Primary care clinicians play an important role in the management of acute cardiac ischemia. The Framingham risk score can help identify missed opportunities that warrant more intensive evaluation.

Clinicians' knowledge of breast symptoms management varied, and some reported discomfort in their level of knowledge and skills. Although our pilot intervention improved the use of clinical guidelines, it had no statistically significant impact on clinicians' knowledge or attitudes.

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Managed care organizations and their affiliated group practices approach technology evaluation in a methodical way. This paper reviews the factors used in analysis of ultrasound for the diagnosis of fetal anomalies. It includes one group practice's strategies for ultrasound management while supporting the use of the second trimester fetal survey.

The natural history of human papillomavirus (HPV) is not yet completely understood. But over the past decade, there has been an explosion in knowledge about the virus and its relationship to precancerous and cancerous changes in the genital tract. Recent research in the management of Pap testing, new technologies for Pap screening, and easy access to HPV tests have changed the treatment recommendations in patients with abnormal cytologic results. In this article, Dr Buechler explores these advances and explains how they affect the clinical management of patients with abnormal Pap test results.

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