Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0019163 (hepatitis B)
 38,309 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This article focuses on the detection and management of sexual assault and sexually transmitted diseases (STDs) in adults and children. Sexual assault is a violent crime affecting both men and women and children of all ages. Sexual abuse can take many forms with rape being the most common form of sexual assault among adults. Among children, sexual assault ranges from fondling to oral and genital contact. Studies showed that the rates of gonorrhea and syphilis in adult victims range from 6% to 12% and from 0% to 3%, respectively. As to other STDs, the risk of acquiring Chlamydia trachomatis infection appears highest. Although the general prevalence of STDs among abused children remained low, studies indicated that gonococcal and chlamydial infections are frequent in this group. Moreover, post-assault infections with herpes simplex viruses, hepatitis B viruses, and HIV have been described in both adults and children. Due to the risk of STDs, prompt, sensitive, and competent care for assaulted victims is necessary which include an evaluation for STDs right after the assault and during follow-up. For adult victims, treatment should be given during the initial evaluation for any infections identified at that time. Treatment of abused children follows the same principles as treatment of adult victims but drug dosage is adjusted depending on body weight.
 ...
PMID:Sexual assault and sexually transmitted diseases: detection and management in adults and children. 220 Oct 79

All physicians, even those not routinely involved in prenatal care, should be aware of the laboratory tests recently recommended for inclusion in prenatal care. All pregnant women should undergo blood glucose testing to detect gestational diabetes mellitus. Women at risk for hepatitis B, Chlamydia trachomatis infection, or human immunodeficiency virus infections should be tested. All women should also be offered alpha fetoprotein testing for detection of neural tube defects. If test results are abnormal, appropriate management and/or counseling should be provided.
 ...
PMID:Guidelines for using five new prenatal laboratory tests. 245 49