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AFP - November 1, 1999
Cover Article Neonatal Intestinal Obstruction Acute Appendicitis
Cover 2043 2027
Articles
1969 Cover Article: Clinical Opinion
Controversies in Pulmonary Embolism and Deep Venous Thrombosis
BRUCE L. DAVIDSON, M.D., M.P.H.
When available tests are nondiagnostic, empiric anticoagulation should be considered until the diagnosis can be confirmed or ruled out by further studies.
1985 Clinical Opinion
Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type 1 Diabetes
STEPHEN HAVAS, M.D., M.P.H., M.S.
ACF Tight control of serum glucose levels in patients with type 1 diabetes may decrease the risk of serious complications, including retinopathy, neuropathy, stroke, heart disease and peripheral vascular disease.
Patient information: "What You Should Know About Type 1 Diabetes,," p. 1997
2001 Problem-Oriented Diagnosis
Exercise-Related Syncope in the Young Athlete: Reassurance, Restriction or Referral?
FRANCIS G. O'CONNOR, LTC, MC, USA, RALPH G. ORISCELLO, M.D., and BENJAMIN D. LEVINE, M.D.
Because exercise-related syncope may be the only symptom preceding a sudden cardiac death in young athletes, it is a condition that always requires investigation.
2012 Patellofemoral Pain Syndrome: A Review and Guidelines for Treatment
MARK S. JUHN, D.O.
Questions remain to be answered about the etiology and treatment of patellofemoral pain syndrome. Most patients respond well to conservative treatment measures, including stretching and strengthening exercises, and temporary activity modification.
Patient information: "Patellofemoral Pain Syndrome," p. 2019
2027 Acute Appendicitis: Review and Update
D. MIKE HARDIN, JR., M.D.
Appendicitis is common, with a lifetime occurrence of 7 percent. Delay in diagnosing appendicitis increases the risk of perforation and complications that are much more serious in children and the elderly.
2035 The "Burner": A Common Nerve Injury in Contact Sports
GEOFFREY S. KUHLMAN, M.D., and DOUGLAS B. MCKEAG, M.D., M.S.
A burner can result in prolonged weakness that causes time lost from sports participation, and reinjury can occur.
Patient information: "Burners," p. 2042
2043 Radiologic Decision-Making
Failure to Pass Meconium: Diagnosing Neonatal Intestinal Obstruction
VERA LOENING-BAUCKE, M.D., and KEN KIMURA, M.D.
Failure to pass meconium within 24 hours of birth may signal intestinal obstruction. Hirschsprung's disease, anorectal malformations and meconium plug syndrome are among the disorders that can cause intestinal obstruction in the neonatal period.
2061 Lowering the Age for Routine Influenza Vaccination to 50 Years: AAFP Leads the Nation in Influenza Vaccine Policy
RICHARD KENT ZIMMERMAN, M.D., M.P.H.
The rates of morbidity and mortality associated with influenza have led the American Academy of Family Physicians to recommend a lower age for universal influenza vaccination--50 years instead of 65 years of age.
Patient information: "Influenza Vaccine," p. 2069
2073 Practical Therapeutics
Update on Oral Contraceptive Pills
SYLVIA L. CEREL-SUHL, M.D., and BRYAN F. YEAGER, PHARM.D.
By choosing an appropriate pill formulation, the family physician can minimize negative side effects and maximize noncontraceptive benefits for individual patients.

Departments
1893 Inside AFP
1901 Newsletter
1905 Quantum Sufficit
1909 Clinical Quiz
1914 Editorials
  • The Costs of Helping Patients with Type 1 Diabetes Achieve Tight Control
  • Influenza Vaccine for Adults 50 to 64 Years of Age
1929 Letters to the Editor
  • Cost of Inactivated vs. Oral Poliovirus Vaccine
  • Antibiotic Therapy for Viral Infections in Children
  • Preventing Unnecessary Hypospadias Repair
1941 CME Calendar
1965 Diary from a Week in Practice
2087 Photo Quiz
2094 Tips from Other Journals
2162 Family Practice International
2165 Curbside Consultation
2169 Special Medical Reports
  • NCCN and ACS Collaborate on a Patient's Version of the NCCN Practice Guidelines for Breast Cancer
  • ACIP Issues Recommendations for Lyme Disease Vaccine
2177 Clinical Briefs
2183 Physician's Bookshelf
2185 Information for Authors

Author statements form: p. 2187
2188 Medical Products and Services
2189 Classified Information


Copyright © 1999 by the American Academy of Family Physicians.
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