July 1, 2008 Table of Contents
Articles
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56 Childhood Obesity: Highlights of AMA Expert Committee Recommendations
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GOUTHAM RAO, MD
An expert panel of the American Medical
Association retrieved, systematically reviewed, and translated evidence into
recommendations on how best to manage and prevent obesity in children. Key
dietary and lifestyle habits should be addressed annually in all children. A
four-stage approach to the treatment of obesity is recommended.
Patient information: "Helping Your Child Reach or Stay at a Healthy Weight," p.
65
Editorial: "Family Physicians and the Childhood Obesity Epidemic,"
p. 34
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MAZEN S. BADER, MD, MPH
Diabetic foot infection is associated
with a high morbidity and risk of lower extremity amputation. Diagnosis is
based on the classic signs and symptoms of local inflammation, and early
recognition can facilitate appropriate management and prevent progression of
the infection. Treatment includes debridement and wound management, antibiotic
therapy, and correction of metabolic abnormalities.
Patient information: "Diabetic Foot Infection: What You Should Know," p. 81
87 Diagnosis of Chronic Obstructive Pulmonary Disease
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MARK B. STEPHENS, CDR, MC, USN, and KENNETH S. YEW, CAPT, MC, USN
The diagnosis of chronic obstructive
pulmonary disease is based on clinical suspicion and spirometry confirmation.
Although cigarette smoking is the primary risk factor for the disease, other
risk factors are responsible for an increasing number of cases.
93 Hypertensive Disorders of Pregnancy
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LAWRENCE LEEMAN, MD, MPH, and PATRICIA FONTAINE, MD, MS
It is important to monitor blood pressure
in pregnant women because hypertensive disorders are the most common medical
complications of pregnancy. The severity of disease and gestational age
determine the appropriate management approach for preeclampsia. Seizure
prophylaxis with magnesium sulfate, control of severe-range blood pressure, and
labor induction may be indicated to protect the mother and fetus.
Departments
Keeping Up to Date
106 From the U.S. Preventive Services
Task Force 
• Screening for Bacterial Vaginosis in Pregnancy to Prevent Preterm Delivery: Recommendation Statement
131 Practice Guidelines
• APA Releases Guidelines on Treating Obsessive-Compulsive Disorder
• CDC Reports on Antimicrobial-Resistant S. Pneumoniae
Answering Clinical Questions
25 CME Quiz
51 Cochrane for Clinicians
• Antidepressants to Treat Nonspecific Low Back Pain
• Over-the-Counter Medications for Acute Cough Symptoms
103 Photo Quiz
112 FPIN's Clinical Inquiries
• Leukotriene Receptor Antagonists for the Treatment of Allergic Skin Disorders
Commentary
14 Inside AFP
28 Letters to the Editor
• Options for Removing Foreign Bodies from Ear, Nose, and Throat
• Diagnosis and Treatment of Otitis Media
34 Editorials
• Family Physicians and the Childhood Obesity Epidemic
Medicine and Society
Patient Information
65 Maintaining a Healthy Weight
Reader Services
7 Evidence-Based Medicine Glossary
30 Corrections
CME Center
• Search Available CME Courses
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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