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  • January 18, 2018 12:08 PM | Ashley Monson (Administrator)

    Hormones play a major role in how the body works, and when they get off track, it can cause a variety of problems. CLICK HERE to learn more about these symptoms you may see in your patients

  • January 12, 2018 8:51 AM | Ashley Monson (Administrator)

    Tips for how to take a sexual history
    Medscape
    The recent Centers for Disease Control and Prevention (CDC) report on sexually transmitted diseases (STDs) for 2016 showed increased incidence for the third consecutive year. National totals included 1.59 million cases of chlamydia (4.7 percent increase), 468,514 cases of gonorrhea (18.5 percent increase), and 27,814 cases of primary and secondary syphilis (17.6 percent increase), with an alarming 27.6 percent rate increase in congenital syphilis cases. The dramatic rise of these diseases is a cue for clinicians to better understand patient sexual practices and preferences

  • January 12, 2018 7:58 AM | Ashley Monson (Administrator)

    By KYLI RODRIGUEZ-CAYRO

    2 days ago 


    Most of us winced our way through sex education classes some time in middle school, or early high school. Sure, most teachers gave us the bare basics on how to use condoms or identify STI symptoms, but do you remember learning anything about dental dams? Or about safe sex between people of the same gender? According to a new study, sex education for lesbian and bisexual girlsisn't giving them the information they need to have safe sex, and it shows how much more inclusive sex ed needs to be.

    The research, originally published in the Journal of Adolescent Health, was conducted by researchers at the Center for Innovative Public Health Research(CiPHR) in collaboration with professors from the University of British Columbia, and the City University of New York. Through an online focus group, 160 bisexual girls and lesbians in the United States were polled on sex education. Unfortunately, the study revealed these queer teens did not have the proper knowledge to practice safe sex, or protect themselves from STIs.

    One of the study’s authors and Managing Director of the Stigma and Resilience Among Vulnerable Youth Centre, Dr. Jennifer Wolowic, said in a press releasethat the researchers were taken aback by the study participants “overall lack of knowledge when it came to safe sex practices with female partners.” The study revealed a large barrier in receiving proper sex education for bisexual girls and lesbians was the heteronormative language and lesson plans. Meaning, most of the information taught was geared towards the study participants’ straight peers. Dr. Wolowic also said even when the bisexual girls and lesbians asked questions, they reported to the researchers they felt “uncomfortable” about the major focus on heterosexual intercourse.

    "Young people need accurate sexual health information, but sex education has traditionally focused on heterosexual sex," Dr. Elizabeth Saewyc, Director of the University of British Columbia School of Nursing and one of the study’s authors, explained in the press release. “Our findings suggest we need to create more inclusive curriculum to help lesbian and bisexual girls have the knowledge they need to make healthy sexual decisions.”

    The focus on heteronormative sex has dangerous consequences for bisexual girls and lesbians: The study found that these girls had an increased risk of contracting a sexually transmitted infection (STI) than straight peers. Majority of the 160 girls polled reported they would not use regularly use a dental dam — aka, a vaginal and sometime anal condom — due to a lack of education, or fear it would dampen the mood (and their pleasure) during sexual activities.

    "Participants told us, they 'literally had never heard of dental dams,' or thought STIs weren't a concern when having sex with girls. Of those who knew about protective barriers, many said using protection made sex awkward or less pleasurable, and so they left them out during sex,” Dr. Wolowic told EurekAlert.

    Moreover, the bisexual girls and lesbians who participated in the study largely agreed that getting tested for STIs was important, but trusted female partners more implicitly about being “clean,” or free of STIs. In fact, previous studiesrevealed bisexual girls and lesbians were more likely to contract certain STIs such as herpes simplex virus type 2 (aka, HSV-2, or genital herpes).

    Conclusively, the study highlights the need to improve sex education for bisexual girls and lesbians across the U.S. — especially the need to equip queer people with the information they need to have sex safely. “[Bisexual girls and lesbians] need to know that there are sexy ways to use barriers, that they can make dental dams out of condoms if needed, and that they can get STIs having sex with other girls," Dr. Michele Ybarra, the Research Director at CiPHR and the lead author of the study, said in the press release.

