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American Family Physician
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2113 2197 2113
Articles
2113 A Practical Guide to Infant Oral Health
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JOANNA M. DOUGLASS, B.D.S., D.D.S, ALAN B. DOUGLASS, M.D., and HUGH J. SILK, M.D.
Early childhood caries may develop as soon as teeth erupt. Promoting appropriate use of topical and systemic fluoride, and providing early oral hygiene instruction and regular dietary counseling to limit the frequency of sugar consumption can help reduce dental caries in young children. Physicians should examine children's teeth for defects and cavities at every well-child visit and refer children at risk for caries to a dentist by the age of 12 months.

Patient information: "Your Baby's Teeth," p. 2121

Editorial: "Oral Health in Primary Care Medicine: Practice and Policy Challenges," p. 2074

    
2125 Management of Vaginitis
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MARION K. OWEN, M.D., and TIMOTHY L. CLENNEY, CDR, MC, USN
Vaginitis most often is associated with infection or atrophic changes. Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis.

Patient information: "Vaginitis," p. 2139

    
2145 Diagnosis of Heart Failure in Adults
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STEVEN A. DOSH, M.D., M.S.
In patients with suspected heart failure, the initial evaluation includes a focused history and physical examination, a chest radiograph, and an electrocardiogram. The presence of heart failure can be confirmed by an echocardiogram.
   
2157 Outpatient Treatment of Systolic Heart Failure
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JOHN R. MCCONAGHY, M.D., and STEVEN R. SMITH, M.S., R.PH., B.C.P.S.
Outpatient treatment of systolic heart failure involves three goals that should be pursued simultaneously: controlling risk factors for the development and progression of heart failure, treating heart failure, and educating patients.

Patient information: "Heart Failure-What Do I Need to Know About It?" p. 2171

   
2175 Cranberry for Prevention of Urinary Tract Infections
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Darren M. Lynch, M.D.
Cranberry appears to be a safe, tolerable, and effective supplement for urinary tract infection prophylaxis.


Departments
  
Keeping Up to Date
2183 Clinical Evidence

• Obsessive-Compulsive Disorder

2187 From the U.S. Preventive Services Task Force

• Screening for Suicide Risk: Recommendation and Rationale

2201 POEMs and Tips from Other Journals
2221 Practice Guidelines
   
  
Answering Clinical Questions
2107 Cochrane for Clinicians
2193 Putting Prevention into Practice

• Screening for Suicide Risk

2195 FPIN's Clinical Inquiries

• Antidepressant Medications in Pregnancy

2197 Photo Quiz
   
  
Commentary
2051 Inside AFP
2074 Editorials

• Oral Health in Primary Care Medicine: Practice and Policy Challenges

2077 Letters to the Editor

• Acetylcysteine to Prevent Acute Contrast-Induced Nephropathy

   
  
Medicine and Society
2059 Newsletter
2063 Quantum Sufficit
2100 Diary from a Week in Practice
   
 
Readers Services
2055 Strength of Recommendation Taxonomy in AFP
2067 Clinical Quiz
2079 Corrections
2084 CME Calendar
2099 Change-of-Address Form
2178 Levels-of-Evidence Labels in AFP
2212 Definition of POEMs
2226 Classified Information
   Information for Authors

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

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 1853.

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 © 2004 Burt S. Oppenheim and Chris Scalici, Boston, Mass.



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