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Evaluation and Management of Vulvar Disease, An Issue of Obstetrics and Gynecology Clinics
Vulvar disorders are prevalent but often overlooked conditions in the curricula of obstetrics and gynecology, dermatology, and primary care residency training programs. This has led many outpatient clinicians to feel unprepared to evaluate the patient with a vulvar complaint. Often patients with complex, chronic vulvar disorders have seen multiple providers in consultation before they are appropriately diagnosed and treated, leading to frustration amongst patients and providers alike as well as excessive health care costs. The goal of this issue is to present a practical review on vulvar disease for outpatient clinicians to improve patient care. The topics highlighted in this issue represent...
Primary Care of Adult Women, An Issue of Obstetrics and Gynecology Clinics of North America
Obstetrician Gynecologists are frequently responsible for management of the primary care needs of their patients. A survey performed in 2005 found an estimated 37% of, non-pregnant patients, relies on gynecologists for routine primary care. The same study found that almost a quarter of gynecologists reported they needed additional primary care training across a broad set of medical topics (Acad Med. 2007; 82:602–607). The impetus for training in primary care skills is increasing. In response to language in the Affordable Care Act, the Institute of Medicine developed a report on clinical preventative services necessary for women (Clinical Preventative Services for Women: Closing the Gaps IO...
The Estrogen Elixir
In the first complete history of hormone replacement therapy (HRT), Elizabeth Siegel Watkins illuminates the complex and changing relationship between the medical treatment of menopause and cultural conceptions of aging. Describing the development, spread, and shifting role of HRT in America from the early twentieth century to the present, Watkins explores how the interplay between science and society shaped the dissemination and reception of HRT and how the medicalization—and subsequent efforts toward the demedicalization—of menopause and aging affected the role of estrogen as a medical therapy. Telling the story from multiple perspectives—physicians, pharmaceutical manufacturers, gov...
Intervention Research
2012 First Place AJN Book of the Year Award Winner in Nursing Research! "This is a resource for success and should be a part of any researcher's library."--Doody's Medical Reviews This book is a practical, user-friendly guide for health care researchers across multiple disciplines who are involved in intervention research. It provides all of the essential elements needed for understanding how to design, conduct, analyze, and fund intervention studies that are replicable and can withstand the scrutiny of the Institutional Review Board and peer review. Developed from an annual continuing education workshop on intervention studies conducted by Dr. Melnyk, this text is the most comprehensive bod...
No Real Choice
In the United States, the “right to choose” an abortion is the law of the land. But what if a woman continues her pregnancy because she didn’t really have a choice? What if state laws, federal policies, stigma, and a host of other obstacles push that choice out of her reach? Based on candid, in-depth interviews with women who considered but did not obtain an abortion, No Real Choice punctures the myth that American women have full autonomy over their reproductive choices. Focusing on the experiences of a predominantly Black and low-income group of women, sociologist Katrina Kimport finds that structural, cultural, and experiential factors can make choosing abortion impossible–especia...
Gestational Diabetes During and After Pregnancy
Gestational Diabetes Mellitus is becoming an increasingly prevalent disease as obesity and other chronic diseases are on the rise. It requires careful and informed clinical management as the care received during pregnancy affects not only perinatal health but the risk of developing type 2 diabetes even decades into the future, in both the mother and the child.From epidemiology and pathophysiology to diagnosis and management, covering recent breakthroughs in research and up-to-date developments in clinical practice, Gestational Diabetes During and After Pregnancy offers the reader a comprehensive and current look at Gestational Diabetes. Anyone involved in the research, public health or clinical aspects of Gestational Diabetes will find this volume a valuable aid in consolidating all recent developments regarding this disease.
Pregnant While Black
A tragedy is unfolding all around us and is receiving well overdue attention. Black women are three times more likely to die from pregnancy than their white peers. But Dr. Monique Rainford is working to better understand these disparities and do something about them. Pregnant While Black is a hopeful exploration of the issues pregnant Black women face in America. Within these pages, Dr. Rainford draws on over twenty years of experience working in obstetrics and gynecology to offer a primer on Black pregnancies and how to better care for them. She shares the successes and testimonies of Black women who have struggled during pregnancy and childbirth, anchoring the stories of these women with carefully researched facts. Despite medical advances over the last twenty years, for Black women, the overwhelming dangers of carrying and delivering children remain and it only seems to be getting worse. In Pregnant While Black, Rainford begins the work of "repairing the damage of the past" with an examination of the conditions that plague Black pregnancies. This important book carries the hopes and dreams of a generation looking to effect change, here and now.
Bio-Inspired Strategies for Modeling and Detection in Diabetes Mellitus Treatment
Bio-Inspired Strategies for Modeling and Detection in Diabetes Mellitus Treatment focuses on bio-inspired techniques such as modelling to generate control algorithms for the treatment of diabetes mellitus. The book addresses the identification of diabetes mellitus using a high-order recurrent neural network trained by the extended Kalman filter. The authors also describe the use of metaheuristic algorithms for the parametric identification of compartmental models of diabetes mellitus widely used in research works such as the Sorensen model and the Dallaman model. In addition, the book addresses the modelling of time series for the prediction of risk scenarios such as hyperglycaemia and hypog...
Evidence-Based Nursing
Biochemistry is a single-semester text designed for undergraduate non-biochemistry majors. Accessible, engaging, and informative, Biochemistry is the perfect introduction to the subject for students who may approach chemistry with apprehension. Biochemistry s unique emphasis on metabolism and its kinetic underpinnings gives the text up-to-the-minute relevance for students investigating current public health concerns such as obesity and diabetes. Biochemistry will encourage students to explore the basics of chemistry and its influence on biological problems. Biochemistry provides students with a broad understanding of contemporary advances in molecular biology. Its innovative approach will ch...
Critical Care Obstetrics for the Obstetrician and Gynecologist, An Issue of Obstetrics and Gynecology Clinics of North America
Despite advances in medical technology and patient safety initiatives, maternal morbidity and mortality rates continue to increase. Maternal mortality trends in the US as reported from the CDC from 1989-2009 demonstrate increasing mortality trends from 7.2 deaths per 100,000 live births in 1987 to 17.8 deaths per 100,000 live births in 2009. To combat this problem, a thorough understanding of the critical medical and surgical issues that are often encountered in pregnancy is essential. Each article addresses a topic relevant to care of the critically ill gravida.
