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American Family Physician
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Articles


653
West Nile Virus in the United States: An Update on an Emerging Infectious Disease
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GREGORY D. HUHN, M.D., M.P.H.T.M., JAMES J. SEJVAR, M.D., SUSAN P. MONTGOMERY, D.V.M., M.P.H., and MARK S. DWORKIN, M.D., M.P.H.T.M.
West Nile virus likely will continue to advance throughout the western United States within the next few years. A range of clinical syndromes is possible, including fever, meningitis, encephalitis, and acute flaccid paralysis.
Patient information: "West Nile Virus," p. 671
   
675 COVER ARTICLE: CLINICAL PHARMACOLOGY
Managing Issues Related to Antiretroviral Therapy
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EMIL P. LESHO, LTC, MC, USA, and DANIELA C. GEY, M.D.
As the delivery of health care to patients with human immunodeficiency virus infection shifts from the inpatient to the outpatient arena, family physicians will be confronted with such issues as side effects of antiretroviral drugs, adherence to treatment regimens, and drug interactions.
Patient information: "How to Take Your Medicines for HIV," p. 689
   
697 Current Perspectives in Polycystic Ovary Syndrome
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MARILYN R. RICHARDSON, M.D.
Polycystic ovary syndrome, which affects women from adolescence through menopause, can cause long-term effects such as infertility, diabetes, and heart disease. Treatment options include hormones, insulin-sensitizing agents, weight loss, and exercise.
   
707 Management of Crohn's Disease--A Practical Approach
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DOUG KNUTSON, M.D., GREG GREENBERG, M.D., and HOLLY CRONAU, M.D
The causes of Crohn's disease are thought to be environmental, genetic, dietary, infectious, or immunologic, although treatment guidelines are determined by the severity of disease.
Patient information: "Crohn's Disease," p. 717
   

Departments

589 Inside AFP
593 Graham Center One-Pager
  • Family Physicians Are an Important Source of Newborn Care: The Case of the State of Maine
595 Clinical Quiz
601 Newsletter
605 Quantum Sufficit
606 Editorials
  • Postmenopausal Osteoporosis and Estrogen
618 Letters to the Editor
  • Chronic Use of Echinacea Should Be Discouraged
621 Definitions for Evidence Labels in AFP
622 CME Calendar
645 Diary from a Week in Practice
649 Cochrane for Clinicians: Putting Evidence into Practice
  • Which Nonsurgical Treatments for Carpal Tunnel Syndrome Are Beneficial?
721 POEMs and Tips from Other Journals
732 Definition of POEMs
759

Practice Guidelines

  • ACEP Releases Clinical Policy on Evaluation and Management of Pulmonary Embolism
762 Change-of-Address Form
763 Clinical Briefs
765 Classified Information
770 Therapeutic Index


Cover illustration by Mark E. Schuler, Prairie Village, Kan.
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