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| 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.
3093Cardiovascular 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
3113Practical 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
3140Clinical 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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