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Volume 6, No. 3, March 2008
From Your Colleagues
Burt Attico. Phoenix
More advantages with folic acid supplementation in pregnancy
Folic Acid in Early Second Trimester May Reduce Risk of Preeclampsia. For preeclampsia prevention, folic acid supplementation in the late first trimester or early second trimester, the most critical time window for preeclampsia development, may be the most important."
As to dose, "current guidelines for folic acid supplementation recommend 4 mg or 5 mg for women with high risk of pregnancy for neural tube defects. In a previous analysis of women at high-risk of eclampsia because of chronic hypertension, diabetes, history of preeclampsia, or multi-fetal gestation, we found a dose-response relationship, with further reduction of the risk of preeclampsia with higher doses of folic acid.
CONCLUSION: Supplementation of multivitamins containing folic acid in the second trimester is associated with reduced risk of preeclampsia.
Wen SW et al Folic acid supplementation in early second trimester and the risk of preeclampsia. Am J Obstet Gynecol. 2008 Jan;198(1):45.
http://www.ncbi.nlm.nih.gov/pubmed/18166303
Sally Bremner, Anchorage
MRSA in the Community: A Growing Threat to Young People
This month we’re dealing with the other resistant staphylococcal infection which is a growing menace in the community. No one has regarded minor skin infections as much to be worried about in the past, but we must change this perception. CA-MRSA is on the rampage – and sports, athletics and PE are healthy, energetic activities we want to promote. It’s a matter of education and vigilance. Please take the time to read this issue carefully and click on the resource links. I have included some great articles – some which must be obtained through your library or HSIS as free full text was simply not available. There is also an excellent brochure from N.Y. Dept of Health, that may be printed off and handed out to athletes and parents, and a one-page clinical guideline that can provide clear direction for hospital and clinic personnel.
http://consortiumlibrary.org/hsis/about/newsletters/Jan08.pdf
Scott Giberson, HQE
Antiretroviral Corner Article - January
-Each month our IHS HIV website features an article related to antiretroviral (ARV) therapy in its ARV Corner section. Given the dynamic nature of ARV therapy, it is clinically relevant to stay as up-to-date as possible on new findings, research and guidelines. Last year (2007) was a markedly ‘active’ year with regards to ARV and HIV. January’s ARV Corner article: ‘Top 10 ARV/HIV Stories of 2007’ are summarized and discussed. Although I may add some editorial commentary, the bulk of work and drafting of the articles is done by a small and talented group of HIV Pharmacists within IHS that volunteer to draft up the ARV Corner article each month. Please review January’s article as it may be useful for your clinical practice. The article is also accessible on the HIV webpage at www.ihs.gov/medicalprograms/hivaids/ . Acknowledgements to our ‘authors’ and I/T/U HIV Pharmacists: LT Heather Huentelman, PIMC, Phoenix, AZ; LT Kim Woodhull, ANMC, Anchorage, AK; LCDR Keri Chin, GIMC, Gallup, NM
-AIDS.gov recently launched a blog about effective ways of using new media tools in the fight against HIV/AIDS. Each week AIDS.gov will cover a different new media topic, some posts will focus on specific tools (podcasts, mobile applications, wikis), while others are broader in scope, such as 508 compliance and accessibility. Each Tuesday morning AIDS.gov will post information from an interview with leading new media and HIV/AIDS professionals using new media tools. They will summarize the interview and reflect on ways AIDS.gov and others can implement what they’ve learned. I encourage you to check out this important new blog at http://blog.aids.gov
Division of Behavioral Health HIV/AIDS Collaborative Regional Trainings set for 2008!
The IHS HIV Program works with the IHS Division of Behavioral Health (DBH) on training proposals submitted to HHS for Minority AIDS Initiative (MAI) funding. Over the last 3 years, the DBH proposals have been funded and the trainings have been rolled out by the IHS Division of Behavioral Health across 8 different IHS Areas. In 2008, the Division of Behavioral Health will continue its collaborative HIV trainings in Tulsa, Spokane, Rapid City and Tucson. Please see attached flyer for more details. For more information or to register please go to: www.kauffmaninc.com/IHSAIDStrainings or contact Victor Paternoster: 509 • 747 • 4994 or ihsaidstrainings@kauffmaninc.com
Training Purpose:
1. To develop the behavioral health capacity of participants through the learning and implementation of effective behavioral health models and techniques related to HIV/AIDS in American Indian and Alaska Native populations.
2. To instruct participants on effective methods of linking community members to critical HIV/AIDS-related services and resources.
