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Articles

Antimicrobial Resistance: A Plan of Action for Community Practice

THOMAS M. HOOTON, STUART B. LEVY

Concern about the implications of antibiotic resistance has heightened with recent reports of pediatric morbidity and mortality associated with ineffective antibiotics in communities across the United States.

Cancer Screening Guidelines

ROGER ZOOROB, RUSSELL ANDERSON, CHARLES CEFALU, MOHAMAD SIDANI

Faced with the broad and sometimes conflicting range of recommendations for cancer screening, family physicians must determine the most reasonable and up-to-date method of screening.

Acute and Chronic Paronychia

PAMELA G. ROCKWELL

Paronychia, a localized superficial infection or abscess of the perionychial tissues, is one of the most common infections of the hand. Treatment options vary depending on whether the infection is acute or chronic.

Osteoporosis: Part II. Nonpharmacologic and Pharmacologic Treatment

JEANNETTE E. SOUTH-PAUL

Osteoporosis is a common, usually silent, clinical condition; treatment with behavior modification and exercise, or therapy with estrogen, calcium, calcitonin, bisphosphonates or raloxifene, is governed by the presentation.

Endometrial Biopsy

THOMAS J. ZUBER

Endometrial biopsy is valuable in the work-up of abnormal uterine bleeding, cancer screening, endometrial dating and infertility evaluation. This article provides the details necessary to perform this procedure.

Asymptomatic Microscopic Hematuria in Adults: Summary of the AUA Best Practice Policy Recommendations

GARY D. GROSSFELD, J STUART WOLF, JR, MARK S. LITWIN, HEDVIG HRICAK, CATHRYN L. SHULER, DAVID C. AGERTER, PETER R. CARROLL

Based on extensive literature review and expert opinions of a multispecialty panel, the AUA recommendations are intended to serve as a resource for urologists and primary care physicians in the evaluation, treatment and follow-up of adult patients with asymptomatic...

Insulin Resistance Syndrome

GOUTHAM RAO

Intervention in patients with the insulin resistance syndrome may prevent the development of several serious associated conditions.

Inside AFP

AFP Expands Office Procedures Series

Janis Wright

The article on page 1131 represents the first in a series of “Office Procedures” articles adapted from The Academy Collection: Quick References for Family Physicians, a series of reference guides for family physicians originally published by a joint arrangement between the...

Newsletter

Newsletter

Rosemarie Sweeney, Toni Lapp

AAFP Seeks Physicians to be Key Legislative Contacts | Online Site Offers Latest Health News | HRSA Awards $42.3 Million for Early HIV Treatment | President's Prescription Drug Proposal at Issue | NRHA Issues Legislative Agenda for 2001 | U.S. Registry Created for Alopecia...

Quantum Sufficit

Quantum Sufficit

Sarah Morgan, Lori Parry

“A cold front is moving in—look for snow, sleet, and the probability of heart attacks, strokes and broken bones.” Think that's a strange weather forecast? It's perfectly normal for people living in some regions of England. According to the British Medical Journal, some areas...

Editorials

Controlling Antibiotic Resistance: Will We Someday See Limited Prescribing Autonomy?

ARCH G. MAINOUS, III, WILLIAM J. HUESTON

In their article in this issue of American Family Physician, Hooten and Levy1 point out that drug-resistant microorganisms are a growing global problem. Use of antimicrobial agents creates an environment open to the development of resistance, placing both general populations...

Cancer Screening in Perspective

THOMAS J. GATES

One of the most common reasons for visits to family physicians is the detection of asymptomatic disease, or screening—especially screening for cancer. In this issue of American Family Physician, Zoorob and colleagues1 provide a useful summary of current guidelines for cancer...

Policy Center One-Pager

The Patient Safety Grid: Toxic Cascades in Health Care Settings

The Patient Safety Grid shows the fields where action is necessary in a comprehensive national effort to reduce harm from medical errors. Each segment of the grid is important and connected to others, sometimes forming a toxic cascade.

