FGM Guidelines Urge Physicians To Treat Practice As Abuse Not 'Cultural' Issue

During the four days Sarian Kamara spent in labor with her eldest daughter at a London hospital, doctors and nurses filtered in and out of the delivery room and whispered among one another as they peered at her circumcised vagina. At the time, Kamara, 39, had no idea that her excruciating delivery was linked to the fact that she had been subjected to female genital mutilation as a young girl in Sierra Leone. As Kamara lay in pain, she feared that the African practitioners had cursed her because of her “bad” behavior. But as the doctors prepared to perform a C-section, a midwife examined Kamara, and asked her questions about her past, something none of the medical professionals had. Kamara opened up about having been cut and the midwife realized that by making an incision near her anus, Kamara could give birth to her daughter vaginally. “Nobody asked me any questions,” Kamara, who now campaigns against FGM in London, told The Huffington Post of how the doctors and nurses tiptoed around the issue. “They didn’t want to ‘offend’ me around this cultural issue.” To better educate healthcare workers about how to identify victims of female genital mutilation, and effectively engage with such patients, the World Health Organization released its first guidelines on the topic last Monday during the Women Deliver conference in Copenhagen. The goal is to urge medical professionals to treat the issue as abuse, not a protected tradition...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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Conclusion: In addition to considering other risk factors for postpartum depression, health care providers should consider the higher probability of PPD in prepregnancy normal and overweight women who have excessive weight gain especially in the third trimester of pregnancy. PMID: 30420921 [PubMed - in process]
Source: Journal of Pregnancy - Category: OBGYN Tags: J Pregnancy Source Type: research
Cameron Underwood, who battled depression for years, was 24 when he tried to take his own life with a shotgun in June 2016 after drinking all day. A year-and-a-half later he had surgery in New York.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Between domestic duties and emotional labor, research shows, women are more stressed than men are — but it doesn ’ t have to be that way. Here ’ s what the data says, and how to take care of yourself.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Women and Girls Anxiety and Stress Psychology and Psychologists Emotions Research Mental Health and Disorders Men and Boys Source Type: news
Conclusions:The SQS possesses favorable measurement characteristics relative to lengthier or more frequently administered sleep questionnaires in patients with insomnia and depression.Clinical Trial Registration:Registry: ClincalTrials.gov, Title: Treatment of Patients With Major Depressive Disorder With MK0869, Identifier: NCT00034983, URL:https://clinicaltrials.gov/ct2/show/NCT00034983Citation:Snyder E, Cai B, DeMuro C, Morrison MF, Ball W. A new single-item sleep quality scale: results of psychometric evaluation in patients with chronic primary insomnia and depression.J Clin Sleep Med. 2018;14(11):1849–1857.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Conclusions:These data suggest sleep and pain are worst in Veterans with TBI and PTSD, and that sleep is similarly impaired in Veterans with PTSD despite not having as much pain. Thus, although this is a complex relationship, these data suggest PTSD may be driving sleep disturbances, and the added effect of TBI in the comorbid group may be driving pain in this population.Citation:Balba NM, Elliott JE, Weymann KB, Opel RA, Duke JW, Oken BS, Morasco BJ, Heinricher MM, Lim MM. Increased sleep disturbances and pain in Veterans with comorbid traumatic brain injury and posttraumatic stress disorder.J Clin Sleep Med. 2018;14(11):1865–1878.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Study Objectives:Sleep is critical to a child's health and well-being, but children are likely to sleep less and be awakened more often during the night in the hospital than at home. To date no studies have compared caregiver, nurse, and physician perspectives of nighttime sleep disruptions in the pediatric general medicine setting. Our aim was to assess caregiver, nurse, and physician perspectives on the most frequent in-hospital disruptors of sleep for pediatric patients. Additionally, we evaluated the degree of agreement of those opinions between the caregivers and medical team.Methods:Caregivers, nurses, and physicians...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
This study examined sleep discrepancy, its night-to-night variability, and its correlates in comorbid insomnia and fibromyalgia.Methods:Sleep diaries and actigraphy data were obtained from 223 adults with fibromyalgia and insomnia (age = 51.53 [standard deviation = 11.90] years; 93% women) for 14 days. Sleep discrepancy was calculated by subtracting diary from actigraphy estimates of sleep onset latency (SOL-D), wake after sleep onset (WASO-D), and total sleep time (TST-D) for each night. Night-to-night variability in sleep discrepancy was calculated by taking the within-individual standard deviations over 14 days. Partici...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
(Reuters Health) - Patches containing nitroglycerin may help patients with common injuries to tendons, a research review suggests.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
Changes in hippocampal function are believed to play a role in the onset of psychosis. Astudy published today inJAMA Psychiatry suggests that the concentration of the neurotransmitter glutamate and several other metabolites in the hippocampus may offer clues about patients who are most likely to transition to psychosis.The findings suggest that measuring hippocampal metabolites could help psychiatrists better predict outcomes in patients at risk of developing psychosis.For the study, Matthijs G. Bossong, Ph.D., of the University Medical Center Utrecht in the Netherlands and colleagues used an imaging technique known as pro...
Source: Psychiatr News - Category: Psychiatry Tags: functioning glutamate hippocampus JAMA Psychiatry Juan R. Bustillo Matthijs G. Bossong metabolites proton magnetic resonance spectroscopy psychosis Source Type: research
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