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American Family Physician
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2225 2267 2313
Articles
2225 Management of Active Tuberculosis
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BETH POTTER, M.D., KIRSTEN RINDFLEISCH, M.D., and CONNIE K. KRAUS, PHARM.D.

Sputum samples should be obtained from patients with findings of tuberculosis and those suspected of having active disease. Most patients are treated with eight weeks of a four-drug regimen; some require an added two-drug regimen for 18 weeks. CME

Patient information: "Tuberculosis: What You Should Know," p. 2235

    
2237 Plantar Fasciitis: Evidence-Based Review of Diagnosis and Therapy
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CHARLES COLE, M.D., CRAIG SETO, M.D., and JOHN GAZEWOOD, M.D., M.S.P.H.

Plantar fasciitis is a common cause of heel pain. Many patients improve without intervention, although shoe inserts, stretching exercises, steroid injection, and
custom-made night splints may be beneficial. CME

Patient information: "Plantar Fasciitis: What You Should Know," p. 2247

    
2249 St. John's Wort
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SILVANA LAWVERE, PH.D., and MARTIN C. MAHONEY, M.D., PH.D.

CAM This herbal preparation has been found to be superior to placebo and equivalent to standard antidepressants for the treatment of mild to moderate depression.

   
2259 Klinefelter Syndrome
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DANIEL J. WATTENDORF, MAJ, MC, USAF, and MAXIMILIAN MUENKE, M.D.

ACF Males with an additional X chromosome (47,XXY) are infertile and have hypogonadism with gynecomastia and small testes. Early androgen replacement therapy may ameliorate many clinical findings.

   
2267 Cross-Cultural Medicine
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GREGORY JUCKETT, M.D., M.P.H.

An understanding of other cultures can improve treatment adherence, patient care, and clinical outcomes. Respectful patient interactions are vital for making accurate diagnoses and negotiating treatment goals. CME

Editorial: "Culturally Competent Family Medicine: Transforming Clinical Practice and Ourselves," p. 2189

   
2277 Treatment of Constipation in Older Adults
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CHRISTINE HSIEH, M.D.

Symptoms of constipation often improve with increased fiber intake and laxatives; biofeedback and surgery may be necessary in some patients. CME

Patient information: "Constipation: What You Should Know," p. 2285

   


Departments
  
Keeping Up to Date
2287 From the U.S. Preventive Services Task Force EB CME

• Screening for HIV: Recommendation Statement

2299 Clinical Evidence Concise EB CME

• Diabetic Nephropathy

2321 POEMs and Tips from Other Journals
2368 Practice Guidelines
  
Answering Clinical Questions
2173 Clinical Quiz
2217 Cochrane for Clinicians
2309 FPIN's Clinical Inquiries

• Counseling or Antidepressants for Treating Depression?

2313 Photo Quiz
2362 Curbside Consultation

• Nonmedical Ultrasonography During Pregnancy

   
  
Commentary
2157 Inside AFP
2180 Letters to the Editor

• Sensitivity and Specificity of Urinary Nitrite for UTIs

2189 Editorials

• Culturally Competent Family Medicine: Transforming Clinical Practice and Ourselves

   
  
Medicine and Society
2165 Newsletter
2169 Quantum Sufficit
2212 Diary from a Week in Practice
   
  
Patient Information
2235 Tuberculosis
2247 Plantar Fasciitis
2285 Constipation
 
Readers Services
2158 Evidence-Based Medicine Glossary
2160 Strength of Recommendation Taxonomy in AFP
2182 Corrections
CME Center

• Search available CME courses

2365 Change-of-Address Form
2391 Classified Information
  Information for Authors

ACF This article exemplifies the AAFP 2005 Annual Clinical Focus on the legal, social, clinical, and ethical issues of medical genomics.

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 2173.

CAM This article is one in a series of reviews on complementary and alternative medicine.

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 reviewed systematically by an AAFP-approved source.


Cover illustration © 2005 by John W. Karapelou, Columbus, Ohio.



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