical practice. One change has been the emergence of inpatient admitting teams, now referred to as “hospitalists.” The hospitalist function is nothing new, but now that a small group of physicians has decided that they...

Hospitalist Concept: Another Dangerous Trend

ROBERT G. BROWN

The fact that increasing numbers of family physicians are limiting themselves to an office practice is alarming. There always has been a small minority of family physicians who chose to practice in the “Doc in the Box” environment, but with the advent of the “hospitalist”...

Prostate Cancer Screening

MATTHEW N. WITTE, RONALD A. MORTON, JR.

Because of heightened awareness and media attention directed at high-profile celebrity cases, prostate cancer is one of the most commonly discussed diseases in both the scientific and lay literature. Moreover, debates regarding the diagnosis and treatment of this common...

Diary from a Week in Practice

Diary from a Week in Practice

It is always odd for a physician to be on the receiving end as the patient, but SEF has discovered that this experience gives physicians a new level of authority, especially when dealing with issues of maternity care or children's care. SEF is now pregnant for the first time...

Photo Quiz

The Pits

JEFFREY J. MEFFERT

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

Conference Highlights

Conference Highlights

Verna L. Rose

(Annual Winter Meeting of the American Orthopaedic Foot and Ankle Society) Responding to plantar fasciitis quickly with a conservative care program can be an effective way to alleviate pain, according to results of a study of 120 patients with plantar fasciitis. The study...

Special Medical Reports

Advisory Committee on Immunization Practices Issues Recommendations for the 1998–99 Influenza Season

Verna L. Rose

The Advisory Committee on Immunization Practices (ACIP) has released recommendations for the prevention and control of influenza during the 1998–99 influenza season. The recommendations cover options for the control of influenza, inactivated vaccine for influenza A and B, use...

Clinical Briefs

Clinical Briefs

Verna L. Rose

During the past six years, the overall prevalence of smoking among high school students has increased by nearly one third, according to results of a study released by the Centers for Disease Control and Prevention. The study, “Tobacco Use Among High School Students—United...

Physician's Bookshelf

Book Reviews

HENRY M. WIEMAN, WALT LARIMORE, MARK DEUTCHMAN

Also Received

Letters to the Editor

The Vicious Path of Varicella in a Family

DEBORAH S. ASNIS, PHILIP LARUSSA

Richter's Hernia with Bowel Perforation

URIEL R. LIMJOCO, JOHN MICHAEL GRUBBS, MICHAEL D. THOMAS

A Novel Technique to Remove the Common Dog Tick

LEX SCHULTHEIS

Tips from Other Journals

Use of Sildenafil as Treatment for Erectile Dysfunction

BARBARA APGAR

Dosage of Progesterone in Continuous Combined HRT

ANNE D. WALLING

Use of Ringer's Lactate with Emergency Blood Transfusion

ANNE D. WALLING

Interferon-alfa in Children with Chronic Hepatitis C

RICHARD SADOVSKY

Reduction in Low-Weight and Preterm Births by Intervention

ANNE D. WALLING

Role of Semen in the Sexual Transfer of Hepatitis Viruses

ANNE D. WALLING

Postexposure Varicella Vaccination in Siblings

RICHARD SADOVSKY

Long-Term Survival After Acute Myocardial Infarction

ANNE D. WALLING

Smoking in Women and Risk of Myocardial Infarction

ANNE D. WALLING

Safety of Combined Therapy for Parkinson's Disease

ANNE D. WALLING

Ipratropium Plus Albuterol for Treatment of Acute Asthma

RICHARD SADOVSKY

Antidepressants and Risk of Hip Fractures in the Elderly

ANNE D. WALLING

Use of Prophylactic Aspirin in Preventing Preeclampsia

JEFFREY T. KIRCHNER

Prevalence Survey of Abuse in Women at Urgent Care Clinics

ANNE D. WALLING

Effect of Growth Hormone Therapy in Short Normal Girls

ANNE D. WALLING

Spermicide-Coated Condoms and Urinary Tract Infections

BARBARA APGAR

Evaluation and Management of Headache Symptoms

RICHARD SADOVSKY

Estrogen Therapy After Surgery for Endometriosis

ANNE D. WALLING

Adult Psychiatric Status of Hyperactive Boys

BARBARA APGAR

Evaluation of Inappropriate Consumption of Sumatriptan

ANNE D. WALLING

Work Environment and the Safety of Pregnant Workers

RICHARD SADOVSKY

Initial Evaluation of Melanoma with Chest X-Ray

BARBARA APGAR

Antiretroviral Prophylaxis After Recent Sexual Exposure to HIV

RICHARD SADOVSKY

Prevention of High-Altitude Headache with Aspirin

ANNE D. WALLING

Sibutramine Not Advised for Treatment of Obesity

BARBARA APGAR

Using Inhaled Corticosteroids for Treatment of Patients with COPD

ANNE D. WALLING

Metformin and Troglitazone for Type 2 Diabetes Mellitus

JEFFREY T. KIRCHNER

Meta-Analysis of Prednisone for Rheumatoid Arthritis

ANNE D. WALLING

Oral Contraceptive Use and Risk of Cardiovascular Disease

RICHARD SADOVSKY

Information from Your Family Doctor

International Travel: Tips for Staying Healthy

International Travel: Tips for Staying Healthy

What Is Henoch-Schönlein Purpura?

Henoch-Schönlein purpura (say: hen-awk shern-line purr-purr-ah) causes blood vessels to get inflamed (irritated and swollen). This inflammation is called vasculitis. It usually affects the small blood vessels in the skin (capillaries). It can also affect blood vessels in the...

Intrauterine Growth Restriction: When Your Baby Stops Growing Before Birth

Intrauterine growth restriction (“IUGR,” for short) is a term for a baby who is smaller than normal during pregnancy. The baby is not growing inside the uterus at the normal rate. These babies usually have a low weight at birth.



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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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