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Kick Analysis Comparing Male And Female Athletes May Help Treat And Prevent Injuries
As soccer continues to grow in popularity, injuries to soccer players are likely to increase as well. Certain injuries fall into gender-based patterns and new research at Hospital for Special Surgery suggests some underlying causes that could help lead to better treatment, or even prevention for present and future soccer stars.
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Thai HIV/AIDS Advocates Urge Increased Treatment Access For IDUs
The Thai AIDS Treatment Action Group recently called on the country to launch a comprehensive harm reduction program for injection drug users in an effort to help curb the spread of HIV, Thailand"s The Nation reports. According to the group, many IDUs are unable to access drug treatment and substation therapy because of the stigma surrounding drug use in the country. Karyn Kaplan, director of development and policy for the group, said, "Health care workers have denied many injecting drug users access to an antiviral drug and the use of methadone." Public Health Minister Witthaya Kaewparadai recently announced that the country"s harm reduction programs have helped to curb the spread of HIV among IDUs, adding that local substitution programs have reduced the number of HIV-positive IDUs and that the country needs increased support from UNAIDS for such efforts. TTAG called for the government to provide prevention and treatment options, such as substitution therapy and needle-exchange programs. The Nation reports that methadone treatment is offered at hospitals across the country as part of the national health care scheme, but many health care workers refuse to administer treatment. In addition, government treatment is offered for 45 days. Kaplan said that the government should revise its policy regarding treatment access for IDUs, as a majority of IDUs are incarcerated and living with HIV or hepatitis-C without treatment access. She called on the government to "implement the international standards of medical treatment for [IDUs], without discrimination and human rights violations" (The Nation, 5/27).
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Classification Methods For Identifying The Neural Characterics Of Antidepressant Treatment
Depression is a major public health problem, and one of the most important challenges for psychiatrists is to determine whether an individual with depression should receive cognitive-behavioral therapy or treatment with antidepressant medication. A study by researchers from Emory University, presented at the Annual Meeting of the Organization for Human Brain Mapping in San Francisco, used brain imaging along with sophisticated statistical techniques to examine the differences in brain function that result from these two different kinds of treatment. Forty individuals with depression were scanned with magnetic resonance imaging after undergoing cognitive behavioral therapy or antidepressant therapy. The researchers found that they could distinguish the brain activity of individuals undergoing the two different treatments, and in particular that the two treatments differently affected the communication of the brain areas that are thought to play a role in depression, including the communication between the prefrontal cortex and the nucleus accumbens, and between the subgenual cingulate and the thalamus. The results provide a basis for future research that will try to predict which individuals will benefit from different treatments for depression.
Cardiovascular

Chronic Pelvic Pain Syndromes: Clinical, Urodynamic, And Urothelial Observations

UroToday.com - Patients with pain can present with various symptom complexes that include interstitial cystitis, vulvodynia, irritable bowel syndrome, myofascial pain or various causes of dyspareunia but when carefully evaluated, the majority have very similar findings. No matter what their primary complaint might be over 70% of patients will have hypertonic pelvic floor dysfunction and/or pain as well as a component of at least one visceral pain syndrome such as interstitial cystitis (the most common), chronic pelvic pain or irritable bowel syndrome. Given what we know about visceral pain syndromes it should not surprise us that the majority of patients with chronic pain have multiple pain generators and we must aggressively look for each of these pain generators. It is only through the identification and treatment of each of these pain generators that we can expect to down regulate the dorsal horn and help these patients and their allodynic manifestations of their pain disorders. This study points out that therapeutic anesthetic cocktails are very helpful in the majority of patients no matter what their chief complaint would be thus the urothelium must be evaluated as a possible pain generator in the majority of our patients with pelvic pain. Finally, the clinician must be aware that five to ten percent of patients that present with urinary incontinence or pelvic organ prolapse may also have a chronic pain disorder that must be identified and treated prior to any surgical intervention. Many of our patients learn to accept chronic pain, pain with intercourse, or urinary frequency because they have had these problems for many years so that when they present with a problem such as stress incontinence or prolapse their pain disorder will often be overlooked unless this unfortunate patient has a postoperative exacerbation of her pain problems. Written by Charles W. Butrick, MD as part of Beyond the Abstract on UroToday.com UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice. To access the latest urology news releases from UroToday, go to: www.urotoday.com Copyright © 2009 - UroToday


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