Volume 2, No. 10, October
2004
Direct Links to Topic Content:
Abstract of the Month | From Your Colleagues | Hot Topics | Features
|
Links to Topic Summaries: |
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Contents:
Premenstrual
syndrome, premenstrual dysphoric disorder, and beyond: a clinical
primer for practitioners.
From
Biennial Meeting: Francis
Byrn, M.D. Polycystic
Ovarian Syndrome / Insulin Resistance
From
Rosemary Bolza: Where
is the OB package for new EHR?
From
Katy Ciacco Palantinos : “
Informed Refusal" document when patients decline a procedure
From
Terry Cullen: Commonwealth
Fund/Harvard University Fellowship in Minority Health Policy
From
Lori de Ravello: Eliminating
health disparities in pregnancy; Celebrating Women's Health Research
From Sandra Dodge: Goals
for smoking in pregnancy: Healthy People 2010
Helpful
lifestyle and diabetes data: mean
weight, height, and body mass index; Access to
care
From
Sandy Haldane : Please
share this with any AN/AI college students you know
From
Steve Holve: November
Indian Child Health Notes: Highlights
From
Jean Howe: Any
solutions that can help the ongoing ‘Meth' crisis in your area?
From
Bob Laliberte: LOCUM
TENENS AVAILABILITY
From
Judy Thierry: Periodontal
Disease and Pregnancy Outcomes; Pregnancy Risk Assessment
Monitoring
System (PRAMS) National Meeting:
From
Rebecca Werner : Treatment
for migraines in pregnant women
Obstetrics:
Early
delivery associated with severe periodontal disease; Infant Mortality
Rate Doubles with Short Umbilical Cord; Blunt Trauma in Pregnancy;
Seat Belt Use During Pregnancy
Gynecology:
Which
Women Develop Fever Following Hysterectomy? Sacrocolpopexy consistently
resolves vaginal vault prolapse; Primary and Secondary Syphilis
with Oral Sex
Child
Health:
SSRIs
for children and adolescents should be prescribed judiciously;
Lack of
Progress in physical activity in high school students; Inhalant
Abuse and Dependence Among Adolescents; Newborn Screening for Cystic
Fibrosis ; Measures of sexual orientation in adolescent health surveys
Chronic
Illness and Disease:
Complementary
Therapies in Primary Care Patients With Arthritis
AFP:
Postmenopausal
Estrogen and Cognitive Function; Blood Loss of 80 mL or More Poorly
Defines Menorrhagia; Many Pap Smears Unnecessary After HysterectomyProphylactic
Cerclage in Women with a Short Cervix; Misoprostol for Uterine Evacuation
in Missed Abortion; Postmenopausal Estrogen Therapy and Dementia
ACOG:
Inappropriate
Use of the Terms Fetal Distress and Birth Asphyxia; Cervical
Cancer Screening in Adolescents; Multiple
Gestation: Complicated Twin, Triplet, and High-Order Multifetal
Pregnancy: Sexually
Transmitted Diseases in Adolescents; Guidelines
for Adolescent Health Research
AHRQ:
Studies show
that obesity affects mammography accuracy and screening rates; Initial
surfactant treatment to prevent respiratory distress in very premature
infants is often delayed in routine practice; Diagnosis of pain
by primary care doctors is influenced by pain severity, patient
sex, and physician practice style
Breastfeeding:
Workplace
lactation program resource kit available
Domestic
Violence: November
1, 2004: Violence against Native women Discussion
Elder
Care News: Pharmacologic
Prevention of Osteoporotic Fractures
Family
Planning: Accuracy
of Early Results with Home Pregnancy Test Kits
Frequently
asked questions: Should
we perform routine urine dipstick protein screening in our prenatal
clinic? When
should antenatal testing start after an intrauterine fetal demise
(IUFD)?
