Source: http://news.feedzilla.com/en_us/stories/politics/top-stories/249823589?client_source=feed&format=rss
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Friday, September 21, 2012
Bora's Picks (September 21th, 2012)
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IUDs, implants urged for teen girls' birth control
CHICAGO (AP) ? Teenage girls may prefer the pill, the patch or even wishful thinking, but their doctors should be recommending IUDs or hormonal implants ? long-lasting and more effective birth control that you don't have to remember to use every time, the nation's leading gynecologists group said Thursday.
The IUD and implants are safe and nearly 100 percent effective at preventing pregnancy, and should be "first-line recommendations," the American College of Obstetricians and Gynecologists said in updating its guidance for teens.
Both types of contraception are more invasive than the pill, requiring a doctor to put them in place. That, and cost, are probably why the pill is still the most popular form of contraception in the U.S.
But birth control pills often must be taken at the very same time every day to be most potent. And forgetting to take even one can lead to pregnancy, which is why the pill is sometimes only 91 percent effective.
An IUD, or intrauterine device, is a small, T-shaped piece of plastic inserted in the uterus that can prevent pregnancy for up to 10 years. An implant is a matchstick-size plastic rod that releases hormones. It is placed under the skin of the upper arm and usually lasts three years.
The new guidelines don't tell teens not to use other methods, but "if your goal is to prevent a pregnancy, then using an implant or an IUD would be the best way to do this," said Dr. Tina Raine-Bennett, head of the committee that wrote the recommendations.
The organization's previous guidelines, issued in 2007, also encouraged the use of IUDs and implants among teenagers. The new guidelines go further in saying physicians should discuss the two types of birth control with sexually active teens at every doctor visit.
The gynecologists group said condoms should still be used at all times because no other birth control method protects against AIDS and other sexually transmitted diseases.
While it may sound surprising that such invasive contraceptives are being endorsed for teenagers, 43 percent of girls ages 15 to 19 have had sex, a government survey found. Most are using some kind of effective birth control, but only about 5 percent use the long-lasting devices, the gynecologists group said.
In 21 states, all teenagers can get contraceptives without parental permission, according to the Guttmacher Institute, which tracks laws affecting women's health. A few other states allow it under certain circumstances.
The IUD and implant cost hundreds of dollars. The new health reform law requires health insurance plans to cover birth control without co-payments. Also, some publicly funded health clinics offer birth control free or at a reduced cost.
The American Academy of Pediatrics has been more cautious and has not endorsed specific methods of birth control, but is updating its guidance. Some pediatricians have been reluctant to recommend IUDs for teens, partly because of concerns over infection risks; an older model was blamed for infertility.
Dr. Paula Braverman, a University of Cincinnati physician involved in updating the academy's position, said the gynecologists' advice does a good job of clarifying misconceptions about IUDs and implants.
An IUD called the Dalkon Shield that was sold in the 1970s was linked to dangerous and sometimes deadly infections. Newer IUDs have been found to be safe, and the gynecologists group said the risk of pelvic infections increases only slightly during the first three weeks after insertion.
The hormonal implant has been updated, too. The newest kind uses just one thin rod; an older type no longer sold in the U.S. used six rods that sometimes didn't stay in place. IUDs and implants can be removed at any time with no lasting effect on fertility, the gynecologists group said.
"The ones on the market today are extremely safe," said Dr. Mary Fournier, an adolescent-medicine specialist at Chicago's Ann & Robert H. Lurie Children's Hospital, who praised the new recommendations. "That is what everybody should be telling their patients."
She said she already recommends IUDs for her patients and is being trained in how to insert birth control implants.
Raine-Bennett, research director for women's health at Kaiser Permanente in Oakland, Calif., said she gets mixed reactions from her patients about both methods.
"Some of them say, 'Great! Something that I don't have to think about.' Others are, like, 'Hmmm, something in my body?' It really varies," she said.
Doctors need to be sensitive to that and provide detailed information to dispel any myths and allow teens to make informed decisions, Raine-Bennett said.
___
AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner
Source: http://news.yahoo.com/iuds-implants-urged-teen-girls-birth-control-210745668.html
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Thursday, September 20, 2012
Weight gain worry for stressed black girls: Stress and weight more strongly linked in black girls than white counterparts
ScienceDaily (Sep. 19, 2012) ? Could the impact of chronic stress explain why American black girls are more likely to be overweight than white girls? According to Dr. Tomiyama of the University of California, Los Angeles in the U.S., and her colleagues, higher levels of stress over 10 years predict greater increases in body weight over time in both black and white girls. However, the experience of chronic stress appears to have a greater negative effect on black girls' weight, which may explain racial disparities in obesity levels.
The work is published online in Springer's journal, Annals of Behavioral Medicine.
