CORRECTIONS:

 

J Am Osteopath Assoc 2004 104: 514. [Full Text]  

LETTERS:

 DO Comments on Bipolar Disorder Supplement

Stephen M. Scheinthal, David A. Baron, Frederick T. Lewis, Ethan Kass, and Robert M. Klein
J Am Osteopath Assoc 2004 104: 516. [Full Text] [PDF]  

EDITORIALS:

 Dr Levine's Legacy Lives On: A Tribute to My Mentor, A Humble but Effective Giant

Gilbert E. D'Alonzo, Jr
J Am Osteopath Assoc 2004 104: 519-520. [Full Text] [PDF]  

REVIEW ARTICLES:

The Newer Guidelines for the Management of Community-Acquired Pneumonia

Purvin B. Shah, James C. Giudice, Russell Griesback, Jr, Thomas F. Morley, and Amita Vasoya
J Am Osteopath Assoc 2004 104: 521-526. [Abstract] [Full Text] [PDF]  

Community-acquired pneumonia is a leading cause of death in the world and the sixth most common cause of death in the United States. It is the number one cause of death from infectious diseases in the United States. This article reviews the latest available guidelines from two leading organizations--the Infectious Diseases Society of America and the American Thoracic Society.

Sexually Transmitted Infections and Increased Risk of Co-infection with Human Immunodeficiency Virus

Margaret R.H. Nusbaum, Robin R. Wallace, Lisa M. Slatt, and Elin C. Kondrad
J Am Osteopath Assoc 2004 104: 527-535. [Abstract] [Full Text] [PDF]  

Most sexually transmitted infections (STIs) are asymptomatic--contributing to underdiagnosis estimated at 50% or more. Diagnosis of an STI signals sexual health risk because an STI facilitates the transmission and acquisition of other STIs, including human immunodeficiency virus. Undiagnosed and untreated STIs can have particularly devastating consequences for women, potentially causing significant long-term damage to women's reproductive health. The authors discuss common clinical presentations, screening, diagnosis, and treatment for trichomoniasis, chlamydia, gonorrhea, syphilis, and herpes simplex virus.

ORIGINAL CONTRIBUTIONS:

Maternal and Fetal Outcomes of Spontaneous Preterm Premature Rupture of Membranes

Lee C. Yang, Donald R. Taylor, Howard H. Kaufman, Roderick Hume, and Byron Calhoun
J Am Osteopath Assoc 2004 104: 537-542. [Abstract] [Full Text] [PDF]  

The authors retrospectively evaluated maternal and fetal outcomes of 73 consecutive singleton pregnancies complicated by preterm premature rupture of amniotic membranes. When preterm labor occurred and fetuses were at a viable gestational age, pregnant patients were managed aggressively with tocolytic therapy, antenatal corticosteroid injections, and antenatal fetal testing. Among the 73 pregnant patients, there were 22 (30.1%) stillbirths and 13 (17.8%) neonatal deaths, resulting in a perinatal death rate of 47.9%. Thirty-eight liveborn neonates survived and were subsequently released from the hospital; all surviving newborns had significant morbidity and comorbidity, however. Maternal morbidity was minimal. Pregnancy outcomes remain dismal when the fetal membrane ruptures before 23 weeks of gestation.

CME QUIZ:

 CME Quiz

J Am Osteopath Assoc 2004 104: 547. [PDF]  

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