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Articles

Management of Hypertension in Older Persons

LORI M. DICKERSON, MARIA V. GIBSON

Antihypertensive therapy reduces morbidity and mortality in elderly persons, but less than one third of these patients have adequate blood pressure control. Low-dose thiazide diuretics are first-line therapy for these patients, and second-line therapy should include beta...

Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain

MORRIS MAIZELS, BILL MCCARBERG

The development of newer antidepressant drug classes and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. The actions of these agents differ in neuropathic and non-neuropathic pain, and agents within each...

Ambulatory Detoxification of Patients with Alcohol Dependence

RICHARD D. BLONDELL

Alcohol detoxification can be undertaken on an outpatient basis in alcohol-dependent patients with signs of mild to moderate withdrawal. Sedatives, sympatholytics, and neuroleptics are used to treat the clinical manifestations of alcohol withdrawal syndrome. Progress can be...

Cultural Diversity at the End of Life: Issues and Guidelines for Family Physicians

H. RUSSELL SEARIGHT, JENNIFER GAFFORD

By paying attention to patients' values, spirituality, and relationship dynamics, family physicians can elicit and accommodate cultural preferences.

Inside AFP

AFP Salutes its Artists

JANIS WRIGHT

One of the the greatest joys I have had as managing editor of AFP is working with the many talented artists who light up the cover and inside pages with their creative and colorful illustrations. Working under the guidance of AFP's art coordinator, David Klemm, whose office...

Newsletter

Newsletter

GENEVIEVE RESSEL

AAFP Joins Center for Practical Health Reform | Grants Are Available for Family Medicine Research Projects | AAFP Offers Online Resource for Meeting HIPAA Security Rule Deadline | CDC Issues Reminder About Proper Use of Antibiotics | NIH Opens 2005 Director's Pioneer Award...

Quantum Sufficit

Quantum Sufficit

SARAH EVANS, AMBER HUNTZINGER

Breastfeeding may help fend off joint pain, according to a recent study published in Arthritis & Rheumatism. The study, which examined the health of over 120,000 women since 1976, found that those who breastfed for 13 to 23 months were only one fifth as likely to develop...

Editorials

Moving Beyond Cultural Stereotypes in End-of-Life Decision Making

HOWARD BRODY, LINDA M. HUNT

Imagine that all of our patients are invited to attend a “cultural competence” workshop called “Understanding the Medical Culture,” where they will learn how the strange and mysterious environment of medical practice affects physicians, so that their otherwise...

Linking the Hospital and the Office in Cardiovascular Secondary Prevention

KENNETH A. LABRESH, PATRICIA A. TYLER

Cardiovascular disease and stroke cause 38.5 percent of all deaths in the United States.1 Despite the existence of guidelines for secondary prevention of cardiovascular disease from the American Heart Association (AHA) and the American College of Cardiology (ACC),2 many...

Diary from a Week in Practice

Diary

JOHN O'HANDLEY

The majority of medical problems can be handled on the mobile clinic. Today was an exception. JT, a family nurse practitioner, was staffing the mobile clinic with a third-year medical student, AW. The first patient was complaining of chest pain and had ST elevations in the...

Cochrane for Clinicians

Spinal Manipulative Therapy for Low Back Pain

KATHERINE MARGO

In the short term, manipulative therapy is as effective for acute or chronic low back pain as other treatments such as analgesics, physical therapy, exercises, back school, and routine care from a primary care physician. Radiation of pain, type of manipulation, and use of...

Cochrane Briefs

MARK H. EBELL

Efficacy of Antioxidants in GI Cancer Prevention

Cochrane Briefs

MARK H. EBELL

Delaying Antibiotics for Respiratory Infections

Clinical Evidence Handbook

Irritable Bowel Syndrome

THOMAS M. KENNEDY, GREGORY RUBIN, ROGER H. JONES

What are the effects of treatments in people with irritable bowel syndrome (IBS)?

FPIN's Clinical Inquiries

Treatments for Persistent Otitis Media with Effusion

THOMAS J. SATRE, JOAN NASHELSKY

Treatments such as antibiotics, steroids, antihistamines/decongestants, and mucolytics afford no long-term benefit in the treatment of patients with otitis media with effusion (OME).

