Genital herpes is one of the most common sexually transmitted infections (STIs) in the United States. It is caused by either herpes simplex virus (HSV) type 2 (HSV-2), a virus that almost exclusively causes genital infections, or HSV type 1 (HSV-1) which causes oral and lip infections (cold sores) and genital herpes. HSV-2 is estimated to infect more than 45 million US residents aged 14 to 49 years. HSV-1 now causes 10 to 20 percent of all new cases of genital herpes. Congential herpes (newborns infected during birth by an infected mother) is more than twice as common as congenital syphilis, and can be devastating to newborns. In addition there is a strong association between genital herpes infection and HIV type 1.

There is no cure and

In general, hospice care falls under the category of palliative care, however the two have different indications and goals, and are often provided in different settings. The first palliative care unit was opened in 1976 at the Royal Victoria Hospital in Quebec by Dr. Balfour Mount. His motivation for opening the unit was his perceived neglect of dying patients in the acute care setting. Since then, palliative care has evolved and is used in many different settings including caring for a

Statins (Lipitor, Crestor, etc.) have been proven to lower total cholesterol and low-density lipoprotein (LDL or “bad” cholesterol), which has been shown to prevent or delay the onset of heart disease. They also help to stabilize heart disease in someone who already has it. The problem for both clinicians and patients is determining when to start statin therapy because there are a number of guidelines available and they all differ in their recommendations.

The first step in deciding when to

It has been said that if a man lives long enough, he will get prostate cancer. Yet nowhere in medicine is there more controversy and differing opinions, than in the diagnosis and treatment of prostate cancer. For example, a year or two ago, the United States Preventative Services Task Force (USPSTF), a federal committee that makes recommendations on screening for diseases, recommended that physicians stop doing Prostate-specific antigen (PSA) screening because, they reasoned, PSA screening was

Rosacea is a common chronic skin disorder of the central face that is estimated to affect more than 16 million Americans. It is a syndrome that consists of various signs and symptoms including skin redness, telangectasias (red dots), swelling, papules and pustules (pimples), eye lesions, and rhinophyma (excess growth of skin on the nose). Also included may be burning and stinging of the skin and the feeling of something in the eye. Rosacea typically first appears between the ages of 30 to 60

The election of Donald Trump and his promise to repeal or alter the Affordable Care Act (ACA) has brought the ACA back into the forefront of American politics. While the ACA is nicknamed Obamacare, most of the law was written before his election in 2008. Despite its many flaws, the ACA over the past six years has led to increases in healthcare coverage. It is estimated that between 20 and 22 million people have obtained coverage since 2010, mainly through the expansion of Medicaid, coverage

Between 1975 and 2012 the incidence of solid tumors in the US declined, however the incidence of melanoma rose at a rate of three percent a year. Melanoma represents a small fraction of skin cancers (less than five percent,) but it accounts for 75 percent of deaths from skin cancer. All skin cancers are caused by exposure to sunlight, specifically to ultraviolet radiation (UVR). Many studies suggest that sunburns during childhood are a causative factor of melanoma, but recent studies have

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