Medical Practice

Magazine articles on medical practice and technical issues of treatment.

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American Family Physician December 1, 2005 Gregory Juckett	Cross-Cultural Medicine Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations.
American Family Physician December 1, 2005 Cole, Seto & Gazewood	Plantar Fasciitis: Evidence-Based Review of Diagnosis and Therapy Most interventions used to manage plantar fasciitis have not been studied adequately; however, shoe inserts, stretching exercises, steroid injection, and custom-made night splints may be beneficial.
American Family Physician December 1, 2005 Lawvere & Mahoney	St. John's Wort The herb has been found to be superior to placebo and equivalent to standard antidepressants for the treatment of mild to moderate depression. St. John's wort is generally well tolerated, although it may potentially reduce the effectiveness of several pharmaceutical drugs.
American Family Physician December 1, 2005 Wattendorf & Muenke	Klinefelter Syndrome This disease is caused by an additional X chromosome in males. Clinical findings are nonspecific during childhood; thus, the diagnosis commonly is made during adolescence or adulthood in males who have small testes with hypergonadotropic hypogonadism and gynecomastia.
American Family Physician December 1, 2005 Christine Hsieh	Treatment of Constipation in Older Adults Effectiveness of a variety of treatments for chronic constipation in the elderly.
BusinessWeek November 28, 2005 Arlene Weintraub	Human Growth Hormone: Unproven and Unsafe HGH is often hyped as a cure for aging. But as so with most fountains of youth, there's no proof that it works. And it can be harmful. But for now, off-label use of human growth hormone appears to be a growth industry.
American Family Physician November 15, 2005 William E. Cayley	Diagnosing the Cause of Chest Pain Distinguishing between serious and benign causes of chest pain is imperative, and diagnostic and prognostic questions are important in making this determination.
American Family Physician November 15, 2005 Donna I. Meltzer	Complications of Body Piercing A body-site-specific list of complications that can occur from piercings that family physicians should be prepared to talk to their patients about.
American Family Physician November 15, 2005 Roscoe & Epperly	Tick-Borne Relapsing Fever The diagnosis of tick-borne relapsing fever requires an accurate characterization of the fever and a thorough medical, social, and travel history of the patient.
American Family Physician November 15, 2005 Sanford R. Kimmel	Prevention of Meningococcal Disease Invasive disease caused by Neisseria meningitidis has an average annual incidence of one case per 100,000 in the United States. The disease can be rapidly fatal or result in severe neurologic and vascular sequelae despite antibiotic therapy.
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