In the United States, the prevalence of obesity in black populations is 50 percent higher than in whites. This difference is apparent even in childhood, and particularly in female adolescents. In addition, ethnic minorities tend to experience greater psychological stress than whites due, in part, to perceived racial discrimination.
Tomiyama and team looked at whether the experience of chronic stress in young girls over a 10-year period might have an effect on Body Mass Index (BMI), a measure of obesity. They were also interested in whether this effect might be different in white and black teenage girls.
Using data from the National Heart, Lung and Blood Institute's (NHLBI) Growth and Health Study, the researchers assessed the prevalence of obesity in 2,379 black and white girls beginning at age 10 and followed up for 10 years. They also looked at their experience of psychological stress over that time.
Over 10 years, more black girls were overweight or obese than white girls, who reported more stress than black girls. In addition, levels of chronic stress predicted greater weight in both groups. Even though black girls reported less stress overall, the effect of chronic stress on weight was stronger for these girls with one unit increase in stress leading to 0.8 BMI unit increase every two years. Comparatively, one unit of stress led to 0.55 BMI unit increase in white girls.
The authors conclude: "Our study documents a relationship between chronic perceived stress and BMI over a decade of growth in black and white girls. However, the relationship between perceived stress and BMI is stronger in black girls. Psychological stress may lead to weight gain through behavioral pathways, such as increased food consumption and sedentary lifestyles, but also directly through prolonged exposure to biological stress mediators such as cortisol."
Given how ubiquitous stress is, these findings raise the flag that stress may be playing a major role in the obesity epidemic as well as contributing to racial disparities.
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The above story is reprinted from materials provided by Springer Science+Business Media.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Journal Reference:
- A. Janet Tomiyama, Eli Puterman, Elissa S. Epel, David H. Rehkopf, Barbara A. Laraia. Chronic Psychological Stress and Racial Disparities in Body Mass Index Change Between Black and White Girls Aged 10?19. Annals of Behavioral Medicine, 2012; DOI: 10.1007/s12160-012-9398-x
Note: If no author is given, the source is cited instead.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.
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Seeking The Average Cost Of Cosmetic Surgery | Jackie's Women's ...
Related eBooks
People?s faces are literally changing when it comes to cosmetic surgery! The many quick fixes that come to mind for those that imagine a new face leads to much discussion anymore. Why changing old facial features to new and improved ones can boost their confidence in great ways. Those that have already undergone this come from any walk of life known. This leads to a trail that can help you find the average cost of cosmetic surgery.
Among the masses are those that get a tummy tuck or a butt lift missing little if any work at all. There are many choices for cosmetic surgery in nearly any region of any country. With all the choices you will find that the average cost for you can differ.
The best place to begin seeking the average cost of cosmetic surgery would be with those found in your local yellow pages, or regional telephone directory. Contacting each cosmetic surgeon will give you the opportunities to get the cost they will charge at various steps. Odds are they at least have an average price list of most procedures. Of course each cosmetic surgery patient can differ so exact prices are hard to predict.
There are many variables that will influence the average cost of cosmetic surgery. Among them include the type of doctor involved, their expertise, and of course what procedure you desire. You shouldn?t let price alone decide who does your cosmetic surgery. You need to find the right surgeon that can do your surgery great; you need to be able to trust them. Taking their word, and knowing it will happen with no more risk than you are told is paramount. This doctor must know what they can do, and let you know your choices. They will likely have to make plastic parts too.
In the end you trust them with your body. You expect the cosmetic surgery to be a success, and in the process hope the average cost is reasonable. For this reason, you will definitely want to research all aspects of the process on your own as well. Be 100% sure you know what you are getting in for.
Certain Specific Costs of Cosmetic Surgery
After you choose your doctor, calculating the average cost of the cosmetic surgery may simply come down to the surgery you will have done. Something simpler to complete without fuss in the same day are Botox injections. With this you should figure about four hundred dollars as an average cost of this cosmetic surgery. Part of this is due to the seldom needed after-care on these procedures.
The average costs of major procedures will definitely have many more variables that affect them. Nose jobs, augmentations, and major reshaping procedures can be found at average costs above four thousand dollars. These are more intensive forms of cosmetic surgery where you will expect a number of sessions with the surgeon before actually having them actually do anything.
In the end, before making any large expense that will change the way you look; you want to consider all options. Beyond the average cost of cosmetic surgery, you will want to be sure what claims are made will occur and at the same time that you want them; as you will indeed have to live with the results. Taking your time and putting deep thought into every aspect is definitely advisable and in the end you should have a new look you chose and love.
