The medical care of the neovagina of transgender women: a review

Sexual Health ◽  
2017 ◽  
Vol 14 (5) ◽  
pp. 442 ◽  
Author(s):  
Vincent J. Cornelisse ◽  
Rosemary A. Jones ◽  
Christopher K. Fairley ◽  
Sonia R. Grover
Keyword(s):  
Medical Care ◽  
Medical Literature ◽  
Reproductive Organs ◽  
Transgender Women

For transgender women, genital adjustment surgery involves removal of the natal reproductive organs and creation of a neovagina, vulva and clitoris. We conducted a review of the medical literature in order to summarise the issues that can affect the health of the neovagina in the long term, and to make recommendations on how to manage these issues.

scholarly journals Review paper. Terminal lucidity

2017 ◽  
Vol 18 (1) ◽  
pp. 34-46 ◽  
Author(s):  
Boris Alejandro Chiriboga-Oleszczak
Keyword(s):  
Medical Care ◽  
Clinical Picture ◽  
Medical Literature ◽  
Review Paper ◽  
Life Experiences ◽  
Mental Functioning ◽  
Future Studies ◽  
Impending Death ◽  
Near Death Experiences

Abstract Terminal lucidity is a term used in the medical literature to determine the improvement of mental functioning shortly before death, even among patients with serious and long-term disorders. In 19th century, cases of mind clarity recovery shortly before death, were often recognized by doctors and interpreted as a sign of an impending death. In 20th century, the interest in this phenomenon decreased and then, virtually disappear. In recent years, on the wave of publications concerning near death experiences and related events such as the end of life experiences, papers about the improvement of mental functioning shortly before death, exponentially grew and got a new name, terminal lucidity. In this paper, an overview of the available literature is presented to outline the historical, phenomenological and clinical picture of this phenomenon and its possible implications for medical care and future studies.

scholarly journals Prescription Data Mining and the Protection of Patients' Interests

2010 ◽  
Vol 38 (1) ◽  
pp. 74-84 ◽  
Author(s):  
David Orentlicher
Keyword(s):  
Data Mining ◽  
Medical Care ◽  
Medical Literature ◽  
Direct Marketing ◽  
Pharmaceutical Companies ◽  
Prescription Data ◽  
Sales Representatives ◽  
Patient Health ◽  
Drug Detailing

Pharmaceutical companies have long relied on direct marketing of their drugs to physicians through one-on-one meetings with sales representatives. This practice of “detailing” is substantial in its costs and its number of participants. Every year, pharmaceutical companies spend billions of dollars on millions of visits to physicians by tens of thousands of sales representatives.Critics have argued that drug detailing results in sub-optimal prescribing decisions by physicians, compromising patient health and driving up spending on medical care. In this view, physicians often are unduly influenced both by marketing presentations that do not accurately reflect evidence from the medical literature and by the gifts that sales representatives deliver in conjunction with their presentations.

ADA Standards of Medical Care in Diabetes: implications for Older Adults

2020 ◽  
Vol 35 (6) ◽  
pp. 258-265
Author(s):  
Catherine E. Travis ◽  
Caren McHenry Martin
Keyword(s):  
Older Adults ◽  
Older People ◽  
Medical Care ◽  
Microvascular Complications ◽  
Cost Of Care ◽  
Individualized Treatment ◽  
Treatment Goals ◽  
Long Term Outcomes ◽  
New Literature

Each year, new literature and recommendations are incorporated into updates in the American Diabetes Association's Standards of Medical Care in Diabetes. The 2020 update increased the focus on the rising cost of care for diabetes, long-term outcomes of newer antihyperglycemics in reducing macrovascular and microvascular complications of diabetes, and the importance of individualized treatment goals. These principles are of particular significance when managing older people with diabetes. This article focuses on updates pertinent to care of the older people.

