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Adjuvants for treatment of various opioid side effects are listed in table table adjuvants to opioids for treating cancer pain class drugs approximate daily adult dose mg ; effects anticonvulsants carbamazepine 200-1, 600 decrease neuropathic pain phenytoin dilantin ; 200-600 antidepressants amitriptyline hcl elavil ; 10-100 decrease neuropathic pain, improve sleep and appetite doxepin hcl sinequan ; 10-100 antihistamines hydroxyzine atarax, vistaril ; 15-400 relieve itching; coanalgesic with opioids anxiolytics diazepam valium ; 10-40 relieve anxiety; sedative; relieve skeletal muscle spasms lorazepam ativan ; 1-8 corticosteroids dexamethasone sodium phosphate 8-96 reduce swelling eg, spinal cord compression improve appetite and sense of well-being prednisone 5-120 muscle relaxants cyclobenzaprine hcl flexeril ; 10-30 relieve skeletal muscle spasms neuroleptics haloperidol haldol ; 1-8 relieve anxiety and restlessness; sedative; coanalgesic with opioids methotrimeprazine levoprome ; 10-40 psychostimulants dextroamphetamine sulfate dexedrine, dextrostat ; 5-10 reduce opioid-induced sedation; coanalgesic with opioids methylphenidate hcl ritalin ; 10-15 adapted with permission from marshall ka.
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Sion-threatening disease. This finding helps confirm earlier pilot studies 3, 4 ; . JPEG files compressed to highest-quality images result in file sizes that are 8% of the original bit-map image file size, which allows them to be more readily stored, more easily transferred across a webinterface, and transmitted at a faster rate. GRAHAM P. LEESE, MD, FRCP1, 2 ANGELA ELLINGFORD, BSC3 ANDREW D. MORRIS, MD, FRCP1, 2 JOHN D. ELLIS, MPH, FRCOPHTHAL3 SCOTT CUNNINGHAM, BSC1. WMS-USUHS MEDICAL STUDENT-ELECTIVE UPDATE Jim Liffrig, MD Preparation for the February 2003 Medical Student Elective in Wilderness and Environmental Medicine is progressing. The training location selected at Townsend, Tennessee, near the Great Smoky Mountain National Park, promises to challenge and inspire our participants. A comprehensive 4-week curriculum is set and a terrific team of WMS volunteer faculty has been selected. The Elective Planning Committee and the WMS would like to thank the more than 50 WMS members who responded to our requests for volunteer faculty support of this project. Eleven members were selected for 2003. They represent the membership's broad base of wilderness and teaching experience. A database now exists for volunteer faculty with which the WMS can develop additional courses as this project grows. The planning committee has finalized the administrative details.
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In men, a genital infection with Chlamydia is usually asymptomatic. If symptoms occur, they may be present as urethral discharge, burning or unspecific pain in the genital region. As in gonorrhea, an epididymitis, prostatitis or proctitis may occur. Reiter's syndrome with the triad reactive arthritis, conjunctivitis and urethritis is also possible. In women, a chlamydial infection often does not cause any symptoms. But in about 20 % of female patients, unspecific symptoms such as discharge, burning or, more often, polyuria may occur as an expression of urethritis or cervicitis. Some of the patients also suffer from pelvic inflammatory disease which involves the adnexa. This disease pattern can lead to later complications such as infertility or ectopic pregnancy due to tubal occlusions. In Lymphogranuloma venereum, a primary lesion occurs at the entry location. Some weeks later, a tender lymphadenopathy develops which is mainly unilateral. These swollen lymph nodes may grow into large bubo which tend to ulcerate, possibly leading to scars and lymphedema.

Hypertension is characterized by an increase in the pressure to which the heart and vessels are subjected. The understanding and treatment of this disease have radically changed during the last few years. The worldwide authorities on the subject WHO, ISH, INC ; reached a consensus on a new definition of the levels of blood pressure beyond which an individual is considered to be hypertensive 140 90 mm Hg ; They also agree in recommending treatment of the patient as a function of all risk factors present and stress that every effort must be made not only to decrease blood pressure, but above all to bring it down to a normal level. These new developments imply that new, highly effective and well tolerated compounds, must be made and citalopram.
