• Articles

    Management of Cervical Cytologic Abnormalities

    BARBARA S. APGAR, GREGORY BROTZMAN

    The American Society for Colposcopy and Cervical Pathology developed guidelines in 2001 for the management of cervical cytologic abnormalities. The guidelines incorporate the Bethesda System 2001 terminology and data from randomized studies of atypical squamous cells, low...

    Chronic Kidney Disease: Prevention and Treatment of Common Complications

    CATHERINE S. SNIVELY, CECILIA GUTIERREZ

    Chronic kidney disease is a progressive condition that results in significant morbidity and mortality. Because of the important role the kidneys play in maintaining homeostasis, chronic kidney disease can affect almost every body system. Early recognition and intervention are...

    Diagnosis and Management of Multiple Sclerosis

    PETER A. CALABRESI

    Multiple sclerosis, an idiopathic inflammatory disease of the central nervous system, is characterized pathologically by demyelination and subsequent axonal degeneration. The disease commonly presents in young adults and affects twice as many women as men. Common presenting...

    Acute Shoulder Injuries

    DAVID M. QUILLEN, MARK WUCHNER, ROBERT L. HATCH

    The shoulder is the most mobile joint in the human body. The cost of such versatility is an increased risk of injury. It is important that family physicians understand the anatomy of the shoulder, mechanisms of injury, typical physical and radiologic findings, approach to...

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Updated CDC Influenza Vaccination Recommendations

    Practice Guideline Briefs

    Strategy to Strengthen Safeguards for Children Treated with Antidepressants

    Practice Guideline Briefs

    Risk of Recurrent Stroke with Patent Foramen Ovale and Atrial Septal Aneurysm

    Practice Guideline Briefs

    Norovirus Gastroenteritis Outbreak at a Swimming Club | 150th Anniversary of John Snow and the Pump Handle

    Practice Guideline Briefs

    Practice Guideline Briefs

    Inside AFP

    Barbara Apgar, M.D.—A Family Physician and Leader in Women’s Health

    JANIS WRIGHT

    This issue’s cover article, written by Barbara Apgar, M.D., M.S., University of Michigan Medical Center, Ann Arbor, Mich., and Gregory Brotzman, M.D., Medical College of Wisconsin, Milwaukee (see page 1905), reviews management of women with cervical cytologic abnormalities....

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    AAFP Selects New Officers and Board Members for Upcoming Year | AAFP Chooses 2005 Family Physician of the Year | Physicians in Shortage Areas Will Get Bonus Fee Payment in 2005 | AAFP Congress of Delegates Votes to Establish a Federal PAC | Robert Graham Center Releases An...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS, CARRIE MORANTZ, LORI PARRY, MONICA PREBOTH

    From the “1,001 Uses for Breast Milk” file: a compound found in breast milk, α-lactalbumin, can shrink or destroy many skin warts. According to a study published in The New England Journal of Medicine, researchers in Sweden, who were testing ways to fight bacterial...

    Editorials

    The 2001 ASCCP Management Guidelines for Cervical Cytology

    DARON G. FERRIS

    Shortly after the National Cancer Institute’s Bethesda 2001 meeting to modify cervical cytologic terminology,1 the American Society for Colposcopy and Cervical Pathology (ASCCP)2 developed evidence-based guidelines for the management of abnormal cervical cytologic results....

    Overcoming the Challenges Facing Quality-Improvement Strategies for Non–ST-Segment Elevation Acute Coronary Syndromes

    MATTHEW T. ROE, ERIC D. PETERSON, E. MAGNUS OHMAN, SIDNEY C. SMITH, Jr, W. BRIAN GIBLER

    The diagnostic and therapeutic approach to patients with non–ST-segmentelevationacute coronary syndromes (NSTE ACS — unstable angina and non-ST-segment elevation myocardial infarction) has evolved considerably over the past decade with publication of multiple landmark trials...

    Diary from a Week in Practice

    Diary

    PAUL GROSS

    “I hear a phone ringing in my chest.” Now that’s a new one. “The first time,” Mr. Jones goes on, “I picked up the receiver in the kitchen, but no one was there.” Mr. Jones is a grizzled 79-year-old man. In addition to longstanding hypertension and diabetes, he has every other...

    U.S. Preventive Services Task Force

    Screening for Syphilis Infection: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for syphilis and the supporting scientific evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, second edition.

    Point-of-Care Guides

    Prognosis for Patients Undergoing Coronary Angioplasty

    MARK H. EBELL

    Percutaneous coronary interventions, such as balloon angioplasty, with or without stent placement, are important in the treatment of patients with coronary artery disease.

    Photo Quiz

    Reticular Abdominal Hyperpigmentation

    ANJA STEIN

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

    POEMs

    Cough Suppressants Are Ineffective in Children

    ALLEN F. SHAUGHNESSY

    Amantadine Improves Markers in Hepatitis C

    ALLEN F. SHAUGHNESSY

    Enteral Nutrition Preferred in Patients with Pancreatitis

    ALLEN F. SHAUGHNESSY

    PSA Velocity Following Prostate Cancer Treatment

    MARK EBELL

    Enoxaparin vs. Heparin for Acute Coronary Syndrome

    DAVID SLAWSON

    Isoflavones Do Not Reduce Menopausal Symptoms

    DAVID SLAWSON

    Echinacea Does Not Shorten or Lessen Cold Symptoms

    ALLEN F. SHAUGHNESSY

    Practice Guidelines

    ACC/AHA Release Guidelines on Management of Patients With STEMI: Hospital and Long-Term Management

    MATTHEW J. NEFF

    Guidelines for the management of ST-elevation myocardial infarction (STEMI), with a focus on hospital and long-term management, are available from the American College of Cardiology/American Heart Association (ACC/AHA) Task Force on Practice Guidelines.

    Letters to the Editor

    Hyperbaric Oxygen to Treat Malignant External Otitis

    WALDEMAR NAROZNY, JERZY KUCZKOWSKI, BOGUSLAW MIKASZEWSKI

    Pain Relief in Those Recovering from Chemical Dependency

    ROBERT L. HATCH

    Tips from Other Journals

    Presentation of Parvovirus B19 Infection Varies

    BILL ZEPF

    Improving Compliance with CAD Secondary Prevention

    KARL E. MILLER

    Depression and Suicidal Ideation in Elderly Persons

    CAROLINE WELLBERY

    Patients Prefer Peritoneal Dialysis to Hemodialysis

    CAROLINE WELLBERY

    Impact of Secondhand Smoke on Inflammation

    KARL E. MILLER

    Evaluating Patients with Suspected Allergic Rhinitis

    RICHARD SADOVSKY

    Vitamin D and Calcium Reduce Falls in the Elderly

    CAROLINE WELLBERY

    Safety of Vaginal Birth After Cesarean Delivery

    ANNE D. WALLING

    Efficacy of Oral Antibiotics for Inpatients with CAP

    KARL E. MILLER

    Effectiveness of Spermicides Containing Nonoxynol-9

    ANNE D. WALLING

    Outcomes After Cardiac Catheterization in Women

    CAROLINE WELLBERY

    Statin Therapy Reduces Stroke Risk in a Range of Patients

    ANNE D. WALLING

    Diagnostic Tests for Patients with Acute Dyspnea

    KARL E. MILLER

    Information from Your Family Doctor

    Chronic Kidney Disease

    Healthy kidneys take waste products out of your blood. These waste products then leave your body in your urine.



    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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