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.

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	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

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