Photo Quiz

Hemorrhagic Pustules, Tenosynovitis, and Arthritis

MARC R. HAPPE, HOLLY E. WEINER, NADJA Y. WEST

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

POEMs

Radio-Frequency Endometrial Ablation for Menorrhagia

LINDA FRENCH

Sildenafil Does Not Interact with Alcohol

ALLEN F. SHAUGHNESSY

Physical Therapy Adds Little to Back Pain Treatment

ALLEN F. SHAUGHNESSY

Ductal Lavage Ineffective in Finding Breast Cancer

HENRY BARRY

Esterified Estrogen and Venous Thrombotic Risk

DAVID SLAWSON

Fathers Can Promote Breastfeeding

LINDA FRENCH

Complementary/Alternative Medicine for Anxiety

DAVID SLAWSON

Are ACE Inhibitors or ARBs Beneficial in Diabetes?

ALLEN F. SHAUGHNESSY

Practice Guidelines

ACG Releases Updated Practice Guidelines for Ulcerative Colitis in Adults

KAREN HELLEKSON

Updated practice guidelines for the treatment of ulcerative colitis in adults have been issued by the American College of Gastroenterology's (ACG's) Practice Parameters Committee.

Practice Guideline Briefs

Practice Guideline Briefs

CARRIE MORANTZ, BRIAN TORREY

Guidelines for Cardiovascular Disease Prevention in Women

Practice Guideline Briefs

CARRIE MORANTZ, BRIAN TORREY

Benefits of Omega-3 Fatty Acids

Practice Guideline Briefs

CARRIE MORANTZ, BRIAN TORREY

Assisted Reproductive Technology Statistics

Practice Guideline Briefs

CARRIE MORANTZ, BRIAN TORREY

AHA Report on Response to Cardiac Arrest

Letters to the Editor

Preventing the Progression of Diabetes Mellitus

BRIAN V. REAMY

Clarifications on Patients Presenting with Jaundice

MOUSSA F. YAZBECK

Tips from Other Journals

Long-Term Care of Patients with Alzheimer's Disease

RICHARD SADOVSKY

Response to PPI Treatment May Not Confirm GERD

RICHARD SADOVSKY

Individualizing Nicotine Replacement Therapy

RICHARD SADOVSKY

Rectal Bleeding and Small Colon Polyps

RICHARD SADOVSKY

Concerns over Antidepressant Therapy in Children

ANNE D. WALLING

Topical Capsaicin for the Relief of Chronic Pain

ANNE D. WALLING

Endorectal Ultrasonography and Malignant Rectal Adenomas

ANNE D. WALLING

Intensive vs. Standard Lipid-Lowering Therapy

BILL ZEPF

Nationwide Success Rates at Fertility Clinics Are Increasing

BILL ZEPF

Do Childhood Vaccinations Cause Type 1 Diabetes?

BILL ZEPF

Human Metapneumovirus: An Emerging Infection

BILL ZEPF

Does Pergolide Therapy Damage Heart Valves?

ANNE D. WALLING

Ginger May Relieve Nausea During Early Pregnancy

ANNE D. WALLING

Corticosteroid Injections for Osteoarthritis of the Knee

ANNE D. WALLING

Effect of Episiotomy on Pelvic Floor Weakness

ANNE D. WALLING

Controlling Lipids in Persons with Type 2 Diabetes Mellitus

RICHARD SADOVSKY

Treating Suicidal Teens in the Emergency Department

RICHARD SADOVSKY

Physical Function and Levels of Activity in the Elderly

CAROLINE WELLBERY

Drugs for Weight Reduction

RICHARD SADOVSKY

Higher Cholesterol Levels Are Not as Risky in the Elderly

CAROLINE WELLBERY

Post-traumatic Seizures and Hospitalization in Children

RICHARD SADOVSKY

Anxiety and Depression in Cardiovascular Disease

ANNE D. WALLING

Information from Your Family Doctor

Alcoholism—What Should I Know About It?

Alcoholism is a disease that affects the part of the brain that controls your feelings, the way you make decisions, and the way you act. People with alcoholism cannot control how much they drink.

Constipation

When you have trouble having bowel movements, you have constipation. Your stools may be very hard, making them so difficult to pass that you have to strain and push. Or you may feel like you still need to have a bowel movement after you just had one.

Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is a problem with the intestines. In people with IBS, the intestines squeeze too hard or not hard enough and food moves too quickly or too slowly through the intestines.

Inflammatory Bowel Disease

Inflammatory bowel disease is the name of a group of disorders that cause the intestines to become inflamed (red and swollen). The inflammation lasts a long time and usually comes back over and over again.



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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