Hormones: When Reality Takes A Break

by: Wendi Pierce

Recently I saw a cartoon in Tapestry that took a little while to sink in. The cartoon was a take-off on the drug addiction awareness ads running in many national publications. The original ad went something like this, "This is Crack, this is your brain on crack …

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How a Wife fixed up the first sex change

It was a marriage with three people in it. A wife, her husband and his female alter ego. In 1930 the Danish artist Einar Wegener became the first man to have a sex-change operation, after he had been married for 15 years to Gerda, another painter. With her support and …

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How green are you?

Top tips to help you Reduce, Re-use and Recycle

Recycling processes are generally carried out by commercial or governmental organisations; however, the entire process starts with you. Besides recycling, you can help protect the environment by reducing and re-using. The following tips might help you.

REDUCE

Change your perspective. Before …

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Hysterectomy

Introduction

Hysterectomy simply means the surgical removal of the uterus. Having a hysterectomy can be devastating for some women, especially those who find difficulty in accepting an end to their fertility. For others, however, it is seen as offering a welcome relief from pain or discomfort, or debilitating heavy blood …

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Hysterectomy: Nursing the Physical and Emotional Wounds

Date Tags surgery

During 1997-98, over 55,000 hysterectomies were performed in England on the NHS. One in five women aged 20 - 80 years faces a hysterectomy: in the UK it is the fifth most common operation. Most hysterectomies are performed on women aged 35 - 45.

Hysterectomy means the removal of the uterus …

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Pharmacokinetics of Estrogens and Hormone Replacement Therapy

Abstract

Various estrogen preparations can be used in hormone replacement therapy for peri- and postmenopausal women. Different progestagens can be combined with these estrogens and different methods of administration, different dosages and administration schemes can be used. The pharmacokinetics can vary greatly in the same treatment according to the individual …

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Pre-operative fasting: putting research into practice

Abstract

In this article Rebecca Jester and Suzanna Williams describe an action research project that led to a marked reduction in the fasting times of pre-operative orthopaedic patients.

Authors

Rebecca Jester BSc(Hons), RGN, ONC, DPSN, is a lecture practitioner, University of Birmingham and Birmingham Orthopaedic Hospital, and Suzanna Williams …

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Psychiatric Aspects of Sex Reassignment Surgery

Sex reassignment surgery is perhaps the most controversial issue in psychiatry today. Clinicians involved in the treatment of transsexualism have been accused of "playing God" or colluding with the patient's psychopathology. This paper reviews the literature and argues for a systematic approach to the treatment of transsexualism.

The first medical …

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Rhinitis: diagnosis and treatment

Rhinitis is defined as a non-infective nasal disorder of more than eight-weeks duration which is characterised by inflammation of the nasal mucosa (Scadding et al, 1995).

During the past two decades, many developed countries have seen an increase in the prevalence of asthma, eczema and allergic rhinitis. In some places …

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The misery of hay fever

Exam time is a period of considerable stress for many young people and their families. But in addition to the rigour of the exams themselves, revision and examination periods coincide with the peak hay fever season. This includes not only GCSE's and A levels, but also most university and college …

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The Pharmacological Treatment of Transsexuals

Hormonal therapy for transsexual patients undergoing gender re-assignment suffers from a lack of knowledge about possible adverse effects. This article presents a description of some of the drugs we have found useful for management of these patients and gives an outline of our scheme for monitoring change.

The endocrinological management …

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Women's knowledge of HRT and the prevention of osteoporosis

Abstract

This article reports the findings of a study into the information given to women about hormone replacement therapy (HRT) and the prevention of osteoporosis. The author examines the reasons for prescription of HRT and why some women discontinue the treatment before a preventative effect is likely to have taken …

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A randomized trial to evaluate effectiveness and cost effectiveness of naturopathic cranberry products as prophylaxis against urinary tract infection in women

Author - Stothers L.

Source - Canadian Journals of Urology. 2002 Jun;9(3):1558-62.

Department of Surgery, Division of Urology, University of British Columbia, Vancouver, BC, Canada.

Purpose

To determine, from a societal perspective, the effectiveness and cost effectiveness of concentrated cranberry tablets, versus cranberry juice, versus placebo used as prophylaxis …

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Coping With A Major Personal Crisis

Date Tags coping
Abstract

Somebody you know may have died or been injured. Your experience was a very personal one, but this pamphlet will help you to know how others have reacted in similar situations. It will also show you how you can help normal healing to occur and to avoid some pitfalls …

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Cranberries for preventing urinary tract infections

Source - Cochrane Database Syst Rev 2004;(1):CD001321 (ISSN: 1469-493X)

Authors - Jepson RG; Mihaljevic L; Craig J

Department of General Practice, Edinburgh University, 20 West Richmond Street, Edinburgh, UK, EH8 9DX.

