Is the Routine Pelvic Examination Needed With the Advent of Urine-Based Screening for Sexually Transmitted Diseases?

Article Abstract:

Screening urine samples, rather than cervical smears, for evidence of chlamydia or gonorrhea infection appears to be the most cost-effective method of screening for disease in sexually-active adolescent girls. Annual pelvic examinations have been recommended for sexually-transmitted disease (STD) screening of teenage girls. However, the test is costly, invasive, and uncomfortable for the patient. Researchers compared pelvic examinations with cervical smear testing and the testing of urine samples in the diagnosis of STDs. Both tests effectively identify infected patients, but the urine test is more easily performed and much less expensive. Community clinics could easily undertake routine urine screening for STD diagnosis.

Care and treatment, Diagnosis, Medical examination, Teenage girls, Gonorrhea, Pelvis, Chlamydia, Urine

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Sexually Transmitted Diseases in a Health Maintenance Organization Teen Clinic

Article Abstract:

There are very definite social, demographic, and behavioral attributes which indicate high risk for sexually transmitted diseases (STDs) among sexually active teenagers and which indicate that STD screening is appropriate when the patient is seeking care for other reasons. In examining a socially diverse sample of 285 sexually active youth averaging 16.7 years of age, the following profile points were seen to indicate that screening for STDs was in order: teenagers who are African American (3.34 times the risk); who have sexual partners more than two years older (2.63 times); and who use marijuana 1-2 or more times per week (2.27 times).

Sexually transmitted diseases, Demographic aspects

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Current Use of Adequate Preparticipation History Forms for Heart Disease Screening of High School Athletes

Article Abstract:

Few high school athletic programs adequately screen athletes for heart disease risk factors prior to participation. Medical experts recommend that athletes are screened for exercise-induced cardiac symptoms, previous diagnoses of heart murmurs or hypertension, and a family history of early heart attack or sudden death. Researchers surveyed 254 high school and found that only 17% screened athletes for all three risk factors.

Health aspects, Usage, School sports, Medical screening, Health screening, Athletes

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