Summer is a useful time to remind ...

Summer is a useful time to remind patients of the dangers of overexposure to the sunshine As you know, skin cancer is the principally common malignancy in the United States, and many Americans do not take the necessary precautions. Although melanoma is a relatively small subset of all skin cancers, it is increasingly universal affects a younger population than most numerous cancers, and can be deadly. The article forward page 269 is a valuable refresher course forward melanoma for all physicians. It includes an overview of the risk factors, screening measures prevention recommendations, and treatment guidelines.

Annual Clinical Focus

Our focus onward medical genomics continues in this issue with another mini-review. This review focuses onward fetal alcohol spectrum disorders caused by the agency of maternal alcohol consumption during pregnancy (see page 279) It includes several photographs depicting the patterns of facial anomalies characteristic of these disorders. Central nervous combination of parts to form a whole impairment, cognitive deficits, and behavioral anomalies may not be apparent in a child for several years. Therefore, diagnosis based onward specific facial findings is important.

This mini-review includes a of the present day glossary of genomics terms. This glossary will be included in what is yet to be reviews and is now available upon the AAFP web site at http:// www.aafp.org/afp/genglossary.xml.

Foreign material part ingestion

As a parent, I understand in what way easy it is for toddlers to find and swallow purposes not meant to be eaten. If a child does ingest a foreign corpse parents and physicians need to be vigilant for signs of serious complications like as bowel obstruction and perforation to make secure that the object passes spontaneously and that as it was complications are avoided. The article forward page 287 includes a list of presenting symptoms that indicate esophageal foreign bodies, however many patients may be asymptomatic. It also proposes two algorithms for the identification of ingested foreign bodies and treatment of those patients. A patient education handout also is included.

Other highlights of this issue

The Graham Center One-Pager series onward the physician workforce continues with an article about the National Health Service Corps (NHSC) (page 235) The NHSC health center have been providing quality health care to low-income and medically underserv communities for many years. Many of the physicians who forward in such communities are family physicians and general practitioners. to come workforce planning should consider to what extent any changes in physician training would affect the NHSC and similar programs.

The Center for Disease superintend and Prevention has issued guidelines for improving vaccination rates for influenza, pneumonia, and hepatitis B among high-risk adults younger than 65 years. You can obtain more information in Practice Guidelines in succession page 338.

This issue also includes an article in succession the diagnosis of Lyme disease based onward serologic testing, endemicity, and clinical findings. This article provides a detailed discussion of the clinical presentation of Lyme disease, appropriate laboratory trials and diagnostic strategies (see page 297) A patient education handout is included as well.

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