    With a 2016 survey estimating only 48 percent of teenagers from ages 13 to 20 identify as straight, making sex education less heteronormative and more inclusive of LGBTQ teens is more important than ever before. Teenagers, both straight and queer, should be equipped with the knowledge to prevent them from getting STIs, and unwanted pregnancies. Inclusive and comprehensive sex education should not be a privilege, but a necessary part of helping teenagers make healthier and happier decisions.  


  • January 11, 2018 8:37 AM | Ashley Monson (Administrator)

    In the first study of its kind, researchers from the Icahn School of Medicine at Mount Sinai found an elevated rate of language delay in girls at 30 months old born to mothers who used acetaminophen during pregnancy, but not in boys.

    The study will be published online January 10 at 3:28 am EST in European Psychiatry.This is the first study to examine  in relation to  levels in urine.

    The Swedish Environmental Longitudinal, Mother and Child, Asthma and Allergy study (SELMA) provided data for the research. Information was gathered from 754 women who were enrolled into the study in weeks 8-13 of their pregnancy. Researchers asked participants to report the number of acetaminophen tablets they had taken between conception and enrollment, and tested the acetaminophen concentration in their urine at enrollment. The frequency of , defined as the use of fewer than 50 words, was measured by both a nurse's assessment and a follow-up questionnaire filled out by participants about their child's  milestones at 30 months.

    Acetaminophen was used by 59 percent of the women in early pregnancy. Acetaminophen use was quantified in two ways: High use vs. no use analysis used women who did not report any use as the comparison group. For the , the top quartile of exposure was compared to the lowest quartile.

    Language delay was seen in 10 percent of all the children in the study, with greater delays in boys than girls overall. However, girls born to mothers with higher exposure—those who took acetaminophen more than six times in early pregnancy—were nearly six times more likely to have language delay than girls born to mothers who did not take acetaminophen. These results are consistent with studies reporting decreased IQ and increased communication problems in children born to mothers who used more acetaminophen during pregnancy.

    Both the number of tablets and concentration in urine were associated with a significant increase in language  in girls, and a slight but not significant decrease in boys. Overall, the results suggest that acetaminophen use in pregnancy results in a loss of the well-recognized female advantage in language development in early childhood.

    The SELMA study will follow the children and re-examine language development at seven years.

    Acetaminophen, also known as paracetamol, is the active ingredient in Tylenol and hundreds of over-the-counter and prescription medicines. It is commonly prescribed during pregnancy to relieve pain and fever. An estimated 65 percent of  in the United States use the drug, according to the U.S. Centers for Disease Control and Prevention.?

    "Given the prevalence of prenatal acetaminophen use and the importance of language development, our findings, if replicated, suggest that pregnant women should limit their use of this analgesic during ," said the study's senior author, Shanna Swan, PhD, Professor of Environmental and Public Health at the Icahn School of Medicine at Mount Sinai. "It's important for us to look at language development because it has shown to be predictive of other neurodevelopmental problems in children."

    Explore further: Is acetaminophen use when pregnant associated with kids' behavioral problems?



  • January 10, 2018 8:55 AM | Ashley Monson (Administrator)

    By Dennis Thompson

    HealthDay Reporter

    TUESDAY, Jan. 9, 2018 (HealthDay News) -- Breakthroughs in breast cancer screening and treatment have slashed the percentage of women dying from the disease, a new analysis reveals.

    "Advances in screening and treatment are saving lives," said lead researcher Sylvia Plevritis, a professor of radiology and biomedical data science at the Stanford University School of Medicine. "Here's an example that all this investment in research and discovery has had a real benefit. This has translated into making a difference."

    Screening and treatment reduced breast cancer deaths by 49 percent in 2012, compared with a 37 percent reduction in 2000, according to the study.

    Treatments that target specific types of breast cancer have generated the most scientific advancement and, as such, have taken a larger role in saving lives, the researchers found.

    Better cancer treatments accounted for 63 percent of the reduction in breast cancer deaths in 2012, compared with 37 percent due to early detection of cancer through screening, the study findings showed.

