Cover	331	313

	Articles
313	Flexible Sigmoidoscopy: Screening for Colorectal Cancer BRETT ANDREW JOHNSON, M.D. Flexible sigmoidoscopy is a valuable screening procedure that family physicians can perform in their practices.
	Patient information: "What You Should Know About Flexible Sigmoidoscopy," p. 327
331	Radiologic Decision-Making Cervical Spine Radiographs in the Trauma Patient MARK A. GRABER, M.D., and MARY KATHOL, M.D. Trauma patients with neck pain, tenderness on neck palpation, numbness or weakness in the extremities, other distracting injuries, a history of loss of consciousness, or altered mental status due to trauma, alcohol or drugs, should undergo a series of cervical spine radiographs to assess injuries.
349	Hepatitis C: Part II. Prevention Counseling and Medical Evaluation LINDA A. MOYER, R.N., ERIC E. MAST, M.D., M.P.H., and MIRIAM J. ALTER, PH.D. The second of a two-part series, this article discusses the prevention of hepatitis C virus infection in many settings, as well as various counseling approaches and current treatment options for patients with hepatitis C.
	Patient information: "When You Have Hepatitis C," p. 357
361	Problem-Oriented Diagnosis Alcohol-Related Problems: Recognition and Intervention SANDRA K. BURGE, PH.D., and F. DAVID SCHNEIDER, M.D., M.S.P.H. Family physicians can help prevent serious consequences of alcohol-related problems in many patients with simple screening and brief intervention strategies.
	Patient information: "Is Alcohol a Problem for You?" p. 372
381	Primary Care of Infants and Young Children with Down Syndrome REBECCA B. SAENZ, M.D. Home living, proper health maintenance and newer surgical techniques to correct cardiac and gastrointestinal anomalies have greatly improved the functional prognosis for infants with Down syndrome.
	Patient information: "Finding Out Your Child Has Down Syndrome," p. 392
	Patient information: "Caring for a Child with Down Syndrome," p. 395
401	Practical Therapeutics Ordering and Understanding the Exercise Stress Test MARK D. DARROW, M.D. The clinical utility of an exercise stress test is enhanced by a clear understanding of its indications and the implications of the test results.
415	Manifestations of Food Allergy: Evaluation and Management SCOTT H. SICHERER, M.D. The diagnosis of food allergy requires a careful search for possible causes of the patient's symptoms. Once the diagnosis is established, treatment consists of the elimination of causal foods and the medical management of symptoms.
	Patient information: "Food Allergies--Just the Facts," p. 429

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	Departments
244	Inside AFP
257	Newsletter
261	Quantum Sufficit
265	Clinical Quiz
270	Editorials Flexible Sigmoidoscopy: The Unkept Promise of Cancer Prevention Hepatitis C: Who Should We Be Treating?
280	Letters to the Editor Nonsurgical Treatment of Pain in Lumbar Spine Stenosis Over-the-Counter Melatonin Products and Contamination
291	CME Calendar
309	Diary from a Week in Practice
433	Conference Highlights
439	Tips from Other Journals
470	Family Practice International
473	Special Medical Reports ACSM Revises Guidelines for Exercise to Maintain Fitness ACOG Urges a Cautious Approach to Vaginal Birth After Cesarean Delivery
477	Clinical Briefs
485	Information for Authors
489	Medical Services
490	Classified Information

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