Human Papillomavirus: Clinical Manifestations and Prevention

GREGORY JUCKETT, HOLLY HARTMAN-ADAMS

Most human papillomavirus infections resolve spontaneously, but some high-risk infections persist and can progress to cancer. Risk factors for persistent infection include multiple sex partners, sex at an early age, history of sexually transmitted infections, and smoking. The...

Caring for Pregnant Women and Newborns with Hepatitis B or C

NGUYET-CAM VU LAM, PATRICIA B. GOTSCH, ROBERT C. LANGAN

Screening for hepatitis B virus is recommended in all pregnant women, but hepatitis C virus screening is recommended only in those with risk factors. Hepatitis B treatment is based on the status of maternal hepatitis B surface antigen, and prophylaxis in the newborn may...

Sexual Behaviors in Children: Evaluation and Management

NANCY D. KELLOGG

Physicians can provide guidance about common and frequent sexual behaviors in children, and can differentiate age-appropriate normative sexual behaviors from sexual behavior problems. Age-appropriate behaviors are managed primarily through parental reassurance and education;...

Medical Therapy for Asthma: Updates from the NAEPP Guidelines

KURTIS S. ELWARD, SUSAN M. POLLART

The Expert Panel Report 3 of the National Asthma Education and Prevention Program outlines recommendations for the medical therapy of asthma, including information on long-term control medications and fast-acting agents. This article presents practical information on asthma...

AAFP News Now: AFP Edition

Physicians Required to Pay Taxes on EHR Meaningful Use Bonus Money | Study Criticizes Lack of Nutrition Education in U.S. Medical Schools | <i>Med</i><i>Watch</i>: FDA Warnings on Fentanyl Patches, Teething Tablets, Chelation Products | <i>MedWatch</i>: Label Warnings Updated...

Can ECG Rule Out ACS if Performed While the Patient Is Having Chest Pain?

MARK A. GRABER, ANDREA DARBY-STEWART, ROBERT DACHS

Is negative ECG performed while the patient is having chest pain good at ruling out acute coronary syndrome? Although this study says yes, other higher-quality studies say it does not rule out cardiac disease. Observational studies are not ideal for testing some hypotheses.

Use of Hospice Care for Patients Without Cancer

MARC G. KAPROW

As the Medicare population expands with the baby boomer generation, the need for greater mastery of clinical and interpersonal skills regarding end-of-life care is essential for meeting the wishes and needs of patients.

Urinary Tract Infection in Children

JAMES LARCOMBE

What are the effects of treatment for acute UTI in children? What are the effects of interventions to prevent recurrence of UTI in children?

Skin Plaques in a Woman with Renal Disease

SHADI LATTA, KAMRAN M. RIAZ, MOHAMED M. SALEM

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women: Reaffirmation Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco products.

Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women

KENNETH W. LIN, DAVID A. TARANTINO, JR.

Case study: A young married couple visits your office for their initial prenatal visit. They each smoke one pack of cigarettes daily.

Do Plasma Injections Improve Chronic Achilles Tendinopathy?

MARY ANN MAURER

Weighing Benefits and Harms of Vaginal Birth After Cesarean Delivery

KENNY LIN

ACOG Recommendations on Emergency Contraception

CARRIE ARMSTRONG

American College of Obstetricians Gynecologists (ACOG) recommendations on emergency contraception. Common indications include contraceptive failure (e.g., condom breakage, missed doses of oral contraceptives) and failure to use any form of contraception.

AAP Updates Policy Statement on Athletic Participation by Children and Adolescents with Systemic Hypertension

LISA GRAHAM

The most common cardiovascular condition in competitive athletes is hypertension. The American Academy of Pediatrics (AAP) updated its policy statement using new recommendations made in the 2005 36th Bethesda Conference guidelines; the 2004 Fourth Report on the Diagnosis,...

Coronary Artery Disease Prevention: As Easy As 1, 2, 3?

SEAN C. LUCAN

Prevalence of Sexual Assault in the Military Misrepresented

How to Prevent Cervical Cancer

The cervix, or opening of the womb, is located deep in the vagina. Cancer of the cervix is caused by a common sexually transmitted infection called human papillomavirus (PAP-uh-LO-ma-vi-rus), or HPV. Most HPV infections do not cause symptoms and go away in a few years without...

Sexual Behaviors in Children

Most children up to 13 years of age display sexual behaviors at some time. It is not unusual for children to engage in sexual behaviors after a change in the family (for example, a new sibling or separation of the parents) or in day care arrangements. The types of behaviors...