Drexel University College of Medicine Women’s Health News Women’s Health Quiz: What makes you Unique? This quiz was provided by the MayoClinic.com. Answers to the quiz can be found on the back page of the Women’s Health newsletter. 1. True or False: Women have stronger bones than men do. 2. True or False: More women than men die of heart disease each year in the United States. 3. True or False: Uterine fibroids increase your risk of uterine cancer. 4. True or False: Women who drink alcohol regularly are more susceptible to liver damage. 5. How many calories a day does the average, sedentary woman need to maintain her weight? A) 1,000 B) 1,200 C) 1,600 D) 2,200 6. Which of the following aren’t signs or symptoms of irritable bowel syndrome (IBS)? A) Cramps and Abdominal Pain B) Gas and Bloating C) Constipation D) Hemorrhoids 7. True or False: Postpartum Depression usually affects first-time mothers 8. Approximately how many new cases of breast cancer are diagnosed each year in the United States? A) 2,000 B) 20,000 C) 200,000 D) 2 million 9. True or False: Premenstrual Syndrome (PNS) can’t be treated. You just have to get used to the discomfort. 10. True or False: As a woman, you don’t need to worry about hair loss. History of Women in Medicine: Dorothea Dix Born at Hampden, Maine, on the 4th of April 1802. Her parents were poor and shiftless, and at an early age she was taken into the home in Boston of her grandmother, Dorothea Lynde, wife of Dr. Elijah Dix. About 1821 she opened a school in Boston, which was patronized by the well-to-do families; and soon afterwards she also began teaching poor and neglected children at home. But her health broke down, and from 1824 to 1830 she was chiefly occupied with the writing of books of devotion and stories for children. In 1831 she established in Boston a model school for girls, and conducted this successfully until 1836, when her health again failed. In 1841 she became interested in the condition of jails and almshouses, and spent two years in visiting every such institution in Massachusetts, investigating especially the treatment of the insane poor. Her memorial to the state legislature dealing with the abuses she discovered resulted in more adequate provision being made for the care and treatment of the insane, and she then extended her work into many other states. By 1847 she had travelled from Nova Scotia to the Gulf of Mexico, and had visited 18 state penitentiaries, 300 county jails and houses of correction, and over 500 almshouses. Her labors resulted in the establishment of insane asylums in twenty states and in Nova Scotia and Newfoundland, and in the founding of many additional jails and almshouses conducted on a reformed plan. In 1853 she secured more adequate equipment for the life-saving service on Sable Island, then rightly called "the graveyard of ships." In 1854 she secured the passage by Congress of a bill granting to the states 12,250,000 acres of public lands, to be utilized for the benefit of the insane, deaf, dumb and blind; but the measure was vetoed by President Franklin Pierce. After this disappointment she went to England for rest, but at once became interested in the condition of the insane in Scotland, and her report to the home secretary opened the way for sweeping reforms. She extended her work into the Channel Islands, and then to France, Italy, Austria, Greece, Turkey, Russia, Sweden, Norway, Denmark, Holland, Belgium and a part of Germany. At the outbreak of the American Civil War she offered her services to the Federal government and was appointed superintendent of women nurses. After a lingering illness of six years she died at Trenton, New Jersey, on the 17th of July 1887. V O LU M E 5 , I S S U E 2 F E BR U A RY 2 00 9 V O LU M E 5 , I S S U E 2 P A GE 2 Certain Facial Injuries Point to Domestic Violence THURSDAY, Jan. 22 (HealthDay News) - Distinct patterns of facial injury occur in women who suffer domestic violence, U.S. researchers report. The findings could help health-care workers identify victims of intimate partner violence, they added. Dr. Oneida A. Arosarena, of the Temple University School of Medicine in Philadelphia, and colleagues reviewed the medical and dental records of 326 women (average age 35) treated for facial trauma. Of the 45 (13.8 percent) patients who were assault victims, 18 were documented victims of domestic abuse, while 24 of the 26 remaining assault victims could not or did not identify their attackers. Other common causes of facial injuries among the women in the study in- cluded motor vehicle crashes (42.6 percent), falls (21.5 percent), and unknown or undocumented causes (10.7 percent). The researchers found that assault was typically associated with jaw (mandible) fractures, complicated cheekbone fractures (zygomatic complex fractures), cracks or breaks in bones surrounding the eyes (orbital blow-out fractures), and brain injury. "Specfically, higher than expected numbers of zygomatic complex fractures, orbital blow-out