Table of Contents - June 1999 - American Family Physician


Cover	3047	3153

Articles

3029 Insomnia: Assessment and Management in Primary Care
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE WORKING GROUP ON INSOMNIA
Although about 10 percent of adult patients experience persistent insomnia, most do not report the problem during routine office visits. Asking sleep-related questions while taking the general history may help to identify these patients.

3040 Case Studies in International Medicine
LYNN W. KITCHEN, M.D., M.P.H.
Case studies are presented to acquaint family physicians with five diseases that are common in immigrants: strongyloidiasis, hookworm infestation, cysticercosis, clonorchiasis and tropical pancreatitis.

3047 Cutaneous and Systemic Manifestations of Mastocytosis
WILLIAM A. ALTO, M.D., M.P.H., and LISA CLARQ, D.O.
Mastocytosis is a cutaneous disorder or a systemic disease with symptoms ranging from a pruritic rash to vascular collapse. The diagnosis can easily be overlooked.

Patient information: "Mastocytosis: What It Is and How It's Diagnosed and Treated," p. 3059

3069 Endometrial Cancer
TIMOTHY P. CANAVAN, M.D., and NIPA R. DOSHI, M.D.
Endometrial cancer is a common malignancy in women but, with risk screening and endometrial sampling, it can be identified at an earlier stage, when treatment is highly successful.

Patient information: "Endometrial Cancer--Diagnosis and Treatment," p. 3077

3083 Colorectal Cancer: Risk Factors and Recommendations for Early Detection
THOMAS E. READ, M.D., and IRA J. KODNER, M.D.
The detection and treatment of early-stage cancers and adenomatous polyps can reduce the mortality rate for colorectal cancer. Current screening recommendations are reviewed.

3093 Cardiovascular Medicine Update
Kawasaki Disease
KATHRYN A. TAUBERT, PH.D., and STANFORD T. SHULMAN, M.D.
Kawasaki disease is a leading cause of acquired heart disease in children. Criteria for early diagnosis are described, and acute treatment modalities are reviewed.

Patient information: "Kawasaki Disease," p. 3107

3113 Practical Therapeutics
Managing Somatic Preoccupation
ELISABETH L. RIGHTER, M.D., and RANDY A. SANSONE, M.D.
Patients with physically unexplainable symptoms present a genuine clinical challenge. Few patients in primary care meet the strict criteria for somatoform disorder; the family physician is more likely to be faced with somatic preoccupation.

3121 Evaluation and Management of the Child with Speech Delay
ALEXANDER K.C. LEUNG, M.B.B.S., and C. PION KAO, M.D.
Timely detection and appropriate intervention may mitigate the adverse effects of speech delay and improve the outcome in children with this disability.

Patient information: "Speech and Language Delay: What Does This Mean for My Child?," p. 3135

3140 Clinical Pharmacology
Angiotensin-II Receptor Antagonists: Their Place in Therapy
JULIENNE K. KIRK, PHARM.D.
Angiotensin-II receptor antagonists are effective in the treatment of hypertension. These drugs have a favorable side effect profile and are well tolerated by most patients.

Departments

2955 Inside AFP

2965 Newsletter

2969 Quantum Sufficit

2973 Clinical Quiz

2979 Editorials

Screening Options for Colorectal Cancer

Labeling the Somatically Preoccupied: Have We Gone Too Far?

2983 Letters to the Editor

The Role of Government in Controlling the HIV Epidemic

Prophylaxis for STDs After Sexual Assault

Sister (Mary?) Joseph's Node

Peripartum Emergencies

2994 CME Calendar

3023 Diary from a Week in Practice
WALTER L. LARIMORE, M.D., JOHN R. HARTMAN, M.D., THERESA B. SHUPE, M.D., STEPHANIE E. FRISBEE, M.D., J. SCOTT RIES, M.D., and CHAD A. GRIFFIN, M.D.

3153 Photo Quiz

3157 Conference Highlights

3160 Tips from Other Journals

3250 Family Practice International

3252 Curbside Consultation

3259 Special Medical Reports

American Thoracic Society Issues Consensus Statement on Dyspnea

Treatment Guidelines for Heart Failure Stress Multidrug Approach

AAP Releases Recommendations on Use of Inactivated and Live Oral Polio Vaccines

3273 Clinical Briefs

3283 Information for Authors

Author statements form: p. 2667

3286 Physician's Bookshelf

3290 Medical Products and Services

3291 Classified Information

3298 Index to Volume 59

Copyright © 1999 by the American Academy of Family Physicians.
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	Articles
3029	Insomnia: Assessment and Management in Primary Care NATIONAL HEART, LUNG, AND BLOOD INSTITUTE WORKING GROUP ON INSOMNIA Although about 10 percent of adult patients experience persistent insomnia, most do not report the problem during routine office visits. Asking sleep-related questions while taking the general history may help to identify these patients.
3040	Case Studies in International Medicine LYNN W. KITCHEN, M.D., M.P.H. Case studies are presented to acquaint family physicians with five diseases that are common in immigrants: strongyloidiasis, hookworm infestation, cysticercosis, clonorchiasis and tropical pancreatitis.
3047	Cutaneous and Systemic Manifestations of Mastocytosis WILLIAM A. ALTO, M.D., M.P.H., and LISA CLARQ, D.O. Mastocytosis is a cutaneous disorder or a systemic disease with symptoms ranging from a pruritic rash to vascular collapse. The diagnosis can easily be overlooked.
	Patient information: "Mastocytosis: What It Is and How It's Diagnosed and Treated," p. 3059
3069	Endometrial Cancer TIMOTHY P. CANAVAN, M.D., and NIPA R. DOSHI, M.D. Endometrial cancer is a common malignancy in women but, with risk screening and endometrial sampling, it can be identified at an earlier stage, when treatment is highly successful.
	Patient information: "Endometrial Cancer--Diagnosis and Treatment," p. 3077
3083	Colorectal Cancer: Risk Factors and Recommendations for Early Detection THOMAS E. READ, M.D., and IRA J. KODNER, M.D. The detection and treatment of early-stage cancers and adenomatous polyps can reduce the mortality rate for colorectal cancer. Current screening recommendations are reviewed.
3093	Cardiovascular Medicine Update Kawasaki Disease KATHRYN A. TAUBERT, PH.D., and STANFORD T. SHULMAN, M.D. Kawasaki disease is a leading cause of acquired heart disease in children. Criteria for early diagnosis are described, and acute treatment modalities are reviewed.
	Patient information: "Kawasaki Disease," p. 3107
3113	Practical Therapeutics Managing Somatic Preoccupation ELISABETH L. RIGHTER, M.D., and RANDY A. SANSONE, M.D. Patients with physically unexplainable symptoms present a genuine clinical challenge. Few patients in primary care meet the strict criteria for somatoform disorder; the family physician is more likely to be faced with somatic preoccupation.
3121	Evaluation and Management of the Child with Speech Delay ALEXANDER K.C. LEUNG, M.B.B.S., and C. PION KAO, M.D. Timely detection and appropriate intervention may mitigate the adverse effects of speech delay and improve the outcome in children with this disability.
	Patient information: "Speech and Language Delay: What Does This Mean for My Child?," p. 3135
3140	Clinical Pharmacology Angiotensin-II Receptor Antagonists: Their Place in Therapy JULIENNE K. KIRK, PHARM.D. Angiotensin-II receptor antagonists are effective in the treatment of hypertension. These drugs have a favorable side effect profile and are well tolerated by most patients.