Cover	927	907

	Articles
801	Medical Advice for Commercial Air Travelers THOMAS N. BETTES, M.D., M.P.H., and DAVID K. MCKENAS, M.D., M.P.H. Patients with many different types of medical conditions may require assessment and medical advice before they make the decision to travel by air.
	Patient information: "Tips on Safe Air Travel," p. 810
820	Depression Without Sadness: Alternative Presentations of Depression in Late Life JOSEPH J. GALLO, M.D., M.P.H., and PETER V. RABINS, M.D., M.P.H. Alternative clinical clues are presented that may help in the diagnosis of depression in older persons who deny feeling sad or "blue."
829	HELLP Syndrome: Recognition and Perinatal Management MAUREEN O'HARA PADDEN, LCDR, MC, USN HELLP syndrome, characterized by hemolysis, elevated liver enzyme levels and a low platelet count, is frequently misdiagnosed at initial presentation. The mainstay of therapy is supportive management.
	Patient information: "HELLP Syndrome and Your Pregnancy," p. 839
843	Evaluation and Treatment of Weight Loss in Adults with HIV Disease BRUCE WILLIAMS, M.D., M.P.H., DEBRA WATERS, PH.D., and KATHERINE PARKER, M.S., R.D. Weight loss of as little as 5 percent in patients with human immunodeficiency virus (HIV) infection is associated with an increased risk of disease progression. Early identification and aggressive treatment of wasting syndrome in HIV disease can restore the patient to baseline weight and health.
	Patient information: "Nutrition and Exercise When You Have HIV," p. 857
865	Problem-Oriented Diagnosis Evaluation of Dysuria in Men RICHARD G. ROBERTS, M.D., J.D., and PAUL P. HARTLAUB, M.D., M.S.P.H. The evaluation of dysuria requires a thorough history, a focused physical examination and urinalysis with both dipstick and microscopic assessment of the urine specimen. In most male patients, dysuria is caused by infection, with benign prostatic hyperplasia an important consideration in older men.
873	Head and Neck Manifestations of Gastroesophageal Reflux Disease VANITA AHUJA, M.D., MYRON W. YENCHA, M.D., and LORENZ F. LASSEN, M.D. Many patients with gastroesophageal reflux disease have head and neck symptoms without heartburn. The head and neck manifestations can be diverse, and diagnosis of GERD in patients presenting with such symptoms requires a high index of suspicion.
	Patient information: "Gastroesophageal Reflux Disease: More Than Heartburn," p. 885
887	Assessment and Management of Concussion in Sports KIMBERLY G. HARMON, M.D. The sideline physician should have a good understanding of concussion management--especially the assessment of injury severity and the risks associated with premature return to play.
	Patient information: "Concussion," p. 894
895	Clinical Opinion Antioxidant Vitamins and the Prevention of Coronary Heart Disease ALEXANDRA K. ADAMS, M.D., PH.D., ELLEN O. WERMUTH, M.D., M.S., and PATRICK E. MCBRIDE, M.D., M.P.H. Some antioxidant vitamins appear to be important in reducing the risk of coronary heart disease. Patients with coronary heart disease would probably benefit from taking vitamins E and C.
	Patient information: "Can Vitamins Help with Heart Disease?," p. 903
907	The Eye in Childhood MONTE D. MILLS, M.D. Vision problems in early childhood, such as amblyopia, strabismus and retinopathy of prematurity, are potentially treatable. Prompt detection and timely treatment require an effective screening program during early childhood.
	Patient information: "What Is Amblyopia and How Is It Treated?," p. 918

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	Departments
713	Inside AFP
724	Newsletter
725	Quantum Sufficit
729	Clinical Quiz
738	Editorials Concussion in Sports The Value of Antioxidant Vitamin Supplements
748	Medicine and Society
761	Letters to the Editor The Potential Postfertilization Effect with Use of the IUD Sarcoidosis and Vasculitis Monitoring Warfarin Therapy
767	CME Calendar
796	Diary from a Week in Practice
795	Subscription Change of Address Form
927	Photo Quiz
934	Tips from Other Journals
999	Family Practice International
1000	Patient Information Collections Diabetic Neuropathy: What You Can Do About It Eye Care for People with Diabetes Foot Care for People with Diabetes Gestational Diabetes: What It Means for You and Your Baby
1013	Curbside Consultation
1017	Special Medical Reports ACC and AHA Update Guidelines for Coronary Angiography AAP Recommends the Development of Universal Newborn Hearing Screening Programs
1023	Clinical Briefs
1030	Core Educational Guidelines
1038	Information for Authors Author statements form: p. 1040
1042	Physician's Bookshelf
1046	Medical Services
1047	Classified Information

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