Cover	1383	1449

	Articles
1319	Cover Article: Cardiovascular Medicine Update Essentials of the Diagnosis of Heart Failure FADI SHAMSHAM, M.D., and JUDITH MITCHELL, M.D. A systematic approach can improve overall accuracy in diagnosing heart failure. Keys to the diagnosis include a history of coronary artery disease and the presence of dyspnea, tachycardia and an S3 gallop.
1331	Treatment of Nonmalignant Chronic Pain DAWN A. MARCUS, M.D. Chronic pain is associated with disabling physical and emotional symptoms. The treatment of chronic pain should address the physical pathology that initiated the chronic pain and the social and psychologic sequelae of chronic symptoms.
	Patient information: "How to Get Relief from Chronic Pain," p. 1345
1349	Approach to the Vaso-occlusive Crisis in Adults with Sickle Cell Disease STEVEN H. YALE, M.D., NAHED NAGIB, M.D., and TROY GUTHRIE, M.D. The vaso-occlusive crisis is a common painful complication of sickle cell disease in adolescents and adults. It is important to recognize a pain crisis early, correct the inciting causes, control pain, maintain euvolemia and, when necessary, administer adequate hemoglobin to decrease the hemoglobin S level.
	Patient information: "Practical Tips for Preventing a Sickle Cell Crisis," p. 1363
1369	Cervical Cancer TIMOTHY P. CANAVAN, M.D., and NIPA R. DOSHI, M.D. Although cervical cancer is preventable, 12,800 women were diagnosed with this disease in 1998, and 4,800 women died as a result of it.
1383	Using Tissue Adhesive for Wound Repair: A Practical Guide to Dermabond THOMAS B. BRUNS, M.D., and J. MACK WORTHINGTON, M.D. The tissue adhesive Dermabond offers certain advantages in the repair of superficial wounds.
1391	Managing Menopause TONI M. CUTSON, M.D., M.H.S., and EMILY MEULEMAN, M.S., R.N.C. Hormone replacement therapy may benefit patients with many of the immediate long-term consequences of menopause, but scientific studies are incomplete and often disagree. Current treatment options allow individualization of a plan.
	Patient information: "Learning About Menopause," p. 1405
1409	Practical Therapeutics A 'Stages of Change' Approach to Helping Patients Change Behavior GRETCHEN L. ZIMMERMAN, PSY.D., CYNTHIA G. OLSEN, M.D., and MICHAEL F. BOSWORTH, D.O. All family physicians should understand how to recognize the stages of change behavior in patients and be able to help them with this process.
1423	Somatizing Patients: Part II. Practical Management DAVID SERVAN-SCHREIBER, M.D., PH.D., GARY TABAS, M.D., and N. RANDALL KOLB, M.D. The treatment of patients who somatize is based on a solid relationship with a single primary care physician. Brief but regular and frequent visits are the foundation of successful management.
	Patient information: "When You Have Chronic Unexplained Medical Problems," p. 1431
1437	Clinical Pharmacology Appropriate Use of Psychotropic Drugs in Nursing Homes TATYANA GURVICH, PHARM.D., and JANET A. CUNNINGHAM, M.D., M.P.H. Federal guidelines specifically limit the indications and dosing for antidepressant, anxiolytic, sedative-hypnotic and antipsychotic medications in residents of long-term care facilities.

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