3. Metoclopramide Reglan ; : Mild, but well tolerated, commonly used prior to IV DHE. Fatigue or anxiety occur but are not usually severe. Five to 10 mg. are given PO, IM or IV. Pregnancy Category B. 4. Trimethobenzamide Tigan ; : Well tolerated, useful in children and adults. Tablets, suppositories or oral lozenges may be used lozenges formulated by compounding pharmacists ; . 5. Chlorpromazine Thorazine ; : Extremely effective but with increased side effects, particularly sedation. The suppositories often prevent an ER trip by sedating the patient and stopping the nausea. Used with patients where other antiemetics have failed. 6. Zofran: 4 or 8 mg. PO, very effective with few side effects. Very expensive. Not sedating. Zofran is extremely useful for patients who need to keep functioning and not be sedated with an antiemetic. Most patients who use Zofran also utilize another less expensive antiemetic for other times. Available as oral tablets or as Zofran ODT, orally disintegrating tablets.Pregnancy Category B. Information that Patients Need to Know Prior to Starting Prevention Medication 1. The realistic goals of the medications are to decrease the tension headache severity by 70%, not to completely eliminate the headaches. It is always wonderful when the headaches are 90% to 100% improved, but the idea is to minimize medication. Most patients need to be willing to settle for moderate improvement. 2. Patients must be willing to change medication, if necessary. They need to know that what is effective for someone else may not work for them. Trial and error may be needed to find the best preventive approach for that person. 3. The preventive medications may take weeks to become effective. The doses often need to be adjusted, and thus patience will be necessary with these medications. The physician needs to be available for phone consultations pertaining to the headaches and medicine. 4. Most preventive medications are utilized in medicine for another purpose. It is best if patients are informed, for instance, that Epavil is also used for depression, usually in much higher doses. Patients should be told why we are utilizing Evavil, and that it is not because they are depressed. 5. Side effects are possible with any medication, and the patient has to be prepared to endure mild side effects in order to achieve results. We cannot simply stop medication and switch to another because of very mild side effects. Most patients are willing to put up with mild, annoying side effects. 6. In the long run, preventive medications are only effective for approximately 50% of patients. 18. Poor ovarian response to exogenous gonadotropins is one of the challenges of assisted reproductive technology that occurs in 9-26% of cycles 1 ; and may interrupt the cycle causing less available oocytes and an eventual decrease in pregnancy rate 2 ; . Advanced age, prior ovarian surgery, pelvic adhesions, and high body mass index BMI ; are all associated with poor ovarian response; however, poor response is also noted in young women 1, 3 ; . With aging, the ovarian reserve is decreased and that is a and haldol.
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WHAT THE STUDY ASKED Which treatments are most effective for fibromyalgia syndrome? WHAT THE STUDY FOUND Treatments for fibromyalgia syndrome with the strongest evidence for efficacy include amitriptyline Elvail ; , cyclobenzaprine Flexeril ; , exercise, cognitive behavioral therapy, patient education, and multidisciplinary therapy. Level of evidence 1a systematic review of randomized trials Strong evidence displaying worrisome heterogeneity ; . The was found for level-of-evidence scale runs from 1 strongest ; to 5 weakest for a complete description see amitriptyline, infopoems levels and fluoxetine. 16. At this stage, children have increased ability to understand things clearly, and need to put meaning to the events affecting them. They want to learn more about why things are as they are. This increases their self esteem and confidence!

