www.aafp.org/afp Volume 86, Number 1 ◆ July 1, 2012 Case Scenario A 46-year-old man with no previous medical problems presents with depressed mood and difficulty initiating sleep. After further review, I discover that the patient recently separated from his wife and fears losing his job. He reluctantly mentions that the problems started when his wife became aware of several years of escalating ...

Affirmative action is based on a set of 30-year-old premises that badly need revising. White males are no longer dominant at every level of the corporation (statistically, they are merely the largest of many minorities), while decades of attack have noticeably weakened racial and gender prejudices. At the intake level, affirmative action quite effectively sets the stage for a workplace that is ...

Many doctors are concerned about their ability to take an appropriate history from a patient with a sexual problem. The main difference from an ordinary medical history is that the patient (and often the doctor) is commonly embarrassed and uncomfortable. Patients may feel ashamed or even humiliated at having to ask for help with a sexual problem that they think is private and that they should b...

In the pilot screening programmes, reception staff recruited most of the screening subjects in general practice and family planning clinics. Making use of other members of the primary health care team would significantly reduce the burden on clinical staff and therefore the cost of a population-wide screening programme. Finally, the author attempted to calculate the cost per case detected and t...

Introduction. We know little about how environmental challenges beyond home exacerbate difficulty moving, leading to falls among people with Parkinson's (PwP). Aims. To survey falls beyond home, identifying challenges amenable to behaviour change. Methods. We distributed 380 questionnaires to PwP in Southern England, asking participants to count and describe falls beyond home in the previous 12...

Facial blushing may usually be undesirable but may have an ameliorative function for some individuals under some circumstances. Researchers have studied the blush in laboratory settings, but not in daily life. In the present research, conducted with young adults, we employed for the first time an event-contingent recording method for assessing facial blushing during every-day social encounters....

OBJECTIVES Attendance at colposcopy following an abnormal cervical smear is potentially a highly distressing event. This study evaluates the role of cognitive appraisal components (Lazarus, 1991; Smith et al., 1993) in explaining emotional reactions to this event. We also compare the psychological sequelae of immediate treatment at first colposcopy (See and Treat, ST) vs. colposcopy with treatm...

Whether due to injury or neurodegenerative disease, millions of paraplegics suffer from an inability to actuate their limbs despite functional thought processes. Neuroscientists have developed methods [1] of monitoring and interpreting neural activity. By surgically implanting an electrode array in the motor cortex of the brain, scientists can tap into the real-time neural activity of an indivi...

OBJECTIVES To investigate the prevalence of urinary incontinence among people living at home, their responses to it, and its emotional and social effects. DESIGN Random sample of 4007 adults interviewed in their own homes. SETTING Random sample of 178 constituency sampling points throughout Great Britain. SUBJECTS 1883 men, 2124 women aged 30 and over. MAIN OUTCOME MEASURES Responses to...

OBJECTIVE To examine the effects of exam room presentations and teaching (ERPT) in a busy outpatient pediatric setting on visit duration and on parent, preceptor, and resident perceptions. METHODS This 8-week, 2-method crossover study compared first-year pediatric resident patient presentations and attending physician teaching and discussion in the exam room (ERPT) with conference area presen...