Diary from a Week in Practice

Diary from a Week in Practice

At times, family physicians are called on to counsel patients in areas that might seem to be off limits at first glance. Today, JTL visited with an elderly man who has been married for more than 50 years and who, in the past, has received sildenafil to improve his sexual...

Conference Highlights

Conference Highlights

Matthew Neff

Urinary Incontinence Causes Negative Outlook of Overall Health | Illegal Drug Use, Being Overweight Are Predictors of Adolescent Suicide | Laboratory and Brain Imaging Studies for Dementia May Not Be Helpful | WAST Is Effective Tool for Identifying Domestic Abuse of Females |...

Family Practice International

Family Practice International

Anne D. Walling

(Hong Kong—The Hong Kong Practitioner, October 2000, p. 495.) Up to 10 percent of children are reported to snore almost every night. Because any narrowing of the upper airway can predispose children to snoring, it can be caused by a wide range of clinical conditions,...

Patient Information Collection

Asthma Medications

Asthma: Taking Medicines Safely

Outdoor Air Pollution

Practice Guidelines

AAP Technical Report on the Prevention of Pneumococcal Infections

MONICA PREBOTH

The American Academy of Pediatrics (AAP) has released a technical report on the prevention of pneumococcal infections, including the use of pneumococcal conjugate and polysaccharide vaccines and antibiotic prophylaxis.

Clinical Briefs

Clinical Briefs

Monica Preboth

Role of Isoflavones in Menopausal Health Conditions | New Asthma Medication for Infants and Children | Call for Medical Informatics Papers | Delayed-Release Drug for Juvenile Rheumatoid Arthritis | AAP Statement on the Use of Inhaled Nitric Oxide | Women's Health Report on...

Letters to the Editor

Restless Legs Syndrome

ROBERT WERRA

Role of Papanicolaou Tests

MARIA D. RODRIGUEZ

Counseling to Reduce Noise-Induced Hearing Loss

PETER M. RABINOWITZ

Noise-Induced Hearing Loss in Shooters of Shoulder Firearms

JAMES E. PECK

Tips from Other Journals

Alendronate Is Beneficial for Men with Osteoporosis

JEFFREY T. KIRCHNER

ACE Inhibitors in Patients with Asymptomatic LV Dysfunction

RICHARD SADOVSKY

Management of Pica: A Medical Enigma

JEFFREY T. KIRCHNER

Use of Neuroimaging in Children with Epilepsy

GRACE BROOKE HUFFMAN

Early Diagnosis and Management of Acute Stroke

RICHARD SADOVSKY

Can Visual Inspection of Urine Predict Childhood UTI?

GRACE BROOKE HUFFMAN

Using the ECG to Diagnose Pulmonary Embolism

RICHARD SADOVSKY

Treatment Recommendations for Obstructive Sleep Apnea

GRACE BROOKE HUFFMAN

Detection of Acute Illness in Long-Term Care Patients

GRACE BROOKE HUFFMAN

Update on Thromboangiitis Obliterans (Buerger's Disease)

JEFFREY T. KIRCHNER

Emergency Treatment of Migraine Headaches

RICHARD SADOVSKY

Testosterone Replacement for Menopausal Women

JEFFREY T. KIRCHNER

Superiority of Oral Steroids in Acute Pediatric Asthma

JEFFREY T. KIRCHNER

Endometrial Cancer Risk After Tamoxifen Therapy

ANNE D. WALLING

Information from Your Family Doctor

Avoiding Resistance to Antibiotics—When Do I Need an Antibiotic?

Antibiotics are medicines that fight (or prevent) infections that are caused by bacteria. Bacteria are also called germs. If the infection is caused by a virus, antibiotics can't fight the virus.

Endometrial Biopsy

Endometrial biopsy is a safe and effective method for evaluating the tissue lining the inside of the uterus (or womb). A plastic catheter is slipped into the uterus, and a small amount of the endometrial lining is suctioned into the catheter. This technique has been...

Insulin Resistance Syndrome

Insulin is a kind of hormone. It helps your body store sugar in your tissues. Your body uses stored sugar for energy.



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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