Archives for June 2010

A Look Back at 50 Years of Birth Control

Birth control pills are a very popular form of birth control and are currently used by almost 12 million women in the United States and more than 100 million women worldwide [1-2]. Typically referred to as “the pill”, oral contraception has an interesting history and has generated enormous social and cultural impact.

Subsequent to drug trials in the mid-1950’s, the Food and Drug Administration (FDA) approved birth control pills for contraceptive use in the U.S. in 1960. The first published case report of a blood clot and pulmonary embolism in a woman using birth control pills did not appear until November 1961 [3]. Between 1961 and 1963 there were 347 cases of thrombophlebitis (meaning vein inflammation related to a blood clot) in women using birth control pills for contraception that were reported to the manufacturer [4]. After almost 10 years of epidemiological studies, it was established that there is an increased risk of venous thrombosis (meaning a blood clot that forms in a vein) in oral contraceptive users and an increased risk of stroke and heart attack in oral contraceptive users who smoke or have high blood pressure or other cardiovascular or cerebrovascular risk factors.

Womens Health Zone recently posted an infographic surveying the changes that have resulted from the use of birth control pills. The infographic provides insight into statistics collected from PlannedParenthood.org on birth control over the last 50 years and is republished here on Highlight HEALTH below.

A look back at 50 years of birth controlCreative Commons License photo credit: Expedient InfoMedia

References

  1. Mosher et al. Use of contraception and use of family planning services in the United States: 1982-2002. Adv Data. 2004 Dec 10;(350):1-36.
    View Abstract
  2. Trussell, James (2007). “Contraceptive Efficacy”. in Hatcher, Robert A., et al.. Contraceptive Technology (19th rev. ed.). New York: Ardent Media.
  3. Jordan WM and Anand JK. Pulmonary embolism. Lancet. 1961 Nov 18;278(7212): 1146-7.
  4. Tyler ET. Oral contraception and venous thrombosis. JAMA. 1963 Jul 13;185(2):131-2.
    View Abstract

How Your Head Can Influence Your Heart

How you think about your health can have powerful impacts on how you experience your health. In a recent study with a group of cardiac patients, how people thought about their illness (termed “illness cognitions”) was found to have a direct impact on how people experience health and emotional wellbeing [1]. These illness cognitions also affected health indirectly by influencing the types of behaviours people were engaged in to cope with cardiac problems. This study brings to our attention the relevance of psychology in relation to medical illnesses.

Vitamin D Status is Not Associated with Risk for Less Common Cancers

Despite hopes that higher blood levels of vitamin D might reduce cancer risk, a large study finds no protective effect against non-Hodgkin lymphoma or cancer of the endometrium, esophagus, stomach, kidney, ovary, or pancreas. In this study, carried out by researchers from the National Cancer Institute (NCI), part of the National Institutes of Health, and many other research institutions, data based on blood samples originally drawn for 10 individual studies were combined to investigate whether people with high levels of vitamin D were less likely to develop these rarer cancers. Details of these analyses appear as a set of papers in the June 18, 2010, online issue of the American Journal of Epidemiology, and in print in the July 2010 issue.

“We did not see lower cancer risk in persons with high vitamin D blood concentrations compared to normal concentrations for any of these cancers,” said Demetrius Albanes, M.D., NCI, one of the study investigators. “And, at the other end of the vitamin D spectrum, we did not see higher cancer risk for participants with low levels.”

An Inside Look at NIH Peer Review

Scholarly peer review is the process by which a researcher’s work — grant applications and research articles — are subjected to the scrutiny of others who are experts in the same field. This process of evaluation requires a community of experts for a given field who are both qualified and able to perform impartial review. These experts recommend scholarly work for acceptance, revision or rejection. Although impartial review may be difficult to accomplish, it is generally considered essential to academic quality and is used in most important scientific publications. Peer review encourages researchers to meet the accepted standards of their discipline and prevents the dissemination of irrelevant findings, unjustified claims, unacceptable interpretations and personal views.

Gene Linked to Alzheimers Disease Plays Key Role in Cell Survival

Scientists have discovered that a gene linked to Alzheimer’s disease may play a beneficial role in cell survival by enabling neurons to clear away toxic proteins. A study funded by the National Institute on Aging (NIA), part of the National Institutes of Health, shows the presenilin 1 (PS1) gene is essential to the function of lysosomes, the cell component that digests and recycles unwanted proteins. However, mutations in the PS1 gene — a known risk factor for a rare, early onset form of Alzheimer’s disease – disrupt this crucial process.

Ralph Nixon, M.D., Ph.D., of the Nathan Kline Institute, Orangeburg, N.Y., and New York University Langone Medical Center, directed the study involving researchers from the United States, Europe, Japan and Canada. Also supported in part by the Alzheimer’s Association, the study appears in the June 10, 2010, online issue of Cell.

Researchers have theorized for more than a decade that PS1 mutations linked to early-onset Alzheimer’s, a rare form of the disease that usually affects people between ages 30 and 60, may trigger abnormally high levels of beta-amyloid protein to clump together in the brain.

Amyloid deposits and tau protein tangles are hallmarks of both early-onset and the sporadic, more common form of the disease found in people aged 60 and older. These new findings, however, suggest PS1 mutations may play a more general role in the development of early-onset Alzheimer’s.