{"title":"HPV triage of patients with ASCUS cervical pap smears","authors":"Tyler O. Kirby M.D., Warner K. HuhM.D.","doi":"10.1016/j.sram.2004.07.009","DOIUrl":"10.1016/j.sram.2004.07.009","url":null,"abstract":"<div><p><span><span><span>Reliable, affordable human papilloma virus (HPV) testing makes this an excellent screening tool for triage management of </span>ASCUS </span>Pap smears<span> and detection of cervical dysplasia. Major randomized trials show that reflex HPV testing with hybrid capture is at least as effective and cheaper than repeat </span></span>cytology<span> for evaluation of an ASCUS Pap. It avoids about 50% of colposcopies that would normally be performed if immediate colposcopy were done for all ASCUS Paps, while retaining excellent negative predictive value. High-risk HPV testing is the desirable strategy for women over 30, as long as there is reasonable follow-up.</span></p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 146-153"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124676735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical changes in continuing medical education: Gifts to physicians from industry","authors":"Julia V. Johnson M.D.","doi":"10.1016/j.sram.2004.07.001","DOIUrl":"10.1016/j.sram.2004.07.001","url":null,"abstract":"<div><p>Last year the Office of Inspector General of the US Department of Health and Human Services published detailed regulations regarding the appropriate interactions between physicians and the pharmaceutical industry. Fortunately, the American Medical Association (AMA), through an ethics subcommittee, has developed a succinct opinion statement for physicians to use to determine appropriate gifts and continuing medical education sponsored by industry. This article clarifies the regulations, reviews the history behind the governmental rules, lists the seven guidelines published by the AMA, and directs physicians to additional information on this topic.</p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 135-138"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125853885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andi Stern M. Ac., Dipl. Ac. (Licensed Acupuncturist)
{"title":"Acupuncture: Ancient and current health care","authors":"Andi Stern M. Ac., Dipl. Ac. (Licensed Acupuncturist)","doi":"10.1016/j.sram.2004.07.007","DOIUrl":"10.1016/j.sram.2004.07.007","url":null,"abstract":"<div><p><span><figure><span><img><ol><li><span>Download : <span>Download full-size image</span></span></li></ol></span></figure></span><span>Acupuncture has been used in China for millennia and continues to be used there today as mainstream medicine. Acupuncture works by affecting the body's </span><em>qi</em>, or energy-flow system. Needles unblock the flow of <em>qi</em><span> to relieve pain or to affect the energetic function of the organs improving their physical function and relieving symptoms. Both the NIH and WHO have conducted meta-analyses of the scientific literature and released consensus statements discussing the physiological changes that occur during acupuncture as well as conditions for which they deem acupuncture effective. A number of infertility studies with promising results have been performed. Alternative medical therapies, including acupuncture, are widely accepted by the American public.</span></p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 163-168"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126499218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wyeth: The leader in women's health—yesterday, today, and tomorrow","authors":"Michael Dey Ph.D., Ginger D. Constantine M.D.","doi":"10.1016/j.sram.2004.07.012","DOIUrl":"https://doi.org/10.1016/j.sram.2004.07.012","url":null,"abstract":"<div><p><em>Forward looking statement\u0000This article includes statements of historical fact as well as projections about the future. Projections about the future are based on the best information available today, but involve significant risks and uncertainties. In the pharmaceutical industry, few products move successfully through all three stages of clinical development, and fewer still achieve regulatory approval. Also, some of the uses for which a product is investigated may not be supported by the clinical data, and/or may not be approved by the regulatory authorities. Therefore, there is no guarantee that pharmaceutical products in development will be approved as projected and introduced commercially. Wyeth Pharmaceuticals (“the Company”) assumes no obligation to update the projections in this article. Individuals are advised to refer to the statements filed by the Company with the Securities and Exchange Commission for the most current information.</em></p><p><span>As the leader in women's health care for more than 60 years, Wyeth remains committed to developing new and innovative treatments and improving the lives of women worldwide. Wyeth's Women's Health Research Institute</span><sup>®</sup><span><span><span> is the only institute in the pharmaceutical industry dedicated solely to research in women's health. The strength of Wyeth's commitment to research and development is evident in its participation in landmark clinical trials and in the depth and breadth of its current and future products. Recently launched products include low-dose conjugated estrogens<span> (CE) and low-dose CE/medroxyprogesterone acetate (MPA) postmenopausal hormone therapies. Wyeth's goal is to develop new products that offer clear clinical advantages over existing therapies in terms of product safety and/or efficacy. The pipeline of women's health products includes several innovative products that have the potential to be either first-in-class or best-in-class. The future product pipeline includes a non-hormonal option for the treatment of hot flushes, a </span></span>selective estrogen receptor modulator<span> (SERM) for the prevention and treatment of osteoporosis, a new drug paradigm that combines a SERM with conjugated estrogens (CE) for the treatment of conditions related to the menopause, and oral contraceptives (OCs), including a low-dose continuous regimen and the first non-steroidal formulation. Many other innovative women's health products are in earlier stages of development, including a novel treatment for </span></span>endometriosis.</span></p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 181-184"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92062249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine Marin DeUgarte M.D. , Laura Berman Ph.D. , Jennifer Berman M.D.
{"title":"Female sexual dysfunction—from diagnosis to treatment","authors":"Catherine Marin DeUgarte M.D. , Laura Berman Ph.D. , Jennifer Berman M.D.","doi":"10.1016/j.sram.2004.07.002","DOIUrl":"10.1016/j.sram.2004.07.002","url":null,"abstract":"<div><p>This paper defines female sexual dysfunction, its classification and incidence, and discusses several available treatments.</p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 139-145"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124689478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Counseling perimenopausal women","authors":"Rosemary Theroux RNC, PhD","doi":"10.1016/j.sram.2004.07.006","DOIUrl":"10.1016/j.sram.2004.07.006","url":null,"abstract":"<div><p>Provision of accurate and understandable information by health care providers is critical in order for perimenopausal women to make informed decisions about hormonal and nonprescription remedies. Influences on these decisions include both external information and internal individual factors. It is important to understand the individual's needs and priorities when providing counseling.</p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 176-180"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123244441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Yoga, Meditation, and a Yogic Lifestyle Can Help Women Meet the Challenges of Perimenopause and Menopause","authors":"Hari Kaur Khalsa R.Y.T.","doi":"10.1016/j.sram.2004.07.011","DOIUrl":"https://doi.org/10.1016/j.sram.2004.07.011","url":null,"abstract":"<div><p>This article will present how yoga exercises, yoga meditation techniques, and a yogic/holistic approach to menopause can help women ease their symptoms, get effective assistance from their doctors, and find support in their communities during this physical, psychological, and spiritual transition.</p></div>","PeriodicalId":89480,"journal":{"name":"Sexuality, reproduction & menopause","volume":"2 3","pages":"Pages 169-175"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sram.2004.07.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92012964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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