    Back in 2000, treatment and screening were of equal importance, splitting 50-50 the lives saved from breast cancer, the researchers said.

    Hormone therapy now is available to counter breast cancers spurred by estrogen, while the targeted drug Herceptin (trastuzumab) has been a wonder in treating breast cancers caused by genetic abnormalities, explained Dr. Len Lichtenfeld, deputy chief medical officer for the American Cancer Society.

    These new treatments, combined with improvements in traditional chemotherapy, are helping more women beat breast cancer, Lichtenfeld said.

    The greatest advance in breast cancer screening during the same period was the move to digital mammography, which produces cleaner and better images, he added.

    "For the period between 2000 and 2012, there were some advances made in the technology for screening for breast cancer, but there was greater impact made by treatment," Lichtenfeld said.

    For the study, Plevritis and her colleagues fed breast cancer monitoring data into a series of six different computer simulations.

    Each simulation estimated what the death rate would have been in a given year between 2000 and 2012 without the availability of state-of-the-art screening and treatment, and how much each contributed to the reduction in deaths, Plevritis said.

    The computer analysis also looked at how much reduction had taken place within different subtypes of breast cancer.

    For example, treatment accounts for about 69 percent of the lives saved in women with cancers driven by both estrogen and genetic abnormalities, while screening is associated with only 31 percent of the mortality decline, the investigators said.

    On the other hand, screening still plays a large role in saving the lives of women with so-called "triple-negative" breast cancer, which is not driven by either hormones or genetics. Triple-negative cancers account for about 12 percent of all breast cancer cases, but are nearly twice as common in black women than white women, according to the American Cancer Society.

    About 48 percent of the decline in deaths due to triple-negative breast cancer can be chalked up to screening and 52 percent to treatment, similar to the split found in 2000, the researchers said.

    "Mammography is an important contributor to the reduction in breast cancer mortality," Plevritis said. "But the overall benefit is greater largely because of the advances in treatment."

    Screening remains important because breast cancers detected early are easier to treat, said Dr. Daniel Hayes, clinical director of the University of Michigan breast oncology program.

    "Early detection makes the systemic treatment better as well," said Hayes, who's also immediate past president of the American Society of Clinical Oncology. "Most of us who take care of patients still believe rational screening programs are good public health policy. No matter what kind of cancer you have, detecting it early with screening and then treating it substantially reduces your risk of dying from it," he added.

    According to Lichtenfeld, "These computer models clearly show that mammography reduces mortality from breast cancer and has made a significant contribution over time. We should not take the message that everything's about treatment. That's not the right message."

    The study findings were published Jan. 9 in the Journal of the American Medical Association.

    More information

    For more on breast cancer, visit the American Cancer Society.

    SOURCES: Sylvia Plevritis, Ph.D., professor, radiology and biomedical data science, Stanford University School of Medicine, Stanford, Calif.; Len Lichtenfeld, M.D., deputy chief medical officer, American Cancer Society; Daniel Hayes, M.D., clinical director, breast oncology program, University of Michigan, and immediate past president, American Society of Clinical Oncology; Jan. 9, 2018, Journal of the American Medical Association

    Last Updated: Jan 9, 2018

    Copyright © 2018 HealthDay. All rights reserved.


  • January 03, 2018 8:41 AM | Ashley Monson (Administrator)

    January is National Cervical Cancer Awareness Month. Complete this six-module curriculum to learn more about cervical and other gynecologic cancers. Learn the risk factors, symptoms, and prevention strategies as well as screening guidelines and HPV vaccination recommendations. Earn free CE.

    Learn more

  • January 02, 2018 10:10 AM | Ashley Monson (Administrator)

    APAOG WEBINAR: TODAY’S LONG-ACTING REVERSIBLE CONTRACEPTION PRACTICAL CONSIDERATIONS

    Tuesday, January 23, 2018
    5PM PT/7PM CT/8PM ET 

    Registration - Link

    • APAOG Member - $0.00
    • Non-Member – $50.00

    APAOG Members, be sure you are logged in to see the member rate.

