The Journal of the American Board of Family Practice / American Board of Family Practice (J Am Board Fam Pract)

Publications in this journal

• Article: Human exposure assessment and relief from neuropsychiatric symptoms: case study of a hairdresser.

  Stephen J Genuis, Shelagh K Genuis
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  ABSTRACT: Human exposure assessment and the results of implementing 'precautionary avoidance' suggested a relationship between a hairdresser's neuropsychiatric symptoms and occupational exposure to potentially hazardous chemicals. A variety of investigations in response to patient complaints of depression, emotional instability and various physical symptoms revealed no objective abnormality; the CH2OPD2 mnemonic (community, home, hobbies, occupation, personal habits, diet and drugs) recommended by the Ontario College of Family Physicians was used as a first-line screening tool to assess potential environmental exposure to toxins. After occupational leave of absence, the patient reported cessation of symptoms. Environmental causes for familiar medical problems are frequently undiagnosed; it is recommended that, where appropriate, a screening tool for evaluation of environmental exposure to toxics be incorporated into primary care assessment and management of patients.
  The Journal of the American Board of Family Practice / American Board of Family Practice 01/2004; 17(2):136-41.
• Article: From idae to market: the drug approval process

  Lipsky MS, Sharp LK
  The Journal of the American Board of Family Practice / American Board of Family Practice 09/2001; 14(5):362-367.
• Article: Accuracy of CPT evalutation and management coding by family physicians

  King MS, Sharp L, Lipsky MS
  The Journal of the American Board of Family Practice / American Board of Family Practice 05/2001; 14(3184-192).
• Article: Epidemiological abuse.

  J Sugarman
  The Journal of the American Board of Family Practice / American Board of Family Practice 4(2):128-9.
• Article: A daughter's duty.

  Larry Lawhorne, Gregg VandeKieft, Leonard M Fleck
  The Journal of the American Board of Family Practice / American Board of Family Practice 18(1):57-62.
• Article: Twenty years: more questions than answers. Non amo te.

  N J Pisacano
  The Journal of the American Board of Family Practice / American Board of Family Practice 3(1):63-5.
• Article: Postpartum Pap smear.

  C Lindes
  The Journal of the American Board of Family Practice / American Board of Family Practice 3(1):70.
• Article: Preventing type 2 diabetes mellitus.

  Jeff Curtis, Charlton Wilson
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  ABSTRACT: Type 2 diabetes is a serious, costly, and increasingly common disease. Several conditions commonly seen in family medicine settings confer increased risk of developing diabetes. Among these conditions are impaired glucose tolerance, impaired fasting glucose, obesity, gestational diabetes, hypertension, hyperlipidemia, and menopause. We here present the results of a systematic review of the literature examining the evidence for different strategies aimed at preventing type 2 diabetes in patients with these conditions. The strongest evidence supports an intensive lifestyle intervention designed to induce modest weight loss. The greatest degree of prevention, based on lesser quality evidence, may be imparted by bariatric surgery. Metformin and troglitazone have appreciable evidence in specific populations, and orlistat and acarbose have slightly less evidence among obese patients, for preventing diabetes. Ramipril, captopril, losartan, pravastatin, and estrogens show some very preliminary promise for preventing diabetes in patients treated for hypertension, hyperlipidemia, and menopause, but each needs a more rigorous evaluation. Although more questions remain to be answered, family physicians now have tools available to help our patients lead lives free of diabetes.
  The Journal of the American Board of Family Practice / American Board of Family Practice 18(1):37-43.
• Article: Newsletters in family practice.

  C P Kerr
  The Journal of the American Board of Family Practice / American Board of Family Practice 6(3):325-6.
• Article: Sickle cell disease: screening, diagnosis, management, and counseling in newborns and infants. The Agency for Health Care Policy and Research.

  A O Berg
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  ABSTRACT: The AHCPR guideline on sickle cell disease has several strengths and many weaknesses. For the practicing physician it is strongest in recommending medical management of infants with sickle cell disease but weakest on screening and education and counseling. The evidence-based methodology should have been presented in more detail. Until that occurs, family physicians are left with this guideline as a summary of expert opinions with variable documentation of the underlying science.
  The Journal of the American Board of Family Practice / American Board of Family Practice 7(2):134-40.
• Article: Rates, panels, and health system reform.

  S L Tarnoff, A O Berg
  The Journal of the American Board of Family Practice / American Board of Family Practice 7(4):361-3.
• Article: Carpal boss and the differential diagnosis of dorsal hand masses.

  D D Lewis
  The Journal of the American Board of Family Practice / American Board of Family Practice 7(3):248-9.
• Article: Certificates of added qualifications.

  N J Pisacano
  The Journal of the American Board of Family Practice / American Board of Family Practice 2(3):143-4.
• Article: Ex concilio.

  N J Pisacano
  The Journal of the American Board of Family Practice / American Board of Family Practice 2(4):291.
• Article: Current report--HIV. Antiretroviral strategies revisited.

  R H Goldschmidt, B J Dong, J J Legg
  The Journal of the American Board of Family Practice / American Board of Family Practice 8(1):62-9.
• Article: Health care workers' expectations and empathy toward patients in abusive relationships.

  Christina Nicolaidis, Maryann Curry, Martha Gerrity
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  ABSTRACT: To understand attitudes that may affect health care workers' ability to provide appropriate long-term care for patients who stay with abusive partners. We surveyed 278 health care workers in 31 primary care practices before their participation in an educational intervention. More than half of participants (51% to 60%) found it easy to empathize with a patient who decided to remain in an abusive relationship if the patient was described as poor or disabled, but few (25% to 39%) could empathize if the patient was described as educated or financially secure. A majority (57% to 59%) agreed with a statement meant to assess unrealistic expectations. ("A provider's responsibility includes making sure a patient gets to a shelter right away if he or she discloses abuse.") Participants who agreed with this statement had more difficulty empathizing with patients who decided to stay with an abusive partner (P = .0045). Training efforts must focus on screening and on helping providers develop more realistic expectations about the complex nature of leaving an abusive relationship. Health care workers need a better understanding of the barriers patients face and why patients may choose to remain in abusive relationships, even in the absence of economic or health limitations.
  The Journal of the American Board of Family Practice / American Board of Family Practice 18(3):159-65.
• Article: Bibliographic databases.

  R D Gillette
  The Journal of the American Board of Family Practice / American Board of Family Practice 2(4):293.
• Article: Transient vitamin B12 malabsorption in a patient with mixed nutritional anemia.

  I Pagnotta
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  ABSTRACT: A 47-year-old nonvegan woman presented to my rural family practice with an anemia and was found to be deficient in iron, folate, and vitamin B12. Initial vitamin B12 malabsorption was documented by Schilling test and was reversed by nutritional repletion alone. This case illustrates that simple lack of intrinsic factor is not the only cause of vitamin B12 malabsorption in primary care patients and that inadequate diets may cause significant pathological consequences in ambulatory patients.
  The Journal of the American Board of Family Practice / American Board of Family Practice 2(2):130-3.
• Article: Delirium, headache, and the type I Arnold-Chiari malformation.

  L E Mehl, J Astill
  The Journal of the American Board of Family Practice / American Board of Family Practice 7(4):344-7.