After clozapine was introduced, other atypical antipsychotics were developed, such as risperidone Risperdal ; , olanzapine Zyprexa ; , quietiapine Seroquel ; and ziprasidone Geodon ; . The newest atypicals include aripiprazole Abilify ; and paliperidone Invega ; .All are effective and are less likely to produce extrapyramidal symptoms or agranulocytosis. However, they can cause weight gain, which may result in an increased risk of diabetes and high cholesterol level.9, 10 The FDA has determined that the treatment of behavioral disorders in elderly patients with atypical second generation ; antipsychotic medications is associated with increased mortality. These medications are not approved by the FDA for the treatment of behavioral disorders in patients with dementia. Children and Medications In October 2006, the FDA approved risperidone Risperdal ; for the symptomatic treatment of irritability in autistic children and adolescents ages 5 to 16. The approval is the first for the use of a drug to treat behaviors associated with autism in children.These behaviors are included under the general heading of irritability, and include aggression, deliberate self-injury and temper tantrums. Fluoxetine Prozac ; and sertraline Zoloft ; are approved by the FDA for children age 7 and older with obsessive-compulsive disorder. Fluoxetine is also approved for children age 8 and older for the treatment of depression. Fluoxetine and sertraline are selective serotonin reuptake inhibitors SSRIs ; . See above for the FDA ; warning concerning SSRIs and other antidepressants. Antidepressant Medications List of drugs receiving a "black box" warning, other product labeling changes, and a Medication Guide pertaining to pediatric suicidality: 1. Anafranil clomipramine ; 2. Asendin amoxapine ; 3. Aventyl nortriptyline ; 4. Celexa citalopram hydrobromide ; 5. Cymbalta duloxetine ; 6. Desyrel trazodone HCl ; 7. Effexor venlafaxine HCl ; 8. Elabil amitriptyline ; 9. Etrafon perphenazine amitriptyline ; 10. fluvoxamine maleate 11. Lexapro escitalopram hydrobromide ; 12. Limbitrol chlordiazepoxide amitriptyline ; 13. Ludiomil maprotiline ; 14. Marplan isocarboxazid ; 15. Nardil phenelzine sulfate and paroxetine. 1. O'Connel JB, Bristow MR. Economic impact of heart failure in the United States: time for a different approach. J Heart Lung Transplant 1994; 13: S107 12. 2. Litwin S, Grossman W. Diastolic dysfunction as a cause of heart failure. J Coll Cardiol 1993; 22 Suppl A: 49A55A. 3. Bonow RO, Udelson JE. Left ventricular diastolic dysfunction as a cause of congestive heart failure: mechanism and management. Ann Intern Med 1992; 117: 50210. Zile M, Brutsaert D. New concepts in diastolic dysfunction and diastolic heart failure: part I: diagnosis, prognosis, and measurements of diastolic function. Circulation 2002; 105: 138793. Redfield MM, Jacobsen SJ, Burnett JC, et al. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA 2003; 289: 194 Nishimura R, Tajik J. Evaluating diastolic filling of left ventricle in health and disease: Doppler echocardiography is the clinician's Rosetta stone. J Coll Cardiol 1997; 30: 8 Thomas JT, Kelly RF, Thomas SJ, et. al. Utility of history, physical examination, electrocardiogram, and chest radiograph for differentiating normal from decreased systolic function in patients with heart failure. J Med 2002; 112: 437 Yusuf S, Pfeffer M, Swedberg K, et al. Effects of.

MEDICATIONS Prescription needed NEURONTIN gabapentin ; Start with 100mg three times a day. Gradually work up to 600mg three times a day. Can dose as high as 2700mg total dose with Physician permission. Neurontin comes in 100mg and 300mg pills. Not to be used in high doses with kidney dysfunction ELAVIL Amitriptyline ; 25-50mg at bedtime CYMBALTA Duloxetine ; Start at 20mg, work up to 60mg at bedtime CELEBREX 100-200mg Cox II prostaglandin inhibitors ; Take only with physician supervision LYRICA Pregabalin ; 75-150mg twice a day LIDODERM PATCH 5% 1 patches to each area of pain. Change every 12 hours and trazodone.
Drugs that can cause tardive dyskinesia are mainly antipsychotic medications and include: thorazine chlorpromazine ; clozaril clozapine ; may also treat the condition ; haldol haloperidol ; seroquel quetiapine ; loxitane loxapac loxapine ; mellaril thioridazine ; navane thiothixine ; prolixin modecate fluphenazine ; piportil pipotiazine ; trilafon perphenazine ; orap pimozide ; stelazine trifluoperazine ; risperdal risperidone ; serentil mesoridazine ; zyprexa olanzapine ; some of the non-neuroleptic drugs that may also cause tardive dyskinesia are: prozac fluoxetine ; zoloft sertraline ; nardil phenelzine ; elavil amitriptyline ; asendin amoxapine ; sinequan doxepine ; tofranil imipramine ; lithium cocaine and other street drugs ironically, the neuroleptic drugs are dopamine antagonists, meaning they block dopamine receptors on nerve cells. You have gradually realized that the months have passed by and you have not conceived. Or perhaps you have a suspicion that you may have a significant fertility problem and should have it assessed. Where should you go for help? In most areas of Canada, Europe and the USA, family doctors provide the best source of information about infertility and can start collecting information to provide an assessment of your problem. In some areas, specially trained nurses can start this work. Your family doctor will also be able to assess if you should be seen by a specialist in fertility problems or may advise you on the first steps to take without the necessity for specialist advice. Self-help groups provide excellent help with problems related to infertility. Specific diseases that can cause infertility often have their own self-help groups. And here lies the dilemma with these