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Articles

New Strategies in the Medical Management of Asthma

KAREN M. GROSS, CHARLES D. PONTE

Patients with persistent asthma require medications for both long-term control and quick relief of symptoms. The pharmacotherapy of asthma is briefly reviewed, including the newer therapeutic agents and the recent guidelines from the National Asthma Education and Prevention...

Lisfranc Injury of the Foot: A Commonly Missed Diagnosis

KEVIN E. BURROUGHS, CURTIS D. REIMER, KARL B. FIELDS

Timely diagnosis facilitates treatment of Lisfranc injury and decreases the risk of long-term disability. Mild to moderate sprains can be treated with immobilization, but fracture–dislocations generally require surgery.

Indications for Anticoagulation in Atrial Fibrillation

WAHEED AKHTAR, WILLIAM C. REEVES, ASSAD MOVAHED

Patients with atrial fibrillation should be considered for anticoagulation or antiplatelet therapy based on the patient's age, the presence of other risk factors for stroke and the risk of complications from anticoagulation.

Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Dependence

NORMAN S. MILLER, MARK S. GOLD

Primary care physicians may use pharmacotherapy and psychosocial methods to manage withdrawal syndromes and prevent relapse in patients with drug and alcohol disorders.

Assessment of Abnormal Growth Curves

JAMES D. LEGLER, LEWIS C. ROSE

Children whose growth parameters are at the extremes of the growth curve but who have normal growth rates are likely to be healthy. Conversely, accelerated or slowed growth rates are rarely normal and warrant further evaluation.

Diagnosis and Management of Common Tinea Infections

SARA L. NOBLE, ROBERT C. FORBES, PAMELA L. STAMM

The treatment of tinea infection is based of the anatomic location of the infection, the likelihood of patient compliance and the safety, efficacy and cost of appropriate agents. Newer oral and topical antifungal agents, including imidazoles and allylamines, have greatly...

Treatment Strategies for Premenstrual Syndrome

JANICE E. DAUGHERTY

Premenstrual symptoms that impair daily life have been estimated to occur in up to 40 percent of women of reproductive age. A comprehensive treatment plan that encourages a healthy lifestyle may relieve symptoms in most women.

Inside AFP

JANIS WRIGHT

It's no secret that AFP is a success, but how does AFP stay at the top of the reading list for family physicians? A key factor is the ongoing effort by AFP's editors and staff to gather and analyze readers' opinions. Throughout the year we administer various surveys,...

Family Practice International

Anne D. Walling

(Great Britain—The Practitioner, March 1998, p. 200.) In susceptible persons, inhaled protein or spores can cause an immunologic response in the peripheral bronchioles and alveoli, leading to severe pulmonary fibrosis. This condition (allergic alveolitis) is usually caused by...

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

What do you get when you cross broccoli and Chinese kale? Broccolini, the newest vegetable on the market. Broccolini looks like broccoli except for its longer, asparagus-like stem. The taste is described as sweeter than broccoli—a combination of broccoli and asparagus, with a...

Editorials

AAFP/ACOG Educational and Practice Guidelines

PATRICK B. HARR, THOMAS F. PURDON

The recommended core educational guidelines for family practice residents in maternity and gynecologic care appear in this issue of American Family Physician,1 as well as a joint statement on cooperative practice and hospital privileges,2 both created by a joint task force of...

Anticoagulation in Elderly Persons: A Call for Wider Use

VALERY A. PORTNOI

The decision to initiate anticoagulation treatment is one of the most difficult in the practice of geriatrics. The difficulty stems from concern about the adverse effects of bleeding complications, particularly intracranial hemorrhage. Warfarin is most commonly prescribed for...

Diary from a Week in Practice

Diary from a Week in Practice

The last few weeks of pregnancy are often difficult for patients, especially if the pregnancy goes past the “due date.” TBS has heard of many unusual ways of inducing of labor from anxious moms-to-be and their families, such as walking, cleaning the house, herbal supplements,...

Photo Quiz

Chronic Papular Eruption of the Skin

JOSEPH C. ENGLISH, III, THOMAS K. VAUGHAN, DAVID P. HALBACH

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

Conference Highlights

Conference Highlights

Verna L. Rose

(Annual Meeting of the American College of Allergy, Asthma and Immunology) Having a social support system reduces the negative impact of stress on the immune system, according to a study that evaluated the influence of susceptibility to infection and social interactions. A...

Special Medical Reports

Recommendations for the Use of Antiretroviral Drugs in Pregnant Women Infected with HIV

Verna Rose

The Public Health Service has updated the 1994 guidelines for the use of zidovudine (Retrovir) to reduce the risk for perinatal transmission of human immunodeficiency virus (HIV). The new report is intended to help health care professionals educate pregnant women with HIV...

