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American Family Physician March 1, 2001 Sheela L. Lahoti	Evaluating the Child for Sexual Abuse Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important...
American Family Physician January 15, 2002	Curbside Consultation What should a physician do if he/she suspects child abuse?
American Family Physician June 15, 2005 Hall & Zalman	Evaluation and Management of Apparent Life-Threatening Events in Children Many physicians have received a frantic call from an anxious parent stating that his or her child stopped breathing, became limp, or turned blue, but then quickly recovered. Approximately 50% of these children are diagnosed with an underlying condition that explains the apparent life-threatening event.
American Family Physician October 1, 2006 Mark B. Stephens	Preventive Health Counseling for Adolescents The key to providing relevant and useful preventive counseling for adolescent patients is developing the trust necessary to discuss the specific issues that impact this age group.
American Family Physician July 15, 2002 John W. Thompson, Jr.	A Pregnant Woman Victimized by Physical Abuse Domestic violence in the United States is a problem of enormous proportions and represents a significant health concern. Here's how a physician can respond.
American Journal of Nursing September 2011 Schmid et al.	Care of the Suicidal Pediatric Patient in the ED: A Case Study At Childrens Hospital Boston, an algorithm-the Risk of Suicidality Clinical Practice Algorithm has been developed to ensure evidence-based care supported by best practice guidelines.
Nurse Practitioner October 2010 Dawn Lee Garzon et al.	Providing Optimal Care for Children with Developmental Disorders Given the prevalence of children with developmental disorders, primary care providers need to educate themselves on how to diagnose and monitor this population.
American Family Physician July 1, 2000 Ted D. Epperly	Health Issues in Men: Part II. Common Psychosocial Disorders During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and depression.
American Family Physician October 1, 2006 Kavan et al.	A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises.
American Family Physician November 1, 2000 Monica Preboth	Clinical Briefs Sports Specialization in Young Athletes... ADA Statement on Nutrition in Diabetes... Diagnostic Imaging to Detect Child Abuse... NIH/NIA Report on Alzheimer's Disease... CDC Report on U.S. Incidence of Measles in 1999... Managing Pain and Stress in the Neonate...
American Family Physician September 15, 2001 David S. Kushner	Concussion in Sports: Minimizing the Risk for Complications Mild traumatic brain injury, or concussion, is a common consequence of collisions, falls and other forms of contact in sports. The physician's responsibilities in assessing an athlete with concussion include offering guidance about the athlete's ability to return to play...
American Family Physician January 1, 2007 Shashi & Subhash Bhatia	Childhood and Adolescent Depression Safe and effective treatment of major depression in this age group requires accurate diagnosis, suicide risk assessment, and use of evidence-based therapies.
American Family Physician October 1, 2006 Susan Louisa Montauk	The Homeless in America: Adapting Your Practice In 2004, the National Guidelines Clearinghouse placed eight guidelines from the National Health Care for the Homeless Council on its Web site. Seven of the guidelines are on specific disease processes and one is on general care.
American Family Physician September 1, 2003 Anderson & Loomis	Recognition and Prevention of Inhalant Abuse Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Diagnosis of inhalant abuse is difficult and relies almost entirely on a thorough history and a high index of suspicion.
American Family Physician June 15, 2006 Prater & Zylstra	Medical Care of Adults with Mental Retardation Primary medical care of persons with mental retardation should involve continuity of care, maintenance of comprehensive treatment documentation, routine periodic health screening, and an understanding of the unique medical and behavioral disorders common to this population.
American Family Physician April 1, 2003 David J. Mersy	Recognition of Alcohol and Substance Abuse Ten percent of the population abuses drugs or alcohol, and 20 percent of patients seen by family physicians have substance-abuse problems, excluding tobacco use. These patients can be identified by relying on regular screening or a high index of suspicion based on "red flags."
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
American Journal of Nursing December 2008	Screening for Mistreatment of Older Adults The Elder Assessment Instrument provides a way for nurses to screen older adults for possible mistreatment and can be used in most clinical settings.
Nursing Management May 2008 Rachel R. Boersma	Looking Closer: Forensic Nursing With a keen eye, you can foster comprehensive care to victims; protect your organization from allegations of abuse, negligence, and malpractice; and offer a care environment that recognizes the complexities of our current society.
Nurse Practitioner March 2009 Falkenstern & Bauer	Helping Kids Grow Interaction of genetic, nutritive, environmental, metabolic, and hormonal factors is necessary for normal growth and account for variability in the growth process.
American Family Physician October 15, 2004 Randy K. Ward	Assessment and Management of Personality Disorders Patients with personality disorders are common in primary care settings; caring for them can be difficult. The characteristics of these patients' personalities tend to elicit strong feelings in physicians, lead to the development of problematic physician-patient relationships, and complicate the task of diagnosing and managing medical and psychiatric disorders.
American Family Physician July 1, 2000 Nancy A. Phillips	Female Sexual Dysfunction: Evaluation and Treatment Sexual dysfunction includes desire, arousal, orgasmic and sex pain disorders (dyspareunia and vaginismus). Primary care physicians must assume a proactive role in the diagnosis and treatment of these disorders...
American Family Physician October 15, 2003 Wanda P. Fremont	School Refusal in Children and Adolescents School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development.
American Family Physician April 15, 2001 H. Russell Searight	Conduct Disorder: Diagnosis and Treatment in Primary Care Conduct disorder is a common childhood psychiatric problem that has an increased incidence in adolescence. The primary diagnostic features of conduct disorder include aggression, theft, vandalism, violations of rules and/or lying...
American Family Physician May 1, 2004 Daniel Knight	Health Care Screening for Men Who Have Sex with Men Recommendations on health care screenings for men who have sex with men, who are at increased risk for STDs such as HIV infection, anal cancer, and psychologic and behavioral disorders.
