Quantum Sufficit
Just Enough
Could asking teens to pledge sexual abstinence do more
harm than good? Research shows that teens who pledge abstinence are just as
likely to contract a sexually transmitted disease (STD) as those who don't.
Authors of a study published in the Journal of
Adolescent Health collected data using an in-school questionnaire given
to students in grades 7 through 12 and conducted follow-up interviews one to
six years later. Researchers found that teens who pledged abstinence were six
times more likely to have had oral sex and were less likely to use condoms
during their first experience or be tested for STDs compared with their peers
who had remained abstinent, but not as part of a pledge. In addition, boys who
pledged abstinence were four times more likely to have had anal sex than their
abstinent peers. Researchers speculate that "abstinent" teens may engage in
oral and anal sex, because virginity is culturally linked only to vaginal
intercourse.
Sweet dreams and dialysis? New research has found that
while-you-sleep dialysis is more effective than traditional dialysis and frees
patients from spending their daytime hours attached to a dialysis machine.
USA Today reports that a small trial has
found greater improvement in cardiovascular markers with nighttime home-based
dialysis compared with the standard three-times-a-week clinic-based dialysis.
Although the results appear to be promising, two groups of researchers hope to
validate the findings with randomized controlled trials. The studies, sponsored
by the National Institutes of Health, are expected to conclude by 2008.
A new medication may have lung transplant patients
breathing easier. The Wall Street Journal
reports that more than 70 percent of heart, liver, and kidney transplant
patients survive more than five years, compared with only 45 percent of lung
transplant patients. A randomized trial has found that a new inhaled version of
an antirejection medication may keep lung transplant patients alive longer and
improve the performance of the new lung. Nineteen percent of the trial
participants who took the inhaled medication died after four and one half
years, compared with 50 percent of those taking placebo. Researchers estimate
that this represents an 84 percent survival rate after four years.
Screening for early oral cancer may be as easy as saying
"Ah
" A study presented at the 96th annual meeting of the American
Association for Cancer Research found that saliva tests that look for genetic
biomarkers are about 90 percent accurate in detecting oral squamous cell
carcinoma. Future studies are needed to validate the results, according to the
report, and researchers hope to study the accuracy of saliva tests to screen
for precancers and other difficult-to-detect cancers.
Do you feel as though you're sneezing more than you did
20 years ago? New research published in BMJ
shows that allergies to pollen, pet dander, and other common triggers have
increased significantly over the past 25 years. The researchers found an almost
5 percent increase in allergies each decade and found no evidence that allergic
reactions declined with age. Researchers say they still don't know the reason
for the rise, but they don't believe it is caused by increased environmental
exposures or declining childhood infection.
It's well known that pregnancy and alcohol don't mix, but
when they do, the harmful effects may not end at delivery. A study in the
Journal of Clinical Endocrinology &
Metabolism has shown that alcohol could hinder milk production in
lactating women. Researchers say that the centuries-old notion that alcohol
acts as a galactagogue is a myth. According to the study, although alcohol may
initially help the mother to relax before breastfeeding, moderate alcohol
consumption disrupts the hormonal milieu linked to lactational performance,
decreasing milk yield and ejection.
| Copyright © 2005 by the American
Academy of Family Physicians. |









