A Perspective on Hormonal Contraception Usage in Central Nervous System Injury.

Naturally occurring life stages in women are associated with changes in the milieu of endogenous ovarian hormones. Women of childbearing age may be exposed to exogenous ovarian hormone(s) because of their use of varying combinations of estrogen and progesterone hormones-containing oral contraceptives (OC; also known as "the pill"). If women have central nervous system (CNS) injury such as spinal cord injury (SCI) and traumatic brain injury (TBI) during their childbearing age, they are likely to retain their reproductive capabilities and may use OC.

Cultivating hope through creative resistance: Puerto Rican undergraduates surviving the disasters of climate and colonization.

This article details what occurred during a youth participatory action research (YPAR) project involving Puerto Rican undergraduates who at first focused their analysis on how their experiences with Hurricane María could be framed as resiliency and then eventually adopted a framework of resistance to further capture their actions, stances, and practices in response to government neglect. The YPAR generative process facilitated this emergence of resistance by beginning with the presentation of a cultural artifact and then helping students to use creative and artistic means to critically reflect on their experiences and the ways that not just resiliency, but also resistance captured their analysis of the actions of the people and government actors both immediately after the hurricane and in the long recovery that followed.

Editorial: Transition to Telehealth for Mental Health Clinics: Future Considerations.

The acute mental health demands during the COVID-19 pandemic galvanized early adoption of telehealth for care delivery in all medical settings. This is even more so for the field of psychiatry. Whether an established telehealth program existed or not, the abrupt lifting of regulations and urgent need for access to care opened the telehealth flood gates.

Supporting the mental health needs of underserved communities: A qualitative study of barriers to accessing community resources.

This study examined the accessibility of community resources (e.g., welfare programs and afterschool programs) for underserved youth and families with mental health needs.

Rapid expansion of direct-to-consumer telemental health during the COVID-19 pandemic: A case series.

Background: The coronavirus disease 2019 (COVID-19) pandemic brought many challenges to patient care delivery. The need for social distancing and relaxing of federal and state telemental health regulations paved the way for widespread adoption of direct-to-consumer (DTC) ambulatory mental health video visits.

Methods: We present cases that demonstrate the use of video visits across 6 clinical areas, each serving a unique population of patients, in a large behavioral health system.

Right hemispheric reversible cerebral vasoconstriction syndrome in a patient with left hemispheric partial seizures.

We report a right-handed 19-year-old girl who developed reversible cerebral vasoconstriction syndrome (RCVS) lateralized to the right hemisphere with simultaneous new-onset left hemispheric seizures. RCVS, typically more diffuse, was lateralized to one of the cerebral hemispheres.

Current drug use and lack of HIV virologic suppression: point-of-care urine drug screen versus self-report.

Background: There have been inconsistent findings on the association between current drug use and HIV disease progression and virologic suppression. Drug use was often measured using self-report of historical use. Objective measurement of current drug use is preferred.

Synchronization of occurrence of the ovarian philometrid, Philometra carolinensis, with the spawning season of its fish host, the spotted seatrout, Cynoscion nebulosus.

The philometrid Philometra carolinensis inhabits the ovaries of the spotted seatrout, Cynoscion nebulosus. A 2-year study in estuaries of South Carolina showed that each year adult female worms were present only during the spawning season of the host and that only sexually mature fish were infected. Overall prevalence was 13.