groups. Do not self-refer to a group simply because you think you may have a particular problem. There is no point discussing polycystic ovary disease if your problem is pelvic infection. The general infertility self-help groups however are more balanced in their approach and provide useful information and resources but it is probably best to start with your family doctor as mentioned above. Be very careful about the Internet. Recent studies have shown that up to 80% of medical information is incorrect or at the least, misleading. Similarly, beware of diagnosing yourself because "I had the same symptoms as my friend". How many times I have heard that comment and how often the self-diagnosis was wrong. Let us assume you have seen your family doctor. What should you expect? and celexa. Introduction: HCV-related liver disease is the leading indication for living-donor liver transplantation LDLT ; in Egypt. However, acute cellular rejection ACR ; and recurrent hepatitis C represent major complications after LDLT. The aim of this prospective study is to find the effect of basilixamab-induction therapy on the incidence of ACR and HCV recurrence in recipients of LDLT for HCV-related liver disease. Originally approved and marketed as a protease inhibitor PI ; at a dose of 12 capsules per day, ritonavir is now primarily used at a much lower dose to help boost the blood levels of other PIs. At the new price, the cost of some ritonavir-boosted antiretroviral combinations has as much as doubled, while the price of Abbott's PI Kaletra, which contains a small boosting dose of ritonavir in its formulation, remains unchanged. Abbott claimed that the price increase was a necessary adjustment that "reflects the value that ritonavir brings to combination therapy." For many activists, clinicians, and government officials, however, the price hike was interpreted as a business move calculated to force a switch from other boosted PIs to Kaletra. Within a week of the announcement, members of the AIDS Treatment Activists Coalition ATAC ; confronted Abbott representatives attending the North American Treatment Action Forum NATAF ; conference in Phoenix. ATAC members distributed flyers that depicted Abbott as a vulture "feeding on the bones of the health-care system, " and argued that the ritonavir price hike threatened treatment options for people with HIV, especially people with multidrug-resistant virus that are particularly dependent on ritonavir-boosted salvage regimens. They also worried that drug companies developing new salvage drugs might reconsider their financial commitment if a dependency on ritonavir threatened to price them out of the market and zyprexa. On the QT: Non-cardiac drugs Am. J.

1. "Adult IO Arrives." JEMS. 30 10S ; : 136, 2005. 2. "Advanced cardiac life support guidelines. Management of cardiac arrest." Circulation. 112 1 ; : 5766, 2005. 3. European Resuscitation Guidelines. Resuscitation. 6751: 5152, 2005. The International Committee on Resuscitation ILCOR ; : "Consensus on Science with Treatment Recommendations for Pediatric and Neonatal Patients: Pediatric Basic and Advanced Life Support." Pediatrics. 117 5 ; : e955e977, 2006. 5. Fowler R, Gallagher J, Isaacs S, et al: "The role of intraosseous vascular access in the out-of-hospital environment." Prehospital Emergency Care. 11: 6366, 2007. Dalbey S: "EMS history." : ci.muscatine.ia fire emshist 7. Inside Track: Unpublished study performed by market research group. Vidacare Corp., June 2002. 8. Lewis F: "Prehospital IV fluid therapy: Physiology and computer modeling." Journal of Trauma. 26: 84111, 1986 Jamshidi Cardinal health Care, Illinois Iliac Sternal Cardinal Health Care ; Dieman Cook Critical Care ; . 10. PYNG Medical. pyng 11. WaisMed Ltd. waismed 12. Miller D, Guimond G, Hostler D, et al: "Feasibility of sternal intraosseous access by emergency medical technician students." Prehospital Emergency Care. 9: 7379, 2005. Calkins M, Fitzgerald G, Bentley T, et al: "Intraosseous infusion devices: A comparison for potential use in special operations." Journal of Trauma. 48: 7074, 2000. vidacare 15. Davidoff J, Fowler R, Gordon D, et al: "Clinical evaluation of a novel intraosseous device for adults." JEMS. 30 10S ; : 2023, 2005. 16. Dublick M: "A review of intraosseous vascular access: current status and military application." Military Medicine. 165 7 ; : 552, 2000. 17. Morrison G: "The initial care of casualties." American Practitioner. 1: 183184, 1946. Orlowski J: "My kingdom for an intravenous line." American Journal of Diseases Child. 138: 803, 1984. American Heart Association and American Academy of Pediatrics: Textbook Of Pediatric Advanced Life Support. 1988. pp. 4344. 20. Anderson T, Arthur K, Kleinman M, et al: "Intraosseous infusion: Success of a standardized training program for prehospital advanced life support providers." Annals of Emergency Medicine. 23 1 ; : 5255, 1994. 21. Kovar J, Gillum L: In preparation ; 22. Waisman M, Waisman D: "Bone marrow infusion in adults." Journal of Trauma. 2 ; : 288293, 1997. 23. Sawyer R, Bodai B, Blaisell F, et al: "The current status of intraosseous infusion." Journal of the American College of Surgeons. 179: 353 360, Orlowski J: "Emergency alternative to intravenous access: intraosseous, intratracheal, sublingual, and other-site drug administration." Pediatric Clinics of North America. 41: 11831199, 1994 Orlowski J, Julius C, Petras R, et al: "The safety of intraosseous infusions: Risk of fat and bone marrow emboli to the lungs." Annals of Emergency Medicine. 18: 10621067, 1989. Rosetti V, Thompson B, Miller J, et al: "Intraosseous infusion: an alternative route of pediatric intravenous access." Annals of Emergency Medicine. 14: 885888, 1985 and risperdal and Cheap elavil!

