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American Family Physician
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Articles
1481 Diagnosis and Treatment of Basal Cell and Squamous Cell Carcinomas
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DANIEL L. STULBERG, M.D., BLAIN CRANDELL, M.D., and ROBERT S. FAWCETT, M.D., M.S.
Rates of nonmelanoma skin cancers are increasing as exposure to ultraviolet radiation increases. Treatment options include excision, electrodesiccation and cautery, imiquimod, 5-fluorouracil, photodynamic therapy, and cryotherapy. CME
   
1495 Pneumonia in Older Residents of Long-Term Care Facilities
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CHRISTIAN DAVIS FURMAN, M.D., M.S.P.H., ABI V. RAYNER, M.D., and ELISABETH PELCHER TOBIN, PH.D.
ACF Pneumonia is the leading cause of morbidity and mortality in residents of long-term care facilities. This article focuses on recognition of respiratory symptoms and criteria for probable pneumonia and provides a guide to hospitalization, antibiotics, and prevention. CME
   
1505 Assessment and Management of Personality Disorders
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RANDY K. WARD, M.D.
Caring for patients with personality disorders can be problematic and frustrating, often leading to dysfunctional physician-patient relationships and complicating the task of diagnosing and managing medical and psychiatric conditions. Physicians must try to develop a working relationship with these patients to help them receive the best possible care despite their chronic difficulties in interacting with the health care system. CME
   
1517 Pregnancy Prevention in Adolescents
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SAWSAN AS-SANIE, M.D., ANGELA GANTT, M.D., and MARJORIE S. ROSENTHAL, M.D.
Strategies to prevent adolescent and teenage pregnancies include community programs and education about responsible sexual behavior, including contraceptive counseling. Although many of these strategies are implemented at the community level, family physicians play a key role by engaging teenage patients in open, confidential discussions about reproductive health.CME

Editorial: "Teenage Pregnancy Prevention: What Can We Do?" p. 1457.

    


Departments
  
Keeping Up to Date
1529 From the U.S. Preventive Services Task Force

• Prevention of Dental Caries in Preschool Children: Recommendations and Rationale

1549 POEMs and Tips from Other Journals
1591 Practice Guidelines

• NCEP Issues Interim Guidelines on Management of Cholesterol

• First-Trimester Screening for Genetic Defects

• CDC Report on Cancer Mortality Surveillance

• School-Based Mental Health Services

   
  
Answering Clinical Questions
1535 Point-of-Care Guides

• Evaluating the Patient with an Ankle or Foot Injury

1537 Photo Quiz
   
  
Commentary
1426 Inside AFP
1448 Letters to the Editor

• Thrombophlebitis: A Common Complication of Amiodarone

• Definitive Statements Should Only Be Made with Evidence

• Suggestions for Performing Aspiration of Breast Cysts

• NSAIDs Should Not Be Used in Treatment of Stress Fractures

1454 Corrections
1457 Editorials

• Teenage Pregnancy Prevention: What Can We Do?

   
  
Medicine and Society
1433 Newsletter
1442 Quantum Sufficit
1474 Diary from a Week in Practice
    
  
Readers Services
1429 Strength of Recommendation Taxonomy in AFP
1437 Clinical Quiz
1461 CME Calendar
1493 Levels-of-Evidence Labels in AFP
1541 Change-of-Address Form
1542 Patient Information Collection
1562 Definition of POEMs
1597 Classified Information
   Information for Authors

ACF This article exemplifies the AAFP 2004 Annual Clinical Focus on aging.

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

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 photographs © 2004 Utah Valley Family Medicine Residency Program, Provo.



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