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From the Editor

From the Editor – October/November 2011

Welcome to the readership of Kentucky Doc magazine. A few months ago I was asked to assume
the editor’s position of this journal as the publishers attempt to take the publication to a new level in the quality of its articles. As a practicing physician who has been involved in medical research and education, it is my desire for Kentucky Doc to provide you with the latest scientific and medically-related information possible so that you can apply the content to your individual practice of medicine. This publication is mailed to all licensed physicians as well as most office managers and executives in our central Kentucky health-care industry. It is my hope that you will not only read the material yourself, but will make it available to your patients as well.

Kentucky Doc is distributed to health-care providers, while its sister publications, Health&Wellness and Living Well 50-plus are distributed to lay persons. Many of the articles that are published in this journal
will also appear in lay format in the other magazines.

It is my plan to turn Kentucky Doc into a much more thematic style publication giving stronger emphasis on important issues in today’s health-care industry. Contributions will be made by some of the leading medical-care providers in our region as well as national experts.

In this issue we will focus on infectious diseases and related public health concerns. Bacterial resistance, particularly the rapid development of chromosomal and plasmid-mediated resistance to antibiotics is a major public health concern nationally and internationally. With restriction in research dollars, it is difficult for pharmaceutical companies to keep up with the demand for newer antibiotics and anti-viral agents to treat these resistant infections. You will read about the increasing prevalence of Clostridium difficile, Methicillin-resistant Staphylococcus aureus, and multi-drug resistant tuberculosis, including the increase in community-acquired acquisition of the former two organisms.

Emerging viral pathogens are a major focus of infection control. In my field Human Papilloma virus
is the cause of cervical cancer and a leading cause of cancers of the vagina, vulva, penis, and anus as well as the etiologic agent in 35% of oro-pharyngeal cancer and head and neck cancers. Even politicians are getting into the debate about immunization against this organism. The appropriate use of vaccines, especially with the influenza season upon us is a point of discussion once again.

I hope you will enjoy the new format for Kentucky Doc and will benefit from its content. Please let me know if there are areas that you would like to see covered by our authors. It is my hope that you will be better informed so that together we can provide quality care to the citizens of Kentucky!

– W. David Hager, M.D., FACOG



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