Who would have thought?
Fifteen years ago, universal screening for human immunodeficiency virus would have been met with cries of discrimination and therapeutic nihilism, but not in 2007. Who would have thought?
B.F. MANDELL

Advances in treating insomnia
Hypnotic drugs should not be the sole treatment for insomnia: the regimen should include sleep hygiene and behavioral therapies.
K. BUDUR, C. RODRIGUEZ, and N. FOLDVARY-SCHAEFER

At what age should we discontinue colon cancer screening in the elderly?
In general, you should stop when you do not expect the patient to live 7 to 10 more years. However, the full answer is more complicated.
R. LOSEY and B.J. MESSINGER-RAPPORT

Recognizing and managing fibromuscular dysplasia
Many physicians consider fibromuscular dysplasia to be rare, but it is not that uncommon: it is simply often overlooked or misdiagnosed.
J.W. OLIN

An 18-year-old with effort-related arm swelling
A high school senior with a baseball scholarship presents with the acute onset of swelling in his nondominant arm. What is the most likely diagnosis and the most appropriate initial diagnostic test?
S. GOEL, D.G. CLAIR, and T.L. CARMAN

Managing varicella zoster infection in pregnancy
Varicella zoster virus infection can be serious for pregnant women and their babies, although it is rare. Fortunately, it is preventable by vaccination.
C. GARDELLA and Z.A. BROWN

HIV screening for all: The new standard of care
The US Centers for Disease Control and Prevention now recommends testing all patients age 13 to 64 years in all health care settings, using an "opt-out" rather than an "opt-in" approach. We urge physicians and health care systems to embrace these recommendations.
W.S. ARMSTRONG and A.J. TAEGE

Alendronate therapy is unnecessary for most women after 5 years

Dapsone gel is effective for acne vulgaris treatment

Presence of risk factors doesn't predict acute coronary syndrome

Letter to the Editor
Neuropathic pain (August 2006))