Cover	2093	2077

	Articles
2037	Nightmares and Disorders of Dreaming J.F. PAGEL, M.D. Nightmares and night terrors are common conditions that may be associated with psychiatric illnesses. They often respond to medication, with or without behavioral therapy.
	Patient information: "Nightmares and Night Terrors in Children," p. 2044
2051	Clinical Opinion Acute Otitis Media: Part I. Improving Diagnostic Accuracy MICHAEL E. PICHICHERO, M.D. Overdiagnosis of acute otitis media can be reduced by relying on more than fever, ear pain and redness of the eardrum to make the diagnosis. These symptoms are nonspecific for the presence of infection.
2061	Practical Therapeutics Management of Giant Cell Arteritis and Polymyalgia Rheumatica SANDRA MESKIMEN, M.S.N., TONY D. COOK, M.S.N., and ROBERT L. BLAKE, JR., M.D. Giant cell arteritis and polymyalgia are closely related disorders that cause significant morbidity. These disorders are best treated with corticosteroids, given in a high dosage for giant cell arteritis and in a lower dosage for polymyalgia rheumatica. Benefits and risks of long-term corticosteroid therapy need to be considered.
	Patient information: "Temporal Arteritis and Polymyalgia Rheumatica," p. 2073
2077	Cover Article Acute Renal Failure MALAY AGRAWAL, M.D., and RICHARD SWARTZ, M.D. Etiologically, acute renal failure can be divided into three categories: prerenal, intrinsic and postrenal. A systematic approach to acute renal failure can establish the cause and facilitate optimal treatment.
2093	Promoting and Supporting Breast-Feeding JAY MORELAND, M.D., and JENNIFER COOMBS, P.A.-C. Family physicians and their staff members can have a significant impact on the initiation and maintenance of breast-feeding
	Patient information: "Breast-Feeding: Helpful Hints for You," p. 2103
2109	Hip Pain in Athletes SAMUEL B. ADKINS III, M.D., and RICHARD A. FIGLER, M.D. Recognition of age-related injuries in athletes with hip complaints can aid the physician in arriving at a specific diagnosis.
2121	Addiction: Part I. Benzodiazepines--Side Effects, Abuse Risk and Alternatives LANCE P. LONGO, M.D., and BRIAN JOHNSON, M.D. Benzodiazepines are relatively safe, but chronic use may be addicting. Short-acting, high-potency agents cause dependence sooner than long-acting, low-potency agents.
2131	Clinical Pharmacology Drug Therapy for Obesity LORI M. DICKERSON, PHARM.D., and PETER J. CAREK, M.D., M.S. Obesity is a common medical problem associated with an increased mortality rate and other risk factors. Weight reduction achieved through behavioral and medical therapy is associated with varying degrees of success and adverse effects.
	Patient information: "How Can I Lose Weight?" p. 2143
2144	Recognition of Common Childhood Malignancies GUY YOUNG, M.D., JEFFREY A. TORETSKY, M.D., ANDREW B. CAMPBELL, M.D., and ALLEN E. ESKENAZI, M.D. The presenting signs and symptoms of cancer may be vague and nonspecific in children. Leukemias, lymphomas and central nervous system tumors account for more than one half of new cases.
2159	Problem-Oriented Diagnosis Falls in the Elderly GEORGE F. FULLER, COL, MC, USA The evaluation of an elderly patient who has fallen includes an assessment for risk factors, medications, environmental hazards and medical conditions that contribute to falls. Treating the underlying cause of a fall can return the patient to baseline functioning and reduce the risk of recurrent falls.
	Patient information: "What Causes Falls in the Elderly? How Can I Prevent a Fall?" p. 2173

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