• Articles

    Recognizing Neoplastic Skin Lesions: A Photo Guide

    LEWIS C. ROSE

    Most skin cancers are identifiable, and early recognition is the critical first step toward the management of cutaneous neoplasm.

    The Gomco Circumcision: Common Problems and Solutions

    DAVID PELEG, ANN STEINER

    The Gomco clamp has become one of the most frequently used instruments for the performance of circumcision because of its ability to prevent injury and bleeding in infants.

    Constipation in the Elderly

    DAVID C. SCHAEFER, LAWRENCE J. CHESKIN

    Treatment of constipation should be directed at the underlying abnormality, and chronic laxative use should be avoided. First-line therapies include bowel retraining, increased intake of dietary fiber and fluids, and more physical activity, if possible.

    Management of Female Sexual Assault

    LINDA M. PETTER, DAVID L. WHITEHILL

    Management of sexual assault should include treatment of physical injuries, prophylaxis for pregnancy and sexually transmitted diseases, and therapy for psychosocial sequelae.

    Recognizing Occupational Disease—Taking an Effective Occupational History

    MICHAEL B. LAX, WILLIAM D. GRANT, FEDERICA A. MANETTI, ROSEMARY KLEIN

    By taking a complete work history and establishing access to occupational health resources, family physicians can improve their ability to recognize and treat occupational diseases.

    Family Practice International

    Anne D. Walling

    (Great Britain—The Practitioner, May 1998, p. 407.) Although “fibromyalgia syndrome” was formally described in 1981, identical or closely related conditions have been discussed in the medical literature for almost 100 years. The key features of fibromyalgia are...

    Inside AFP

    The Stars of AFP

    JANIS WRIGHT

    If you haven't done so already, you may want to save a copy of the article “Immunizations: Current Recommendations,” by Samuel B. Adkins III, M.D., published in the September 1, 1997 issue of AFP (page 865). Not only is this article a useful resource for busy family...

    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

    Alcohol abuse in the elderly? According to the Center for Substance Abuse Treatment, 17 percent of adults older than 60 years of age are substance abusers. Psychiatric News reports that 15 percent of men who are alcoholics state that their alcoholism began between the ages of...

    Editorials

    Vaccinations in Adults: Missed Opportunities

    RICHARD K. ZIMMERMAN, JUDITH A. BALL

    Mortality and morbidity from vaccine-preventable diseases remain high in adults, despite the development and dissemination of vaccine recommendations for this age group. It is estimated that each year, vaccination could prevent 8,260 deaths related to influenza and 19,200...

    Impact of Family Physicians on Mammography Screening

    JEANNE PARR LEMKAU, KATHLEEN E. GRADY

    We may debate about when an asymptomatic woman should receive her first mammogram or begin annual mammography screening, how long the interval should be between mammograms for women or about what situations warrant cessation of screening, but on this we agree: early detection...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Today, SEF saw a 48-year-old woman who had been suffering from depression for many years. She had failed therapy with several antidepressant medications and had almost resigned herself to a life with “the black monster” of depression. Three weeks ago, SEF started her on a new...

    Conference Highlights

    Conference Highlights

    Verna L. Rose

    (50th Anniversary Annual Meeting of the American Academy of Neurology) Results of a study of postmenopausal women showed that women with early Parkinson's disease may benefit from hormone replacement therapy. The study included postmenopausal women who had been diagnosed with...

    FDA Perspective

    Keeping Abreast of New Drug Approvals and Labeling Changes

    PETER H. RHEINSTEIN, VELING W. TSAI

    The U.S. Food and Drug Administration (FDA) World Wide Web home page (http://www.fda.gov) has been greatly expanded since it was last described in this department.1 When a news story or a patient mentions a new medical product, a new drug indication or warning, a few...

    Special Medical Reports

    AAP Issues Policy Statement on Parental Discipline of Children

    Verna L. Rose

    A policy statement from the American Academy of Pediatrics (AAP) addresses how physicians should counsel parents on the use of discipline for their children, including the use of positive reinforcement and the potential negative effects of corporal punishment. “Guidelines for...

    ACOG Releases A Report on Risk Factors, Causes and Management of Postpartum Hemorrhage

    Sharon Scott Morey

    The Committee on Educational Bulletins of the American College of Obstetricians and Gynecologists (ACOG) has released a report on the management of postpartum hemorrhage (Educational Bulletin No. 243). The report discusses the causes and management of postpartum hemorrhage.

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    The American Academy of Pediatrics (AAP) has issued a position statement on neonatal drug withdrawal. The statement, published in the June 1998 issue of Pediatrics, has current information about the clinical presentation, differential diagnosis, therapeutic options and...

    Physician's Bookshelf

    Book Reviews

    CHANTAL M.L.R. BRAZEAU, MARK S. JOHNSON, RICHARD SADOVSKY

    Also Received

    Letters to the Editor

    Measles, Mumps, Rubella Vaccine and Allergy to Egg

    Tibiofibular Diastasis in the Injured Ankle

    Tips from Other Journals

    Folic Acid for the Prevention of Neural Tube Defects

    ANNE D. WALLING

    Treatment of Depression In Older Ambulatory Patients

    BARBARA APGAR

    Bisphosphonates and HRT for Postmenopausal Osteoporosis

    GRACE BROOKE HUFFMAN

    Inaccuracies in Interpretation of Tuberculin Skin Tests

    JEFFREY T. KIRCHNER

    Repaglinide: An Oral Agent for the Treatment of Type 2 Diabetes

    BARBARA APGAR

    Effects of Ultrasound Treatment in Carpal Tunnel Syndrome

    ANNE D. WALLING

    Hepatitis C Virus Infection: Diagnosis and Treatment

    RICHARD SADOVSKY

    Effects of Epidural Analgesia and Meperidine During Labor

    BARBARA APGAR

    Neurologic Complications of Carotid Sinus Massage

    RICHARD SADOVSKY

    Four Criteria for Use in Detecting Stress Incontinence

    ANNE D. WALLING

    Postoperative Cognitive Dysfunction in Elderly Patients

    ANNE D. WALLING

    Spontaneous Vaginal Delivery and Risk of Erb's Palsy

    BARBARA APGAR

    Review of Antibacterial Drugs for Treatment of Infections

    BARBARA APGAR

    Preexposure Vaccination Regimens to Prevent Rabies

    ANNE D. WALLING

    Fenoldopam for Parenteral Treatment of Severe Hypertension

    BARBARA APGAR

    Features of Allergic Fungal Sinusitis on CT Scan

    BARBARA APGAR

    Evaluation of Unilateral Breast Masses in Men

    ANNE D. WALLING

    Immunization Guidelines for International Travelers

    RICHARD SADOVSKY

    Cost-effective Immunization Against Hemophilus Influenzae

    ANNE D. WALLING

    Information from Your Family Doctor

    How to Prevent Skin Cancer

    One of your skin's worst enemies is ultraviolet light from the sun, which can damage the skin and lead to skin cancer.

    What to Do if You're Raped

    Rape is any form of sexual activity that you don't agree to, ranging from touching to penetration. Rape is a crime even if you already know the person who attacked you—if the person is a family member or friend or someone you work with. It's a crime even if you didn't fight...

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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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