Have you ever considered cosmetic surgery for breast augmentation? [http://www.cosmetic-face-lift-surgery.com/cosmetic-surgery-for-breast-augmentation.php] For a special report on this please visit the Cosmetic Surgery Site today which provides comprehensive help and advice on all Cosmetic Surgery issues. Clive thoroughly recommends this site so check it out today here: ? [http://www.cosmetic-face-lift-surgery.com/]
Author: Clive Jenkins
Article Source: EzineArticles.com
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Related Reading:
Surgery Junkies: Wellness and Pathology in Cosmetic Culture"Surgery Junkies is an innovative, fast-paced mix of theory and empirical research that advances our understanding of contemporary bodies, lifestyle medicine, and the making of the embodied, self-fashioned self. Scholars and teachers of cultural and media studies, sociology of the body, and health and society will value its contributions to both their research and their teaching."-Arthur W. Frank, author of The Wounded Storyteller: Body, Illness, and Ethics and The Renewal of Generosity: Illness, Medicine, and How to Live "Whether analyzing Extreme Makeover, 'Body Dismorphic Disorder,' or her own rhinoplasty, Pitts-Taylor makes difficult theoretical concepts clear-and clearly relevant to our lives."-Susan Bordo, author of Unbearable Weight: Feminism, Western Culture, and the Body Despite the increasing prevalence of cosmetic surgery, there are still those who identify individuals who opt for bodily modifications as dupes of beauty culture, as being in conflict with feminist ideals, or as having some form of psychological weakness. In this ground-breaking book, Victoria Pitts-Taylor examines why we consider some cosmetic surgeries to be acceptable or even beneficial and others to be unacceptable and possibly harmful. Drawing on years of research, in-depth interviews with surgeons and psychiatrists, analysis of newspaper articles, legal documents, and television shows, and her own personal experience with cosmetic surgery, Pitts-Taylor brings new perspectives to the promotion of "extreme" makeovers on television, the medicalization of "surgery addiction," the moral and political interrogation that many patients face, and feminist debates on the topic. Pitts-Taylor makes a compelling argument that the experience, meanings, and motivations for cosmetic surgery are highly social and, in doing so, provides a much needed "makeover" of our cultural understanding of cosmetic surgery. Victoria Pitts-Taylor is associate professor of sociology at Queens College and the Graduate Center, City University of New York. She is the author of In the Flesh: The Cultural Politics of Body Modification. 
Psychological Aspects of Reconstructive and Cosmetic Plastic Surgery: Clinical, Empirical and Ethical PerspectivesWritten by leading psychologists, psychiatrists, and plastic surgeons, this volume provides a thorough understanding of the psychological issues involved in reconstructive and cosmetic surgery. The book examines the relationships among physical appearance, body image, and psychosocial functioning, reviews the literature on the psychological functioning of plastic surgical patients, and offers clinically effective recommendations on psychological assessment and care of specific patient groups.
Major sections detail the psychological issues surrounding specific disfigurements and reconstructive procedures and cosmetic surgery of the face and body. These chapters include brief questionnaires for psychological assessment of patients. Concluding chapters discuss bioethical, professional, and legal issues.
Cosmetic Surgery For DummiesCosmetic surgery is one of today?s hottest topics. From daytime talk shows and popular magazines to conversations at the salon, it seems that almost everyone has had it, is thinking about it, or knows someone who is getting it. Statistics show more and more women?and men?are having cosmetic surgery. And with all the options now available, it?s important to be fully informed before you make any decisions about having a procedure.Now, Cosmetic Surgery For Dummies is here to guide you through today?s top procedures, candidly addressing both the benefits and the risks. R. Merrel Olesen, MD, the medical director of the La Jolla Cosmetic Surgery Centre, and Marie B.V. Olesen, a nationally known cosmetic surgery consultant, give you the tools you need to:
- Decide if surgery is right for you
- Find a qualified surgeon
- Set realistic expectations
- Evaluate the costs
- Enhance your recovery and results
This plain-English guide shows you how to take advantage of all the advances in cosmetic surgery while avoiding the pitfalls that could compromise your safety or the quality of your result. From implants to liposuction to Botox, you?ll understand the right questions to ask your doctor, how to prepare for surgery (both physically and financially), and the best ways to influence the healing process. You?ll also:
- Discover the latest surgery techniques and medications
- Understand the different surgeon specializations
- Sort through the various non-surgical facial treatments
- Evaluate your post-op care options
- Cope with complications
- Deal with family, friends, and coworkers before and after surgery
Complete with lists of questions to ask before surgery and top Web sites for cosmetic surgery information, Cosmetic Surgery For Dummies is a practical, friendly guide that will help you say hello to a new you!
