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Articles

Diagnosis and Management of Endometriosis

ANNE L. MOUNSEY, ALEX WILGUS, DAVID C. SLAWSON

Because the signs and symptoms of endometriosis are nonspecific, the preferred diagnostic method is surgical visual inspection of pelvic organs with histologic confirmation. Oral contraceptive pills and medroxyprogesterone acetate are first-line treatments. There is limited...

Management of Grapefruit-Drug Interactions

AMY L. STUMP, TERRI MAYO, ALAN BLUM

Grapefruit can affect the metabolism of some medications including statins, antiarrhythmic agents, immunosuppressants, and calcium channel blockers. Family physicians should be aware of which medications may interact with grapefruit and of alternatives for these medications.

Digoxin Therapy for Heart Failure: An Update

SPENCER A. MORRIS, H. FLOYD HATCHER, DEEPA K. REDDY

Digoxin has been considered a fundamental therapy for heart failure. However, data bring into question the safety of this therapy, including the optimal serum digoxin concentration and the use of this therapy in women.

Rickets: Not a Disease of the Past

LINDA S. NIELD, PRASHANT MAHAJAN, APARNA JOSHI, DEEPAK KAMAT

Early diagnosis and treatment of rickets can normalize biochemical abnormalities and prevent complications that may require surgical intervention.

Inside AFP

Thank You for Continuing to Make AFP No. 1

JOYCE A. MERRIMAN

Reader surveys are a valuable way to assess what readers want in AFP and to learn more about their reading habits. We conduct several surveys ourselves each year, but we also pay to obtain results of surveys conducted by an outside company on behalf of advertisers, ad...

AAFP News Now: AFP Edition

Newsletter

LIZ SMITH

Selected policy and health issues news briefs from AAFP News Now.

Quantum Sufficit

Quantum Sufficit

SHERRI DAMLO

Supersizing a fast-food combo meal can add inches to your waistline and make your wallet a whole lot leaner, according to a study in the Journal of the American College of Nutrition. The average cost to upgrade a combo meal is $0.67, but each meal also comes with a possible...

Editorials

Rickets: Emerging from Obscurity

CAROL WAGNER

The review,1 “Rickets: Not a Disease of the Past,” by Nield and colleagues in this issue of American Family Physician is an important reminder that changes in lifestyle can cause the reappearance of disease states that were thought to have been eradicated. In one study more...

Point-of-Care Guides

Predicting Four-Year Mortality Risk in Older Adults

MARK H. EBELL

Survival prognoses for older adults may help patients and physicians make decisions about screening, treatment, and advance directives.

Putting Prevention Into Practice

Screening for Peripheral Arterial Disease

TRACY A. WOLFF, GREGORY D. GUTKE

Case study: A 57-year-old man visits your office for refills of simvastatin (Zocor) and paroxetine (Paxil). He says his friend had “a bypass operation on the arteries in his legs,” and asks if you think he should be “checked for that disease.” He has never had symptoms of...

Photo Quiz

Pruritic Papules on the Chest and Back

MIRIAM HANSON, SYLVIA HSU

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

STEPS

Acamprosate (Campral) for Treatment of Alcoholism

KAM HUNTER, RICKY OCHOA

Acamprosate is a safe and well-tolerated treatment for patients with alcoholism and it appears to improve the likelihood that patients will remain abstinent. Most evidence suggests it is as effective as naltrexone but with fewer adverse reactions, and that it may be more...

POEMs

Bupropion SR vs. Buspirone for Treating Depression

MARK EBELL

Acupressure vs. Physical Therapy for Low Back Pain

ALLEN F. SHAUGHNESSY

Estrogen Alone Does Not Increase Breast Cancer Risk

DAVID SLAWSON

MRI Not Accurate for Diagnosing MS

ALLEN F. SHAUGHNESSY

Practice Guidelines

Recommendations Released on Influenza Vaccination of Health Care Professionals

LISA GRAHAM

Recommendations on the influenza vaccination of health care professionals have been released by the Centers for Disease Control and Prevention (CDC), the Healthcare Infection Control Practices Advisory Committee (HICPAC), and the Advisory Committee on Immunization Practices ...

Practice Guideline Briefs

ACIP Releases 2006-2007 Influenza Vaccination Recommendations

CARRIE ARMSTRONG

The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention has issued updated guidelines for the use of influenza vaccine and antiviral agents for prophylaxis and treatment of influenza A.

CDC Reports on End-stage Renal Disease in Patients with Diabetes

LISA GRAHAM

The Centers for Disease Control and Prevention (CDC) has released a report detailing the incidence of end-stage renal disease (ESRD) in patients with diabetes. Diabetes mellitus is the leading cause of ESRD in the United States, accounting for 44 percent of new cases in 2002.

Letters to the Editor

Diagnostic Criteria for Patients with Irritable Bowel Syndrome

WILLIAM E. CAYLEY, JR.

Tips from Other Journals

Bypass Surgery vs. Angioplasty for Severe Ischemia of the Leg

ANNE D. WALLING

Clinical Prediction Rule for Stratifying Patients with PE

KARL E. MILLER

Does Delivery Type Affect Postpartum Health?

KENNETH W. LIN

Does Delivery Type Affect Postpartum Health?

KENNETH W. LIN

Prolonged Bottle-feeding and Iron Deficiency Anemia

KARL E. MILLER

Donepezil for Advanced Alzheimer’s Dementia

ANNE D. WALLING

Information from Your Family Doctor

Endometriosis: What You Should Know

Endometriosis (say: en-doh-me-tree-OH-sis) is a problem with the tissue that lines your uterus. Normally, every month when you have your period, this tissue comes out in your menstrual flow. If you have endometriosis, tissue grows on your ovaries, abdominal wall, bladder, or...

Medicine Interactions with Grapefruit: What You Should Know

A medicine interaction is when a medicine or food changes how another medicine works.

Rickets: What It Is and How It’s Treated

Rickets is a bone problem that affects children. It happens when your child’s bones do not form correctly. Rickets can make your child’s bones hurt, and the bones can bend and break easily.



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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