Everything You Need To Know About Kyleena, The New IUD
There’s a new hormonal IUD in town: Kyleena, the first device of its kind meant to offer long-lasting contraception to women who have never been pregnant. Kyleena was approved by the U.S. Food and Drug Administration Monday and will be available in October, part of a new surge in IUD offerings in recent years: Skyla appeared in 2013 as the first FDA-approved IUD in 12 years, and Liletta was approved in 2015. IUDs are a common form of long-acting reversible contraception, or LARCs, that last for several years. The rapid development in the IUD market ― there are now five options total ― coincides with increasing usage rates of LARCs in general: About 7.2 percent of all women of reproductive age in the U.S. used LARCs like IUDs or contraceptive implants in 2013, a five-fold increase from 1.5 percent of women in 2002. These IUDs ― short for intrauterine devices ― are small T-shaped objects inserted into a woman’s uterus to prevent pregnancy. The hormonal devices release a small amount of levonorgestrel, a synthetic hormone that prevents the release of the egg from the ovary and fertilization of the egg by sperm. It also thins the uterine lining to prevent any embryos from implanting and becoming a pregnancy. Kyleena joins the previously released IUDs Mirena, Skyla, Liletta and Paragard. Unlike the others, ParaGard does not release hormones to help prevent contraception. Instead, it’s made with co...
With great interest, we read the article “Transcatheter Arterial Embolization for Gastrointestinal Bleeding Associated with Gastric Carcinoma: Prognostic Factors Predicting Successful Hemostasis and Survival” by Sangik Park et al (1). In their study, Park et al constructed a multivariate Cox model to identify predictors of successful transcatheter arterial embolization and 30-day survival after transcatheter arterial embolization.
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Adequately treating pain and nausea following uterine artery embolization (UAE) is a continuing challenge. Superior hypogastric nerve block (SHNB) is a successful adjunct technique for decreasing pain after embolization. This letter discusses safety measures for administration of SHNB during UAE using radial artery access, including avoiding inadvertent intravascular injection, choosing the optimal anesthetic, and treating local anesthetic systemic toxicity.
A 27-year-old competitive runner presented with deep right thigh pain for 1 year. A T2-weighted hyperintense 3-cm lesion was found in the right vastus lateralis muscle on magnetic resonance imaging, indicative of a ganglion cyst (Fig 1). Corresponding ultrasound showed a well-defined, hypoechoic lesion confirming the diagnosis of ganglion cyst. This location is rare for g anglion cyst, and such lesions have been treated only by surgical excision. Ultrasound-guided aspiration and sclerosis with sodium tetradecyl sulfate was performed.
We report our experience with medial cuneiform decompressive exostectomy and superficial tendon debridement in 14 cases of recalcitrant tibilalis anterior insertional pain. We reviewed 13 patients (14 feet; 12 females, 1 male; mean age 67.9 ± 7.5; range 55 to 80 years) in whom conservative treatment had failed who had undergone debridement of the insertional tibialis anterior tendon and decompressive exostectomy of the medial cuneiform.
Plantar heel pain is a common disabling condition in adults. Biomechanical factors are important in the development of plantar heel pain. Quantitative changes in rearfoot alignment in patients with plantar heel pain have not been previously investigated. From April 2016 to March 2017, 100 patients with plantar heel pain and 100 healthy individuals were recruited. The foot posture index was used for the measurement of foot alignment. The generalized joint hypermobility condition was assessed using the Beighton scale.
CONCLUSION: Prevalence ratios of the chronic physical diseases comorbid with depression differed according to sex and age groups. Collaborative care strategies should be designed according to demographic characteristics of the population. PMID: 29669409 [PubMed]
This article reviews all the studies that have investigated the psychiatric or psychosocial sequelae of the survivors of the Japanese military sexual slavery. Most importantly, a recent study which conducted a psychiatric evaluation on the former "comfort women" currently alive in South Korea is introduced. The participants' unmarried rate was relatively high and their total fertility rate was relatively low. Majority of the participants reported having no education and being the low economic status. They showed high current and lifetime prevalence of posttraumatic disorder, major depressive disorder, somatic sym...
PMID: 29672384 [PubMed - in process]
PMID: 29672377 [PubMed - in process]
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