Halfto one tablet to be taken four times per day, and 60 elavil 75 mg. If patients have parasthesias that are painful, drugs such as elavil or neurontin that relieve painful neuropathies can be prescribed and zyban. Drug interaction question: i currently take a few levsin tablets sublingually during the day and 30 mg of elavil amitryptine each night. I have been taking a small dose of elavil 50mg at bedtime, year and 1 2 ; which seems to turn the volume down, sometimes it doesn't seem to be helping at all except to make me drowsy. Ii ; Indications for use. For treatment and control of the adult and fourth-stage larvae of gastrointestinal roundworms Haemonchus contortus, H. placei adults only ; , Ostertagia circumcincta, Trichostrongylus axei, T. colubriformis, Cooperia oncophora adults only ; , C. curticei, Oesophagostomum columbianum, O. venulosum adults only ; , Nematodirus battus, N. spathiger, S. papillosus adults only ; , Chabertia ovina adult only ; , Trichuris ovis adults only ; lungworms D. filaria and all larval stages of the nasal bot Oestrus ovis. iii ; Limitations. For use in sheep only. Do not use in other animal species as severe adverse reactions, including fatalities in dogs, may result. Do not treat sheep within 11 days of slaughter. Antidepressants and your libido - may 16, 2007 health2 com, the answer may lie in switching to one of the older antidepressant tricyclate drugs such as elavil or imipramine, or one of the mao inhibitors like parnate antidepressants linked to suicide risk in young adults - may 5, 2007 food consumer, norpramin desipramine hcl ; , pamelor nortriptyline ; , parnate tranylcypromine sulfate ; , paxil paroxetine hcl ; , pexeva paroxetine mesylate ; , fda - all antidepressants need new warning labels - may 3, 2007 news-medical , elavil, effexor, emsam, etrafon, fluvoxamine maleate, lexapro, limbitrol, ludiomil, marplan, nardil, nefazodone hcl, norpramin, pamelor, parnate, paxil, us psych: depression remission rates remain low, but there' s hope - apr 26, 2007 psychiatric times. BPH BPH AVODART DOXAZOSIN MESYLATE TABS PROSCAR TABS TERAZOSIN HCL CAPS ANXIOLYTICS BENZODIAZEPINES ALPRAZOLAM TABS CHLORDIAZEPOXIDE HCL CAPS CLORAZEPATE DIPOTASSIUM TABS DIAZEPAM LORAZEPAM OXAZEPAM CAPS ANXIOLYTICS - LONG ACTING XANAX XR1 1. Xanax XR will be available if the long acting benzo clonazepam fails. Use PA Form # 20420 ATARAX TABS BUSPAR TABS DROPERIDOL SOLN HYDROXYZINE HCL TABS HYDROXYZINE PAM 100mg CAPS INAPSINE SOLN MEPROBAMATE TABS VISTARIL ANTI-DEPRESSANTS ANTIDEPRESSANTS - MAO INHIBITORS ANTIDEPRESSANTS SELECTED SSRI's Other NARDIL TABS PARNATE TABS BUPROPION HCL TABS BUPROPION SR CITALOPRAM4 FLUOXETINE HCL CAPS FLUOXETINE HCL LIQD FLUOXETINE HCL TABS FLUVOXAMINE MALEATE TABS LEXAPRO4 MIRTAZAPINE PAROXETINE 3 PAXIL CR 3 SERZONE TABS TRAZODONE HCL TABS WELLBUTRIN XL ZOLOFT2 5 6 ANTIDEPRESSANTS - TRICYCLICS * * * * * * * * SEDATIVE HYPNOTICS BARBITURATE AMITRIPTYLINE HCL TABS AVENTYL SOLN CLOMIPRAMINE HCL CAPS DESIPRAMINE HCL TABS DOXEPIN HCL IMIPRAMINE HCL TABS NORTRIPTYLINE HCL PROTRIPTYLINE HCL TABS SURMONTIL CAPS SEDATIVE HYPNOTICS BUTISOL SODIUM TABS CHLORAL HYDRATE SYRP MEBARAL