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Partner Issues Significantly Influence Women's Sexual Activity In Later Years, UCSF Study Shows
As a woman gets older, physical problems are less likely to influence whether she is sexually active than her partner"s health or interest in sex, according to a new study by researchers at the University of California, San Francisco and Kaiser Permanente.
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FDA Seeks Public Input On Tobacco Regulation
The U.S. Food and Drug Administration announced that it is seeking public input on the implementation of its historic new authority overseeing tobacco products in the United States. In a Federal Register notice, the agency invites the public to provide information and share views on a wide range of topics, from product content to advertising and marketing. All public comments will be posted online.
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Opinion Piece Criticizes Winfrey For 'Unbalanced' Medical Advice On Hormone Replacement Therapy
Oprah Winfrey "has scored good ratings with her health episodes" of her television show, but "in doing so, she seems to have thrown therapeutic caution to the wind," such as on her shows featuring actress Suzanne Somers" opinions on bioidentical hormone replacement therapy, Salon contributor and physician Rahul Parikh writes in an opinion piece. Somers, while advocating for the use of bioidentical HRT as a safe alternative to traditional HRT for postmenopausal women, said she used "mega-doses of bioidenticals continuously and aggressively," according to Parikh. Parikh writes that Somers, on television and in her 2007 book, "argues that these hormones are more natural, more effective and safer than what doctors prescribe." According to Parikh, "In reality, ...÷ there are no good medical studies to back up those claims."Parikh says that although "what Somers was advocating was radically different from standards of medical care," Winfrey "was not concerned" and even said that Somers ""might be a pioneer,"" Parikh continues. Winfrey billed the episode as part of a ""great debate"" on hormone therapy, but she "didn"t ask about whether [Somers"] super-hormone regimen could have contributed to Somers" history of breast cancer"; "her hysterectomy, the result of pre-cancerous changes in her uterus from her use of HRT"; or the "validity of Somers" book"s s, many of whom are neither experts in women"s health or endocrinology, nor board-certified physicians, nor experienced researchers," Parikh states. He adds, "It"s not that Winfrey doesn"t try to maintain medical credibility in her shows," but "her efforts seem subpar," noting that her show "reaches millions of people, while each doctor can reach only one patient at a time." Parikh concludes, "That could easily be corrected by Winfrey providing more thought and balance in her medical advice" (Parikh, Salon, 5/15).
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Health Care Providers Need Res And Support To Help Female Victims Of Abuse, According To Pitt Study

Health professionals are required to provide help for victims of intimate partner violence (IPV), yet many do not even discuss the issue with their patients, according to a University of Pittsburgh study in the current issue of Violence and Victims. Led by Judy C. Chang, M.D., M.P.H., assistant professor in the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh and gynecologist at Magee-Womens Hospital of UPMC, the study found that when health care professionals are supported by their clinical institution, they feel competent and are more willing to help women experiencing IPV. "Health administration"s recognition of IPV as a health care priority creates a supportive clinical environment that allows health care providers to feel comfortable and confident in their ability to help abused women," said Dr. Chang. "Without such support, health care providers are less comfortable in their ability to address this issue with their patients." The study included focus groups and individual interviews with health care providers from two hospitals in western Pennsylvania. Participants were from an ob-gyn clinic serving a low-income population and a general medicine clinic serving patients from a variety of socioeconomic backgrounds. Interviews were conducted with clinicians and focus groups were conducted with clinical support staff. All participants said they felt a responsibility to help female victims of abuse but felt they needed more res, time, IPV-focused training and system support. "The findings of this study indicate that even when health care professionals recognize a responsibility and a role in dealing with abused women, support, res and information are necessary to respond appropriately. The varying confidence levels between the groups also may be related to the different specialties," noted Dr. Chang. "An ob-gyn clinic provides care to women only, while a general medicine facility - even one with a women"s health focus - is responsible for both women and men." "Time limitations are a major barrier to treating patients experiencing IPV," said Dr. Chang. "Hectic schedules and the need to perform multiple tasks do not allow health care workers adequate time to counsel and educate patients about this topic." IPV-focused training is considered valuable to health care providers. Those interviewed said that this specialized training contributes to their comfort, willingness and ability to help victims of abuse. Study participants agreed that after identifying a patient experiencing IPV, it would be helpful to work as a team to provide appropriate information, res, referrals and/or counseling. They consider good working relationships and communication among health care professionals essential. Study co-authors include Raquel Buranosky, M.D., M.P.H., Patricia Cluss, Ph.D., and Melissa McNeil, M.D., M.P.H., University of Pittsburgh School of Medicine; Diane Dado, M.S.W., Magee-Womens Hospital of UPMC; Lynn Hawker, Ph.D., Women"s Center and Shelter of Greater Pittsburgh; Elizabeth Rothe, M.D., Maine Medical Center, Portland; and Sarah H. Scholle, Dr.PH, National Center for Quality Assurance, Washington, D.C. University of Pittsburgh School of Medicine


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