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American Family Physician
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Cover 2599 2640

Articles


2591
COVER ARTICLE
Prevention and Treatment of Overweight in Children and Adolescents
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ANGELA FOWLER-BROWN, M.D., M.P.H., and LEILA C. KAHWATI, M.D., M.P.H.
Overweight in childhood and adolescence is an important public health issue because of its rapidly increasing prevalence and multiple associated adverse medical and social consequences. Family physicians should focus on early intervention and counseling strategies to help patients overcome being overweight. Interventions should be tailored to the patient and involve the entire family. CME
   
2599 Hemolytic Anemia
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GURPREET DHALIWAL, M.D., PATRICIA A. CORNETT, M.D., and LAWRENCE M. TIERNEY, JR., M.D.
Hemolysis, which is defined as a shortened red blood cell life span, most frequently presents as anemia. Hemolytic anemia is caused by a number of acquired and inherited conditions. CME
   

2609
PRACTICAL THERAPEUTICS
Diastolic Heart Failure: Challenges of Diagnosis and Treatment
CECELIA GUTIERREZ, M.D.
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, and DANIEL G. BLANCHARD, M.D.
ACFDiastolic heart failure, a major cause of morbidity and mortality, is difficult to distinguish from systolic heart failure. Doppler echocardiography is best for confirming the diagnosis. Pharmacologic treatment should focus on normalizing blood pressure, promoting regression of left ventricular hypertrophy, avoiding tachycardia, treating congestion, and maintaining normal atrial contraction. CME
   
2619 Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine
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PAUL M. GAHLINGER, M.D., PH.D., M.P.H.
Club drugs are used commonly to enhance social intimacy and sensory stimulation and as "date-rape" drugs. Because of the variations in manufacturing of these drugs, they can easily cause overdose by excessive central nervous system stimulation or depression. CME
Patient information: "Club Drugs-Myths and Risks," p. 2627
   
2628 Sialorrhea: A Management Challenge
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NEIL G. HOCKSTEIN, M.D., DANIEL S. SAMADI, M.D., KRISTIN GENDRON, M.D., and STEVEN D. HANDLER, M.D.
Sialorrhea (drooling or excessive salivation) is a condition that causes many medical and psychosocial complications. A team approach to management is most appropriate. CME
   

Departments

2503 Inside AFP
2507 Strength of Recommendation Taxonomy in AFP
2511 Newsletter
2515 Quantum Sufficit
2519 Clinical Quiz
2525 Letters to the Editor
2537 Editorials
  • A Joint Clinical Practice Guideline for Acute Otitis Media

Practice Guideline: "AAP, AAFP Release Guideline on Diagnosis and Management of Acute Otitis Media," p. 2713

  • The Persistent Value of the Autopsy
2544 Graham Center One-Pager
  • Chiropractors Are Not a Usual Source of Primary Health Care
2545 Medicine and Society
  • Counseling Patients on Mass Media and Health
2557 CME Calendar
2585 Diary from a Week in Practice
2635 Clinical Evidence Concise: A Publication of BMJ Publishing Group
  • Sinusitis (Acute)
2640 Photo Quiz
2642 Levels-of-Evidence Labels in AFP
2647 Patient Information Collection
CHILDREN'S HEALTH
2655 Change-of-Address Form
2656 POEMs and Tips from Other Journals
2669 Definition of POEMs
2713 Practice Guidelines
  • AAP, AAFP Release Guideline on Diagnosis and Management of Acute Otitis Media

Editorial: "A Joint Clinical Practice Guideline for Acute Otitis Media," p. 2537

2716 Clinical Briefs
2720 Curbside Consultation
2340 Classified Information
  Information for Authors

Cover illustration © 2004 Mark E. Schuler, Prairie Village, Kan.



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