    Title: Today’s Long-Acting Reversible Contraception Practical Considerations

    Speaker: Nisha McKenzie PA-C, IF, CSC

    Objectives:

    • Equip PAs with guideline and evidence-based knowledge on several forms of birth control methods
    • Review relevant safety and efficacy data on several forms of birth control methods
    • Explore common concerns and priorities related to Long Acting Reversible Contraception (LARC) that apply to women in various life stages


  • December 21, 2017 9:03 AM | Ashley Monson (Administrator)

    December 20, 2017, University of Leeds

    Read full article here

    Scientists are using the latest imaging techniques usually used to map the brain to try and understand why some pregnant women miscarry or go into early labour.

    They have developed 3D images of the cervix, the load bearing organ which lies at the base of the womb and stops a developing baby from descending into the birth canal before the due date.

    Around a quarter of miscarriages during the fourth to sixth month of pregnancy (mid-trimester) occur because of weaknesses in the cervix.

    The researchers at the University of Leeds hope by developing a detailed image of its structure, they can develop ways of monitoring women for signs of potential problems before they become pregnant.

    Mr Nigel Simpson, Associate Professor in Obstetrics and Gynaecology, said: "Ultrasound monitoring is used to identify women at risk - where their cervix is unable to support the pregnancy. But little is known about why that problem develops.

    "This research is attempting to answer that question."

    MRI techniques were used to create 3D images of the cervix. This is the first time extremely high resolution imaging has been used to understand the detailed micro-structure of this organ.

    The research is published in the international obstetrics and gynaecology journal, BJOG.

    James Nott, from the Faculty of Medicine and Health and lead author, said: "A lot of our understanding of the biology of the cervix is rooted in research carried out 50 years ago.

    "By applying the imaging techniques that have been used on the brain, we can get a much clearer understanding of the tissue architecture that gives the cervix its unique biomechanical properties."

    The images reveal a fibrous structure running along the upper part of the cervix. The fibres are much more pronounced near to where it joins the womb. The fibres are made of collagen and smooth muscle and form a ring around the upper aspect of the cervical canal.

    During pregnancy, these fibres provide a strong supporting barrier - keeping the foetus and amniotic sac in place and preventing micro-organisms from entering the uterus.

    The images reveal that these support tissues are less prominent further down the cervix as it joins the birth canal.

    During labour, the body releases chemicals which result in the cervix opening and allowing the baby to enter the birth canal.

    But there are medical conditions where earlier in the pregnancy, the cervix fails to support the baby, leading to a miscarriage or premature birth.

    Mr Simpson said: "This study's findings have encouraged us to explore new imaging techniques to check the integrity of these fibres before or during pregnancy in order to identify at-risk mums, intervene earlier, and so prevent late pregnancy loss and pre-term birth."

    The study was funded by Cerebra, the charity for children with brain conditions.

    The scientists used diffusion tensor MRI, which is a technology that can remotely sense different types of tissue based on their water content.

     Explore further: Cervical device may help lower preemie birth risk

    More information: JP Nott et al, Diffusion tensor imaging determines three-dimensional architecture of human cervix: a cross-sectional study, BJOG: An International Journal of Obstetrics & Gynaecology (2017). DOI: 10.1111/1471-0528.15002

    Provided by: University of Leeds  


  • December 18, 2017 9:10 AM | Ashley Monson (Administrator)

    AAPA
    Share your original research with the PA community — submit a proposal today for the ePoster Sessions at AAPA 2018, May 19-23, in New Orleans. Open to both PAs and PA student researchers, research must be about the PA profession or PA education, or conducted by PAs and/or PA students. Deadline is Dec. 31

    https://survey.aapa.org/s3/ePoster?s=medwatch_article

  • December 13, 2017 7:22 AM | Ashley Monson (Administrator)

    12/12/2017

    December 12, 2017 The U.S. Preventive Services Task Force released today a final recommendation statement on hormone therapy for the primary prevention of chronic conditions in postmenopausal women. The Task Force recommends against hormone therapy for preventing chronic conditions in women who have gone through menopause, as the benefits do not outweigh the harms. To view the recommendation and the evidence on which it is based, please go to https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/menopausal-hormone-therapy-preventive-medication1. The final recommendation statement can also be found in the December 12, 2017 online issue of JAMA.

     

     


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