Clinical Briefs

Clinical Briefs

Verna L. Rose

The American Academy of Dermatology (AAD) has challenged the recent report of a study from Memorial Sloan-Kettering Cancer Center suggesting that suncreens do not protect against melanoma. The AAD says in a statement that it is concerned about the health consequences of...

AAFP Core Educational Guidelines

Maternity and Gynecologic Care

This document was developed by a joint task force of the American Academy of Family Physicians and the American College of Obstetricians and Gynecologists.

AAFP–ACOG Joint Statement on Cooperative Practice and Hospital Privileges

AAFP–ACOG Joint Statement on Cooperative Practice and Hospital Privileges

Physician's Bookshelf

Book Reviews

ALAN M. ADELMAN, JAMES G. RICCA

Practical Guide to the Care of the Geriatric Patient | Evidence Based Medicine: How to Practice and Teach EBM | Also Received

Resident and Student Voice

Death Pronouncement: Survival Tips for Residents

LUCILLE R. MARCHAND, KENNETH P. KUSHNER, LYNDA SIEWERT

Where do residents learn about death pronouncement? The hit medical shows on television glamorize life-saving high drama, not the business of declaring someone dead—by yourself in the middle of the night. Medical students and residents receive mixed and varied unofficial...

Letters to the Editor

Warfarin Therapy for Elderly Persons with Atrial Fibrillation

Tips from Other Journals

Outcomes in Patients With Primary Raynaud Phenomenon

BARBARA APGAR

Incidence and Risk Factors of Clostridium difficile Colitis

RICHARD SADOVSKY

Two New Treatments for Male Androgenetic Alopecia

BARBARA APGAR

Exercises Reduce Incontinence During and After Pregnancy

ANNE D. WALLING

Significance of Asymptomatic Carotid Bruits in the Elderly

GRACE BROOKE HUFFMAN

Impact of Job Satisfaction on Chronic Low Back Pain

KARL MILLER

Identification and Treatment of Kawasaki Disease

RICHARD SADOVSKY

Level of Alcohol Intake and Risk of Breast Cancer

GRACE BROOKE HUFFMAN

Inherited Bleeding Disorders in Women with Menorrhagia

ANNE D. WALLING

Comparison of ‘Statin’ Drugs for Hypercholesterolemia

RICHARD SADOVSKY

Vagal Stimulation to Halt Supraventricular Tachycardia

RICHARD SADOVSKY

Raloxifene for Treatment of Postmenopausal Osteoporosis

BARBARA APGAR

Increase in Drug Abuse Among U.S. Adolescents

JEFFREY T. KIRCHNER

Amlodipine or Diltiazem with Atenolol for Angina

RICHARD SADOVSKY

Treatment of Recurrent Genital Herpes Infections

BARBARA APGAR

Transient Post-Transfusion Blood Abnormalities

GRACE BROOKE HUFFMAN

Transrectal Ultrasound in Evaluation of Male Infertility

BARBARA APGAR

Schizophrenia as a Long-term Outcome of Pregnancy

BARBARA APGAR

Choice of Management for the Third Stage of Labor

ANNE D. WALLING

Incidence of Concussion in Elite Soccer Players

KARL MILLER

Teratogenic Risk of SSRIs Used During Pregnancy

GRACE BROOKE HUFFMAN

Long-Acting Calcium Channel Blockers in Hypertension

RICHARD SADOVSKY

Optimization of Medication Use in the Elderly Population

RICHARD SADOVSKY

Treatment Of Anogenital Warts With 0.5 Percent Podofilox Gel

BARBARA APGAR

Weight Change and Risk of Hypertension in Women

RICHARD SADOVSKY

Linoleic Acid and Calcium for Prevention of Preeclampsia

ANNE. D. WALLING

Information from Your Family Doctor

Managing Your Asthma Flare-ups

To keep your asthma under control, you need to know what to do when you have a flare-up of symptoms (sometimes this is called an “exacerbation”). First, you need to know the symptoms that tell you your asthma is getting worse (flaring up). Second, you need to know how to...

Tinea Infections: Athlete's Foot, Jock Itch and Ringworm

Tinea is a fungus that can grow on your skin, hair or nails. As it grows, it spreads out in a circle, leaving normal-appearing skin in the middle. This makes it look like a ring. At the edge of the ring, the skin is lifted up by the irritation and looks red and scaly. To some...

Premenstrual Syndrome: Getting Relief

Premenstrual syndrome (called PMS for short), has many symptoms. The symptoms can occur a week or so before the menstrual period starts.

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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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