Articles

1535 Chronic Pelvic Pain in Women

DAVID D. ORTIZ, MD

Chronic pelvic pain often cannot be traced to a specific diagnosis. The history and physical examination can narrow the diagnostic possibilities and suggest appropriate treatment.

Patient information: "Chronic Pelvic Pain: What You Should Know," p. 1544

1553 Genetic Factors in Drug Metabolism

DONNA J. BELLE, PhD, RPh, and HARLEEN SINGH, PharmD

Genetic influences on drug metabolism interact with other intrinsic (i.e., physiologic) and extrinsic (i.e., cultural, behavioral, and environmental) characteristics of a person to determine treatment outcome with any pharmacologic agent. Physicians need to be aware of these genetic variations, especially as genomic-based treatment guidelines become available.

1561 Update on Immunizations in Children and Adolescents

LANI K. ACKERMAN, MD

Family physicians play an important role in implementing the new immunization recommendations for children and adolescents. Educating patients and their families about the benefits and risks of the various vaccines is a top priority.

Patient information: "Vaccines for Your Child," p. 1571

1573 Lifestyle Interventions to Reduce Cancer Risk and Improve Outcomes

WENDY DEMARK-WAHNEFRIED, PhD, RD; CHERYL L. ROCK, PhD, RD; KEVIN PATRICK, MD, MS; and TIM BYERS, MD, MPH

New guidelines from the American Cancer Society emphasize the importance of diet, physical activity, and weight control for reducing cancer risk in the general population and for improving outcomes in cancer survivors. Further recommendations include using community action, maintaining food safety, and limiting alcohol use.

Patient information: "Nutrition, Physical Activity, and Cancer: What You Should Know," p. 1579

Editorial: "Using Teachable Moments to Improve Nutrition and Physical Activity in Patients," p. 1510

Departments

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Keeping Up to Date

1594 Tips from Other Journals

1607 Practice Guidelines

• ACP Guidelines for the Diagnosis and Treatment of Low Back Pain

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Answering Clinical Questions

1507 CME Quiz

1532 Cochrane for Clinicians

• Use of Inhaled Corticosteroids to Treat Stable COPD

• Low Glycemic Diets for Obesity Treatment

1584 Photo Quiz

1588 FPIN's Clinical Inquiries

• Treatment of Bulimia Nervosa

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Commentary

1492 AFP Journal Club

1504 Letters to the Editor

• Postprandial Triglyceride Levels and Cardiovascular Risk

1510 Editorials

• Using Teachable Moments to Improve Nutrition and Physical Activity in Patients

Medicine and Society

1499 AAFP News Now: AFP Edition

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Patient Information

1544 Chronic Pelvic Pain

1571 Vaccines

1579 Nutrition, Physical Activity, and Cancer

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Reader Services

1496 Evidence-Based Medicine Glossary

1505 Corrections

CME Center

• Search Available CME Courses

1583 Change-of-Address

1611 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 1507.

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.

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