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  • Book
    edited by Mandy S. Coles, Aisha Mays.
    Summary: Many individuals worldwide initiate sexual activity during their adolescent and young adult (AYA) years and are in need of safe and effective contraceptive services. Because of their safety profile, ease of use, and privacy many international professional organizations recommend that long-acting reversible contraception (LARC), including intrauterine devices (IUDs), be included in contraception discussions with AYAs. IUDs are particularly advantageous because these methods are safe and highly effective (>99% efficacy), are easy to keep confidential because they are often undetectable to others, and do not require daily adherence or frequent visits for refills. Despite significant evidence of their safety, acceptability, and effectiveness, among adolescents and AYAs, IUDs remain underutilized in this population. Written by experts in the field, Optimizing IUD Delivery for Adolescents and Young Adults provides a comprehensive framework that examines the history of IUDs, counseling, initiation, placement, and follow-up techniques that are unique to AYA populations. The text closes with resource chapters, including, expert clinical pearls for AYA IUD delivery, how to access IUD training, and information on IUD billing and reimbursement. In an effort to integrate the voice of youth, clinical case examples and patient stories are utilized throughout to provide both a clinical grounding for each chapter and context within which to apply the chapter material.

    Contents:
    The Intrauterine Device and Adolescents – History and Present
    Making Your Office Accessible for Adolescents and Young Adult IUD Services
    Types of IUDs and Mechanism of Action
    Addressing IUD Efficacy, Eligibility, Myths, and Satisfaction with Adolescents and Young Adults
    IUD Counseling: Whats Choice Got to Do With It?
    Just Do it: The When and How of IUD Insertion
    Consenting and Pre-Procedural Counseling for IUD Insertion: What to Expect and What to Talk About
    Integrating IUD Provision Into Your Practice: Site Preparedness, Staff Training, and Procedural Steps
    Pharmacologic Approaches to Pain Management with IUD Insertion
    Nonpharmacologic Approaches to Pain Management with IUD Insertion
    Follow Up After IUD insertions: Managing IUD Expectations, Addressing Side Effects, and Providing Post-Insertion Counseling
    Challenging IUD Procedures
    Adolescent and Young Adult IUD Delivery in Non-Traditional Health Settings.
    Digital Access Springer 2019
  • Article
    Chan-Yeung M, Ashley MJ, Grzybowski S.
    Can Med Assoc J. 1978 May 20;118(10):1271-4.
    Grain dust is composed of a large number of materials, including various types of grain and their disintegration products, silica, fungi, insects and mites. The clinical syndromes described in relation to exposure to grain dust are chronic bronchitis, grain dust asthma, extrinsic allergic alveolitis, grain fever and silo-filler's lung. Rhinitis and conjunctivitis are also common in grain workers. While the concentration and the quality of dust influence the frequency and the type of clinical syndrome in grain workers, host factors are also important. Of the latter, smoking is the most important factor influencing the frequency of chronic bronchitis. The role of atopy and of bronchial hyperreactivity in grain dust asthma has yet to be assessed. Several well designed studies are currently being carried out in North America not only to delineate the frequency of the respiratory abnormalities, the pathogenetic mechanisms and the host factors, but also to establish a meaningful threshold limit concentration for grain dust.
    Digital Access Access Options