From the publishers of The New England Journal of Medicine

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STDs

The latest information on sexually transmitted diseases — summaries and comments on Chlamydia, gonorrhea, herpes, HIV, HPV, syphilis, and more — drawn from across our primary care and specialty care areas. Sign up now for monthly e-mail alerts on new content.

CLINICAL PRACTICE GUIDELINE WATCH

Radiologists Continue to Recommend Routine Screening Mammography Beginning at Age 40

Recommendation contrasts with recent guidelines from the USPSTF.

SUMMARY AND COMMENT

Annual Review of Pediatric and Adolescent Vital Statistics

The data reveal increasing rates of teen pregnancies, cesarean sections, and very-low-birth-weight infants as well as persistent disparities in life expectancy.

SUMMARY AND COMMENT

Labor Induction at Term Is a Risk Factor for Cesarean Delivery

Risk for cesarean delivery was higher with induced labor than with spontaneous labor or expectant management, regardless of comparison group.

SUMMARY AND COMMENT

Pooled NAAT Following Various HIV Antibody TestsFree

Pooled NAAT can improve detection of HIV infection, even when highly sensitive third-generation immunoassays are used for initial antibody testing.

SUMMARY AND COMMENT

Prevalence and Incidence of HBV Infection in an HIV-Positive Cohort

Hepatitis B virus infection continues to be a major problem in a U.S. military cohort of HIV-infected individuals. More effective "prevention for positives" is needed.

SUMMARY AND COMMENT

No Benefit for Directly Observed Antiretroviral Therapy

In a meta-analysis, viral suppression was similar in observed and nonobserved patients.

SUMMARY AND COMMENT

HIV/HSV-2 Coinfection: Disappointing Results for Acyclovir SuppressionFree

HSV-2 suppression with acyclovir did not reduce the risk for HIV transmission.

FEATURE

Briefly Noted

Neonatal cutis laxa, dyskeratosis congenita, and recurrent erythema multiforme

SUMMARY AND COMMENT

Long-Term Efficacy of Bivalent HPV Vaccine

Vaccine against HPV-16/18 remained highly effective for more than 6 years after administration.

SUMMARY AND COMMENT

Improved Detection of Acute HIV Infection in New York City

Of the HIV diagnoses made at four city clinics, 9% were acute infections detected through pooled nucleic-acid testing among HIV antibody–negative persons.

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