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American Family Physician
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Articles

249 COVER ARTICLE: PRACTICAL THERAPEUTICS
Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control
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DANA E. KING, M.D., LORI M. DICKERSON, PHARM.D., and JONATHAN L. SACK, M.D.
Initial treatment of atrial fibrillation is directed at controlling the ventricular rate, most often with a calcium channel blocker, a beta blocker, or digoxin. In patients who remain in atrial fibrillation, medical or electrical cardioversion to restore sinus rhythm is the next step.
   
261 Acute Management of Atrial Fibrillation: Part II. Prevention of Thromboembolic Complications
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DANA E. KING, M.D., LORI M. DICKERSON, PHARM.D., and JONATHAN L. SACK, M.D.
Anticoagulation agents play an important role in preventing thromboembolic complications of atrial fibrillation. Heparin is routinely used in the pericardioversion period. Warfarin is preferred for chronic therapy in patients at high risk for thromboembolic complications. Aspirin therapy is appropriate in some patients.
Patient information: "Atrial Fibrillation," p. 271
   

273
CLINICAL PHARMACOLOGY
Proton Pump Inhibitors: An Update
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BRUCE T. VANDERHOFF, M.D., and RUNDSARAH M. TAHBOUB, M.D.
Proton pump inhibitors are considered a major advance in the treatment of acid-peptic diseases. They have minimal side effects and few significant drug interactions, and are generally considered safe for long-term treatment.
   
283 OFFICE PROCEDURES
Joint and Soft Tissue Injection
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DENNIS A. CARDONE, D.O., C.A.Q.S.M., and ALFRED F. TALLIA, M.D., M.P.H.
This article presents an overview of diagnostic and therapeutic joint and soft tissue injection techniques.
Patient information: "Joint and Soft Tissue Injection," p. 290
   
297 FOCUS ON EVIDENCE
Recent Developments in Colorectal Cancer Screening and Prevention
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MICHAEL PIGNONE, M.D., M.P.H., and BERNARD LEVIN, M.D.
ACF Logo 2 Recommendations for colorectal cancer screening and prevention have been broad and sometimes conflicting. Several important new studies have refined the understanding of existing screening tools and explored novel means of screening and prevention. eb/cme
Editorial: "Evidence-Based CME," p. 200; Inside AFP: p. 185
 

ACF Logo 2This article exemplifies the AAFP 2002 Annual Clinical Focus on cancer: prevention, detection, management, support, and survival.

   

Departments

185 Inside AFP
190 Definitions for Evidence Labels in AFP
193 Newsletter
197 Clinical Quiz
200 Editorials
205 Quantum Sufficit
209 Letters to the Editor
  • Screening Question for Alcohol Abuse
  • Physicians Should Be Educated on the Benefits of Breastfeeding

Also available online (www.aafp.org/afp/20020715/lettersonline.html):

  • Privately Breaking Bad News
  • What Is the Clinical Validity of TSH Levels?
210 Correction
212 Graham Center One-Pager
  • What Physicians Need to Know About Seniors and Limited Prescription Benefits, and Why
217 CME Calendar
241 Diary from a Week in Practice
245 Cochrane for Clinicians: Putting Evidence into Practice
  • Should We Use Multiple Risk Factor Interventions for the Primary Prevention of Coronary Heart Disease?
305 Change-of-Address Form
310 Patient Information Collection
SUMMER SAFETY
318 Tips from Other Journals
330 Practice Guidelines
  • ACOG Practice Bulletin on Diagnosing and Managing Preeclampsia and Eclampsia
332 Clinical Briefs
337 Curbside Consultation
  • A Pregnant Woman Victimized by Physical Abuse
342 Classified Information
  Information for Authors
Updated Information for Authors (last printed January 15, 2002) and Author Statements Forms


Cover illustration © 2002 Joan Beck, Minneapolis.
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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