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All of us would agree that teens should be older--not just to use EC, but also to deal with sex, a serious relationship, and many other things. We might counsel them to wait until they are older, but if they are going to have sex, then we should help them protect themselves. Medically, EC is not difficult to handle--certainly no more difficult than complying with daily medications or, for that matter, daily oral contraceptives. And, surely, if a teen is not old enough to handle EC, she is probably not old enough to deal with having an abortion, or going through pregnancy and labor, and being a parent. So, let's do what we can to prevent this pregnancy--including letting her know that unprotected intercourse does not have to result in pregnancy and
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Kodali et al, page 15 REFERENCES 1. Anderson DC and Springer TA. Leukocyte adhesion deficiency: an inherited defect in the Mac-1, LFA-1, and p150, 95 glycoproteins. Annu Rev Med 38: 175-194, 1987. Barnett CC, Jr., Moore EE, Mierau GW, Partrick DA, Biffl WL, Elzi DJ and Silliman CC. ICAM-1-CD18 interaction mediates neutrophil cytotoxicity through protease release. J Physiol 274: C1634-1644, 1998. 3. Bautista AP. Chronic alcohol intoxication induces hepatic injury through enhanced macrophage inflammatory protein-2 production and intercellular adhesion molecule-1 expression in the liver. Hepatology 25: 335-342, 1997. Blake KM, Carrigan SO, Issekutz AC and Stadnyk AW. Neutrophils migrate across intestinal epithelium using beta2 integrin CD11b CD18 ; -independent mechanisms. Clin Exp Immunol 136: 262-268, 2004. Bowden RA, Ding ZM, Donnachie EM, Petersen TK, Michael LH, Ballantyne CM and Burns AR. Role of alpha4 integrin and VCAM-1 in CD18-independent neutrophil migration across mouse cardiac endothelium. Circ Res 90: 562-569, 2002. Bumgardner GL, Li J, Apte S, Heininger M and Frankel WL. Effect of tumor necrosis factor alpha and intercellular adhesion molecule-1 expression on immunogenicity of murine liver cells in mice. Hepatology 28: 466-474, 1998. Bunting M, Harris ES, McIntyre TM, Prescott SM and Zimmerman GA. Leukocyte adhesion deficiency syndromes: adhesion and tethering defects involving beta 2 integrins and selectin ligands. Curr Opin Hematol 9: 30-35, 2002. Cruickshank SM, Southgate J, Selby PJ and Trejdosiewicz LK. Expression and cytokine regulation of immune recognition elements by normal human biliary epithelial and established liver cell lines in vitro. J Hepatol 29: 550-558, 1998. Dahm LJ, Bailie MB and Roth RA. Relationship between liver injury and elevations in hepatic non-protein sulfhydryl content. Biochem Pharmacol 42: 1189-1194, 1991. Dahm LJ, Schultze AE and Roth RA. An antibody to neutrophils attenuates liver injury. J Pharmacol Exp Ther 256: 412-420, 1991. Desmet VJ, Krstulovic B and Van Damme B. Histochemical study of rat liver in alphanaphthyl isothiocyanate ANIT ; induced cholestasis. J Pathol 52: 401-421, 1968. Dietrich CG, Ottenhoff R, de Waart DR and Oude Elferink RP. Role of MRP2 and GSH in intrahepatic cycling of toxins. Toxicology 167: 73-81, 2001. Duffield JS, Forbes SJ, Constandinou CM, Clay S, Partolina M, Vuthoori S, Wu S, Lang R and Iredale JP. Selective depletion of macrophages reveals distinct, opposing roles during liver injury and repair. J Clin Invest 115: 56-65, 2005. Edwards MJ, Keller BJ, Kauffman FC and Thurman RG. The involvement of Kupffer cells in carbon tetrachloride toxicity. Toxicol Appl Pharmacol 119: 275-279, 1993. Essani NA, Fisher MA, Farhood A, Manning AM, Smith CW and Jaeschke H. Cytokine-induced upregulation of hepatic intercellular adhesion molecule-1 messenger RNA expression and its role in the pathophysiology of murine endotoxin shock and acute liver failure. Hepatology 21: 1632-1639, 1995. Essani NA, Bajt ML, Farhood A, Vonderfecht SL and Jaeschke H. Transcriptional activation of vascular cell adhesion molecule-1 gene in vivo and its role in the and
