Articles

206 Geriatric Screening and Preventive Care

MARY C. SPALDING, MD, and SEAN C. SEBESTA, MD

Assessing the functional status, comorbidities, and life expectancy of older adults can guide appropriate preventive care and screening recommendations. Some aspects of mortality in older adults may be preventable through behavior changes such as smoking cessation, eating a healthy diet, and exercising.

217 The Mirror Lies: Body Dysmorphic Disorder

THOMAS J. HUNT, MD; OLE THIENHAUS, MD, MBA; and AMY ELLWOOD, MSW, LCSW

Patients with body dysmorphic disorder may present for primary care purposes or in-office cosmetic procedures. Selective serotonin reuptake inhibitors and cognitive behavior therapy have been shown to be effective for treating this often misdiagnosed disorder.

Patient information: "Body Dysmorphic Disorder: What You Should Know," p. 223

225 Strategies for Breastfeeding Success

DREW KEISTER, MD; KISMET T. ROBERTS, MD; and STEPHANIE L. WERNER, MD

Although breastfeeding is strongly associated with health benefits, the United States continues to fall short of national breastfeeding goals. Providing maternal support and structured antenatal and postpartum breastfeeding education are the most effective means of achieving breastfeeding success.

Patient information: "Helpful Tips for Breastfeeding," p. 233
Editorial: "Improved Breastfeeding Success Through the Baby-Friendly Hospital Initiative," p. 180
Curbside Consultation: "Why Can't I Get My Patients to Exclusively Breastfeed Their Babies?" p. 265

235 Restless Legs Syndrome

MAX BAYARD, MD; THOMAS AVONDA, MD; and JAMES WADZINSKI, MD

Restless legs syndrome affects 10 percent of adults, one third of whom have symptoms severe enough to require therapy. Symptoms often occur at night and disrupt sleep. Dopamine agonists are the primary medications recommended for moderate to severe cases.

Patient information: "Restless Legs Syndrome: What You Should Know," p. 243

Departments

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Keeping Up to Date

248 Clinical Evidence Concise

• Basal Cell Carcinoma

255 STEPS

• Becaplermin (Regranex) for Diabetic Foot Ulcers

262 Tips from Other Journals

270 Practice Guidelines

• AHA Releases Guidelines for Hypertension Management in Adults With or At Risk of CAD

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Answering Clinical Questions

177 CME Quiz

244 Point-of-Care Guides

• Screening Instruments for Depression

257 Photo Quiz

265 Curbside Consultation

• Why Can't I Get My Patients to Exclusively Breastfeed Their Babies?

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Commentary

170 Inside AFP

176 Letters to the Editor

• Consider Gout in Patients with Risk Factors, Regardless of Age

180 Editorials

• Improved Breastfeeding Success Through the Baby-Friendly Hospital Initiative

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Medicine and Society

173 AAFP News Now: AFP Edition

183 Graham Center One-Pager

• Will Patients Find Diversity in the Medical Home?

203 Close-ups

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Patient Information

223 Body Dysmorphic Disorder

233 Breastfeeding

243 Restless Legs Syndrome

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Reader Services

176 Corrections

189 CME Center

• Search Available CME Courses

216 Evidence-Based Medicine Glossary

261 Change-of-Address Form

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 177.

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.

This article exemplifies the AAFP 2007 Annual Clinical Focus on management of chronic illness.

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