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Lucy Hale, Chris Zylka Break-Up
Lucy Hale has broken up with her boyfriend Chris Zylka of The Amazing Spider-Man fame. Actor Chris Zylka and actress Lucy Hale of ?Pretty Little Liars? fame have parted ways. The two just started dating this past March and by the sounds of it Hale was the one who decided to end their brief relationship. The news was revealed after a fan sent a tweet about Hale? to Zylka this past Sunday.? “Your girlfriend is gorgeous and sorta perfect. Just thought you should know.” “Don’t have a girlfriend – she decided she was too good,? Zylka tweeted in response.? The 27-year old actor later deleted the message adding, “Never any disrespect towards anyone. Only if you say what you say you should stick to it. If you say you love then love.” Hale looks to be busy moving on even after speaking about the couple’s amazing chemistry “I was like ‘holy crap you’re gorgeous!’ It was like no one else was there. We couldn’t stop talking.” She has been seen recently enjoying her time off of the set of ABC Family series hanging out with [...]
Source: http://feedproxy.google.com/~r/RightCelebrity/~3/ov1P9FLWLUs/
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VHSL Changes: Coaches weigh in on the move to six classifications ...
MORE STATE CHAMPS, LESS TRAVEL IN STORE
BY JUSTIN RICE
Though the full ramifications of the VHSL?s change to six classifications are unclear, even to the coaches who have been following the proposal closely, two things do seem clear:
Field hockey will change from two to three state champions, with the bottom four classifications competing together (as they do now) and the top two classifications playing for separate titles.
Wrestling will double?from three to six?the number of champions it crowns. So will cross country, golf, volleyball, baseball, boys soccer, girls tennis, outdoor track and softball.
Boys tennis (five champions), girls soccer (five), lacrosse (two), swimming (four per gender), indoor track (four per gender) and gymnastics (two) will also be handing out more end-of-season trophies.
?I think it?s a little watered down,? said Colonial Forge wrestling coach Bill Swink. ?It could potentially hurt college recruiting.
?I think there already is equitable division, and I think three classes in a state like Virginia is good.?
The vast majority of the coaches interviewed by The Free Lance?Star agreed with Swink: The current number of state championships is sufficient.
?I think it?s kind of the path of this generation,? Courtland volleyball coach Bob Hott said. ?All the little kids get medals and trophies. The more champions you have, the more people feel good about themselves.
?I would just as soon throw everybody in the same pot, and have one champion.?
Schools that end up in the upper half of a classification split, like Colonial Forge (with a 2012 enrollment of approximately 1,750 students, destined for a 6A designation), will still compete with schools like T.C. Williams (3,000 students), Landstown (2,500) and Woodbridge (2,500).
But for Mountain View, Massaponax, North Stafford and Brooke Point, landing in 5A will have them paired with schools of more similar enrollment.
Not that enrollment is everything.
Swink has built a wrestling power at Colonial Forge. Mountain View and Stafford have been perennial contenders at the state level in field hockey. And the entire Commonwealth District has been one of the state?s best districts at churning out distance runners for cross country and track.
?In cross country I feel like we?re going to be in pretty good shape for a while,? said Stafford track and field coach Pete Augrom, who will lose many of the state?s best cross country opponents when he?s competing in the 6A-South. ?But in track you have the traditional powers?Western Branch, Lake Braddock those schools that always have the really good sprinters.?
Colonial Forge volleyball coach Keith Mesa said he?d vote against the change to six classifications. But he?d also vote against the current system.
?I think Virginia is a hard state to classify,? he said. ?There?s not a real uniform system of school building, so we end up with a lot of schools of varying sizes.?
One change Commonwealth District coaches are nearly unanimously in favor of is moving Albemarle and Orange out of the district. The Patriots and Hornets will compete during the regular season in the Jefferson District, built around schools in the Charlottesville region.
?At least once a week we?re making those teams have to travel,? Mesa said. ?I think right there you really need to start looking at, if these kids are student?athletes, that?s not what you?re saying if you do that. There?s no way that can help kids.?
With Orange and Albemarle, the Commonwealth has grown large geographically, and large in terms of the number of schools.
The VHSL allows a maximum of 16 regular-season field hockey and soccer games. So this year and last, the district schedule?two games against each of a school?s eight district opponents?sucked up the entire regular season, allowing no room to play nondistrict games against tough opponents.
?What I really want is the ability to play out of my district, just so we can play the better competition,? North Stafford boys soccer coach Iric Bressler said. ?We haven?t been able to do anything like that the last two years. I?d like to play somebody outside the district.?
Many of the 25 small-sports coaches interviewed by The Free Lance?Star do seem open to the changes. Most said they would vote against the six-classification proposal, but do recognize the need for changes in how teams are paired.
All seemed eager to figure out exactly what the changes will mean for their sport.
?Sometimes change is good; sometimes it?s not,? Mountain View field hockey coach Pattie Sullivan said. ?We?re going to have to feel this one out.?
Justin Rice: 540/368-5045
jrice@freelancestar.com
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