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American Family Physician
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Articles

1073 Clinical Utility of Common Serum Rheumatologic Tests
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STEPHEN K. LANE, M.D., and JOSEPH W. GRAVEL, JR., M.D.
Selective ordering can improve the utility and cost-effectiveness of serum rheumatologic tests. These tests are generally most useful for confirming a clinically suspected diagnosis.
   
1083 Chronic Fatigue Syndrome: Evaluation and Treatment
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TIMOTHY CRAIG, D.O., and SUJANI KAKUMANU
Chronic fatigue syndrome is a disabling illness characterized by persistent fatigue, and treatment should be tailored to each patient.
Patient information: "Chronic Fatigue Syndrome: How to Help Yourself," p. 1095
   

1097
Is Thrombolytic Therapy Effective for Pulmonary Embolism?
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KHALID ALMOOSA, M.D.
Thrombolytic therapy is potentially lifesaving when used in conjunction with standard anticoagulation, but its significant side effects demand extreme caution with use.
   
1107 COVER ARTICLE: PRACTICAL THERAPEUTICS
Smoking Cessation: Integration of Behavioral and Drug Therapies
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ROBERT MALLIN, M.D.
The five-stage transtheoretic model for readiness to change can be applied to an addictive behavior such as smoking. Combined nicotine replacement and bupropion therapy can increase the chances of successful smoking cessation.
Patient information: "How to Stop Smoking," p. 1117
   
1123 Osteosarcoma: A Multidisciplinary Approach to Diagnosis and Treatment
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JAMES C. WITTIG, M.D., JACOB BICKELS, M.D., DENNIS PRIEBAT, M.D., JAMES JELINEK, M.D., KRISTEN KELLAR-GRANEY, BARRY SHMOOKLER, M.D., and MARTIN M. MALAWER, M.D.
ACF Logo With present-day chemotherapy and surgical techniques, 90 to 95 percent of patients with osteosarcoma can be treated with limb-sparing resection and reconstruction, rather than amputation.
Patient information: "Osteosarcoma," p. 1135
   
1138 Neonatal Herpes Simplex Virus Infections
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CAROLINE M. RUDNICK, M.D., PH.D., and GRANT S. HOEKZEMA, M.D.
Physicians should be aware of the risks of herpes simplex virus infections in pregnant women. Potential consequences include premature birth and devastating neonatal herpes infections.
Patient information: "Herpes During Pregnancy--What It Means, What to Expect," p. 1143
   
1155 OFFICE PROCEDURES
Punch Biopsy of the Skin
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THOMAS J. ZUBER, M.D.
Punch biopsy of the skin is considered the primary method of obtaining diagnostic full-thickness skin specimens. This article provides details of the procedure.
Patient information: "Punch Biopsy of the Skin," p. 1167
   

Departments

1012 Inside AFP
1014 Change-of-Address Form
1017 Newsletter
1021 Quantum Sufficit
1025 Clinical Quiz
1033 Editorial
  • Children, Physical Activity, and Public Health: Another Call to Action
1037 Letters to the Editor
  • Value of Preparticipation Physical Examination
  • More on Sports Physical Examinations
Also available online (www.aafp.org/afp/20020315/lettersonline.html):
  • Athletic Screening Provides Opportunity to Detect Many Conditions
1043 CME Calendar
1066 Diary from a Week in Practice
1147 U.S Preventive Services Task Force: Recommendations and Rationale
  • Screening for Bacterial Vaginosis in Pregnancy: Recommendations and Rationale
1173 Tips from Other Journals
1216 Practice Guidelines
  • AAP Issues Recommendations for the Management of Sinusitis in Children
1225 Clinical Briefs
1230 Curbside Consultation
1234 Classified Information
  Information for Authors
Updated Information for Authors (last printed January 15, 2002) and Author Statements Forms


Cover illustration © 2002 Todd Buck, Lombard, Ill.
Copyright © 2002 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.



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