Cover	2155	2200

	Articles
2155	Update on Parkinson's Disease ROSABEL YOUNG, M.D., M.S. The hallmark physical signs of Parkinson's disease are tremor, rigidity and bradykinesia. Levodopa remains the mainstay of treatment.
	Patient information: "Parkinson's Disease," p. 2169
2171	Treatment Guidelines for Primary Nonretentive Encopresis and Stool Toileting Refusal BRETT R. KUHN, PH.D., BETHANY A. MARCUS, PH.D., and SHERYL L. PITNER, M.D., M.P.H. Six guidelines are presented for the management of children with primary nonretentive encopresis or stool toileting refusal, with an emphasis on practicality and ease of implementation for the family physician. An illustrative case demonstrates the efficacy and simplicity of these guidelines.
	Patient information: "When Your Toddler Doesn't Want to Use the Toilet," p. 2184
2189	Clinical Pharmacology Medical Treatments for Balding in Men DEAN THOMAS SCOW, M.D., ROBERT S. NOLTE, D.O., and ALLEN F. SHAUGHNESSY, PHARM.D. Male pattern baldness is considered a normal variant rather than a disease, but up to one half of balding patients have psychologic sequelae. Minoxidil, a topical treatment, and finasteride, an oral treatment, are relatively new products that are modestly effective in the management of male pattern baldness.
	Patient information: "Treating Baldness in Men," p. 2196
2200	Plantar Fasciitis and Other Causes of Heel Pain STEPHEN L. BARRETT, D.P.M., and ROBERT O'MALLEY, D.P.M. Effective conservative treatment of plantar fasciitis focuses on proper biomechanics of the foot while temporary measures are instituted to provide pain relief.
2211	Cardiovascular Medicine Update Interventions to Reduce Cardiovascular Risk Factors in Children and Adolescents REGINALD L. WASHINGTON, M.D. Many of the risk factors that lead to cardiovascular disease in adulthood have their roots in childhood. Such risk factors should be identified in children and adolescents and, when possible, eliminated during the formative years.
2223	Special Considerations in Interpreting Liver Function Tests DAVID E. JOHNSTON, M.D. The common blood liver function tests assess only liver injury. Overall hepatic function can be evaluated by applying the albumin, bilirubin and prothrombin time values in the modified Child-Turcotte grading system.
2233	Resolving the Common Clinical Dilemmas of Syphilis NINA R. BIRNBAUM, M.D., RONALD H. GOLDSCHMIDT, M.D., and WENDY O. BUFFETT, M.D. Serologic tests can be negative if they are performed at the stage when lesions are present, and the VDRL test can be negative in patients with late syphilis.
	Patient information: "Syphilis: What It Is and How It's Treated," p. 2245
2247	Postpartum Major Depression: Detection and Treatment C. NEILL EPPERSON, M.D. Methods of enhancing the detection of postpartum major depression and appropriate treatment modalities--usually antidepressant therapy alone or in combination with psychotherapy--can help physicians manage this debilitating disorder.
	Patient information: "Postpartum Depression and the 'Baby Blues,'" p. 2259
2263	Recognition and Management of Tourette's Syndrome and Tic MOHAMMED M. BAGHERI, M.D., JACOB KERBESHIAN, M.D., LARRY BURD, PH.D. Tourette's syndrome is a chronic tic disorder with onset in childhood and peak severity between nine and 11 years of age. It is characterized by motor and vocal tics. Most children have a fluctuating course.
	Patient information: "Understanding Tics and Tourette's Syndrome," p. 2274

---

	Departments
2071	Inside AFP
2079	Newsletter
2083	Clinical Quiz
2088	Quantum Sufficit
2093	Editorials Heart Disease Prevention Begins in Childhood Confronting Antimicrobial Resistance: A Shared Goal of Family Physicians and the CDC
2101	Letters to the Editor Understanding Patients with Multiple Chemical Sensitivity
2121	Medicine and Society
2135	CME Calendar
2153	Diary from a Week in Practice
2277	Conference Highlights
2283	Tips from Other Journals
2355	Family Practice International
2361	Special Medical Reports CDC Releases Updated Plan for Emerging Infectious Diseases ACOG Issues Report on the Medical Management of Tubal Pregnancy
2367	Clinical Briefs
2371	Information for Authors
2377	Medical Services
2378	Classified Information

---

Copyright © 1999 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.