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Male Postnatal Depression - a sign of equality or a load of nonsense?

Storylines on popular TV dramas are a great way of raising the public's awareness of a disease. They're almost as effective as a celebrity contracting an illness. For example, when Wiggles member Greg Page quit the group because of postural orthostatic tachycardia syndrome, I had a spate of patients, mostly young and female, coming in with self-diagnosed "Wiggles Disease". A 30% increase in the number of mammograms in the under-40s was attributed to Kylie Minogue's breast cancer diagnosis. The list goes on. Thanks to a storyline on the TV drama Desperate Housewives, I received questions about male postnatal depression from local housewives desperate for information: "Does it really exist?" "I thought postnatal depression was to do with hormones, so how can males get it?" "First it's male menopause, now it's male postnatal depression. Why can't they keep their grubby mitts off our conditions?" "It's like that politically correct crap about a 'couple' being pregnant. 'We' weren't pregnant, 'I' was. His contribution was five seconds of ecstasy and I was landed with nine months of morning sickness, tiredness, stretch marks and sore boobs!" One of my patients, a retired hospital matron now in her 90s, had quite a few words to say on the subject. "Male postnatal depression -- what rot! The women's liberation movement started insisting on equality and now the men are getting their revenge. You know, dear, it all began going downhill for women when they started letting fathers into the labour wards. How can a man look at his wife in the same way if he has seen a blood-and-muck-covered baby come out of her … you know? Men don't really want to be there. They just think they should -- it's a modern expectation. Poor things have no real choice." Before I had the chance to express my paucity of empathy she continued to pontificate. "Modern women just don't understand men. They are going about it the wrong way. Take young couples who live with each other out of wedlock and share all kind of intimacies. I'm not talking about sex; no, things more intimate than that, like bathroom activities, make-up removal, shaving, and so on." Her voice dropped to a horrified whisper. "And I'm told that some young women don't even shut the door when they're toileting. No wonder they can't get their de facto boyfriends to marry them. Foolish girls. Men need some mystery. Even when you're married, toileting should definitely be kept private." I have mixed feelings about male postnatal depression. I have no doubt that males can develop depression after the arrival of a newborn into the household; however, labelling it "postnatal depression" doesn't sit all that comfortably with me. I'm all for equality, but the simple fact of the matter is that males and females are biologically different, especially in the reproductive arena, and no amount of political correctness or male sharing-and-caring can alter that. Depressed fathers need to be identified, supported and treated, that goes without saying, but how about we leave the "postnatal" tag to the ladies? As one of my female patients said: "We are the ones who go through the 'natal'. When the boys start giving birth, then they can be prenatal, postnatal or any kind of natal they want!" (This blog post has been adapted from a column first published in Australian Doctor http://bit.ly/1aKdvMM)  
Dr Genevieve Yates
almost 6 years ago
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4
57

Global Epidemiology of HIV Infection among Men Who Have Sex with Men | The New York Academy of Sciences

At the NYAS March 2011 Music, Science and Medicine conference, Assistant Professor of Psychiatry and Neuroscience at Mount Sinai School of Medicine and 2010 Blavatnik Award winner, Daniela Schiller, talks to Roger Bingham about how she got into science and reviews research in modifying fear memories.  
nyas.org
over 5 years ago
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4
281

Addison's Disease - Adrenal Insufficiency

Adrenal Insufficiency - Hypoadrenalism Primary hypoadrenalism This term is synonymous with Addison’s disease. In this condition, there is destruction of the adrenal cortex. The presentation is notoriously varied and vague. It is potentially fatal. There will be a lack of secretion of cortisol, aldosterone and sex hormone.  
almostadoctor.com - free medical student revision notes
over 5 years ago
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3
66

How to Have great Sex in 2015

How to Have great Sex in 2015 https://www.owners-guide.com/online-consultation/ -----------------------------------------------------------------------------...  
youtube.com
over 4 years ago
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2
38

No Title

SPIROMETRY • Wash hands • Introduce, identify patient, gain consent • Establish height, sex, age and ethnicity (if African/Asian query whether ‘normal’ values …  
Nick Francis
over 8 years ago
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2
69

Legal and Ethical Issues in Medical Treatment of Children with Variations of Sex Anatomy

Speaker: Anne Tamar-Mattis An estimated 1 in 2,000 babies is born with a Difference of Sex Development (DSD or intersex condition). Currently, there is much controversy regarding the best course of treatment for those children with DSD born with atypical genitals. However, little attention has gone to the process of decision-making, or to other important questions such as sterilization of children with DSD or protecting privacy rights. This workshop begins with an overview of the biology of DSD and the basic legal and ethical principles of surrogate consent in pediatric cases. We will then discuss some key legal and ethical questions. Participants will become familiar with key legal and ethical issues in the treatment of children with DSDs, with special attention to unsettled questions of law and uncertain medical outcomes. Participants will deepen their understanding of the ethics and law of surrogate decision-making for children. Participants will be able to identify potential situations in the treatment of children with DSDs where additional legal or ethical consultation may be indicated.  
Nicole Chalmers
almost 6 years ago
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2
25