Target Audience:
I/T/U Behavioral health providers, health care providers, community health workers.
IHS HIV/AIDS Work Plan Released
I am pleased to inform you that the IHS HIV/AIDS Administrative Work Plan (Strategic Plan) has been approved for release. This is a culmination of work from multiple stakeholders, professionals, many community members and advocates both internal and external to IHS. This is an IHS document, which will remain fluid and may be adjusted as new initiatives arise. That said, it represents a good blueprint of activities and truly represents the principles of the program enumerated within. This Plan is intended for use by the IHS HIV/AIDS Program and IHS personnel. Although not required, this plan may also be utilized or referenced by Tribal and Urban programs as well as Native organizations and multiagency leads / partners involved with HIV/AIDS activities for the American Indian / Alaska Native (AI/AN) population. The IHS will utilize this HIV/AIDS Work Plan to:
- Serve as the model for the planning process that can be referenced, reproduced, evaluated, and adjusted;
- Identify components and priority areas needed for this comprehensive HIV/AIDS working document;
- Guide IHS / Tribal / Urban (I/T/U) health personnel with activities that are both collaborative and integrative;
- Develop a focused process to enhance efficiency and avoid redundancy of initiatives within and external to IHS;
- Develop a consistent process for strategic planning;
- Enumerate framework for future planning;
- Serve as a monitoring and evaluation tool of activities to be reviewed on an ongoing basis;
- Achieve the highest quality program that serves the mission and supports Director’s initiatives;
- Serve as a 3-year administrative blueprint for further development and progression of the IHS HIV/AIDS Program;
Please review at your convenience and pass along to colleagues as you see fit. Apologies for any visual quality issues. To avoid any random changes, it was distributed via .pdf, which affected some clarity within the pages. Once again, thank you to those that contributed and reviewed this document. For document contact: Scott.Giberson@ihs.gov
In the very near future, the document will be available on-line at our IHS HIV webpage: www.ihs.gov/medicalprograms/hivaids/
Early Planning Resources for National Native HIV/AIDS Awareness Day
The Native Capacity Building Assistance (CBA) Network unveiled its Toolkit and Resources for 2nd Annual Native HIV/AIDS Awareness Day. This includes a media toolkit and posters, which are just part of the resources available for Native Communities to assist them with any event or activity planning for that Day. Please refer to the attached document and the following link for more information about the CBA Network and the upcoming planning for the National Native HIV/AIDS Awareness Day. More announcements and information will be distributed in the coming month. The IHS and CBA Network are working together on additional initiatives to assist each other in planning efforts across the nation to raise awareness of this day of observance for HIV/AIDS. Thank you for your time. Link to CBA Network: http://www.ihs.gov/MedicalPrograms/HIVAIDS/index.cfm?module=links&option=cba#top
IHS HIV Podcast as a collaborative effort between DHHS Office of HIV/AIDS Policy and the IHS HIV Program.
It will assist with basic information about IHS and the IHS HIV program as well as provide an advanced medium (podcast) to share with others and raise awareness about HIV.
The podcast (link below) was done in collaboration with the Department of Health and Human Services Office of HIV/AIDS Policy (OHAP). As we attempt to implement our strategic plans, one of the goals continues to be program integration and collaboration with partners external to the Agency. This is just one example of how we can partner with other government stakeholders to raise awareness, augment our resources (and technology) and open discussion about HIV/AIDS in support of our mission for American Indians and Alaska Natives. This podcast can be accessed on the IHS HIV Webpage at www.ihs.gov/medicalprograms/hivaids/ under the ‘podcast’ box in the lower right corner or along with other HIV podcasts at the AIDS.gov website at www.aids.gov (upper right corner, Conversations with…)
Melissa Toffolon-Weiss, Anchorage
HPV brochure for AI/AN: available for broad dissemination
We have developed a brochure for Alaska Native parents to inform them about the new HPV vaccine. We also have a poster. If you would like hard copies of these materials sent to you - please contact me.
Melissa Toffolon-Weiss, PhD, MPH
Alaska Native Epidemiology Center
Alaska Native Tribal Health Consortium
4000 Ambassador Drive
Anchorage , AK 99508
(907) 729-4561
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OB/GYN
Dr. Neil Murphy is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Murphy is very interested in establishing a dialogue and/or networking with anyone involved in women's health or maternal child health, especially as it applies to Native or indigenous peoples around the world. Please don't hesitate to contact him by e-mail or phone at 907-729-3154.
