South Dakota medicine : the journal of the South Dakota State Medical Association
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Unintended and teenage pregnancies are major public health concerns in the United States. Emergency contraception is used to prevent pregnancy after failure of a contraceptive method or after unprotected intercourse. Expanded use of emergency contraception has the potential to reduce unintended pregnancy and induced abortions, while reducing state and federal healthcare expenditures. ⋯ Expanded access to emergency contraception is associated with increased use, but not associated with decreased efficacy, increased sexual risk-taking behavior, or less consistent use of traditional birth control methods. This review is designed to provide clinicians with information regarding the use of emergency contraception for reproductive age patients. It includes a brief description of methods of use, mechanisms of action, and side effect profiles of the most commonly used methods of emergency contraception, levonorgestrel and the Yuzpe method.
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Comparative Study
The outpatient use of atypical antipsychotics with Alzheimer's disease.
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(1) Cash payments should not be accepted from any health-related industry, which might create a conflict of interest, unless it is payment for legitimate research purposes, and the cash is not for purposes of marketing. (2) Marketing gifts, which benefit the patient, are acceptable as long as they are not of substantial value...like equal or less than $100. (3) Conferences (including a "mo dest" meal) sponsored by industry are acceptable when they serve a genuine educational function, and promote objective and scientific activity. (4) Professional people should understand and appreciate the marketing forces, which are endeavoring to influence our behavior. To interact with marketing people is appropriate, not unethical. However we must not be influenced in any way that would disadvantage our patients.