fractures and intracranial injuries were found in intimate partner violence," the study authors wrote. "Victims assaulted by unknown or unidentified assailants were more likely to have mandible fractures than were other assault victims." The study was published in the January/February issue of the Archives of Facial Plastic Surgery. Between 88 percent and 94 percent of domestic violence victims seek medical attention for injuries to the head and neck, and 56 percent of them those have facial fractures. "Because intimate partner violence accounts for 34 percent to 73 percent of all facial injuries in women, facial plastic surgeons and other health-care providers who treat patients with maxillofacial injuries are in a unique position to identify these victims and refer them to local domestic violence service programs for safety planning, information and referrals, support services and advocacy, depending on the victims' needs and choices," the researchers wrote. Why Saying No to Foods May Be Harder for Women TUESDAY, Jan. 20 (HealthDay News) -New research on the brain suggests that women unconsciously have a tougher time resisting their favorite foods than men do. "This gives us another piece to put into this puzzle," said Dr. Gene-Jack Wang, the study's author, who speculated that women may have more trouble saying no to food because they sometimes have to eat for two. "Maybe evolution leads them to this because of their important mission to have a baby," said Wang, a senior scientist at Brookhaven National Laboratory and professor of psychiatry at Mount Sinai School of Medicine in New York. According to Wang, the new study aimed to understand why some people don't stop eating when they're full. Your body tells you that you've eaten enough by sending a signal to your brain from the gut, he explained, "but if you go to the buffet, sometimes you just cannot stop." This wasn't a big problem throughout history because people rarely had a chance to eat more than they needed, Wang said. But modern society has changed that, he said, especially over the past 30 to 40 years as obesity has become much more common in the United States. For the study, which appears in this week's issue of the Proceedings of the National Academy of Sciences, the researchers asked 13 women and 10 men about their favorite foods. The participants said they liked a variety of dishes and desserts, including lasagna, pizza, brownies, ice cream and fried chicken. Then, after they fasted for 20 hours, the researchers presented them with their favorite foods; the dishes were even warmed up, if appropriate, to make them more tempting. The men and women were allowed to smell and taste the food but not eat it. Then, in an experiment, they were told to try to inhibit their desire to eat the food. Meanwhile, PET scans examined their brain activity. The researchers found that certain areas of the brain became more active in both the men and women when they were tempted with food. The brain areas that lit up control emotions such as motivation. Also, both men and women succeeded in making themselves feel less hungry by inhibiting their desire to eat the food. But the brain scans suggested that the women's brains were still acting as if they were hungry. In other words, the women may have thought they were less hungry, but their brains didn't seem to be entirely on board. What's going on? Hormones could play a factor in women, Wang said, because they need to eat more when they're pregnant. The research could help scientists understand why some people can't resist certain kinds of high-calorie food, Wang said. "Some people cannot inhibit themselves, and we need to help those people." W OM EN ’ S H E A L TH N E W S P A GE 3 It Pays to Eat Less as You Age TUESDAY, Jan. 6 (HealthDay News) -- Eat less, weigh less. While it may sound painfully obvious, nutrition experts have been divided over whether cutting calories leads to long-term weight loss, because the practice can sometimes boomerang, triggering binge eating and weight gain. But, new research suggests that eating less can pay big dividends, particularly as you age. Publishing in the current issue of the American Journal of Health Promotion, researchers from Brigham Young University reported that the middleaged women they studied had more than twice the risk of significant weight gain if they didn't cut back on food consumption. "Some suggest that restrained eating is not a good practice," BYU professor Larry Tucker, the study's lead author, said in a university news release. "Given the environmental forces in America's food industry, not practicing restraint is essentially a guarantee of failure." The researchers followed 192 middle-aged women for three years and compiled information on their lifestyles, health and eating habits. The analysis revealed that women who didn't practice more restraint while eating were 138 percent more likely to put on 6.6 pounds or more, the news release said. Columbia University researcher Lance