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Focus on Integrative Approaches to Pain, Anxiety Management During Adolescent IUD Insertion
On Jan. 1, 2018, The Joint Commission implemented new and revised pain assessment and management standards for accredited hospitals. The additions and revisions require hospitals to “provide at least one non-pharmacological pain treatment modality.” There are several non-pharmacologic approaches to offer adolescents to help manage anxiety and pain related to intrauterine device (IUD) insertions. Such methods include hypnotic language, music, heat therapy, social support (“IUD doula”), acupressure, and aromatherapy.
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Study Examines Effect of Vitamin D, Estradiol Deficiency on Metabolic Syndrome
Menopause is associated with an increased risk for metabolic syndrome, a cluster of risk factors for cardiovascular disease and diabetes. New research indicates that vitamin D and estradiol may help protect against these conditions.
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Research Continues Toward Potential Herpes Vaccine
After promising research for a potential herpes vaccine stalled in 2018, scientists are finding new paths for investigation that may lead to a potential candidate. Recently published research by Yale University investigators may offer clues to an effective vaccine option.
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Medicaid Reimbursement Change Increases Interbirth Intervals Among Teens
After changing its Medicaid policy to provide reimbursement for immediate postpartum long-acting reversible contraception (LARCs) separate from the global labor and delivery payment, South Carolina saw an increase in immediate postpartum LARC initiation and increased birth spacing among young women.
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ACIP Recommends HPV Vaccination for Older Men and Women
The Advisory Committee on Immunization Practices recently approved use of the 9-valent HPV vaccine for persons ages 27-45 years. The recommendation to expand use of the vaccine comes as findings from a large meta-analysis indicate that the HPV vaccine has substantially reduced infections and precancerous lesions. Providers are encouraged to discuss the potential benefits of HPV vaccination with patients in the mid-age category, addressing the reduced efficacy compared to vaccination within the younger target age range, as well as the reduced risk of high-grade disease and cervical cancer.
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No Substantial Difference in Risk of Acquiring HIV in IUD, Implant, Injection Users
Results from a large, randomized trial among African women found no substantial difference in HIV risk using the copper intrauterine device, the levonorgestrel implant, and the depot medroxyprogesterone acetate injection. The data counter research that suggested a potential association between some types of contraceptives and risk of acquiring HIV.
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Behavioral Interventions for Menopausal-Related Insomnia Improve Depression
In a randomized, controlled trial comparing the behavioral interventions cognitive behavioral therapy for insomnia (CBTI) and sleep reduction therapy (SRT) to a control intervention of sleep hygiene education, investigators found CBTI and SRT therapy improved insomnia and depressive symptoms in postmenopausal women with menopausal-related insomnia.
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Hot Beverages and Esophageal Cancer
In a cohort of more than 50,000 people, there was an increased risk of esophageal squamous cell carcinoma in those who consumed higher quantities of mostly black tea at higher temperatures.
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Digital Applications Used in Mental Health Treatment: Two Randomized Studies
Researchers found an improvement in socialization in children with autism and a decrease in acrophobic (fear of heights) symptoms in adults in two distinct studies using different forms of virtual reality and digital applications.