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Articles

Common Overuse Tendon Problems: A Review and Recommendations for Treatment

JOHN J. WILSON, THOMAS M. BEST

Examination of tendinopathies should include assessment for swelling, asymmetry, and erythema of involved tendons; range-of-motion testing; palpation for tenderness; and maneuvers that reproduce pain. Surgery is an effective treatment that should be reserved for patients who...

Chasteberry

BEATRIX ROEMHELD-HAMM

Chasteberry has been used since ancient times to treat gynecologic conditions. Modern physicians have used the herb to treat cyclical breast discomfort and premenstrual syndrome.

Prader-Willi Syndrome

DANIEL J. WATTENDORF, MAXIMILIAN MUENKE

Prader-Willi syndrome is a genetic disorder that usually involves chromosome 15. Diagnosis often is delayed because the clinical findings are relatively nonspecific and the dysmorphism often is subtle.

Intertrigo and Common Secondary Skin Infections

CAMILA K. JANNIGER, ROBERT A. SCHWARTZ, JACEK C. SZEPIETOWSKI, ADAM REICH

Intertrigo, an inflammatory condition that affects opposing surfaces of skinfolds, is commonly complicated by secondary bacterial or fungal infections. Physicians should treat the infection and instruct patients to take preventive measures.

Mohs Micrographic Surgery

GLEN M. BOWEN, L. WHITE GEORGE, JR, JOHN W. GERWELS

Mohs micrographic surgery is the treatment of choice for removing skin cancers in critical sites, large or recurrent tumors, tumors in sites of radiation therapy, and tumors with aggressive histologic features.

Psychogenic Nonepileptic Seizures

TAOUFIK M. ALSAADI, ANNA VINTER MARQUEZ

Psychogenic nonepileptic seizures are somatic manifestations of psychologic distress. Early recognition can prevent morbidity from inappropriate treatment.

Inside AFP

Editors Look Forward to Meeting Readers at Assembly

A. MERRIMAN JOYCE

The Annual Scientific Assembly of the American Academy of Family Physicians is just around the corner. During the last week of September, several thousand family physicians, residents, and students will gather in San Francisco to hear presentations on the latest clinical...

Newsletter

Newsletter

CARRIE MORANTZ

HHS Outlines Principles for Reauthorization of Ryan White CARE Act | CDC Finds Record Immunization Coverage Rates in U.S. Children | Registration Open for STFM’s Conference on Patient Education | Bill Would Stop Medicare Pay Cuts, Institute Pay-for-Performance | National...

Quantum Sufficit

Quantum Sufficit

MEREDITH DESMOND

Could laughter be the newest weight loss fad? Investigators at the Vanderbilt University Medical Center in Nashville say that laughing for 10 to 15 minutes each day can burn 10 to 40 calories, depending on a person’s body weight. Long considered “the best medicine,” laughter...

Editorials

Family Medicine and Health Care Reform

JOHN P. GEYMAN

A growing part of the U.S. population, together with many health professionals, have become concerned about problems in our health care system. Health care costs continue to rise, unabated, several times faster than the cost of living, rendering medical insurance and health...

Graham Center Policy One-Pager

Patterns of Visits to Physicians’ Offices, 1980 to 2003

In the past quarter century, the number of office visits to physicians in the United States increased from 581 million per year to 838 million per year, with slightly more than one half of total visits since 1980 being made to primary care physicians. Most visits to primary...

Diary from a Week in Practice

Diary from a Week in Practice

TONY MIKSANEK

Lorraine’s right leg was approximately three times the size of her left one. Astonishingly, it caused her no pain. Her lower legs and feet have been slightly swollen for years, but this massive edema was a new development. “I traveled out-of-state two days ago and sat in the...

Cochrane for Clinicians

Short-Acting Insulin Analogues vs. Human Insulin for Diabetes

MICHAEL SCHOOFF, KRISTA EHLERS

For patients with type 2 diabetes, regular insulin and short-acting insulin analogues are equally effective in the treatment of diabetes and in lowering A1C levels. For patients with type 1 diabetes, short-acting analogues produce a slightly greater reduction of A1C levels...

Do Tympanostomy Tubes for OME Prevent Hearing Loss?

MARK H. EBELL

In children with typical hearing and language development, immediate placement of tympanostomy tubes for OME does not improve important long-term outcomes compared with a period of watchful waiting and placement of tubes only if there is no improvement.

Room Air vs. Oxygen for Resuscitating Infants at Birth

CLARISSA KRIPKE

Based on limited evidence, it appears that mortality is lower in infants resuscitated with room air than in those given 100 percent oxygen. However, these results should be treated with caution because one fourth of studies used back-up supplementary oxygen.

Clinical Evidence Handbook

Urinary Tract Infection in Children

JAMES LARCOMBE

What are the effects of treatment of acute urinary tract infection in children? What are the effects of interventions to prevent recurrence?

FPIN's Clinical Inquiries

Statin Therapy in Patients with Type 2 Diabetes

VINCENT LO, JOHN NOVIASKY, JOAN NASHELSKY

Based on current evidence, statin therapy should be offered to all patients with type 2 diabetes who are known to have coronary artery disease.

Photo Quiz

Itchy Plaques on the Abdomen

BENJAMIN BARANKIN

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

POEMs Practice Guidelines Practice Guideline Briefs

CDC Reports on U.S. Heat-Related Mortality

CARRIE A. MORANTZ, AMBER HUNTZINGER

Continued exposure to ambient heat that is close to body temperature contributes to a significant number of deaths from hyperthermia, especially among older adults. The Centers for Disease Control and Prevention (CDC) has released updated statistics on the rates of...

NCHS Statistics on the Use of Electronic Medical Records

CARRIE A. MORANTZ, AMBER HUNTZINGER

Data on the use of electronic medical records in health care is available from the National Center for Health Statistics (NCHS). According to the NCHS, electronic medical records were used most frequently in the emergency department, followed closely by outpatient departments.

Letters to the Editor Tips from Other Journals Information from Your Family Doctor

Intertrigo: What You Should Know

Intertrigo (say: in-ter-TRY-go) is caused by wetness and soreness in skinfolds—areas where skin rubs against skin. Intertrigo leads to an itchy rash that can get infected with germs or yeast.

Corrections


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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