Cover	2269	2279

	Articles
2269	Cover Article Prevention of Recurrent Nephrolithiasis DAVID S. GOLDFARB, M.D., and FREDRIC L. COE, M.D. Modifiable dietary risk factors for kidney stones include low fluid intake and excessive intake of protein, salt and oxalate. Urinary risk factors for recurrent stones include hypercalciuria, hyperoxaluria, hypocitraturia and hyperuricosuria.
2279	Obstructive Sleep Apnea LYLE D. VICTOR, M.D. Although obstructive sleep apnea is fairly common, it continues to be underdiagnosed. Treatment can alleviate the substantial psychologic, social and cardiovascular morbidity of the disorder.
2289	Diagnosis of Stridor in Children ALEXANDER K.C. LEUNG, M.B.B.S., and HELEN CHO, M.D. Although stridor may be caused by a relatively benign condition, it may also be the first sign of a serious disorder.
2299	Assessment and Management of Acute Low Back Pain ROBERT L. BRATTON, M.D. Acute low back pain can usually be managed with conservative therapy, but the examiner must be alert to "red flags" that warrant further evaluation.
	Patient information: "Low Back Pain: What to Expect," p. 2307
2311	Social Anxiety Disorder: A Common, Underrecognized Mental Disorder TIMOTHY J. BRUCE, PH.D., and SY ATEZAZ SAEED, M.D. Recognizing clinically significant social fears and tailoring the indicated pharmacologic and psychologic treatment to the individual patient are key to addressing this common, distressing and disabling anxiety disorder.
	Patient information: "Understanding Social Phobia," p. 2322
2329	Practical Therapeutics Preventing Stroke in Patients with Transient Ischemic Attacks MELODY RYAN, PHARM.D., GRETA COMBS, M.D., and LAROY P. PENIX, M.D. If a transient ischemic attack is recognized, measures can be instituted to prevent a subsequent stroke. These measures include lifestyle modification, antithrombotic therapy and, in selected patients, carotid endarterectomy.
	Patient information: "Preventing Ischemic Strokes and Treating Transient Ischemic Attacks," p. 2341
2343	Diabetes Care Update Type 1 Diabetes Mellitus and the Use of Flexible Insulin Regimens IRL B. HIRSCH, M.D. New insulin strategies have made it possible to maintain near-normal glycemia. Flexible insulin regimens are based on predetermined actions in response to blood glucose self-monitoring or a situation that can affect glycemia.
	Patient information: "Flexible Insulin Regimens for People with Type 1 Diabetes," p. 2355

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	Departments
2213	Inside AFP
2221	Newsletter
2225	Clinical Quiz
2231	Quantum Sufficit
2234	Letters to the Editor Comments on Flexible Sigmoidoscopy Clarification on Strongyloides Quiz Question Hormone Replacement Therapy and Risk of Heart Disease
2244	Editorials Coming Face-to-Face with Social Phobia
2250	CME Calendar
2267	Diary from a Week in Practice
2359	Conference Highlights
2366	Tips from Other Journals
2430	Family Practice International
2431	Special Medical Reports Task Force Outlines Ways to Improve Vaccination Coverage AMA Council on Scientific Affairs Reviews Alzheimer's Disease Guidelines
2436	Clinical Briefs
2444	Information for Authors Author statements form: p. 2446
2448	Medical Products and Services
2449	Classified Information

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Cover Illustration © 1999 Steven Oh.
Copyright © 1999 by the American Academy of Family Physicians.
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