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12,882 results
  • Acne Management Guidelines by the Dermatological Society of Singapore. [Journal Article]
    J Clin Aesthet Dermatol 2019; 12(7):34-50Oon HH, Wong SN, … Tan HH
  • Due to the multiethnic patient population with varying skin types in Singapore, clinicians often find the management of acne in their patients to be challenging. The authors developed these guidelines to provide comprehensive advice on individualized acne treatment and to provide a reference guide for all doctors who treat patients of Asian descent. Unique features of acne in Singapore are highli…
  • Advancing pharmacist prescribing privileges: Is it time? [Journal Article]
    J Am Pharm Assoc (2003) 2019Majercak KR
  • CONCLUSIONS: Collaborative practice agreements between physicians and pharmacists have fostered the expansion of the role of pharmacists; however, autonomous prescriptive authority for pharmacists would promote access to vaccines, naloxone for opioids, hormonal contraceptives, travel medications, tobacco cessation medications, and more. Before experiencing the integration of a pharmacist into their practice, an initial concern of physicians consisted of not fully understanding the role of pharmacists. Additional concerns in advancing the pharmacy profession include liability, provider-provider communication, payment for services, as well as training and inadequate infrastructure.Among the states that have expanded prescriptive authority for pharmacists, experiences among stakeholders have been positive. As with any major change, it will take time to implement proper structures and processes, with continuous revisions to address barriers and/or challenges that may arise. There will be a need for training as well as educating various stakeholders about the changes in the scope of pharmacy practice. Leveraging the experience of states that already have prescriptive authority protocols in place can aid in this endeavor. Limiting pharmacists by not providing prescriptive authority would not be a good alternative-tapping into an underused resource is better than reinventing the wheel.
  • Hormonal Contraception and Female Sexuality: Position Statements from the European Society of Sexual Medicine (ESSM). [Journal Article]
    J Sex Med 2019Both S, Lew-Starowicz M, … Vignozzi L
  • CONCLUSIONS: There is not enough evidence to draw a clear algorithm for the management of hormonal contraception-induced sexual dysfunction, and further studies are warranted before conclusions can be drawn. A careful baseline psychological, sexual, and relational assessment is necessary for the health care provider to evaluate eventual effects of hormonal contraceptives at follow-up.The effects of hormonal contraceptives on sexual function have not been well studied and remain controversial. Available evidence indicates that a minority of women experience a change in sexual functioning with regard to general sexual response, desire, lubrication, orgasm, and relationship satisfaction. The pathophysiological mechanisms leading to reported sexual difficulties such as reduced desire and vulvovaginal atrophy remain unclear. Insufficient evidence is available on the correlation between hormonal contraceptives and pelvic floor function and urological symptoms. Both S, Lew-Starowicz M, Luria M, et al. Hormonal Contraception and Female Sexuality: Position Statements from the European Society of Sexual Medicine (ESSM). J Sex Med 2019;XX:XXX-XXX.
  • Do oral contraceptives modulate an ERP response to affective pictures? [Journal Article]
    Biol Psychol 2019; :107767Monciunskaite R, Malden L, … Griksiene R
  • Indications exist that use of oral contraceptives affects women's socio-emotional behaviour, brain function and, cognitive abilities, but the information is still scarce and ambiguous. We aimed to examine affective processing of visual stimuli between oral contraceptive users (OC, n = 33) and naturally cycling women (NC, n = 37) using the event-related potential (ERP) method. The main findings ar…
  • Aldosterone in Gynecology and Its Involvement on the Risk of Hypertension in Pregnancy. [Review]
    Front Endocrinol (Lausanne) 2019; 10:575Sabbadin C, Andrisani A, … Armanini D
  • Aldosterone is the main mineralocorticoid hormone, responsible of the regulation of fluid and electrolyte balance and blood pressure. It acts also as a pro-inflammatory factor responsible of an increased cardiovascular risk, independent from blood pressure values. After the discovery of mineralocorticoid receptor (MR) in mononuclear leukocytes, further studies supported its role in inflammatory a…
  • The Effect of Efavirenz on Estradiol Metabolism in Transgender Women. [Journal Article]
    Transgend Health 2019; 4(1):197-199Leinung MC, Miller CH, … Joseph J
  • The goal of hormonal therapy in treating gender dysphoria is to maintain cross-sex hormone levels in the normal physiological range for the desired gender. Estrogen is the mainstay of hormonal therapy for male to female transgender patients. Efavirenz, a non-nucleoside reverse-transcriptase inhibitor, has been one of the most commonly prescribed antiretroviral therapies (ARTs). However, this regi…
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