Davidson, who was not involved with the study, said the findings underscore a key principle of weight control. "Because the body's energy requirements progressively decline with age, energy intake must mirror that decrease or weight gain occurs," Davidson said. "Dr. Tucker's observation that women who practice eating restraint avoid the significant weight gain commonly observed in middle age is an important health message." Tucker said the benefits of cutting back on what you eat aren't limited to your reflection in a mirror. Healthful eating equals better health, he said. "Weight gain and obesity bring a greater risk of diabetes and a number of other chronic diseases," he said. "Eating properly is a skill that needs to be practiced." Tucker offers these tips for better eating: Record what you eat and how much. Put less food on your plate. Eat more fruits and vegetables. The U.S. food pyramid recommends at least five servings each day. Secondhand smoke tied to fertility problems NEW YORK - Women who have ever been around smokers regularly may have more difficulty getting pregnant than those who have not, a new study suggests. The findings, researchers say, offer one more reason for women to kick the smoking habit. Studies have found that women who smoke raise their risk of a number of pregnancy complications, as well as their infants' risk of health problems. Less is known about the dangers of secondhand smoke, though some studies have linked exposure during pregnancy to an elevated risk of miscarriage. In the new study, of more than 4,800 women, researchers found those who'd grown up with a parent who smoked were more likely to report they'd had difficulty becoming pregnant — defined as having to try for more than 1 year. In addition, women who'd been exposed to secondhand smoke in both childhood and adulthood were 39 percent more likely to have suffered a miscarriage or stillbirth, and 68 percent more likely to have had problems getting pregnant. "These statistics are breathtaking and certainly (point) to yet another danger of secondhand smoke exposure," said lead researcher Luke J. Peppone at the University of Rochester, New York. "We all know that cigarettes and secondhand smoke are dangerous," he added. "Breathing the smoke has lasting effects, especially for women when they're ready for children." Overall, Peppone's team found 11 percent of the women had difficulty becoming pregnant, while one third had a miscarriage or stillbirth. The risk of these problems tended to climb in tandem with the number of hours per day that a woman was exposed to secondhand smoke — a pattern that suggests a cause-effect relationship. Secondhand smoke contains a host of toxic compounds that could potentially harm a woman's reproductive health, Peppone and his colleagues note. Tobacco toxins may damage cells' genetic material, interfere with conception, raise the risk of miscarriage, or inhibit the hormones needed for conception and a successful pregnancy. Copyright 2009 Reuters. Resolving to Break an Addictive Habit? TUESDAY, Dec. 30 (HealthDay News) -- No matter the addiction -- drugs, gambling, shopping, smoking, alcohol or more -- people who want to kick their habit in the new year might find help in a new Harvard University publication. "Overcoming Addiction: Paths toward recovery" offers guidance for breaking unwanted addictive habits. The advice applies universally, because what all addictions have in common, the Harvard experts say, is the way the brain responds to pleasurable experiences. To break the pattern, they recommend the following steps to increase the chances of success: Seek help and create a support network. Start with your doctor or a community mental health center for advice, a plan and -- if necessary -- medication to help with the break. Ask family, friends and co-workers for encouragement and backup. Set a quit date. Some people find it helpful to choose a significant date -- a birthday or anniversary, perhaps. Change your environment. Removing reminders and temptations from your home and workplace can make the break easier. For example, ridding the home of alcohol, bottle openers and wine or drink glasses might help a person trying to stop drinking. Don't let others bring reminders into the home. And, if necessary, break relations with people who enable your condition. Learn new skills and activities. Find something to replace the addiction and help conquer urges. Many people find that exercise is a good substitute activity to help fight temptation. Review your past attempts at quitting. Note what worked, what didn't and what might have led to falling back into old habits. The Women’s Health Education Program Women’s Health Education Program Drexel University College of Medicine 2900 Queen Lane, Room 228 Philadelphia, PA 19129 Phone: 215-991-8450 Fax: 215-843-0253 http://www.drexel.edu/whep Begun in 1993 as a vanguard innovative educational center to address holistic, contextual comprehensive care to women and girls, the Women’s