Challenges in the diagnosis and management of endocarditis in a 9-year-old child.

A 9-year-old child, with a background of repaired pulmonary atresia and Ebstein's anomaly, presented with fever, night sweats and lethargy. Blood cultures grew , a nutritionally variant and known cause of infective endocarditis (IE). Echocardiogram revealed no clear vegetation, but increased stenosis of the right ventricle to pulmonary artery conduit.

Sex drive and sexual desire.

Purpose Of Review: Loss of sexual desire is increasingly recognized as a consequence of many disease processes, and one that can have a significant negative impact on quality of life. This review explores the biological and psychological aspects of desire, as well as the aetiology and therapeutic options for loss of desire.

Recent Findings: Discoveries have been made in terms of the physiology of desire in men, in that it is affected by estradiol as well as testosterone.

Ethnic cosmetic products.

Based both on actual differences in the hair and skin and on cultural desire, people of color do have special considerations for cosmetic products. As the experts in hair and skin, it is incumbent on dermatologists to understand the needs of a diverse patient base, to be knowledgeable about the products that patients need and desire, and to be aware of possible adverse effects related to product use or misuse. Further research is needed both to continue to understand the needs of the hair and skin of people of color and to understand the effects of products on ethnic hair and skin.

Acne therapy: a methodologic review.

Background: Acne is a very common problem with significant physical and psychological morbidity. The evidence basis for its treatment had not been systematically reviewed. Therefore, we performed an evidence review to provide researchers a basis for further studies, and to provide clinicians the background needed to interpret current and future clinical studies.