The impact of physical illness on sexual dysfunction. Adv Psychosom Med. 2008;29:70-88 Authors: Clayton A, Ramamurthy S Sexuality is the ultimate union of mind and body. Sexual dysfunction is often the first manifestation of physical illness but is often not inquired about on routine review of symptoms. This is, in large part, due to the health care providers' lack of knowledge in diagnosis and treatment of sexual impairment as well as their discomfort with this sensitive topic. However, sexual well-being is an important determinant of quality of life and many medically ill patients find sexual intimacy to be an essential mode of communication with their partners. This chapter attempts to methodically delineate physical illnesses causing sexual dysfunction by organ system. Neurologic, endocrinologic, cardiovascular and pelvic illnesses are discussed as to their impact on sexual health. Diagnostic and established treatment strategies are also reviewed. Breast cancer, rheumatoid arthritis and psoriasis are touched upon. Although not a disease, pregnancy and its unique impact on sexuality is also discussed. Not only the disease itself but the treatment prescribed may also cause sexual impairment. Thus, a separate section on medications that impair sexual functioning is presented. A table of common medications as a quick reference to their effects on each stage of the sexual cycle is also provided. PMID: 18391558 [PubMed - in process] (Source: Advances in Psychosomatic Medicine)]]>Abc family launches 'cautionary' television series that addresses teen pregnancy ABC Family on Tuesday premiered a "cautionary" television series that plans to address issues including teenage pregnancy, and abstinence, the New York Times reports. The series was made in collaboration with the National Campaign To Prevent Teen and Unplanned Pregnancy (Stanley, New York Times, 7/1). (Source: Health News from Medical News Today) Development of an educational/support group for pregnant women in prison. Related Articles | | ||||||||||||||||||||||||||
Development of an educational/support group for pregnant women in prison.
J Forensic Nurs. 2008;4(2):55-60
Authors: Ferszt GG, Erickson-Owens DA
It is estimated that 6-10% of women are pregnant when they enter the prison system. The majority have had little, if any, prenatal care and/or childbirth education. Given economic constraints, the educational and support needs of this population are often not met. In response to these needs, an educational/support group was developed and led by a social worker, a mental health clinical nurse specialist, and a nurse midwife in a women's correctional facility in the Northeast. Women in various stages of pregnancy and early postpartum voluntarily attended. The need for education and psychosocial support was overwhelming. This group fostered a safe space for women to discuss real-life issues in a supportive environment. Meeting the educational and support needs of incarcerated women is paramount.
PMID: 18522603 [PubMed - in process]
(Source: Journal of Forensic Nursing)]]>
Pregnancy, childbirth, and mothering: A forensic nursing response.
J Forensic Nurs. 2008;4(2):53-4
Authors: Peternelj-Taylor C
PMID: 18522602 [PubMed - in process]
(Source: Journal of Forensic Nursing)]]>Epidemiology of chronic venous disease.
Phlebology. 2008;23(3):103-11
Authors: Robertson L, Evans C, Fowkes FG
Chronic venous disease of the legs occurs commonly in the general population in the Western world. Estimates of the prevalence of varicose veins vary widely from 2-56% in men and from 1-60% in women. These variations reflect differences in variability of study populations including age, race and gender, methods of measurement and disease definition. Definitions of chronic venous disease may rely on reports of varicose veins by study participants, based on self-diagnosis or recall of a diagnosis, or on a standardized physical examination. Venous ulceration is less common, affecting approximately 0.3% of the adult population. Age and pregnancy have been established as risk factors for developing varicose veins. Evidence on other risk factors for venous disease is inconclusive. Prolonged standing has been proposed, but results of studies should be interpreted with caution given the difficulty in measuring levels of posture. Obesity has been suggested as a risk factor in women, but appears to be an aggravating factor rather than a primary cause. Other postulated risk factors include dietary intake and smoking, but evidence is lacking. Longitudinal studies using standardized methods of evaluation are required before the true incidence of chronic venous disease and associated risk factors can be determined.
PMID: 18467617 [PubMed - in process]
(Source: Phlebology)]]>Harm-reduction for unwanted pregnancies and unwanted addictions: an instructive analogy.
Adicciones. 2008;20(1):5-13
Authors: Brewer C
Addiction treatment aims to reduce the harm that addiction causes to individuals and society. However, many clinics, especially in the private sector, have ideological objections to using medico-pharmacological treatments and are often critical of other services that do offer pharmacological treatments. This situation contrasts sharply with the attitude of family planning (FP) clinics, even though they too aim to reduce harm. Ironically, the most anti-pharmacological clinics are often those which proclaim most loudly that addiction is a 'disease', while avoiding unwanted pregnancy, which is not usually seen as a disease, is widely and effectively achieved with medical techniques. FP clinics typically consider widely varying patterns of sexual behaviour, social contexts and patient attitudes in devising individual treatment plans, while addiction clinics commonly have a one-size-fits-all, take-it-or-leave- it approach. Addiction services could learn some useful clinical and ideological lessons from FP clinics.
PMID: 18299776 [PubMed - indexed for MEDLINE]
(Source: Adicciones)]]>|
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