Hormone
Replacement Update: ACOG
Issues State-of-the-Art Guide to Hormone Therapy
ACOG
Frequently
Asked Questions About Hormone Therapy for Patients; Phytoestrogens
do not improve hot flushes or other menopausal symptoms
Information
Technology: Parklawn
Library has a new identity International
Health: Effectiveness of
Condoms in Reducing Heterosexual Transmission of HIV
MCH
Alert: New
edition of adolescent pregnancy prevention knowledge path released
Office
of Women’s Health, CDC: Social
Determinants of Health at the Local Level
Osteoporosis:
Surgeon
General encourages bone health throughout the lifespan
Patient
Education: Seat
Belt Use During Pregnancy: Patient Education
Primary
Care Discussion Forum: November
1, 2004: Violence against Native women Discussion; February
1, 2005: Surgery for obesity?
Barbara
Stillwater, Alaska Diabetes Prevention and Control:
Is your diabetic
patient non-adherent? Maybe she is depressed? Doctors' Interpersonal
Skills Valued More than Their Training or Being Up-to-Date
What’s
new on the ITU MCH web pages:
Save
the Dates
I.H.S.
/ A.C.O.G. Postgraduate Course: Obstetric, Neonatal, and Gynecologic
Care
- June
19 - 23, 2005
- Denver
, CO (Click the ‘Save the Dates'
link above for details)
Did you miss something
in the last OB/GYN
Chief Clinical Consultant
Corner?
The
September 2004 OB/GYN CCC Corner is available
at:
http://www.ihs.gov/MedicalPrograms/MCH/M/documents/CCCCorner92104.doc
Here
is the September Table of Contents
Abstract
of the Month :
page 2
Overview
of the WISEWOMAN Projects: Health Promotion for Disadvantaged Women
From
your colleagues:
page 3
From
Biennial Women's Health / MCH Meeting: Multiple
slide sets presented
From
George Gilson: New
Perinatology Corner module: Free CME / CEUs from IHS - Preterm Labor
and Preterm Premature Rupture of Membranes
From
Sandy Haldane: Save
the dates - AWHONN 2005 Convention June
11-15, 2005 Salt Lake City , UT
From
Steve Holve: September
Indian Child Health Notes
From
Jane Powers : Office
for Victims of Crime - Child Abuse Project
From
Lori de Ravello :
Focus groups of Y-K Delta Alaska Natives: attitudes toward tobacco
use and tobacco dependence interventions
From
Laura Shelby: CDC,
Sexually Transmitted Disease Training Log; Starting
a School-Based Chlamydia Screening and Treatment Program
From
Judy Thierry: You
Need to…Prepare for the Baby's Arrival- New poster; Tobaccco
Cessation PCC+ form available online; March of Dimes PeriStats Web
Site: Your online source for perinatal statistics; LEARN about perinatal
periods of risk and National Fetal and Infant Mortality Review City
MatCH / Healthy Start
Hot
Topics:
Obstetrics:
page 7
Treatment
for cervical intraepithelial neoplasia and risk of preterm delivery;
Outpatient cervical ripening: Successful; Use of Vitamins Containing
Folic Acid Among Women of Childbearing; Delaying Epidural Not Necessary
During Labor; Resistance exercise may help to avoid insulin therapy
for overweight women with GDM; Intracervical (rather than posterior
fornix) placement of dinoprostone decreases time to delivery; Venlafaxine
Associated With Neonatal Complications ; Complementary
and alternative medicine for labor pain
Gynecology:
page 8
LEEP
- not the best for treating young women who have not completed reproduction;
JCAHO Sentinel events: Major issues – Communication, teamwork, and
staff competency; Surgical Prophylaxis: Start early and keep it
simple; Start GYN prophylaxis 60 minutes prior to surgery;
GYN
surgery involving the rectum or colon: Prophylaxis; Pelvic
floor physiotherapy is effective treatment for persistent postnatal
SUI; Estimating blood loss: can teaching significantly improve visual
estimation? High intrauterine pressure improves success in thermal
balloon endometrial ablation; Serious complications associated with
global endometrial ablation not yet reported;
Stress
urinary incontinence affects one third of adult women and is usually
reduced or eliminated with either nonsurgical or surgical therapy;
Self-testing for human papillomavirus
(HPV) DNA is feasible for cervical cancer screening; Efficacy of
Cone Biopsy of the Uterine Cervix During Frozen Section for the
Evaluation of Cervical Intraepithelial Neoplasia Grade 3
Child
Health:
page 11
No
benefit seen for suctioning meconium-stained newborns; Role
of vaginal douching in the reproductive health of adolescents and
young women; Whole environment intervention improves asthma
associated morbidity in children; SIDS
Resource kits available; Protecting our children from environmental
hazards in the face of limited data
Chronic
Illness and Disease:
page 12
Tamoxifen
for breast cancer prevention: a framework for clinical decisions;
New
cholesterol guidelines pose a challenge for doctors and patients;
Broken Promises
- What is the status of American Indian / Alaska Native Health?
