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AFP - December 1, 2000


Cover Article Photo Quiz Illustration
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Articles

2433
Cover Article
Urinary Incontinence in Women: Evaluation and Management
PATRICK J. CULLIGAN, M.D., and MICHAEL HEIT, M.D.
Urinary incontinence is a common problem requiring treatment that is specific to the patient and the type of incontinence experienced.
Patient information: "Urinary Incontinence in Women," p. 2447
Patient information: "Exercising Your Pelvic Muscles," p. 2452

2453
Practical Therapeutics
The Importance of Beta Blockers in the Treatment of Heart Failure
WILLIAM E. CHAVEY II, M.D., M.S.
Beta-blocker therapy is appropriate in patients with New York Heart Association (NYHA) class II or III symptoms resulting from left ventricular systolic dysfunction. Pending the results of current trials, beta blockers should not be used in patients with NYHA class IV symptoms.
Editorial: "Beta Blockers and Congestive Heart Failure," p. 2402
2467 Clinical Pharmacology
Updated Treatment for Influenza A and B
NORMAN J. MONTALTO, D.O., KIMBERLY D. GUM, PHARM.D., and JEFFREY V. ASHLEY, M.D.
Antiviral agents for the prevention and treatment of influenza should not replace a broad-based immunization program.

2478
Gamma-Hydroxybutyrate (GHB): A Newer Drug of Abuse
TED O'CONNELL, M.D., LILY KAYE, PHARM.D., and JOHN J. PLOSAY III, M.D.
ACF Gamma-hydroxybutyrate (GHB) is quickly becoming a drug of abuse among "party-goers" and bodybuilders and has been linked to at least 122 illnesses and as many as six deaths.
Patient information: "Gamma-Hydroxybutyrate (GHB)," p. 2483

2485
Myxedema Coma: Diagnosis and Treatment
CRISTEN RHODES WALL, M.D.
Myxedema coma, the extreme manifestation of hypothyroidism, is an uncommon but potentially lethal condition. It occurs when the body's compensatory responses to hypothyroidism are overwhelmed by a precipitating factor, such as infection.
   
  ACFThis article exemplifies the AAFP 2000 Annual Clinical Focus on mental health.

Departments
2389 Inside AFP
2391 Newsletter
2395 Quantum Sufficit
2399 Clinical Quiz
2402 Editorials
2409 AFP 50 Years Ago
2414 Letters to the Editor
  • Osteopathic Medicine in the Treatment of Low Back Pain
2416 CME Calendar
2429 Diary from a Week in Practice
2493 Photo Quiz
2497 Tips from Other Journals
2528 FDA Perspective
2532 Change-of-Address Form
2535 Practice Guidelines
  • Guidelines on Migraine: Part 5. Recommendations for Specific Prophylactic Drugs
2541 Clinical Briefs
2543 Curbside Consultation
2546 Medical Services
2548 Classified Information


Cover Illustration © 2000 Todd Buck, Lombard, Ill.
Copyright © 2000 by the American Academy of Family Physicians.
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