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Articles

Uterine Fibroid Embolization

STEVEN JANNEY SMITH

Uterine fibroid embolization is now considered a safe and effective nonsurgical treatment in women with symptomatic uterine fibroid tumors. It offers several advantages over conventional treatment and widens the options for patients who desire to avoid a hysterectomy.

Successful Management of the Obese Patient

WALKER S. CARLOS POSTON, II, JOHN P. FOREYT

Successful management of obese patients involves modification of lifestyle behaviors that contribute to obesity, such as inappropriate diet and inactivity. Behavior modification involves self-monitoring, stimulus control, cognitive restructuring, stress management and social...

Hyponatremia and Hypernatremia in the Elderly

JOHN P. KUGLER, THOMAS HUSTEAD

The complexities of water metabolism and the pathophysiology of hyponatremia and hypernatremia must be carefully considered in elderly patients.

Evaluating Dysphagia

MICHAEL R. SPIEKER

Approximately 7 to 10 percent of adults older than 50 years, 25 percent of hospitalized patients and 30 to 40 percent of nursing home patients experience dysphagia. Family physicians can reduce the risks of complications through early and aggressive evaluation and management...

Health Issues in Men: Part I. Common Genitourinary Disorders

TED D. EPPERLY, KEVIN E. MOORE

Prostatitis, benign prostatic hyperplasia, urogenital cancers, premature ejaculation and erectile dysfunction are genitourinary conditions commonly encountered in men. Screening questions to identify these health problems should be included in the comprehensive health evaluation.

Cyclooxygenase-2 Enzyme Inhibitors: Place in Therapy

SARA L. NOBLE, DEBORAH S. KING, JOYCE I. OLUTADE

Cyclooxygenase-2 enzyme inhibitors are an option to traditional nonsteroidal anti-inflammatory drugs in patients with arthritis who are at high risk for ulcers.

AFP 50 Years Ago

This feature is part of a year-long series of excerpts and special commentaries celebrating AFP's 50thyear of publication. Excerpts from the two 1950 volumes of GP, AFP's predecessor, appear along with highlights of 50 years of family medicine.

Family Practice International

Anne D. Walling

(Australia—Australian Family Physician, January 2000, p. 51.) While coxsackie B virus infection is rare in persons more than 60 years of age, it is more common in children and young adults. The infection is transmitted by hand-to-mouth contact and may become widespread in...

Inside AFP AAFP News Now: AFP Edition

Newsletter

Rosemarie Sweeney, Toni Lapp

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

Quantum Sufficit

Quantum Sufficit

Jessica Greene

Be kind to your left-handed friends. According to a report in the American Journal of Public Health, as people age, the prevalence of left-handedness seems to become rarer. Many people born with an innate left-handedness switch to right-handedness in adulthood. According to...

Editorials

Is Hysterectomy Obsolete?

ANTHONY R. SCIALLI

Each working day in the United States, the uterus is surgically removed from about 3,000 women. An American woman who reaches the age of 60 has something like a one in three chance of losing her uterus. Uterine leiomyoma is the single most common reason for hysterectomy. The...

Tempering the Enthusiasm for COX-2 Inhibitors

JAMES NUOVO

Treating the pain associated with osteoarthritis is a common challenge for family physicians. Nonsteroidal anti-inflammatory drugs (NSAIDs) have long been used to manage this disease. The adverse side effect profile of NSAIDs is well known and includes gastrointestinal and...

Diary from a Week in Practice

Diary from a Week in Practice

A nurse practitioner in our group had been taught to obtain Papanicolaou (Pap) smears in all women older than 18 years, regardless of their level of sexual activity. Because our practice has many women who choose to remain chaste until marriage, JTL felt that this issue...

Conference Highlights

Conference Highlights

Matthew Neff

(49th Annual Scientific Session of the American College of Cardiology) Results of a two-part study showed a significantly higher incidence of recurrent acute ischemic cardiac events among patients with depression than in patients without depression, despite similar co...

Practice Guidelines

Surgeon General Releases Mental Health Report

Monica Preboth

A mental health report released by the surgeon general takes a lifespan approach to its consideration of mental health and mental illness by discussing in detail the periods of childhood, adolescence, adulthood and later life.

Clinical Briefs

Clinical Briefs

Monica Preboth

The Committee on Adolescence of the American Academy of Pediatrics (AAP) has issued a statement on contraception and adolescents. The statement appears in the November 1999 issue of Pediatrics.

Letters to the Editor Tips from Other Journals Information from Your Family Doctor

Uterine Fibroid Embolization: A New Way to Treat Fibroids

Your doctor has told you that you have a fibroid in your uterus. There are several ways to treat fibroids. One way to treat women with fibroids is called uterine fibroid embolization. If you and your doctor have decided that this may be appropriate treatment for you, this...

Corrections


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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