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American Family Physician
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Articles


2379
COVER ARTICLE
Stroke: Strategies for Primary Prevention
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JUSTIN A. EZEKOWITZ, M.B.B.CH., M.SC., SHARON E. STRAUS, M.D., SUMIT R.
MAJUMDAR, M.D., M.P.H., and FINLAY A. MCALISTER, M.D., M.SC.
ACF Logo 2 Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes, and atrial fibrillation. The roles of angiotensin-converting enzyme inhibitors, antiplatelet therapy, and carotid endarterectomy for treatment of asymptomatic carotid stenosis remain controversial. CME logo
Patient information: "How to Prevent a Stroke," p. 2389
Editorial: "Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and Prevention," p. 2335
   

2393
PROBLEM-ORIENTED DIAGNOSIS
Orthostatic Hypotension
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JOHN G. BRADLEY, M.D., and KATHY A. DAVIS, R.N.
Several potential causes of orthostatic hypotension include medications; non-neurogenic causes such as impaired venous return, hypovolemia, and cardiac insufficiency; and neurogenic causes such as multisystem atrophy and diabetic neuropathy. Treatment generally is aimed at the underlying cause. CME logo
   
2401 Diagnosis and Management of Post-traumatic Stress Disorder
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BRADLEY D. GRINAGE, M.D.
Post-traumatic stress disorder is an anxiety disorder that occurs following a traumatic event. Patient education and strong support, combined with a selective serotonin reuptake inhibitor, constitute an effective first-line treatment course. CME logo
Patient information: "What You Should Know About Post-traumatic Stress Disorder," p. 2409
   
2413 Evaluation and Management of Toe Fractures
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ROBERT L. HATCH, M.D., M.P.H., and SCOTT HACKING, M.D.
Family physicians can successfully manage most toe fractures, but referral is indicated for patients with circulatory compromise, open fractures, fracture-dislocations, displaced intra-articular fractures, and fractures of the first toe, which are prone to complications. CME logo
   

Departments

2188 Inside AFP
2191 Definitions for Evidence Labels in AFP
2192 Graham Center One-Pager
  • The Ecology of Medical Care for Children in the United States: A New Application of an Old Model Reveals Inequities That Can Be Corrected
2195 Newsletter
2199 Quantum Sufficit
2203 Clinical Quiz
2206 Letters to the Editor
  • Maggot Debridement Therapy for Diabetic Necrotic Foot
2208 Correction
2211 Editorials
2215 CME Calendar
2227 Diary from a Week in Practice
2287 U.S. Preventive Services Task Force: Recommendations and Rationale
  • Routine Vitamin Supplementation to Prevent Cancer and Cardiovascular Disease: Recommendations and Rationale
2429 STEPS
  • Adefovir (Hepsera) for Chronic Hepatitis B Infection

Editorial: "STEPS Drug Updates," p. 2342

2433 Photo Quiz
2437 Clinical Inquiries
  • Is Fluoxetine an Effective Therapy for Weight Loss in Obese Patients?

Editorial: "Clinical Inquiries from the Family Practice Inquiries Network," p. 2340

2297 POEMs and Tips from Other Journals
  • Coenzyme Q10 Decreases Cardiac Events (POEM)
  • Nail Plate Biopsy for Diagnosing Onychomycosis (POEM)
  • Antibiotics Ineffective for Typical Sinusitis (POEM)
  • Local Active Warming Decreases Renal Colic Pain (POEM)
  • A Systematic Review of Low-Carbohydrate Diets
  • Effect of Male Hypogonadism on Bone Architecture
  • Oculorespiratory Syndrome: Adverse Effect of Flu Vaccine
  • Topical NSAIDs Relieve the Pain of Mastalgia
2446 Definition of POEMs
2329 Practice Guidelines
  • The 2004 Recommended Adult Immunization Schedule
2336 Clinical Briefs
2339 Change-of-Address Form
2340 Classified Information
  Information for Authors

ACF Logo 2 This article exemplifies the AAFP 2003 Annual Clinical Focus on prevention of disease.

CME logo This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 2321.

eb/cme This logo designates clinical content that conforms to AAFP criteria for evidence-based continuing medical education (EB CME). EB CME is clinical content presented with practice recommendations supported by evidence that has been systematically reviewed by an AAFP-approved source.


Cover illustration © 2003 S. Scott Bodell, Dallas, Tex.
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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