BACKGROUND

Cranberries (particularly in the form of cranberry juice) have been used widely for several decades for the prevention …

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Cranberry juice and urinary tract infection

Source -Clin Infect Dis 2004 May 15;38(10):1413-9 (ISSN: 1537-6591)

Authors - Raz R; Chazan B; Dan M

Infectious Diseases Unit, Haemek Medical Center, Afula, Israel. [email protected]

Cranberries have long been the focus of interest for their beneficial effects in preventing urinary tract infections (UTIs). Cranberries …

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Endocrine Treatment of Transsexual People: A Review of Treatment Regimens, Outcomes, and Adverse Effects

Abstract

Cross-sex hormone treatment is an important component in medical treatment of transsexual people. Endocrinologists are often faced with designing treatment recommendations. Although guidelines from organizations, such as the Harry Benjamin International Gender Dysphoria Association, have been helpful, management remains complex and experience guided. We discuss the range of treatment …

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For a better relationship with your Doctor

Write down your symptoms before you see your doctor

It is very easy to forget the most important things during any examination, or any discussion. Doctors home in on important clues - When did it start? How did it feel? Did anyone else suffer as well? Has this ever happened before …

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Losing Weight - Diets are for wimps

Rule number one for successful weight loss is this - don't go on a diet. Despite the fact that doctors and dieticians tell us the only way to lose weight is to eat less, study after study shows that the majority of the people who lose weight on a diet put …

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Older Men Are as Responsive as Young Men to the Anabolic Effects of Graded Doses of Testosterone on the Skeletal Muscle

Authors

Shalender Bhasin, Linda Woodhouse, Richard Casaburi, Atam B. Singh, Ricky Phong Mac, Martin Lee, Kevin E. Yarasheski, Indrani Sinha-Hikim, Connie Dzekov, Jeanne Dzekov, Lynne Magliano and Thomas W. Storer.

Source

The Journal of Clinical Endocrinology & Metabolism; (2005); Vol. 90, No. 2 678-688.

Although testosterone levels and muscle mass decline …

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Oral and transdermal estrogens both lower plasma total homocysteine in male-to-female transsexuals

Authors

Giltay EJ; Verhoef P; Gooren LJ; Geleijnse JM; Schouten EG; Stehouwer CD

Department of Human Nutrition and Epidemiology, Wageningen University, P.O. Box 8129, Netherlands. [email protected]

Source

Atherosclerosis 2003 May;168(1):139-46 (ISSN: 0021-9150)

Plasma total homocysteine (tHcy) levels are on average lower in women versus …

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Preoperative fasting: we need a new consensus

Abstract

Fasting before surgery is necessary to avoid the risk of regurgitation and vomiting; it is also a legal requirement. But the current practice of fasting overnight or up to eight hours before surgery can cause dehydration, electrolyte imbalance, malnutrition and general malaise. Evidence shows that patients can benefit from …

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The prevention and treatment of deep vein thrombosis

Abstract

Deep vein thrombosis can have serious long-term consequences and can result in fatal complications. Many patients are at increased risk of DVT, but knowledge of common risk factors and an awareness of appropriate prophylactic measures can help prevent its occurrence. An ability to recognise common clinical signs and symptoms …

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Changing your Name

Date Series Part 1 of Name change Tags legal

A statutory declaration can be drawn up by yourself, or by a solicitor, on your behalf. All statutory declarations must then be signed by the you in your new name and witnessed, either by a solicitor (other than the one who prepared the statutory declaration) or a Justice of the …

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Statement on the Safety of Trilucent Breast Implants in the UK

In May 2000, the Medical Devices Agency (MDA) convened an Advisory Group (consisting of toxicologists, plastic surgeons and a lay representative) to consider new data on the safety of Trilucent breast implants. The Group considered the available scientific evidence, made an assessment of the risk to patients and, based on …

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Understanding the benefits and risks of breast augmentation

Abstract

Hall, A. (2004) Understanding the benefits and risks of breast augmentation. Nursing Times; 100: 2, 30-33.

There are a number of reasons a woman might consider breast augmentation, including cosmetic improvement, reconstruction after a mastectomy, or to address a congenital or developmental abnormality. Nurses should ensure that patients considering …

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Randomised trial of cranberry-lingonberry juice and Lactobacillus GG drink for the prevention of urinary tract infections in women

Abstract

Objective

To determine whether recurrences of urinary tract infection can be prevented with cranberry-lingonberry juice or with Lactobacillus GG drink

Design

Open, randomised controlled 12 month follow up trial.

Setting

Health centres for university students and staff of university hospital.

Participants

150 women with urinary tract infection caused by …

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Cranberry juice: the facts

Concerns about the overuse of antibiotics and the development of antibiotic resistance have contributed to growing interest in non-pharmacological alternatives for the prevention and treatment of infections. The successful use of cranberry juice to prevent and treat urinary tract infections (UTIs) has led to its endorsement by health care professionals …

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The therapeutic uses of cranberry juice

Abstract

This article considers the treatment of recurrent cystitis. It examines the evidence for drinking cranberry juice to prevent recurrent urinary tract infections and discusses the nursing issues raised, drawing conclusions from the evidence presented.

Author

Linda Nazarko, BSc(Hons), RN.

Cystitis is normally treated with antibiotics and usually this …

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