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Primary Care/Hospitalist

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  • Check STD screening: Room for improvement?

    Review the number of patients who came through your examination room today, and count how many were screened for one or more sexually transmitted diseases (STDs). If the answer is zero, then perhaps it is time to review your practice guidelines.
  • Douching linked to vaginal infection

    Your next patient, a 19-year-old woman who is sexually active, says she douches on a weekly basis for hygiene purposes. She has been previously treated for a sexually transmitted disease (STD). What should you tell her?
  • New on-line program details mifepristone

    The Washington, DC-based National Abortion Federation (NAF) has launched the first interactive on-line continuing medical education (CME) program to allow health care providers to learn more about mifepristone.
  • Conferences coming for Contraceptive Technology

    Circle your calendar for the upcoming annual Contraceptive Technology Conferences. The San Francisco conference is scheduled for March 12-15, with the Washington, DC, conference set for March 26-29.
  • Japanese Encephalitis Vaccine

    Although Japanese encephalitis rarely occurs in travelers, certain groups and subsets of individuals have a risk of infection that can reach 1 in 5000 travelers per week. It is crucial to recognize those with increased risk, and to seriously consider immunizing them in order to prevent the potentially devastating sequelae of Japanese encephalitis.
  • Widening the Meningitis Belt

    Careful evaluation of epidemiologic data from recent African outbreaks of meningococcal disease suggests that significant risks now extend beyond the sub-Saharan belt through the Rift Valley and Great Lakes regions into Mozambique, then into Namibia and Angola.
  • Chronic Infection May Contribute to Stroke Risk

    The association between H pylori and acute cerebrovascular disease seems to be due to a higher prevalence of more virulent H pylori strains in patients with atherosclerotic stroke.
  • Updates

    Polio-Like Paralysis: What Next from West Nile Virus?; Cat Scratch Disease: Not Just for Kids
  • Macrophage Apoptosis by Anthrax Lethal Factor Through p38 MAP Kinase Inhibition

    The bacterium Bacillus anthracis causes the death of macrophages, which may allow it to avoid detection by the innate immune system.
  • The Current Status of Pediatric Meningitis

    Maintaining a high index of clinical suspicion, completing a focused historical and physical assessment, rapidly completing diagnostic modalities, and timely institution of definitive therapy can reduce the mortality rate and rate of significant disability from pediatric meningitis.