Children currently comprise just under 23% of our population but remain 100% of our future. It is therefore incumbent on us to ensure the most healthful future possible for them. This paper presents an evidence-based "K-12 Standard for Optimal Sexual Development" to encourage the education of children about sex risk avoidance (SRA) behaviors such as monogamy, relationship skills, and healthy psychological traits as an alternative to Comprehensive Sex Education (CSE) which is not based on age-appropriate sexual milestones or behaviors.
View Article and Find Full Text PDFFemale Veterans are the most rapidly growing segment of new users of the Veterans Health Administration (VHA), and a significant proportion of female Veterans receiving treatment from VHA primary care providers report persistent pain symptoms. Currently, available data characterizing the neurobiological underpinnings of pain disorders are limited. Preclinical data suggest that neurosteroids may be involved in the modulation of pain symptoms, potentially via actions at gamma-aminobutyric acid (GABA) and N-methyl-D-aspartate (NMDA) receptors.
View Article and Find Full Text PDFBackground: Telemedicine-based diabetes management improves outcomes versus clinic care but is seldom implemented by healthcare systems. In order to advance telemedicine-based management as a practical option for veterans with persistent poorly controlled diabetes mellitus (PPDM) despite clinic-based care, we evaluated a comprehensive telemedicine intervention that we specifically designed for delivery using existing Veterans Health Administration (VHA) clinical staffing and equipment.
Materials And Methods: We conducted a 6-month randomized trial among 50 veterans with PPDM; all maintained hemoglobin A1c (HbA1c) levels continuously >9.
Aims: To assist clinicians in the diagnosis of factitious disorder.
Methods: This is a systematic review of the role of laboratory, radiologic, procedural, and pathological modalities to assist in the diagnosis of factitious disorder (Munchausen's syndrome). The review evaluated 3104 article titles and abstracts that were identified from MEDLINE as of January 2010.