Health Program of Drexel University College of Medicine is part of a nationally designated Center of Excellence in Women’s Health. In addition to curricular efforts, community health outreach programming, and community participatory health services research, WHEP maintains an existing resource listing that includes articles, books, videotapes, and journals, that address sex and gender medicine. If you’re interested in more information, please see our resources on the WHEP website at http:// webcampus.drexelmed.edu/whep/index.html If you’re looking for information about girls’ or women’s health topics; information about health fairs or community activities or health education research; or just information about our bulletin boards or how to get involved, please stop by and visit us at room 228 Queen Lane, or call/email us anytime for more information. Answers to the Women’s Health Quiz on the first page: Women’s Health Seminar Series Held Tuesday 1. False: Peak Bone mass—the maximum bone density and strength a person can attain—is lower for women than it is for men. This, in addition to the rapid bone loss that occurs with loss of estrogen at menopause, contributes to a greater risk of osteoporosis among women than among men. 2. True: Despite many women’s fear of breast cancer, heart disease is actually the number 1 killer of women in the United States. In 2002, heart disease claimed the lives of 358,014 women, compared with 340,933 men. 3. False: Uterine fibroids are the most common type of noncancerous tumor in women of reproductive age. Up to three-quarters of women have uterine fibroids, but most don’t realize it, because they generally have no symptoms. 4. True: Women who drink achieve a higher concentration of alcohol in the blood than do men. This is partly because women have a greater proportion of fat and a lower proportion of water content in the bodies than men do. Women also have a smaller amount of an enzyme in the stomach that’s needed to process alcohol, leading to a quicker buildup of alcohol in the bloodstream. 5. The correct answer is B. The energy your body derives from the foods you eat is measured in calories. Energy needs vary considerably according toy ou activity level, body size, sex, and age. On average, the daily calorie goals are as follows: 1,600 for children ages 2-6. most women, and some older adults; 2,000 for the average adult; 2,200 for older children, teenage girls, active women, and most men; 2,800 teenage boys and active men. 6. The correct answer is D. Women are more likely than men to experience IBS. If you have IBS, you may feel gassy, bloated, crampy, or constipated. You might also experience abdominal pain, loose stools, or a feeling of incomplete bowel movement. 7. False: Postpartum depression can affect a woman after any birth, regardless of whether it’s her first child or not. A woman with postpartum depression experiences sadness, despair, anxiety, and irritability, and may be unable to perform daily activities. In its mildest form, postpartum depression is known as the “baby blues.” In its most severe form, postpartum depression can manifest itself as postpartum psychosis. This condition is rare, occurring after one or two of every 1000 births, but it can be very dangerous. The delusions, paranoia, and mood swings associated with postpartum psychosis can cause a woman to harm herself or others, including her new baby. This condition requires immediate medical attention. 8. The correct answer is C. After skin cancer, breast cancer is the most common cancer among women in the United States. Early detection of breast cancer is key to survival. Annual mammograms, beginning at age 40, clinical breast exams, and an overall awareness of your breast health are your best defenses in preventing or detecting breast cancer in its earliest, most curable stage. 9. False. Treatment is available for PMS. Signs and symptoms include: breast tenderness, abdominal bloating, irritability, mood swings, teariness, depression, anxiety. Treatments for PMS range from lifestyle changes, such as aerobic exercise and reductions in caffeine, salt and alcohol, to over the counter drugs and supplements, birth control pills, and selective serotonin reuptake inhibitors—a type of antidepressant. Evenings, 5:30PM—7:00PM SAC B, Queen Lane Campus and videoconferenced to the New College Building (refreshments are served at both sites) Open to anyone interested in attending. For more information, please visit our office, call, or email. 10. False. Baldness isn’t just a guy thing. Women can experience hair loss, too. Gradual thinning of your hair is a normal part of aging. However, excessive hair loss from your scalp can be the result of heredity, poor nutrition, certain medications, or underlying medical conditions such as thyroid dysfunction. The most common type of hair loss, androgenic alopecia, can be treated with minoxidil (Rogaine). Hair transplants and scalp surgery are available to treat certain other forms of hair loss.