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Full text of American Family

Physician is available online at

www.aafp.org/afp

Cover 1567 1481





Articles

American Family Physician

[ISSN 0002-838X) &published

semimonthly by the Publications

Division, American Academy

ofFamdy P h y s i c i a n s , 11400

T o m a h a w k C r e e k Porkway, COVER ARTICLE

Leawood, Kansas 66211-2672; 1481 Prevention and Treatment of Common Eye Injuries in Sports

phone: 800-274-2237. The

journal II included in Index JORGE 0. RODRIGUEZ, D.O., ADRIAN M. LAVINA, M.D., and ANITA AGARWAL, M.D.

Medicus, medlars, and Preparticipaiion ocular examination and use of protective eyewear can help to prevent sports-

Cumulative Index to Nursing related eye injuries in athletes.

&Allied Health Literature.

The complete text of American 0 Patient information: “Eye Injuries in Sports,” p. 1494

Family Physician is available

online at ww.aafp.org/afp, and

torn thefollowingaggregatorr: PRACTICAL THERAPEUTICS

LexisNexis, H. W W&on,

ProQuest, EBSCO, MD

1499 Nocturnal Enuresis

Consult, and the Gale Group. C. CAROLYN THIEDKE, M.D.

The bed-wetting alarm is the single most effective therapy for nocturnal enuresis. Desmopressin or

T e n dollars a c o p y i n t h e U . S . A . , imipramine can also be effective, but relapse rates are relatively high.

$13 m Canada andforeign

countries. One-year rubrcrip- 0 Patient information: “Bed-Wetting,” p. 1509

fion: p h y s i c i a n s a n d o t h e r i n d i -



1521 Osteoporosis in Men

viduals, $108-U.S.A., $148-

Canada, $lB,+forergn cow-

trier; inrtitutions, $146U.S.A., JANET M. CAMPION, M.D., and MICHAEL J. MARICIC, M.D.

$I8&Canada, $ZI&foreign

c o u n t r i e s ; m e d i c a l s t u d e n t s , res- As men age, their risk for osteoporosis and fracture increases; one year after hip fracture, men have a

idents, albed health care profes- higher mortality rate than women.

rionals, and medical office man-

agement ~tafi $60~U.S.A., PROBLEM-ORIENTED DIAGNOSIS

$lO&Canada, $132-foreign

counfnes, w h e n p a y m e n t i s 1529 Recognition of Alcohol and Substance Abuse

accompanied by identificatian DAVID J. MERSY, M.D.

ofprofession. Remit m U.S.

d o l l a r s , d r a w n o n a Ll.S. bank. Regular screening and awareness of “red flags” can help family physicians detect substance abuse

To order by VISA or MasterCard, in their patients.

d800-274-2237, ext. 5166, or

order online (www.aafp.org/ 0 Patient information: “Substance Abuse-How to Recognize It,” p. 1535

subscribe). Receive a 25 percent

discount on AFP when also b Editorial: “Screening and Intervening for Patients with Substance Use Disorders,” p. 1443

ordering Family Practice

Management. (Medzal students OFFICE PROCEDURES

w h o a r e A A F P s t u d e n t mem-

hers receive AFP us a benefit of 1539 Fusiform Excision

membenhq for a $15 member- THOMAS J. ZUBER, M.D.

shop fee.J P e r i o d i c a l s p o s t a g e ,

paid at Shawnee Mission, The fusiform excision technique is commonly performed by family physicians for removing skin

Kansas, and at additional mail- and subcutaneous lesions. This office procedure offers the advantage of a definitive, single-stage

i n g ofices. P r i n t e d i n t h e U . S . A . diagnostic and therapeutic intervention.

Copyright0 2003 by

the American Academy of 0 Patient information: “Fusiform Excision Procedure,” p. 1553

Family Physrcians.





POSTM*.TF.R:

Send address changes to

Amer~an Family Physician

I14W Tomahawk Creek Parkway

Leawood, KS 6621 I-2672

Cover illustration by 5. Scott Bode/l, Dallas, Tex.









APRIL I,2003 / VOLUME 67, NUMBER 7 www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1409

Departments

1413 Definitions of Evidence Labels in AFP 1571 Patient Information Collection

CONTRACEPTION

1418 Inside AFP l Abstinence: Information for Teens

1421 Change-of-Address Form l Birth Control

l Progestin-Only Contraceptives

1422 Graham Center One-Pager

l Family Physicians Are an Important Source of

1578 POEMS and Tips from Other Journals

Mental Health Care 1606 Definition of POEMS

1425 Newsletter 1619 Practice Guidelines

1429 Quantum Sufficit l ACOG Releases Guidelines on Diagnosis and

Management of Polycystic Ovary Syndrome

1433 Clinical Quiz

1625 Clinical Briefs

1438 Letters to the Editor

l Differentiating Foot Fractures from Ankle Sprains 1629 Curbside Consultation

l Should I Give Money to My Patients?

l Management of Risk Factors in Relatives of Patients

with SAH 1632 Medical Services

l Evaluation and Treatment of Heat-Related Illnesses

1633 Classified Information

1443 Editorials

l Screening and Intervening for Patients with 1640 Therapeutic Index

Substance Use Disorders

l Hormone Therapy: Continuing Discussion and

Debate

Also Available Online:

1451 CME Calendar Full Text

The complete text of AFP is available online at wwwaafp.

1477 Diary from a Week in Practice org/afp, andfrom the following aggregators: Ebsco, The Gale

1557 Clinical Evidence Concise: Group, Lexis Nexis, MDConsult, ProQuest, and HW Wilson.

A Publication of BM J Publishing Group E-Mail Table of Contents

l Postherpetic Neuralgia Enroll to receive AFP’s e-mail table of contents at wwwaa&?.

org/afp.

1561 Putting Prevention into Practice:

An Evidence-Based Approach Information for Authors

l Screening for Depression Updated Information for Authors (last printed October 1,

2002) and Author Statements Form are available at www.

1567 Photo Quiz aafi.org/xl3554.xml.









1410 AMERICAN F AMILY P HYSICIAN wwwaafp.org/afp VOLUME 67, NUMBER 7 I A PRIL 1,2003



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