Leave a Message
Articles

A Practical Guide to Infant Oral Health

JOANNA M. DOUGLASS, ALAN B. DOUGLASS, HUGH J. SILK

Early childhood caries may develop as soon as teeth erupt. Promoting appropriate use of topical and systemic fluoride, and providing early oral hygiene instruction and regular dietary counseling to limit the frequency of sugar consumption can help reduce dental caries in...

Management of Vaginitis

MARION K. OWEN, TIMOTHY L. CLENNEY

Vaginitis most often is associated with infection or atrophic changes. Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis.

Diagnosis of Heart Failure in Adults

STEVEN A. DOSH

In patients with suspected heart failure, the initial evaluation includes a focused history and physical examination, a chest radiograph, and an electrocardiogram. The presence of heart failure can be confirmed by an echocardiogram.

Outpatient Treatment of Systolic Heart Failure

JOHN R. MCCONAGHY, STEVEN R. SMITH

Outpatient treatment of systolic heart failure involves three goals that should be pursued simultaneously: controlling risk factors for the development and progressionof heart failure, treating heart failure, and educating patients.

Cranberry for Prevention of Urinary Tract Infections

DARREN M. LYNCH

Cranberry appears to be a safe, tolerable, and effective supplement for urinary tract infection prophylaxis.

Inside AFP

Twenty Years of Memories

JANIS WRIGHT

December marks my 20th anniversary of employment at the American Academy of Family Physicians (AAFP), and most of my time here has been spent with American Family Physician. Such an anniversary milestone leaves one marveling at the passage of time and naturally asking: Why...

Newsletter

Newsletter

GENEVIEVE RESSEL

Physicians with Heart Delivers Medical Aid to the Republic of Georgia | AAFP Names David Satcher, M.D., as John G. Walsh Award Recipient | AAFP’s Consumer Health Publication Wins Award | AAFP Asks ABFP to Modify Maintenance of Certification Program | FDA Issues Advisory that...

Quantum Sufficit

Quantum Sufficit

SARAH EVANS, LINNEA KORINEK

Can you improve your vision while you sleep? According to a report published in The Wall Street Journal, the U.S. Food and Drug Administration has approved contact lenses to be worn during sleep to temporarily correct myopia. The idea is known as orthokeratology; the lenses...

Editorials

Oral Health in Primary Care Medicine: Practice and Policy Challenges

PAUL S. CASAMASSIMO

In this issue of American Family Physician, Douglass and associates1 provide sound and useful information to address the epidemic of early childhood caries. The authors point out that among low-income preschoolers in the United States, about one in three has dental caries....

Diary from a Week in Practice

Diary

JOHN O’HANDLEY

When someone tries to contact a physician by voice mail, pager, and cell phone at 8 a.m. on the first day of the week, one has the feeling that an urgent message is being conveyed. JOH took the call from a radiologist while driving to work. Thomas was a patient who was seen...

Cochrane for Clinicians

Tegaserod in Patients with Irritable Bowel Syndrome

MICHAEL SCHOOFF, CASEY STELTER

Tegaserod offers modest improvement in global gastrointestinal (GI) symptoms in women with constipation-predominant IBS, without having significant effect on symptoms of abdominal pain and discomfort.

Cochrane Briefs

CLARISSA KRIPKE, MARK EBELL

Calcium and Prevention of Colorectal Cancer | Link Between Metformin and Lactic Acidosis?

Clinical Evidence Handbook

Obsessive-Compulsive Disorder

G. MUSTAFA SOOMRO

What are the effects of initial treatments in adults? What are the best forms of maintenance treatment in adults? What are the effects of treatments in adults who have not responded to initial treatment with serotonin reuptake inhibitors?

U.S. Preventive Services Task Force

Screening for Suicide Risk: Recommendation and Rationale

This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for suicide risk and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

Putting Prevention Into Practice

Screening for Suicide Risk

JANELLE GUIRGUIS-BLAKE, CRAIG M. HALES

Case study: SJ is a 17-year-old boy brought in by his mother for a pre-college physical. His mother pulls you aside and shares a story from the local newspaper about a college freshman who committed suicide after the first week of school. She is anxious because of SJ’s...

FPIN's Clinical Inquiries

Antidepressant Medications in Pregnancy

JANE HUNTINGTON, VERONIKA ZANTOP

Selective serotonin reuptake inhibitors (SSRIs) are considered first-line agents for the treatment of depression in pregnant women. SSRIs and tricyclic antidepressants (TCAs) are considered safe and effective in pregnant women, although some studies have indicated increased...

Photo Quiz

An Unusual Petechial Rash

JOHN G. BEAUMAN

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

POEMs

Three Indicators Herald Bacterial Conjunctivitis in Adults

ALLEN F. SHAUGHNESSY

How Contagious Is Breakthrough Varicella?

DAVID SLAWSON

MRI vs. Mammography in High-Risk Patients

MARK EBELL

Fondaparinux or Enoxaparin for Orthopedic Prophylaxis?

MARK EBELL

Out-of-Hospital CPR with Automated External Defibrillators

ANNE D. WALLING

Practice Guidelines

ACOG Releases Guidelines on Management of Post-term Pregnancy

MATTHEW J. NEFF

Post-term pregnancy is defined as a pregnancy that has extended to or beyond 42 weeks of gestation. The American College of Obstetricians and Gynecologists (ACOG) recently issued guidelines for the clinical management of post-term pregnancy.

Practice Guideline Briefs

Pharmacologic and Surgical Treatment of Obesity

CARRIE MORANTZ, BRIAN TORREY

The Agency for Healthcare Research and Quality (AHRQ) has released a new report entitled, “Pharmacological and Surgical Treatment of Obesity.”

Letters to the Editor

Acetylcysteine to Prevent Acute Contrast-Induced Nephropathy

Insulin Therapy Components

ALAN MOSES

Tips from Other Journals

Risk of Stroke Following a Transient Ischemic Attack

ANNE D WALLING

Fear of Childbirth Following Instrumental Vaginal Delivery

ANNE D WALLING

Do Combination Contraceptives Cause Weight Gain?

ANNE D WALLING

Patient Preferences in Prostate Cancer Treatment Selection

ANNE D WALLING

Management Results in the Care of Febrile Infants

CAROLINE WELLBERY

Information from Your Family Doctor

Your Baby’s Teeth

Every baby is different, but teeth normally start appearing when a baby is about six months old, although your baby may be drooling more at four months. When teeth start to come in, they can cause pain and fussiness.

Vaginitis

Vaginitis (say: vaj-en-eye-tis) is an irritation of the vagina. If a woman has vaginitis, she may have a bad-smelling fluid coming out of her vagina. She also may have itching or burning in her vagina and genital area.

Heart Failure—What Do I Need to Know About It?

Heart failure happens when your heart can’t pump enough blood to meet your body’s needs and causes poor blood flow. Poor blood flow has a bad effect on many of your body’s organs, such as your brain, lungs, and kidneys.

Corrections

Correction

The article “Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell Function” (August 1, 2004, page 489) incorrectly gave the unit of measurement for insulin as milligrams rather than as units. In the abstract on page 489, the ninth sentence...



Disclosure

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


Tag Legend

Legend

CME Continuing Medical Education Credit
POC Point-of-Care Resource
FREE Free Access
Alg Algorithm
DDx Differential Diagnosis
PtEd Patient Education