Cover	2255	2211

	Articles
2185	Obesity: Assessment and Management in Primary Care JAMES M. LYZNICKI, M.S., M.P.H., DONALD C. YOUNG, M.D., JOSEPH A. RIGGS, M.D., and RONALD M. DAVIS, M.D., for the COUNCIL ON SCIENTIFIC AFFAIRS, AMERICAN MEDICAL ASSOCIATION Obesity is defined as a body mass index of 30 kg per m2 or more. Basic treatment consists of a comprehensive approach involving diet and nutrition, regular physical activity, behavioral therapy and pharmacotherapy.
	Editorial: "Physicians Need Practical Tools to Treat the Complex Problems of Overweight and Obesity," p. 2139
2201	Cover Article: Cardiovascular Medicine Update Valvular Heart Disease: Review and Update BENJAMIN SHIPTON, D.O., and HANEY WAHBA, M.D. Advances in surgical techniques and a better understanding of the proper timing for surgical intervention have increased lifespan and decreased morbidity in patients with valvular heart disease.
2211	Neurologic Complications of Scuba Diving HERBERT B. NEWTON, M.D. Physicians need to be aware of the broad spectrum of neurologic complications that can occur during dive-related accidents and injuries to ensure early recognition, accurate diagnosis and appropriate therapy.
	Patient information: "Medical Problems of Recreational Scuba Diving," p. 2225
2231	Office Procedures Fishhook Removal MATTHEW GAMMONS, M.D., and EDWARD JACKSON, M.D. Fishhook injuries are common, and most can be treated in the office. The choice of removal technique depends on the type of fishhook embedded, the location and the depth of penetration. Careful exploration of the wound is important to remove foreign bodies.
2239	Practical Therapeutics Evaluation and Management of the AGUS Papanicolaou Smear JOYCE E. KAFERLE, M.D., and JEAN M. MALOUIN, M.D., M.P.H. AGUS Papanicolaou smears are often associated with significant clinical disease. Management includes colposcopic evaluation to rule out adenocarcinoma, high-grade preinvasive squamous disease and other invasive cancers. Following colposcopy, cervical conization should be performed for all AGUS smears suspicious for cancer.

Cover Illustration © 2001 Floyd E. Hosmer, Birmingham, Ala.
Copyright © 2001 by the American Academy of Family Physicians.
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