Intimacy Without Intoxication: Is Sober Sex Better?
The sun is streaming through the curtains of a room that you have never seen before. You squint and rub your bloodshot eyes, as your hand reaches out to feel the prone body of the snoring person who a few hours earlier was a stranger. You notice your own naked body and wonder how the two of you spent the interceding time. You look at the floor next to the bed and see your clothes, strewn across the carpet, wine bottles and glasses, a few joints, and a line of cocaine on the dresser across the room. You slide out of bed, gather your belongings, hightail it to the bathroom and quickly get yourself street ready. Wondering how you will explain your lateness for work this time, you swear you will never allow this to happen again. That resolve lasts until the next weekend, where you are once again at the familiar bar where you and your friends hang out. You insist that they keep you from leaving with someone other than one of them and they promise, but once you are a few drinks deep, your resolve goes out the window and you find yourself on the arm of a person with whom you have been flirting and dancing, your inhibitions washed away on the wave of alcohol that is now coursing through you. Alcohol is the most frequently used mood-altering and mind-numbing substance in the United States. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that over half of all American adults were current drinkers of alcohol at the time of their 2015 national survey. When enjoyed...
This article describes details of each stage of the mission and includes a discussion of key aspects of logistics and patient care posed by such evacuations. PMID: 31977424 [PubMed - in process]
This article explores the factors that contribute to polypharmacy and discusses its negative physiological, psychological, and economic effects. It also describes strategies for reducing polypharmacy, including both "explicit" approaches, which are grounded in the findings of literature reviews and expert opinion, and "implicit" approaches, which are based on the provider's interpretation of clinical data and the patient's medication regimen. PMID: 31977416 [PubMed - in process]
This article describes key characteristics of nonpermanent contraceptive methods, including mechanism of action, correct use, failure rates with perfect and typical use, contraindications, benefits, side effects, discontinuation procedures, and innovations in the field. We also discuss how contraceptive care is related to nursing ethics and health inequities. PMID: 31977414 [PubMed - in process]
Authors: PMID: 31977405 [PubMed - in process]
Publication date: Available online 24 January 2020Source: The American Journal of SurgeryAuthor(s): Jason M. Bowie, Richard Y. Calvo, Vishal Bansal, Lyndsey E. Wessels, William J. Butler, C. Beth Sise, Jennifer G. Shaw, Michael J. SiseAbstractBackgroundComplicated gallstone disease (CGD) is a common condition requiring intervention during pregnancy to avert adverse birth outcomes (ABO).MethodsCohort study using the California OSHPD 2007–2014 database. Records of pregnant patients were analyzed for gallbladder calculus within four months of delivery. Biliary system interventions were evaluated as the primary exposure....
This article and accompanying video show the technique and discusses the technical pearls of a latissimus tendon repair using suture button fixation via a single-incision approach.
“Although the United States leads the world in health care spending, it fares far worse than its peers on coverage and most dimensions of value. Cost and coverage are intertwined. Many Americans cannot afford health insurance, and even those with insurance face substantial cost-related barriers to care. Employer-sponsored insurance is less prevalent and more expensive than in the past, and in response, deductibles have grown and benefits have been cut. The long-term solvency of U.S. public... ACP Endorses Single-Payer system
Publication date: Available online 24 January 2020Source: International Journal of PsychophysiologyAuthor(s): Peter E. Clayson, Kaylie A. Carbine, Michael J. LarsonAbstractPerformance-monitoring event-related brain potentials (ERPs), such as the error-related negativity (ERN) and reward positivity (RewP), are advocated as biomarkers of depression symptoms and risk. However, a recent meta-analysis indicated effect size heterogeneity in the ERN and RewP literatures. Hence, advocating these ERPs as biomarkers of depression might be premature or possibly misguided due to the selective reporting of significant analyses on the p...
Abstract Life review (LR) therapy has received considerable support as an effective treatment for depression among older adults. Researchers believe that providing LR does not require extensive training and can be done by family members who are not psychiatric professionals. If so, then training family caregivers to provide LR is a potential strategy for alleviating the shortage of resources for treating depression among the growing population of older adults experiencing depression. A pilot study that explored the feasibility of that strategy had mixed results. Seventeen (89%) of 19 caregiver-care recipient dyads...
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