- Paraphilias are differentiated from paraphilic disorders in the DSM-5 in an effort to recognize normal behavior.
Latest Updates




Nonobstetrical Surgical Conditions
- Recognizing the significance of prompt diagnosis and interventions for nonobstetric surgical emergencies during pregnancy
- Understanding the difficulty in making a diagnosis in pregnant women due to the anatomic and physiologic changes that occur during pregnancy
- Recognizing the importance of a multidisciplinary team approach (obstetricians, surgeons, anesthesiologists, and neonatologists) in the management of nonobstetric surgical emergencies in pregnant women

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Sexual Dysfunction: Hypoactive Sexual Desire Disorder
- In postmenopausal HSDD, replacement transdermal testosterone and estradiol are shown effective in clinical trials
- In selected premenopausal HSDD, flibanserin, 5-HT1A receptor agonist and 5-HT2A receptor antagonists, is shown modestly effective
- HSDD afflicting women identified as treatable but significant national healthcare priority in the United States.


Surgical Treatment for Hepatocellular Carcinoma in the Era of Multiple Staging and Algorithm
- BCLC as the most widely accepted clinical staging system, recent update of the AJCC/UICC staging, AJCC/UICC staging system to predict outcome following surgical treatment


Surgical Treatment for Hepatocellular Carcinoma in the Era of Multiple Staging and Algorithm
- BCLC as the most widely accepted clinical staging system, recent update of the AJCC/UICC staging, AJCC/UICC staging system to predict outcome following surgical treatment


- Physicians need to be adept at communicating bad news in its entirety to patients to enable a decision-making process about disease management.
- Empathy is key in communicating bad news. Reactive rather than parallel empathy is more effective.
- Patients benefit from pairing hope to bad news but do not prefer that the bad news is underplayed.
- Models (SPIKES and Expanded Four Habits Model) are available to help structure this challenging interaction.


- Physicians need to be adept at communicating bad news in its entirety to patients to enable a decision-making process about disease management.
- Empathy is key in communicating bad news. Reactive rather than parallel empathy is more effective.
- Patients benefit from pairing hope to bad news but do not prefer that the bad news is underplayed.
- Models (SPIKES and Expanded Four Habits Model) are available to help structure this challenging interaction.

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- Trauma-informed care has become a guiding force for providers taking care of patients that have experienced sexual assault and sex trafficking.
- The long-term effects of sexual trauma have been increasingly recognized, allowing health care providers to screen for, identify, and help treat these sequela.