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American Family Physician
Cover Article Photo Illustration
Cover 1497 1471

Articles


1435
PROBLEM-ORIENTED DIAGNOSIS
Evaluation of Clumsiness in Children
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S. SUTTON HAMILTON, M.D.
Clumsiness in children should be recognized as a serious medical problem that can adversely affect a child's emotional, academic, and social adjustment. Treatment involves education of the child and family, and individualized occupational therapy.
   
1447 Childhood Discipline: Challenges for Clinicians and Parents
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J. BURTON BANKS, M.D.
Because discipline plays an important role in the social and emotional development of children, physicians should be trained to discuss this issue with parents during routine well-child examinations.
Patient information: "How to Teach Good Behavior: Tips for Parents," p. 1463
   

1471
COVER ARTICLE
Preoperative Care of Patients with Kidney Disease
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MAHESH KRISHNAN, M.D., M.P.H.
Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks. Issues that need to be addressed include hyperkalemia, potential for perioperative bleeding, anemia, potential for infection, acid-base disorders, and cardiac risk.
   

1477
PRACTICAL THERAPEUTICS
What to Do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder
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MARK A. ZAMORSKI, M.D., M.H.S.A., and RONALD C. ALBUCHER, M.D.
A significant number of patients with panic disorder do not respond favorably or completely to selective serotonin reuptake inhibitor therapy. Eight strategies have been developed to help primary care physicians optimize treatment of these patients.
   
1489 Epilepsy in Women
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MARTHA J. MORRELL, M.D.
Hormonal changes that occur with puberty, during the menstrual cycle, and at menopause can affect seizure control in women with epilepsy. There are unique challenges in contraception, reproductive health, and pregnancy in women using antiepileptic drugs.
   

1497
OFFICE PROCEDURES
Knee Joint Aspiration and Injection
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THOMAS J. ZUBER, M.D.
Knee joint aspiration and injection are used to help diagnose and treat knee joint diseases.
Patient information: "Joint Aspiration and Injection," p. 1511
   

Departments

1379 Definitions for Evidence Labels in AFP
1383 Inside AFP
1387 Newsletter
1391 Quantum Sufficit
1395 Clinical Quiz
783 Editorials
  • Resident Hours: Reform Is at Hand
1401 Letters to the Editor
  • Recommendation for Modified Metered-Dose Inhaler
  • Treatment of Tobacco Dependence
  • Should Patients Be Referred for Endoscopy?
  • Techniques and Tips for Lipoma Excision
1406 CME Calendar
1426 Diary from a Week in Practice
1430 U.S. Preventive Services Task Force: Recommendations and Rationale
  • Screening for Osteoporosis in Postmenopausal Women
1487 Change-of-Address Form
1517 Patient Information Collection
AFTER A SPORTS INJURY
1527 Tips from Other Journals
1555 Practice Guidelines
  • American Cancer Society Releases Guidelines on Nutrition and Physical Activity for Cancer Prevention
1565 Clinical Briefs
1569 Resident and Student Voice
  • Resident Education and Patient Safety
1576 Classified Information
  Information for Authors
Updated Information for Authors (last printed January 15, 2002) and Author Statements Forms


Cover illustration © 2002 S. Scott Bodell, Dallas, Tex.
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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