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Spack subjects his patients to a lengthy evaluation process before recommending hormone therapy. Kids undergo a battery of interview-based psychological tests to see if they meet the medically established criteria for gender-identity disorder. The clothing they wear, the way they style their hair and the type of toys they play with are assessed. Family members, teachers and primary-care doctors are consulted. After weighing all the evidence, an interdisciplinary team of doctors and psychologists determines the severity of the gender variation and whether to recommend the child for hormone blockers. But the final decision rests with the parents...
...Public discomfort over Sarkozy's raise may be accentuated by its timing. In just three weeks, the nation is set to undergo strikes potentially more paralyzing than those in October protesting cutbacks in certain public sector pension regimes. Union leaders have jumped on Sarkozy's pay hike to highlight what they call the President's reformist hypocrisy: clarifying and normalizing governmental pay scales by lifting them, while harmonizing public and private sector pension plans by scaling those downward. "There's a feeling the political class is helping itself while the French people are left on the sidewalk to fend...
Survival rates for men and women are similar, adjusting for stage of the disease at diagnosis - but men are more likely to be diagnosed at a later stage. That's probably because women undergo regular screening, Korde says. In men, "because it's not on their radar, [a lump] might not be something they get seen immediately." In men, as in women, treatment usually includes surgery followed by some combination of radiotherapy, chemotherapy and - because almost all men with breast cancer have tumors characterized as hormone-receptor-positive - hormone treatment...
...brothels within a 1,600-foot radius of schools, and there are rumors of similar citizen protests planned for the cities of Cochabamba and Sucre. The sex workers are hoping that the public health risk posed by their action forces the authorities to back down. But by refusing to undergo the medical checkups required to be able to work legally, it also potentially opens them to further police action...
...some residents of Portland, Me. will have to wrestle with after the school board last week passed a measure allowing an independently-run clinic at a local middle school to distribute prescription-strength birth control pills without parental permission. Any student wishing to receive the pills will have to undergo counseling and be examined by a physician or nurse who can prescribe the drugs. And parents do have to sign a waiver to give their children access to any of the clinic’s services. But the decision to prescribe the pill without notifying parents has sent shockwaves through...