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Articles

Hypertension in Children and Adolescents

GREGORY B. LUMA, ROSEANN T. SPIOTTA

Childhood hypertension is a growing problem in the United States. It is important that family physicians be able to identify the causes and recognize and treat the stages of hypertension in children and adolescents.

Managing Opioid Addiction with Buprenorphine

PAUL A. DONAHER, CHRISTOPHER WELSH

This therapy is a more accessible alternative to methadone for the treatment of opioid addiction. Federal law has made it easier for physicians to initiate officebased buprenorphine treatment for opioid addiction; however, physicians have to meet certain criteria to prescribe...

Diagnosing Rhinitis: Allergic vs. Nonallergic

DAVID M. QUILLEN, DAVID B. FELLER

Differentiating among allergic rhinitis, nonallergic rhinitis, and mimicking conditions is important because therapies that are effective for allergic rhinitis may be less effective for other types. This differentiation generally can be achieved with a thorough patient...

Testosterone Treatments: Why, When, and How?

KATHERINE MARGO, ROBERT WINN

Although controversial, prescriptions for testosterone are becoming more common. Primarily, testosterone is used to treat sexual dysfunction in men and women.

Inside AFP

Medical Editors Are a Strong Foundation

ED ALDERMAN

Every issue of AFP is carefully shaped by the medical editing team, a group of family physicians dedicated to ensuring the journal's accuracy, practicality, and currency. Under the direction of Editor Jay Siwek, M.D., these talented individuals work to bring readers the best...

Newsletter

Newsletter

LIZ SMITH

TransforMED Demonstration Project Will Test New Model of Care | California Adopts Policy Expanding Coverage to Unborn Children | CMS Relaxes Financing Rule for Residents in Disrupted Programs | AAFP Calls on Congress to Fund Training for Family Physicians | CDC Reports...

Quantum Sufficit

Quantum Sufficit

LISA GRAHAM

Civil War veterans suffered from post-traumatic stress disorder, according to a study in the Archives of General Psychiatry. Using a database managed by the University of Chicago, researchers analyzed the medical records of more than 15,000 Union Army soldiers. The...

Editorials

Buprenorphine: Effective Treatment of Opioid Addiction Starts in the Office

DAVID A. FIELLIN

Many physicians avoid involving themselves in the treatment of addictive disorders because of poor education about addiction, limited opportunities to coordinate a patient's transition to recovery, and limited access to effective treatments.1 In this issue of American Family...

Graham Center Policy One-Pager

The Diminishing Role of FPs in Caring for Children

Nationwide, family physicians (FPs) deliver a smaller proportion of the outpatient care of children than they did 10 years ago. Millions of children depend on FPs for care. Family medicine should reevaluate how it will contribute to the care of the nation's children.

Cochrane for Clinicians

Carbamazepine for Acute and Chronic Pain

JENNIFER J. BUESCHER

Two small trials have shown carbamazepine to be beneficial in the treatment of diabetic neuropathic pain. Carbamazepine shows similar clinical effect to gabapentin (Neurontin) and phenytoin (Dilantin), but there have been no head-to-head trials directly comparing these drugs....

Screening for Depression

CLARISSA KRIPKE

Sensitive and specific screening tools and effective treatments are available for depression. However, screening for depression has not been shown to increase the number of patients who receive treatment or to improve patient outcomes. This may be because the positive...

Dietary Advice to Lower Cardiovascular Risk

CLARISSA KRIPKE

Dietary advice to lower fat and salt intake and increase intake of fruits, vegetables, and fiber produces modest improvements in cardiovascular risk factors. More intensive counseling yields greater effects.

U.S. Preventive Services Task Force

Screening for Speech and Language Delay in Preschool Children: Recommendation Statement

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for speech and language delay in preschool children and the supporting scientific evidence.

Clinical Evidence Handbook

Nocturnal Enuresis

JOHN MAKARI, H. GIL RUSHTON

What are the effects of interventions for the relief of symptoms?

Photo Quiz

Swollen Masses in the Nose

JENNIFER JUNNILA

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

POEMs

Benazepril Slows Progression of Renal Dysfunction

MARK EBELL

Sore Throat Complications Not Increased with Fewer Antibiotics

MARK EBELL

Low-Fat, High-Carbohydrate Diet Does Not Cause Obesity

DAVID SLAWSON

Clarithromycin Ineffective for Coronary Heart Disease

ALLEN F. SHAUGHNESSY

Curbside Consultation

Determining Eligibility for Gastric Bypass Surgery

ALICIA I. ARBAJE

This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for...

Practice Guidelines

2005 AHA Guidelines for CPR and Emergency Cardiac Care

WILLIAM E. CAYLEY, JR.

The American Heart Association (AHA) recently released new guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care.

Practice Guideline Briefs

ACOG Recommendations for Improving Care of Homeless Women

MEREDITH DESMOND

The American College of Obstetricians and Gynecologists (ACOG) Committee on Health Care for Underserved Women has released recommendations to improve health care of homeless women.

Letters to the Editor

Diagnosing Allergic Rhinitis: Skin Test vs. IgE Testing

LEONARD FROMER

Tips from Other Journals

Relationship Between Smoking and ADHD Behaviors

KARL E. MILLER

Risk of Stroke Increases After Myocardial Infarction

KENNETH W. LIN

Prompt Diagnosis of BPH Can Prevent Complications

JILL GIORDANO

Treatment of Patients Who Have DVT with or Without PE

KARL E. MILLER

Information from Your Family Doctor

Opioid Addiction: What You Should Know

Opioids (say: OH-pee-oyds) are a kind of drug. Sometimes doctors give these drugs to people to make pain go away. Some people become addicted to them.

Testosterone Therapy: What You Should Know

Testosterone (say: tess-TOSS-ter-own) is a hormone found in men and women. Men have much higher levels than women. In men, testosterone can cause thick and rough hair, deep voice, and strong muscles. The right levels keep sex drive normal. Some people who need extra...

Corrections

Corrections

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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