Hormonal contraception.

Increased sexual activity among adolescents demands that the health care provider have a thorough understanding of contraceptive methods and application. In this article, the principles of hormonal contraception are discussed, providing relevant information for use in advising and managing the sexually active adolescent.

Toxic shock-like syndrome associated with Bartholin's gland abscess: case report.

Herein is the first reported case of bartholinitis complicated by toxic shock-like syndrome. Streptococcal exotoxin is implicated in this case of nonmenstrual toxic shock-like syndrome, which is an increasingly recognized manifestation of streptococcal infection. Further surveillance, investigation, and reporting of streptococcal toxic shock-like syndrome are recommended.

Contraception for the adolescent.

The primary care physician is in an excellent position to counsel adolescents about contraception. However, an adequate understanding of the biologic and psychosocial development of this particular age-group is imperative. In addition, communication skills are necessary to advise adolescents on use of contraceptives.

The Medical Bookshelf.

Books received are listed as space permits, and those of particular interest to our readers are reviewed.

Georgetown Adolescent Psychosocial Rating Scale.

Unlabelled: The Georgetown Adolescent Psychosocial Rating Scale (GAPRS) was developed as a clinical tool to be used in the evaluation of the psychosocial development of the adolescent. Preliminary findings have shown it to be useful in assessing normal psychosocial development and identifying deviant states. The GAPRS was developed in a clinical setting over a 5-year period as a questionnaire with the statistical ability to assess adolescent psychosocial development.