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American Family Physician
Cover Article Photo Illustration
Cover 1527 1585

Articles


1527
COVER ARTICLE: PRACTICAL THERAPEUTICS
Common Stress Fractures
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BRENT W. SANDERLIN, LCDR, MC, USNR, and ROBERT F. RASPA, CAPT, MC, USN
Family physicians frequently treat patients who have stress fractures, injuries commonly associated with participation in sports that involve running, jumping, or repetitive stress. CME logo
   

1539
COMPLEMENTARY AND ALTERNATIVE MEDICINE
Panax ginseng
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DAVID KIEFER, M.D., and TRACI PANTUSO, B.S.
Panax ginseng is a safe, well-tolerated herbal medicine that may be used in the treatment of a variety of conditions. Potential beneficial effects include improvements in psychologic function, immune system function, and conditions associated with diabetes.
   

1545
PROBLEM-ORIENTED DIAGNOSIS
Tremor
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SHARON SMAGA, M.D.
The most common movement disorder is tremor, a rhythmic, involuntary, oscillatory movement of body parts. The best tools for diagnosing and classifying tremor syndromes are a thorough history and physical examination. CME logo
Patient information: "Essential Tremor," p. 1553
   
1555 School Refusal in Children and Adolescents
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WANDA P. FREMONT, M.D.
School refusal often is associated with comorbid psychiatric disorders. Family physicians should identify problems early and make appropriate interventions to prevent further problems in children and adolescents who refuse to go to school. CME logo
Patient information: "What to Do When Your Child Refuses to Go to School," p. 1563
   

1569
CLINICAL COMMENTARY
Reducing Cardiovascular Disease Risk in Patients with Type 2 Diabetes: A Message from the National Diabetes Education Program
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JAMES R. GAVIN III, M.D., PH.D., KEVIN PETERSON, M.D., M.P.H., and ELIZABETH
WARREN-BOULTON, R.N., M.S.N.
ACF Logo 2 Patients with diabetes have demonstrated a significant lack of knowledge of the link between diabetes and cardiovascular disease. By increasing awareness of cardiovascular risk factors, physicians can help reduce morbidity and mortality in patients with diabetes. CME logo
Patient information: "Diabetes and Heart Disease," p. 1577
Editorial: "Strategies to Improve Diabetes Care," p. 1500
   

1585
OFFICE PROCEDURES
Repair of Obstetric Perineal Lacerations
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LAWRENCE LEEMAN, M.D., M.P.H., MARIDEE SPEARMAN, M.D., and REBECCA ROGERS, M.D.
Effective repair of obstetric perineal lacerations requires a knowledge of perineal anatomy and surgical technique. Sequelae of these lacerations include chronic perineal pain, dyspareunia, urinary incontinence, and fecal incontinence. CME logo
   

Departments

1461 Definitions for Evidence Labels in AFP
1467 Inside AFP
1471 Newsletter
1475 Quantum Sufficit
1477 Clinical Quiz
1483 Graham Center One-Pagers

See "Editorials," p. 1494

1489 Letters to the Editor
  • Hormone Therapy to Prevent Hip Fractures
1494 Editorials

See "Graham Center One-Pagers," p. 1483

1509 CME Calendar
1523 Diary from a Week in Practice
1595 STEPS
  • Ezetimibe for Hypercholesterolemia
1601 Photo Quiz
1603 Patient Information Collection
SKIN CONDITIONS
1613 POEMs andTips from Other Journals
1626 Definition of POEMs
1664 Practice Guidelines
  • AAP Releases Policy Statement on Eye Examinations
1667 Clinical Briefs
1673 Change-of-Address Form
1674 Classified Information
  Information for Authors

ACF Logo 2 This article exemplifies the AAFP 2003 Annual Clinical Focus on prevention and health promotion.

CME logo This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 1477.


Cover illustration © 2003 William B. Westwood, Albany, N.Y.
Copyright © 2003 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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