Nursing Management February 2008 Susan Gallagher Camden	A Captive Condition: Childhood Obesity Both patient safety and caregiver injury are fast becoming serious considerations in managing care of children who are obese.
American Family Physician February 1, 2002 Mary-Anne Enoch & David Goldman	Problem Drinking and Alcoholism: Diagnosis and Treatment Although associated with considerable morbidity and mortality, alcoholism often goes unrecognized in a clinical or primary health care setting. Several brief screening instruments are available to quickly identify problem drinking, often a pre-alcoholism condition...
American Family Physician November 1, 2002 Nusbaum & Hamilton	The Proactive Sexual Health History Physicians consistently underestimate the prevalence of sexual concerns in their patients. By allocating time to discuss sexual health during office visits, high-risk sexual behaviors that can cause STDs, unintended pregnancies, and unhealthy sexual decisions may be reduced.
American Family Physician October 1, 2004 Kucik, Clenney & Phelan	Management of Acute Nasal Fractures Treatment in the primary care setting begins with evaluating the injury, taking an accurate history of the situation in which the injury occurred, and ascertaining how the face and nose appeared and functioned before the injury occurred.
American Family Physician January 15, 2003 Brunner et al.	Hip Fractures in Adults Hip fracture is a major public health problem in the United States. When hip fracture is detected early, appropriate treatment can minimize morbidity and mortality and prevent the rapid decline in quality of life that often is associated with this injury.
American Family Physician January 1, 2004 Old & Calvert	Vertebral Compression Fractures in the Elderly Compression fracture of the vertebral body is common, especially in older adults. Vertebral compression fractures usually are caused by osteoporosis. Family physicians can help patients prevent compression fractures by diagnosing and treating predisposing factors.
Managed Care May 2000 Mark G. Weiner, M.D., and Eric Pifer, M.D.	Computerized Decision Support and the Quality of Care The notion of quality of care in medicine is not new, but it is becoming increasingly important as the competitive health care market demands objective measures to compare physicians, hospitals, and managed care organizations....
Searcher January 2005 Barbie E. Keiser	Safety First: Part Three - Why We Should Care? This installment covers the abuses of the old, young, the physically impaired and animals.
American Family Physician November 15, 2005 Haas et al.	Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship.
Nursing August 2010 Tracy E. Green	Pediatric burns: Initial response, lasting effects Pediatric burns are the third leading cause of injury-related deaths of children age 9 and younger.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
American Family Physician May 15, 2004 Mark H. Ebell	Routine Screening for Depression, Alcohol Problems, and Domestic Violence This guide is one in a series that offers evidence-based tools to assist family physicians in improving their decision-making at the point of care.
American Family Physician December 1, 2000 Monica Preboth	Clinical Briefs HIV Testing for Children in Foster Care... Nutrition Guidelines for Patients on Dialysis... Exercise and Health in the Older Adult... Intervention Strategies and Treatment of Substance Abuse Problems...
AskMen.com Jacob Franek	Mental Health For Men Greater understanding of new and emerging mental illnesses for men is important, and hopefully the following will help to raise your awareness.
ifeminists March 29, 2008 Terri Lynn Tersak	Congressional Guidelines for Abusing Women This report examines the many problems the author finds inherent in local and national services and legal protections that are designed to help victims of domestic abuse.
American Family Physician December 15, 2000 Toni Lapp	ACOG Addresses Psychosocial Screening in Pregnant Women Recognizing the broad range of psychosocial issues that pregnant women face is an important step toward improving women's health and birth outcomes...
American Family Physician September 1, 2002 Judd & Kim	Foot Fractures Frequently Misdiagnosed as Ankle Sprains Most ankle injuries are straightforward ligamentous injuries. However, the clinical presentation of subtle fractures can be similar to that of ankle sprains, and these fractures are frequently missed on initial examination.
American Family Physician January 15, 2003 Nusbaum et al.	Chronic Illness and Sexual Functioning Patients who have chronic illness often have difficulties with sexual functioning. With an understanding of the impact that illness can have on sexual functioning and the use of basic management strategies, family physicians can readily enhance quality of life for their patients.
American Family Physician November 1, 2000 Allen L. Hixon & Ronald W. Chapman	Medicine and Society Healthy People 2010: The Role of Family Physicians in Addressing Health Disparities...
American Family Physician April 1, 2003 Rodriguez et al.	Prevention and Treatment of Common Eye Injuries in Sports Sports and recreational activities are becoming increasingly popular and account for more than 40,000 eye injuries each year in the United States. Athletes should be educated by team physicians about proper eye and facial protection and encouraged to use protective devices.
Nursing April 2010 Michelle D. Smeltzer	Making a point about open fractures This article describes fractures, explains the difference between open and closed fractures, and tells how to care for a patient who's had an open fracture.
ifeminists February 18, 2003 Wendy McElroy	Elder Abuse Demands Family Solutions The expanding senior population seems to be accompanied by a rise in elder abuse. More laws are not the best fix.
Managed Care April 2005 Martin Sipkoff	Insurers Give Substance Abuse New Identity: It's a Disease After years of short shrift from payers and insurers, substance abuse services get renewed interest. Health Plans in particular are re-evaluating their approach.
Reason April 2004 Cathy Young	Abuse Revisited A feminist challenges the conventional wisdom about domestic violence. Mills concludes that using the "big stick" of the law as our dominant (or only) response to domestic violence ill-serves both women and men.
American Family Physician November 15, 2003 Jones et al.	Common Problems in Patients Recovering from Chemical Dependency This article describes how to care for patients recovering from chemical dependency, including special concerns that arise during the treatment of common medical conditions, to avoid adverse outcomes or relapse into addiction.