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Please note: The American Family Physician Web archive extends from 1998 to the present. Enhanced features are available for content published after 2000.

AFP - July 15, 2000

Cover Article Hyperparathyroidism Axillary Basal Cell Carcinoma
Cover 623 565
Articles

545
Cover Article: Practical Therapeutics
Lightening the Lead Load in Children
MARK R. ELLIS, M.D., M.S.P.H., and KEVIN Y. KANE, M.D., M.S.P.H.
Screening protocols for blood levels should be based on the prevalence of older housing and lead poisoning in a community and the recommendations of the local health department. Management strategies include family education, primary and secondary prevention and, when indicated by the blood lead level, chelation therapy.
Patient information: "Preventing and Treating Lead Poisoning in Children," p. 559
565 Intra-articular Hyaluronic Acid Injections for Knee Osteoarthritis
DENNIS Y. WEN, M.D.
Knee osteoarthritis is a common but often difficult management problem in primary care. Viscosupplementation, a newly available option for patients with symptomatic knee osteoarthritis, involves a series of intra-articular injections of hyaluronic acid.
Patient information: "Treating Knee Osteoarthritis with Injections," p. 572
579 Assessing Nicotine Dependence
TERRY A. RUSTIN, M.D.
Several tools, such as the modified CAGE questionnaire for smoking, the "four Cs" test and the Fagerström Test for Nicotine Dependence, can be used in the family physician's office to quickly assess a patient's smoking behaviors.
Patient information: "Do I Want to Quit Smoking?" p. 591

596
Problem-Oriented Diagnosis
Breast Cancer Diagnosis and Screening
LECIA M. APANTAKU, M.D.
Because early diagnosis drastically improves survival rates in women with breast cancer, family physicians should familiarize themselves with all aspects of diagnosis and screening.
Patient information: "Screening Yourself for Breast Cancer," p. 605

611
Clinical Pharmacology
Appropriate Prescribing of Oral Beta-Lactam Antibiotics
KEITH B. HOLTEN, M.D., and EDWARD M. ONUSKO, M.D.
Beta-lactam antibiotics are active against many gram-negative, gram-positive and anaerobic organisms. Care must be taken when selecting a specific drug because each beta-lactam group has a somewhat different antimicrobial spectrum.

Departments
471 Inside AFP
472 AFP 50 Years Ago
477 Policy Center One-Pager
483 Newsletter
487 Quantum Sufficit
495 Clinical Quiz
500 Editorials
  • Screening for Breast Cancer
  • Meningococcal Vaccine for College Freshmen
506 Letters to the Editor
  • Breast-Feeding and Infant Oral Health
  • Case Report: Neuropsychiatric Complications of Malaria Infection
508 Correction
513 CME Calendar
536 Diary from a Week in Practice
623 Photo Quiz
629 Tips from Other Journals
658 Family Practice International
659 FDA Perspective
661 Practice Guidelines
  • HHS Updates Guidelines for Antiretroviral Therapy in HIV Infection
666 Clinical Briefs
671 Putting Prevention Into Practice
677 Information for Authors

Author statements form: p. 680
683 Multimedia Review
688 Medical Services
690 Classified Information

Cover Illustration © 2000 John W. Karapelou, Columbus, Ohio.
Copyright © 2000 by the American Academy of Family Physicians.
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