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Articles

HIV Counseling, Testing, and Referral

JOEL E GALLANT

Over the past decade, the annual number of new cases of human immunodeficiency virus (HIV) infection has been relatively stable but remains unacceptably high (an estimated 40,000 new cases per year). Furthermore, the demographics for HIV infection are changing. Rates of new...

Sarcoidosis

JENNIFER J WU, KARIN RASHCOVSKY SCHIFF

Sarcoidosis is a systemic granulomatous disease of unknown cause affecting young and middle-aged adults. Patients commonly present with bilateral hilar lymphadenopathy, pulmonary infiltrates, and ocular and skin lesions. The heart, liver,spleen, salivary glands, muscles,bones...

Diagnosing Heel Pain in Adults

TRACY ALDRIDGE

Heel pain is a common condition in adults that may cause significant discomfort and disability. A variety of soft tissue, osseous, and systemic disorders can cause heel pain. Narrowing the differential diagnosis begins with a history and physical examination of the lower...

Geriatric Failure to Thrive

RUSSELL G ROBERTSON, MARCOS MONTAGNINI

In elderly patients, failure to thrive describes a state of decline that is multifactorial and may be caused by chronic concurrent diseases and functional impairments. Manifestations of this condition include weight loss, decreased appetite, poor nutrition, and inactivity....

Preventing HIV—A Primary Care Imperative

RONALD H GOLDSCHMIDT, REBECCA E POAGE

How deceptive appearances can be! Maria resembled all the other young, healthy women who receive prenatal care at our clinic. She seemed to be a low-risk 18-year-old. She was in her first romantic relationship and, although her pregnancy was unplanned, she was happy about it....

How Useful Is the Concept of ‘Failure to Thrive’ in Care of the Aged?

DOUGLAS C WOOLLEY

In this issue of American Family Physician, Robertson and Montagnini1 review the challenges of caring for an aged patient with multiple problems whose health and vitality are rapidly declining. The term “failure to thrive,” which was borrowed from health care for children to...

Inside AFP

A Review of HIV Counseling, Testing, and Referral

JANIS WRIGHT

In an article on page 295, Joel E. Gallant, M.D., M.P.H., John Hopkins University School of Medicine, provides a review of counseling, testing, and referral of patients with human immunodeficiency virus (HIV) infection. In an effort to reduce the annual number of new cases of...

Newsletter

Newsletter

GENEVIEVE RESSEL

FDA Warns Against Using Domperidone to Increase Breast Milk Production | AAFP Members Visit Lawmakers in Washington, D.C. | CDC Reports Data on Suicide Behaviors, Risk Factors, and Prevention | AAFP Sponsors National Conference for Residents and Medical Students | HHS Awards ...

Quantum Sufficit

Quantum Sufficit

SARAH EVANS, HEATHER McNEILL, LORI PARRY

Man’s best friend also may be man’s best workout buddy. Two studies reported in the online version of USA Today show that dog owners and their pets can benefit from teaming up to lose weight. In the first study, 11 overweight dog owners were instructed to follow a low-fat...

Diary from a Week in Practice

Diary

PAUL GROSS

I get on edge when Mr. Torres, a Spanish-speaking man with AIDS, tells me he’s out of antiretroviral medications. How did this happen? Mr. Torres’ Medicaid insurance has a spend-down provision—every month he has to show proof that he’s purchased $170 worth of medications...

U.S. Preventive Services Task Force

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse: Recommendation Statement

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on behavioral counseling interventions to reduce alcohol misuse in primary care patients and the supporting evidence, and it updates the 1996 recommendations contained in the Guide to...

STEPS

Tadalafil (Cialis) for Erectile Dysfunction

JOHN A NOVIASKY, ASIF MASOOD, VINCENT LO

Like other PDE5 inhibitors, tadalafil effectively improves the ability of men with erectile dysfunction to achieve an erection and successfully complete intercourse. It is less effective, although still useful, in some men with ED due to diabetes. Its longer duration may...

Photo Quiz

Rash and Fever in an Ill-Appearing Child

CAROL L BLACKWOOD

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

POEMs

Effect of Fetal Fibronectin on Preterm Labor

LINDA FRENCH

Can Antibiotics Prevent Recurrent MI?

ALLEN F SHAUGHNESSY

Exemestane vs. Tamoxifen After Breast Cancer

MARK EBELL

Three Days of Ciprofloxacin for UTI in Older Women

MARK EBELL

Progesterone Intrauterine System for Menorrhagia

DAVID SLAWSON

PAPNET vs. Manual Reading of Pap Smears

LINDA FRENCH

Forcing Fluids in Respiratory Tract Infections

ALLEN F SHAUGHNESSY

Sterile Gloves Unnecessary for Laceration Repair

ALLEN F SHAUGHNESSY

Practice Guidelines

NAMS Releases Position Statement on the Treatment of Vasomotor Symptoms Associated with Menopause

MATTHEW J NEFF

The North American Menopause Society (NAMS) has released an evidence-based position statement on the treatment of vasomotor symptoms associated with menopause to provide recommendations on the most effective treatments.

Practice Guideline Briefs

Treatment of Infantile Spasms

CARRIE MORANTZ, BRIAN TORREY

Treatment of Infantile Spasms

Treatment of Infantile Spasms

CARRIE MORANTZ, BRIAN TORREY

Dystocia and Augmentation of Labor

Treatment of Infantile Spasms

CARRIE MORANTZ, BRIAN TORREY

Recommendations for Exercise After Stroke

Letters to the Editor

Evaluating Lymphadenopathy Using Lymph Node FNA

KRISTIAN T SCHAFERNAK

‘Quantum Sufficit’ Artwork Considered Offensive

DANA KENT

Diagnosis of Malaria Should Be Considered by U.S. Physicians

SALOUM CISSE

Therapy with ACE Inhibitors and ARBs in Heart Failure

WILLIAM E CAYLEY, JR.

Tips from Other Journals

Does Tai Chi Reduce the Risk of Falling in Older Adults?

CAROLINE WELLBERY

Impact of Self-Management Education on Asthma

KARL E MILLER

Olanzapine vs. Haloperidol for Treatment of Acute Mania

KARL E MILLER

Weight-Bearing Exercise and Fall Prevention in the Elderly

CAROLINE WELLBERY

Coaching Patients on Cardiovascular Health Goals

KARL E MILLER

Effectiveness of Guaifenesin in the Treatment of Cough

KARL E MILLER

Role of Carvedilol and Digoxin in Heart Failure

KARL E MILLER

Is Treatment for Hypertension Aggressive Enough?

KARL E MILLER

Calcium Channel Blocker vs. Beta-Blocker Combinations

CAROLINE WELLBERY

Combination Therapy for Benign Prostatic Hypertrophy

BILL ZEPF

Information from Your Family Doctor

HIV Infection—How to Lower Your Risk

There are many ways to lower your risk of getting human immunodeficiency virus (HIV) infection. You can get HIV infection from blood, semen, or vaginal fluid. If a mother has HIV infection, her baby can become infected during birth or from breastfeeding.



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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