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This issue covers Part I of a two-part series on evaluation and management of sexual assault in the emergency department. Part I of the series discusses initial ED care, physical exam, and evidence collection. Part II will cover laboratory analysis, pharmacotherapy, disposition, follow-up, documentation, and court testimony.
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Pertussis, or whooping cough, was first described in the 16th century, and the causative agent was isolated in 1906. Nonetheless, pertussis remained a major cause of morbidity and mortality among ch ildren well into the 20th century.
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Register now for the annual Contraceptive Technology: Quest for Excellence conference, scheduled for Oct. 27-29, 2005, in Atlanta.
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The push is on to develop an effective male contraceptive, with almost $8 million from the National Institutes of Health (NIH) going to researchers at the University of Kansas in Lawrence and the University of Kansas Medical Center in Kansas City toward identifying potential chemical compounds for such use.
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The 15-year-old young woman in your exam room tells you that she has crampy pelvic pain that begins shortly before or at the onset of her menstrual period that lasts one to three days. She says she usually misses a day of school each month due to the pain. What is your next move?
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Investigators now are looking at a transcervical sterilization option that, if proven safe and effective, will give women another alternative for permanent contraception.
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The next patient in your exam room is in her mid-20s. While she is in generally good health, you note she weighs in at 210 pounds. What contraceptive methods do you offer her?
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