Alternative University League Tables

Our alternative university league tables tell you everything you need to know about student life - from sex leagues to average salaries, it's all covered.  
studentbeans.com
over 5 years ago
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2
46

Let's talk about sex and endometriosis

Stream Let's talk about sex and endometriosis by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 5 years ago
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2
21

Ad Breakdown: Sex and the e-cigarette - BBC News

E-cigarettes are to be shown in a TV advert for the first time, but will it be too sexualised for peak-time audiences?  
BBC News
about 5 years ago
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2
47

The prevalence of and factors associated with paying for sex among men resident in Britain

Stream The prevalence of and factors associated with paying for sex among men resident in Britain by BMJ talk medicine from desktop or your mobile device  
SoundCloud
almost 5 years ago
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1
41

Maternal preconception and gender selection

Maternal preconception and gender selection has long been a controversial topic. Are you more likely to conceive a boy if you eat red meat, and a girl if you make love under a full moon? Oldwives tales and fantasies exploring sexual position, diet, and dominance circulate the Internet however how can we logically distinguish between fact and fiction? The topic has widespread cultural implications. Sex-related abortions are on the increase in China and India where local customs and religious virtues appear to strongly correlate with the systematic elimination of girls. In an effort to challenge the dogma of chance fertilization two main research streams have explored variations in maternal condition and gender conception. The ‘Maternal Dominance’ hypothesis has suggested trait dominance, underpinned by serum testosterone, correlates with increased male conception rates. The second, ‘Maternal condition’ hypothesis relates to pre-conceptual maternal diet, investigating variations in both quantity and quality of diet and effects on sex ratios. However such assumptions have been difficult to replicate and more recent evidence has suggested changes in maternal condition may have a stronger influence Maternal adaptations in behavior appear to closely correlate with biased gender ratios and can have wider connotations on sex-linked disease inheritance. However unless we can identify molecular mechanisms influencing the intrauterine environment and follicular development, hypothesis will remain mere assumptions.  
Langhit Kurar
over 8 years ago
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1
32

Weight loss in an adolescent girl

A 15 year old girl who had been previously fit and well presented to the child and adolescent mental health services (CAMHS) team with weight loss, irregular menstrual periods, excessive exercise, restriction of energy intake during the day, and binging during the evening, followed by vomiting. Her symptoms had been present for a year, since her father had experienced a myocardial infarction. Clinically her symptoms were in keeping with anorexia nervosa, as shown by her completed eating disorder questionnaire.1 Her body mass index (BMI) was 16 and her weight for height was 85% of the median (50th centile) for age and sex. She had a distorted body image, believing her stomach and ankles were too fat, and she had an extreme fear of gaining weight.  
bmj.com
over 5 years ago
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1
14

Sex, health, and athletes

Recent policy introduced by the International Olympic Committee to regulate hyperandrogenism in female athletes could lead to unnecessary treatment and may be unethical, argue Rebecca Jordan-Young, Peter Sönksen, and Katrina Karkazis  
bmj.com
over 5 years ago
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43

CHA2DS2-VASc

CHADSVASc score for assessing the risk of stroke in AF Congestive heart failure (1 point) Hypertension (1 point) Age >75 years (2 point) Diabetes Mellitus (1 point) Prior Stroke or TIA (2 points) Vascular disease (e.g. PVD, MI) (1 point) Age 64-75 years (1 point) Sex (female) (1 point) Anticoagulation based on the CHADS2 score:  
almostadoctor.com - free medical student revision notes
over 5 years ago
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1
22

Quantification of risk factors for herpes zoster: population based case-control study

Participants 144 959 adults diagnosed with zoster between 2000 and 2011; 549 336 age, sex, and practice matched controls.  
bmj.com
over 5 years ago
Www.bmj
1
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Quantification of risk factors for herpes zoster: population based case-control study

Participants 144 959 adults diagnosed with zoster between 2000 and 2011; 549 336 age, sex, and practice matched controls.  
bmj.com
over 5 years ago
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1
12

Quantification of risk factors for herpes zoster: population based case-control study

Participants 144 959 adults diagnosed with zoster between 2000 and 2011; 549 336 age, sex, and practice matched controls.  
bmj.com
over 5 years ago
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1
14

Quantification of risk factors for herpes zoster: population based case-control study

Participants 144 959 adults diagnosed with zoster between 2000 and 2011; 549 336 age, sex, and practice matched controls.  
bmj.com
over 5 years ago
Preview
1
27

Quantification of risk factors for herpes zoster: population based case-control study

Participants 144 959 adults diagnosed with zoster between 2000 and 2011; 549 336 age, sex, and practice matched controls.  
bmj.com
over 5 years ago
Preview
1
21

Let's talk about sex and endometriosis

Stream Let's talk about sex and endometriosis by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 5 years ago