Over the next several visits, the patient discussed these traumatic experiences, and with the help of a counselor, we helped her to reduce feelings of shame, vulnerability, and responsibility. Concurrently, there was a gradual improvement in her GI symptoms and by age 18, in the winter of 1991, her symptoms were so much improved that the visits were discontinued.Top of pageSURVEY DATAThis account, along with similar ones from other patients, led me to believe there was a close link between abuse history and GI symptoms, but I also questioned whether my clinical observations were biased. Was I over reading the data, or were these true clinical associations? A review of the literature reported mostly the consequences of abuse history on mental health, though a few studies noted that victims of abuse not infrequently reported GI and genitourinary symptoms (4,5). 0 los efectos dela botanical slimming Better education for both physicians and patients could improve acceptability of these therapies. Recent military studies have shown continuous COC usage is only 15% in aviation personnel, despite operationally relevant benefits associated with its use.13 Military women desired to use menstrual suppression as an alternative to experiencing menstruation during deployment.14 Many women desired suppression for deployment (66%) but only 21% continuously used COCs. Of note, desire for mandatory education about continuous COC usage in this population was high, with 86% reporting this type of education should be an entry requirement for all female personnel.15 Knowledge gaps and compliance difficulties limit use for continuous COCs and therefore menstrual suppression in the military.15 A small UK military study highlighted the need for military healthcare providers to counsel personnel about contraceptive options rather than leaving this responsibility with national healthcare providers due to the higher levels of exposure to female soldiers.
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