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February 15, 2009

TABLE OF CONTENTS

Articles

    Realistic Approaches to Counseling in the Office Setting

    H. RUSSELL SEARIGHT

    Although time is an obstacle to office-based counseling, even brief interventions can be effective for many problems. Several counseling models can be adapted to address health risk behaviors, ambivalence to change, and broader psychosocial issues.

      How to Find Answers to Clinical Questions

      MARK H. EBELL

      Lack of time, resources, or computer skills, as well as physicians’ environment and attitudes about problem solving, all contribute to unanswered clinical questions. Making use of computer-based information resources can give physicians a framework for answering questions and...

        Evidence for the Use of Intramuscular Injections in Outpatient Practice

        MARK SHATSKY

        The oral delivery of antibiotics, corticosteroids, nonsteroidal anti-inflammatory drugs, and vitamin B12 is as effective as intramuscular delivery for some conditions. The intramuscular route should be considered only when the delivery of a medication must be confirmed, such...

        • Alg
        • PtEd

        Management of the Ingrown Toenail

        JOEL J. HEIDELBAUGH, HOBART LEE

        Ingrown toenails occur when the periungual skin is punctured by its corresponding nail plate, resulting in a cascade of foreign body, inflammatory, infectious, and reparative processes. Conservative and surgical treatment options exist and should be presented to the patient...

        Editorials

          Restraining Devices for Patients in Acute and Long-Term Care Facilities

          LAUREN G. COLLINS, CHRISTOPHER HAINES, ROBERT L. PERKEL

          In the mid-1900s, many acute and long-term care facilities began routine adoption of physical restraints and bed side rails in an effort to curtail patient falls and reduce liability concerns. This adoption came from a common-sense notion that physical restraints and side...

          AAFP News Now: AFP Edition

            AAFP News Now: AFP Edition

            New Medicare Fee Schedule Provides Boost for Evaluation and Management Services | Witnesses Lobby Congress to Invest in Health Information Technology | Physicians Reconsider Offering Childhood Vaccines as Costs Continue to Rise | Family Health History Tool Allows Patients to...

            Close-ups

              A Battle to Overcome “Diabulimia”

              PETER BAGINSKY

              Around my 15th birthday I was diagnosed with type 1 diabetes. I had all the classic signs and symptoms, from frequent thirst and urination to extreme weight loss. My blood sugar was 1,040 the morning I was diagnosed, and my weight was 102 lb (I’m 5 ft 5 in). The medical staff...

              Point-of-Care Guides

              • POC

              Predicting Benefit of Spinal Manipulation for Low Back Pain

              MARK H. EBELL

              Two systematic reviews found that spinal manipulation is superior to sham therapy or placebo in patients with acute low back pain, and has effectiveness similar to analgesics, physical therapy, or usual care by a primary care physician.

              Clinical Evidence Handbook

                Sinusitis (Acute)

                KIM AH-SEE

                What are the effects of treatments in persons with clinically diagnosed or radiologically or bacteriologically confirmed acute sinusitis?

                Putting Prevention Into Practice

                Photo Quiz

                  A Stinging Rash of Indeterminate Origin

                  RAVI K. MALLAVARAPU, SITHARAM C. NANDIGAM, EDWIN W. GRIMSLEY

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

                  Practice Guidelines

                  • Alg

                  AASLD Updates Chronic Hepatitis B Recommendations

                  AMBER HUNTZINGER

                  Updated recommendations from the American Association for the Study of Liver Diseases (AASLD) include the preferred diagnostic, therapeutic, and preventive approaches to chronic hepatitis B virus (HBV) infection.

                  Letters to the Editor

                  Tips from Other Journals

                  Information from Your Family Doctor

                  • PtEd

                  Ingrown Toenails

                  An ingrown toenail is when the edge of your toenail curves down and pokes into the skin.



                  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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