Popular Articles

Increase In Contraception Sales, Vasectomies Linked To Recession, Slate Column Says
The "hard truth of our economic turmoil is almost at term," as hospitals are beginning to report a decrease in the number of births, about nine months after "American banks first admitted their collective crisis," author Lauren Sandler writes in Slate"s "The Big Money" column. Sandler writes that the trend is "hardly unprecedented," noting that the contraception business "was just about the only one booming" during the Great Depression. She asks, "Are market forces the great contraceptive?" Sandler continues that in the first few months of 2009, Nielsen reported a 10% increase in U.S. sales of condoms and emergency contraceptive pills. Additionally, sales of the permanent female contraceptive Essure have increased 28% over the past year, and clicks on physician profiles on Vasectomy.com have risen 40%. According to Sandler, Vasectomy.com"s chief operating officer, Maya Wank, reports that many urologists say that vasectomies are increasing because patients" salaries are down, with many men seeking vasectomies out of fear of job or health insurance loss.Sandler writes that the "tanking economy has delivered an awakening" that the "choice to have a child is probably the most serious, not to mention one of the most costly, that you"ll ever make." According to Sandler, a Gallup poll found that 12% of women say they know someone who has delayed a planned pregnancy because of the recession. The poll also found that one in five women reports that she is more concerned about unintended pregnancy than she was one year ago, and the same number reports being more "conscientious" about using birth control. Additionally, the poll found that, compared with one year ago, 13% more women who use hormonal contraception are concerned that they will be unable to afford their birth control. Since 2008, there has been an increase of 15% in the number of U.S. residents who say they had to cut back on medications due to cost.Sandler writes that it is "not surprising" that the National Network of Abortion Funds reports a fourfold increase in the number of calls from women who need assistance paying for abortion procedures. The Centers for Disease Control and Prevention also recently announced that teen birth rates are up after a 14-year decline. "In other words, the recession could result in a drop in birth rates for women with easy access to contraception and abortion," Sandler writes, adding that experts believe that women with "more limited access ... may see the rate climb." Sandler concludes that "it"s not unreasonable to consider what things will look like if the middle class reduces its reproduction, while men and women who are struggling to even afford condoms expand their numbers despite their personal choice" (Sandler, "The Big Money," Slate, 5/17).

Human Development Is Set By Ongoing Interplay Of Parent And Offspring Genes, Analysis Suggests
An analysis of rare genetic disorders in which children lack some genes from one parent suggests that maternal and paternal genes engage in a subtle tug-of-war well into childhood, and possibly as late as the onset of puberty.
News of the day
Anti Nausea Drug Deemed Safe For Fetuses: Ben-Gurion U.
Metoclopramide, a drug approved in the U.S. for nausea, vomiting and heartburn poses no significant risks for the fetus according to a large cohort study published in the June 11 issue of the prestigious New England Journal of Medicine, "The Safety of Metoclopramide Use in the First Trimester of Pregnancy" (N Engl J Med 2009;360:24 June 11, 2009).
Endocrinology

Ultrasound Outperforms Symptom Analysis In Detecting Ovarian Cancer

Doctors at the University of Kentucky Chandler Medical Center-Markey Cancer Center compared symptom analysis to ultrasound in predicting ovarian cancer. They selected 272 women participating in annual trans-vaginal screening (TVS) from 31,748 women enrolled in a free screening project at the university, comparing symptom results to ultrasound and surgical pathology findings. They found TVS performed better than symptoms analysis for detecting malignancies (73.3% versus 20% sensitivity). While symptoms analysis performed better for distinguishing benign tumors (91.3% versus 74.4% specificity), adding symptom analysis to TVS actually resulted in poorer identification of malignancy (sensitivity = 16.7%), even as it improved the ability to distinguish benign tumors (specificity = 97.9%). The authors say the data indicates that while symptoms do identify ovarian malignancies, they are not as accurate as TVS. They add that informative symptoms can be expected to be absent in 80 percent of ovarian malignancies. Article: "The Search for Meaning - Symptoms & TVS Screening." Edward J. Pavlik, Brook A. Saunders, Stacey Doran, Katherine W. McHugh, Frederick R. Ueland, Christopher P. DeSimone, Paul D. DePriest, Rachel A. Ware, Richard J. Kryscio, and John R. van Nagell, Jr. CANCER; Published Online: July 13, 2009 (DOI: 10.1002/cncr.24407); Print Issue Date: August 15, 2009 Editorial: "The search for meaning-symptoms and TVS screening for ovarian cancer - Silent no more." Ilana Cass, M.D. CANCER; Published Online: July 13, 2009 (DOI: 10.1002/cncr.24403); Print Issue Date: August 15, 2009 University of Kentucky Chandler Medical Center Markey Cancer Center


Add your comment:
Name:
Site address: http://
Your message:
Enter today\\\\'s date, 2 digits
(spam protection):