Emphysematous pancreatitis is typically managed with broad-spectrum antibiotics and early surgical debridement. Here, a case that supports more recent evidence for conservative therapy.
Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
Smoking-related diseases have reached epidemic levels
among women in the United States. Since 1980, neoplastic,
cardiovascular, respiratory, and pediatric diseases attributable
to smoking—as well as cigarette burns—have
been responsible for the premature deaths of 3 million
American women and girls. Lung cancer is now the leading
cause of... More »
The mother of a 6-year-old child brings her to your office because
of a pruritic rash that has been present for several days. The rash did not respond
to hydrocortisone cream and has continued to spread along the patient’s
left side. More »
I read with interest Dr Virenda Parikh’s case of a young woman with extensive
anal condylomata acuminata (CONSULTANT, April 15, 2001, page 737). More »
A 37-year-old woman complains of “itchy bumps” that erupted just above her
waist 2 or 3 days earlier. She denies having had this condition in the past.
The patient is otherwise healthy and takes no medications. An avid gardener,
she claims to be able to identify and avoid poisonous plants. More »
A 58-year-old man recently underwent coronary artery bypass graft (CABG)
surgery after emergent cardiac catheterization for a myocardial infarction revealed
diffuse 3-vessel disease. More »
Recently the CDC updated its guidelines for treating sexually transmitted diseases (STDs). This article focuses on genital herpes simplex virus (HSV) infection and human papillomavirus (HPV) infection. More »
For 3 weeks, a 14-year-old boy had been aware of an enlarging lesion on the back of his hand. He recalled no trauma to the affected area. Further questioning by Dr D. Keith Cobb of... More »
Several countries recently added human papillomavirus (HPV) vaccination to cervical cancer screening in the effort to prevent cervical cancer. They include the Netherlands, where both programs are free. To estimate their combined future impact on cancer prevention, information is needed on the association between participation in vaccination now and in screening in the future and on what groups are at risk for nonparticipation. We studied the association between participation in screening by mothers and in vaccination by their daughters. Girls' vaccination status was matched by house-address with their mothers' screening participation. We estimated the effect on cancer incidence by means of computer simulation. We investigated risk groups for nonparticipation using multivariable multilevel logistic regression and calculated population-attributable fractions. Our results, based on 89% of girls invited for vaccination in 2009 (n = 337,368), show that vaccination status was significantly
Knowledge of differences in human papillomavirus (HPV)-type prevalence between high-grade cervical intraepithelial neoplasia (HG-CIN) and invasive cervical cancer (ICC) is crucial for understanding the natural history of HPV-infected cervical lesions and the potential impact of HPV vaccination on cervical cancer prevention. More than 6,000 women diagnosed with HG-CIN or ICC from 17 European countries were enrolled in two parallel cross-sectional studies (108288/108290). Centralised histopathology review and standardised HPV-DNA typing were applied to formalin-fixed paraffin-embedded cervical specimens dated 2001-2008. The pooled prevalence of individual HPV types was estimated using meta-analytic methods. A total of 3,103 women were diagnosed with HG-CIN and a total of 3,162 with ICC (median ages: 34 and 49 years, respectively), of which 98.5 and 91.8% were HPV-positive, respectively. The most common HPV types in women with HG-CIN were HPV16/33/31 (59.9/10.5/9.0%) and in ICC were HPV16
gary.nabel@sanofi.com Nabel Gary J GJ eng Historical Article Journal Article Review United States N Engl J Med 0255562 0028-4793 0 Antibodies, Neutralizing 0 Vaccines AIM IM history
S. Gov't, P.H.S. United States N Engl J Med 0255562 0028-4793 0 Diphtheria-Tetanus-Pertussis Vaccine 0 Diphtheria-Tetanus-acellular Pertussis Vaccines 0 Pertussis Vaccine 0 Vaccines,
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Primary Care Can't Thrive Without Nurse Practitioners Courtney H. Lyder, ND, May 17, 2013 With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.