Features:
page 14
AFP:
Misoprostol Therapy
for Incomplete Abortion; Estrogen Sources Have Similar Effects;
Women Have Greater Analgesia from Butorphanol than Morphine; Genital
Herpes: Clinical Evidence Concise; Making Decisions with Families
at the End of Life
ACOG:
Management of Postterm
Pregnancy; Guidelines for Diagnostic Imaging During Pregnancy
AHRQ:
The
Worst Headache: Web M + M; Treatment
of high cholesterol in women should be based on all risk factors
for heart disease, not just lipid levels; Child
abuse is associated with increased risk of death in young children
with abdominal injuries; Women who undergo hysterectomy for abnormal
uterine bleeding report improved health-related quality of life
Breastfeeding:
Babies
Were Born to Be Breastfed:
Few Babies Breastfed Long; Breastfeeding
Protects Against Asthma and Atopy
Domestic
Violence: Health
Cares About Domestic Violence Day: October 13 th ;
The Legacy of Child Maltreatment:
Long-Term Health Consequences for Women
Elder
Care News: Effect
of Raloxifene on the Incidence of Elevated Low Density Lipoprotein
Family
Planning: Emergency
Contraception
Frequently
asked questions: Should
we perform routine urine dipstick protein screening in our prenatal
clinic?
Hormone
Replacement Update :
One our four women who attempt
to stop HRT are unsuccessful
Information
Technology: Ten
Questions to Ask Before Buying an Electronic Medical Record
International
Health: Routine
cervical cancer screening constitutes nearly two thirds of total
annual cervical HPV-related health care costs ; Sprawl:
The New Manifest Destiny? Health Effects
MCH
Alert: New Report
Maps Women's Health in the U.S. ; A new PeriStats database and Web
interface increases access to detailed MCH data in US; New ways
to measure quality in Child Health Programs - Toolbox, AHRQ
Medscape:
Safety and Efficacy of Testosterone in Menopausal Women:
Restoring Sexual Desire
Office
of Women's Health, CDC: Can
Changes in Sexual Behaviors Among High School Students Explain the
Decline in Teen Pregnancy Rates in the 1990s?
Osteoporosis:
Vitamin D and
Derivatives Should Not Be Administered Concurrently With Doxercalciferol
Patient
Education: Emergency
Contraception; End-Of-Life Choices for Families; Management of Gestational
Diabetes Mellitus and Pharmacists' Role in Patient Education
Primary
Care Discussion Forum: November
1, 2004: Violence against Native women
Barbara
Stillwater, Alaska Diabetes Prevention and Control: Weight
predicts diabetes; Soda Increases Risk of Diabetes 83%; New Diet
Guidelines Call for More Exercise and Grains; Diabetes Triples Risk
of Heart Failure for Women; Health Disparities among Minority and
Underserved Women ; NIH: School Based Interventions
to Prevent Obesity
What's
new on the ITU MCH web pages:
page 21
The
past CCC Corners are archived at:
http://www.ihs.gov/MedicalPrograms/M
C H/M/OBGYN02.cfm#top
The
CCC Corner is good way to inform ITU providers about recent updates,
while decreasing the number of e-mail messages.
Let
me know if you want to add something to next month's CCC Corner
at nmurphy@SouthCentralFoundation.com
or
907 729 3154 (with voicemail)
*The
opinions expressed in the OB/GYN CCC Corner are strictly those of
the authors, and not necessarily those of the Indian Health System,
or the author of this newsletter. If you have any comments, please
share them by joining the Primary Care Discussion Forum where this
topic was recently discussed. To join the Primary Care Listserv,
click on ‘Subscribe' here http://www.ihs.gov/MedicalPrograms/MCH/M/MCHdiscuss.asp
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