PRIMARY MEDICAL CARE AND MEDICAL RESEARCH TRAINING

PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 768-772
Author(s):  
David G. Nathan
Keyword(s):  
Child Health ◽  
Medical Research ◽  
Medical Care ◽  
Maternal And Child Health ◽  
Medical Literature ◽  
Research Training ◽  
Medical Center ◽  
Academic Programs ◽  
Primary Medical Care ◽  
And Child Health

Dr. Cicely Williams delivered a challenging Blackfan Lecture, reproduced elsewhere in this issue of the Journal,1 at the Children's Hospital Medical Center on May 30, 1973. It should be carefully studied by all pediatricians, and particularly by pediatricians involved in academic programs. Dr. Williams speaks with the experience and wisdom gathered during more than 50 years of service to the field of maternal and child health and with unimpeachable academic credentials. She first described kwashiorkor in the Western medical literature in 1931. Dr. Williams' message to academic pediatrics is loud and clear. It may be paraphrased in the following manner: "Be off," she states, "with your ultrascience, your superspecialists and your rapt attention to the few with so called interesting illnesses.

scholarly journals Monitoring Long-Term Cardiovascular Risk from Estrogen Use in Transgender Women - Evidence Update for Clinicians

2002 ◽  
Author(s):  
Keyword(s):  
Hormone Therapy ◽  
Female Gender ◽  
The United States ◽  
Transgender Women ◽  
Cardiovascular Risks ◽  
Psychological Benefits ◽  
Transgender People ◽  
New Information ◽  
Primary Care Clinicians

A PCORI-funded study provides new information for primary care clinicians about the need to monitor long-term cardiovascular risks in transgender women receiving hormone therapy. Approximately 1.4 million transgender people live in the United States. Many transgender women pursue medical transition with hormone therapy including estrogen to align their bodies with their female gender identity. Evidence suggests that medical transition confers significant psychological benefits including reduced depression, anxiety, and suicidality and improved quality of life. However, the risks of using estrogen, including cardiovascular risks, are not well understood. Recent evidence on these risks can help inform decisions and improve care for transgender women who are currently using or formerly used estrogen.

scholarly journals ADOLESCENT KNOWLEDGE LEVEL ABOUT CERVIC CANCER PREVENTION

2021 ◽  
Vol 1 (2) ◽  
pp. 191-196
Author(s):  
Henni Safrida Sitompul
Keyword(s):  
High School ◽  
Cervical Cancer ◽  
Cancer Prevention ◽  
Young Women ◽  
Reproductive Organs ◽  
Cervical Cancer Prevention ◽  
World Health ◽  
Level Of Knowledge ◽  
Health Organization

Cervical cancer is the most common cancer among women. Cervical cancer attacks the female reproductive organs and uterus. Every year thousands of women die from cervical cancer. Poor living habits can also cause outbreaks of cervical cancer, such as smoking, lack of nutrition, long-term use of oral contraceptives, sexual activity that is often among adolescents. The level of knowledge of young women about cervical cancer prevention in the MayjendSutoyo College Foundation Senior High School Medan. World Health Organization (WHO) states, currently cervical cancer is ranked among the various types of cancer that causes death in women in the world. Cervical cancer can be prevented by doing primary prevention and secondary prevention. This type of research is a descriptive study conducted. The population in this study were female students at the MayjendSutoyo College Foundation in Medan. A sample of 39 people were taken in total sampling. Data obtained using a questionnaire. The conclusion of the study is the level of knowledge of young women in the MayjendSutoyo Medan Foundation High School in the prevention of cervical cancer is still in the sufficient category.

scholarly journals Organization of Medical-Social Services for the Elderly Internally Displaced persons from the ATO Zones at the Level of Primary Medico-Sanitary Care

2021 ◽  
pp. 47-55
Author(s):  
Vera Chaykovska ◽  
Tatiyana Vialykh ◽  
Nataliya Velichko ◽  
Vadim Tolstikh ◽  
Svitlana Moskaliuk ◽  
...  
Keyword(s):  
Medical Care ◽  
Social Services ◽  
Social Protection ◽  
The Elderly ◽  
Psychological Characteristics ◽  
Term Care ◽  
Family Doctors ◽  
Internally Displaced ◽  
Health And Social Care

