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Articles

COVER ARTICLE
Hepatitis B

KENNETH W. LIN, M.D., and JEFFREY T. KIRCHNER, D.O.
Hepatitis B is a vaccine-preventable disease, but it still affects more than 400 million persons worldwide. Medical therapies for chronic hepatitis B infection include interferon alfa-2b, lamivudine, and the nucleotide analog adefovir dipivoxil.

Patient information: "Hepatitis B Infection," p. 86

CARING FOR COMMON SKIN CONDITIONS
Pityriasis Rosea

DANIEL L. STULBERG, M.D., and JEFF WOLFREY, M.D.
Pityriasis rosea is characterized by an initial herald patch and subsequent development of a diffuse papulosquamous rash that follows Langer's lines. Although medications can be used to relieve itching, the condition usually resolves without treatment within three months.

Patient information: "Pityriasis Rosea," p. 94

OFFICE PROCEDURES
Diaphragm Fitting

RICHARD E. ALLEN, M.D.
When fitted properly and used correctly and consistently, the diaphragm is an effective barrier contraceptive.

Patient information: "Birth Control Using a Diaphragm," p. 103

Patient information: "Using Your Diaphragm," p. 105

111

RADIOLOGIC DECISION-MAKING
Vertebral Compression Fractures in the Elderly

JERRY L. OLD, M.D., and MICHELLE CALVERT, M.D.

Vertebral compression fractures are common in the elderly, especially those who have osteoporosis, and can range from mild to severe. Severe cases can result in significant pain and loss of ability to perform activities of daily living.

120

PROBLEM-ORIENTED DIAGNOSIS
Diagnostic Approach to Tinnitus

RICHARD W. CRUMMER, M.D., and GHINWA A. HASSAN, M.D.
Tinnitus is a common condition, often resulting from an otologic disorder. The severity of tinnitus varies from occasional awareness of a sound to an unbearable sound that drives some persons to contemplate suicide.

Patient information: "Tinnitus," p. 127

	Departments
11	Inside AFP
19	Newsletter
23	Clinical Quiz
26	Quantum Sufficit
29	Letters to the Editor Causes of Benign Asymptomatic Pneumoperitoneum
35	Editorials Redefining Appropriate Use of Antibiotics
42	CME Calendar
66	Diary from a Week in Practice
71	Cochrane for Clinicians: Putting Evidence into Practice Digitalis for Treatment of Congestive Heart Failure in Patients in Sinus Rhythm
119	Change-of-Address Form
131	Definitions for Evidence Labels in AFP
132	Clinical Evidence Concise: A Publication of BMJ Publishing Group Thromboembolism
139	Putting Prevention into Practice: An Evidence-Based Approach Screening for Osteoporosis in Postmenopausal Women
145	Photo Quiz
149	Patient Information Collection URINARY TRACT CONDITIONS Painful Urination Urinary Reflux Urinary Tract Infections in Children Urinary Tract Infections During Pregnancy Urinary Tract Infections in Adults
163	POEMs and Tips from Other Journals Candesartan Reduces Mortality for CHF (POEM) Candesartan in CHF Patients with Normal LV Function (POEM) Candesartan Plus ACE Inhibitor for CHF (POEM) Uncertain Benefit of Barrett's Esophagus Surveillance (POEM) Outpatient Use of Insulin in Patients with Diabetes Folate Use in Patients with Sickle Cell Anemia Concussions in High School and College Athletes Six-Minute Walk Test to Assess COPD Patients Alendronate and Hormone Therapy to Prevent Bone Loss Effects of an Atkins-Type Diet on Weight Loss in the Obese Interpreting Natural Fluctuations in PSA Levels PENS with Physical Therapy Eases Chronic Low Back Pain Enfuvirtide: A Unique Approach to HIV Treatment Value of EBT in Assessing Cardiovascular Risk Intravenous Epinephrine in Life-Threatening Asthma Hormone Therapy and Increased Risk of Stroke Wound Irrigation in Children: Tap Water or Saline Solution? Population-Based Results for Pneumococcal Conjugate Vaccine Multidimensional Care of Patients with Colostomy Quality End-of-Life Care in Patients with Dementia Dietary Fiber Decreases Risk for Colorectal Cancer Does Assisted Reproduction Cause Spontaneous Abortion? Persistent Fetal Occiput Posterior Position Tricyclic Antidepressants vs. SSRIs in Depressed Patients Topiramate in the Treatment of Alcohol Dependence Management of Smaller Abdominal Aortic Aneurysms
178	Definition of POEMs
206	Practice Guidelines Recommended Childhood and Adolescent Immunization Schedule, United States, January to June, 2004, and Update on Childhood Immunizations
213	Clinical Briefs Clinical Performance Measures for Cardiovascular Disease Report on Outbreaks of Aseptic Meningitis AHRQ Report on Inhaled Anthrax and Influenza
219	Curbside Consultation Should Doctors Call in Sick?
225	Classified Information
	Information for Authors

Cover illustration © 2004 Todd Buck, Lombard, Ill.
Copyright © 2004 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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