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The last time your teen-age male patient came to the adolescent clinic, he left with a bag of male condoms. However, when he returns to be tested for sexually transmitted diseases (STDs), he tells you he hasn't used the condoms. Why?
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Sexuality is a normal part of adolescent development. Though sexual behaviors can lead to adverse reproductive health outcomes, most adolescents will become sexually active during their teen-age years, which makes interventions that promote or enhance sexual health in adolescents increasingly important.
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As a clinician who counsels on contraceptive choice, how can you determine if a woman is a likely candidate for the contraceptive vaginal ring (NuvaRing, Merck & Co., Whitehouse Station, NJ)? New research suggests that young women who report tampon use are more likely to choose the contraceptive vaginal ring over oral contraceptives as their initial birth control method.
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Trichomoniasis is the most common curable sexually transmitted disease (STD) in young, sexually active women. An estimated 7.4 million new cases occur each year in women and men, according to the Centers for Disease Control and Prevention (CDC).
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[Editor's note: Look to the July 2010 issue for the second of this two-part series for information on SWAP, an online database developed by the California STD/HIV Prevention Training Center.]
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State Medicaid programs face budget shortfalls of $140 billion for FY 2011, if the enhanced federal medical assistance percentage (FMAP) expires on Dec. 31, 2010, according to a February 2010 survey done by the Washington, DC-based National Association of State Medicaid Directors.
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Recognizing and re-emphasizing the fact that children are a distinct population of patients in the ED, the American Academy of Pediatrics, the American College of Emergency Physicians (ACEP), and the Emergency Nurses Association (ENA) have released a joint policy statement that includes guidelines for the care of children in emergency departments. The statement was published online in the journal Pediatrics.
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Medicaid directors, who have struggled to meet surging demand for services with plummeting revenues since the onset of the recession, are now faced with an additional 15 million Americans becoming eligible for the program. The newly passed Patient Protection and Affordable Care Act means major changes for programs, which, in the eyes of some, appear to be "mission impossible."