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Please join us for a benefit concert, supporting the Guatemala Health Care Project, on Friday, May 7th, from 6-10pm at 330 Ritch Street. Bands featured will be the Vincent Robinson Collective and Zero-PointFour. There will be $2 draft beers from 5-7. The bar is located at 330 Ritch street between 3rd and 4th and Townsend and Bryant. The suggested cover donation is $15, or $10 for students. The Guatemala Health Care Project is a group of advanced practice nursing students and faculty from UCSF who will be returning to Guatemala for the second year to provide health care to underserved areas, in collaboration with Guatemalan organizations. Communities served will include returning refugees and Hurricane Mitch victims. 100% of the donations will go to direct patient care. Students and faculty will finance their own expenses. Donations are needed to purchase supplies and medicine at cost. Specific supplies include but are not limited to the following: Medicines: Analgesics acetaminophen, aspirin, ibuprofen ; , antibiotic ointments Bactroban, bacitracin ; , anti-fungal creams, lice and scabies treatments, multivitamins, iron supplements, antacids, and hydrocortisone cream. Supplies: Bandages, Band-aides, gauze, gloves, surgical tape, and sterile sutures. Hygiene Products: Soap for sensitive skin, waterless ; , toothbrushes, and toothpaste. Donations are welcome and very much appreciated. A little goes a long way, for example: $10 will treat 6 children for ear infections $20 will treat systemically, 10 children for skin infections $40 will treat 900 patients for parasites Donations are tax deductible. Please make checks payable to UC Regents with the memo line reading: Guatemala Health Care Project. Please send to: UCSF School of Nursing Department of Family Health Care Nursing, N-411Y San Francisco, CA 94143-0606 Attn: Guatemala Health Care Project.
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History There is limited consensus on management paradigms for the diagnosis of women with sexual health complaints. The cornerstone of the physical-based diagnosis of women with sexual dysfunction is a history and physical examination performed by the biologic-focused health care professional. Specifically, obtaining a careful history is crucial, since this aspect of the diagnosis establishes impressions and forms the basis of the emphasis during the physical exam.27, 28 The history of a woman with sexual health concerns includes sexual, medical, and psychosocial aspects, so that the many physical and psychological factors that often contribute to the sexual health difficulty can be characterized. It is advised that women with sexual health concerns undergo a separate and concomitant psychologic interview by a psychologic-focused health care professional to broaden the psychosocial information derived during the interview process.27, 28 The sexual history should begin with the patient describing the sexual problem. The following questions may be utilized to help obtain maximal descriptive information: What is the sexual problem? When did the sexual problem manifest? How long have you had the sexual problem? Does the sexual problem happen all the time? Does the sexual problem occur during partner-related sexual activity? Does the sexual problem occur during self-stimulation? In which situations is the sexual problem minimized? In which situations is the sexual problem maximized? Did you ever experience full capabilities for sexual interest, sexual arousal, and sexual orgasm? How many years were you at peak sexual function? What is your current sexual functioning in terms of interest, arousal, and orgasm compared to when you were at peak sexual function? Is the sexual problem associated with any degree of discomfort, tenderness, soreness, or pain? If so, can you localize the site of the pain on a schematic diagram of a woman's genitalia? What tests have you already had in the evaluation of your sexual health concern? What treatments have you already received and what are the outcomes of the various treatments? How does the sexual problem affect you? How is your partner affected by the sexual problem? Does the sexual problem cause you to withdraw from partner-related sexual activity, from self-stimulated sexual activity, or from the relationship? How would you feel if the sexual problem were cured? and
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