This paper is concerned with the organizationofmedical-socialservicesfortheelderly internally displaced personsfrom theATO zonesat the level of primary medico-sanitary aid.Sociologicalinvestigationsusingpersonal questionnairesandexperts’evaluationshave shown thatsocial-psychological characteristics oftheelderlyinternallydisplacedpersons(IDPs),Theirsocialadaptation, inadequatefinancingandlowlevelofmedico-socialcare,as well as their preferences make it necessary organize healthmonitoringsystem, treatment, rehabilitation and long-term care by family doctors, information centres, day-time stayand rehabilitation centres.WehavedevelopedthemodeloforganizingambulatoryservicesfortheelderlyIDPsat the level of primarymedico-socialcare(PMSC)that would include structural modernization and optimization of its optimal provision. Inouropinion, thismodelismostaccessibleandeconomicallygrounded. It allowsprovide interaction and co-operation of the professionals of health and social care institutions, optimization of standards and principles of medical care. Implementationofthismodelasmostaccessibleandeconomicallygroundedwould allowinteractionandcooperationoftheprofessionalsofhealthcareorganizationsandsocialprotectionsettings.Introductionofthismodel,asmostaccessibleandeconomicallygrounded,would allowensureinteractionandcooperationoftheprofessionalsofhealthcareand social protection institutions, optimizeobservation of the medical care standards and principles. Wehavedevelopedmethodologicalapproachesfortrainingthephysiciansandhealthcare-giversreceivingkeyknowledgeanddeveloping self-carehabitsfortheelderlyIDPsattheir homesconsideringtheirmedico-socialandpsychologicalneeds.

scholarly journals EVALUATION OF THE QUALITY OF PRIMARY MEDICAL ASSISTANCE TO PATIENTS WITH ECZEMA: STUDY OF THE SCOPE AND ASSESSMENT OF THE ADEQUACY OF TREATMENT AND PREVENTIVE MEASURES

2018 ◽  
Vol 18 (4) ◽  
pp. 80-83
Author(s):  
L.V. Cherkashyna
Keyword(s):  
Medical Care ◽  
General Practitioners ◽  
Preventive Measures ◽  
Term Care ◽  
Prophylactic Measures ◽  
Scientific Specialty ◽  
Chronic Eczema ◽  
Generalized Indicator

The development of general medical practice as a scientific specialty and practice and the structuring of medical care according to the levels of its delivery are characterized by shifting the emphasis on long-term care for patients with chronic dermatoses to the level of general practitioners. This paper describes the scope of treatment and prophylactic measures at the stage of primary medical care for 75 patients with eczema of different severity. It was revealed that the completeness of the use of non-medicated means in the period between the exacerbations of eczema prescribed by general practitioners was at the level of 56.1 ÷ 60.2% according to the generalized quality index and was characterized by insufficient use of autotraining techniques with elements of psychological correction in 76.7 ± 5,0%, herbal ointments in 72,7 ± 5,1%, as well as insufficient physiotherapeutic corrections in 57,3 ± 5,7%. Adequate use of pharmacological medicines prescribed by general practitioners for the periods between the exacerbation of eczema makes up 53,1 ÷ 53,9% according to the generalized indicator of quality and is characterized by low use of magnesium-containing products in 76,0 ± 4 9% of cases and adrenal gland stimulants in 74,7 ± 5,0% of cases, as well as detoxification agents (53,3 ± 5,8)% of cases.  The analysis of general indicators of the quality of therapeutic and prophylactic process in the periods between exacerbations of chronic eczema has shown that general practitioners prefer to prescribe non-medicinal means, underestimating the importance of using immunomodulatory drugs and vitamins (A, E, B and C).

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