TABS PHENOBARBITAL SEDATIVE HYPNOTICS BENZODIAZEPINES DORAL TABS ESTAZOLAM TABS DALMANE HALCION TABS Previous quantity limits still apply. Use PA Form # 30110 LUMINAL SOLN SECONAL CAPS SOMNOTE CAPS PA required for new users of preferred products if over 65 years old. Use PA Form # 30110 CYMBALTA5 EFFEXOR TABS EFFEXOR XR CP24 3, CELEXA DESYREL TABS FLUOXETINE 40 mg1 LUVOX TABS MAPROTILINE HCL TABS PAXIL PROZAC PROZAC CAPS PROZAC WEEKLY CPDR REMERON TABS SARAFEM CAPS TRAZODONE HCL 300mg TABS WELLBUTRIN TABS WELLBUTRIN SR TBCR REMERON SOLTAB TBDP AMOXAPINE TABS ANAFRANIL CAPS ELAVIL TABS NORPRAMIN TABS PAMELOR SINEQUAN TOFRANIL VIVACTIL TABS Use PA Form # 20420 5. Max daily dose allowed is 60mg, only 1 per day allowed for all strengths. Use PA Form # 20420 Special Kid 18yo Criteria for New Starters: Must have had fluoxetine trial for at least 30 days before accessing other preferred antidepressants without PA. * PA required for new starters if over 65 years old. Users over 65 years old are grandfathered and buy endep.
Drug Allergies: List the reaction to each medication, if known ; 1. 2. 3. Vi Smallpox Family Poxviridae, genus Orthopoxvirus, species Variola virus ; Characteristics: complex envelope and symmetry; genome is linear dsDNA; core contains DNA-dependent-RNA pol Replication: synthetically self-contained; replicates and assembles in cytoplasm; release by cell lysis Pathogenesis: humans only reservoir; transmission by aerosols or direct contact; replicates in reticuloendothelial tissue then disseminates to skin and mucous membranes Infections: variola major and minor Control prevention: no treatment cidofovir inhibits but not yet licensed vaccine Vaccinia virus ; Molluscum contagiosum virus Family Poxviridae, genus Molluscipoxvirus ; Characteristics: similar to other Poxviridae Replication: similar to other Poxviridae Pathogenesis: transmitted by direct contact; self-limiting wart-like cutaneous lesions occur Infections: Molluscum contagiosum Control prevention: no treatment cidofovir inhibits but not yet licensed ; Human Parvovirus B19 ; Family Parvoviridae, genus Erythrovirus ; Characteristics: smallest DNA virus; non-enveloped, icosahedral symmetry; ssDNA genome Replication: in nucleus Pathogenesis: aerosol or transplacental routes of infection; infects stem cells e.g. erythroid precursors requires mitotically active cells; humans only reservoir Infections: Erythema infectiosum 5th disease ; in children; mild disease in adults polyarthritis ; Control prevention: none Human Papillomavirus Family Papillomaviridae, genus Papillomavirus ; Characteristics: non-enveloped, icosahedral symmetry; circular dsDNA genome; no enzymatic activity Replication: in nucleus utilizing host enzymes Pathogenesis: the most common viral STD; transmission by direct contact lesions or inanimate objects long incubation; latent and productive infections occur; infection induces epithelial hyperplasia inhibits apoptosis ; Infections: Papillomas: cutaneous, head and neck, anogenital; cervical cancer Control prevention: chemicals, surgery, IFN" for genital infection, imiquimod.

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