SUSAN LOUISA MONTAUK, M.D.

Patients who are homeless face a variety of obstacles when seeking health care. Educational tools and guidelines are available to help physicians recognize and overcome these obstacles to ensure they offer patient-centered care with few adherence barriers.

ALEXANDRA F. FREEMAN, M.D., and STANFORD T. SHULMAN, M.D.

Kawasaki disease is the leading cause of acquired heart disease among children in developed countries. Symptoms include fever, rash, and cervical lymphadenopathy, and some children develop ischemic heart disease or sudden death.

MARK B. STEPHENS, CDR, MC, USN

Risk factors for adolescent morbidity and mortality include substance abuse, sexual activity, poor nutrition, and inadequate physical activity. Physicians should target the specific issues that impact this age group by providing age-specific guidance, screening, and preventive care.

MICHAEL G. KAVAN, PH.D., THOMAS P. GUCK, PH.D., and EUGENE J. BARONE, M.D.

Patients unable to cope with a critical incident can develop affective, behavioral, cognitive, or physical difficulties. Physicians can respond effectively by providing support, assessing the situation, ensuring the patient's safety, and teaching coping strategies. Medication or referral for counseling may be necessary for patients with continuing problems.

Patient information: "Crisis Management," p. 1165