Volume 3, No. 3, March 2005
News Flash(s) Plan now
IHS Domestic Violence Prevention / Intentional Injuries April 5-8, 2005
17th Annual IHS Research Conference and International
Meeting on Inuit and Native American Child Health: April 29-May 1, 2005
ACOG / IHS – Total Women’s Health and Neonatal Course: June 19-23, 2005
New Feature:
CCC Corner Digest - A print friendly digest of the CCC Corner that can be mailed to you, or
your colleagues. Just send your address to nmurphy@scf.cc
Direct Links to Topic Content:
Abstract of the Month | From Your Colleagues | Hot Topics | Features
Links to Topic Summaries: |
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Contents:
#1 Use ‘Opt out’ HIV screening methods during pregnancy in Indian Country
Routine Population-Wide HIV Screening May Be Cost-Effective
Q. What is the Indian Health policy for HIV screening in pregnancy?
#2 Early epidural provided shorter labor and did not increase cesarean delivery
Burt Attico: 3 items on Pre-eclampsia from BMJ; Physicians May Be Ignoring Guidelines for Gestational Weight Gain
Katy Ciacco-Palatianos: Health Literacy Fellowship
Terry Cullen: IHS Domestic Violence Prevention / Intentional Injuries Course
Sandra Dodge: How many deliveries does a provider need to maintain active privileges?
Mara Fusfield: What are some good resources to develop guidelines from?
Jim Galloway: Women’s Health Cardiology Resources Available
Steve Holve: What are some of the issues in adoption of an American Indian child?
March Indian Child Health Notes
Elaine Locke: Job Postings on ACOG Career Connection
Kathleen Masis:U.S. Surgeon General Releases Advisory on Alcohol Use in Pregnancy
Kate McCarthy: The Public’s Health and the Law in the 21st Century: 4th Annual Partnership
Neil Murphy: Take two Clomid and call me in the morning: A true story
Jane Powers: IHS Child Abuse Project Website has just been updated
Robert Stockburger: Locum tenens availability
Scott Sunde: What is the significance of the latest NEJM article on trial of labor after cesarean?
Judy Thierry:
-How would you like to be the Czarina of Women’s Health in Indian Country?
-Good FAS web site
-U.S. Surgeon General Releases Advisory on Alcohol Use in Pregnancy
-Potential Economic Benefits of the National Children's Study
-How does your state rank in fitness in Children?
Judy Whitecrane: Native American Women's Health: Leadership for Change Conference
Obstetrics:
-Misoprostol decreases oxytocin use largely due to labor within the ripening period
-Overweight and obese women with single cephalic term pregnancies have increased risk
-Fast-Absorbing Sutures Better for Postpartum Perineal Repair
-Severe Preeclampsia and Eclampsia: Systolic Hypertension Is Also Important
-Perinatal HIV Transmission Now Most Likely to Occur in Utero
-And more
Gynecology:
-Vaginal pH for Diagnosing Status of Menopause
-Surgical or Medical Treatment for Refractory Menorrhagia?
-Symptom Experiences of Chronically Constipated Women With Pelvic Floor Disorders
Child
Health:
-Pregnancy, Birth, and Abortion Rates Decline for Teenagers Aged 15-17 Years
-Are children born after assisted reproductive technology at increased risk for adverse health outcomes?
Chronic
Illness and Disease:
-Low-dose aspirin can prevent cardiovascular disease in older women
-Antiplatelet Therapy and Anticoagulation in Patients with Hypertension
-Cardiovascular risk higher among patients with migraine
-Control of Cardiovascular Risk Factors - Diabetic Women Compared to Men
-Insulin Monotherapy vs. Combination Therapy
-And more
AFP:
-Does Melatonin Improve Sleep in Asthmatic Women?
ACOG:
- Pregestational diabetes mellitus, ACOG Practice Bulletin No. 60
AHRQ:
-Follow-up of newborns after hospital discharge: Critical to preventjaundice and other problems
Ask a Librarian
- Salmonella from Pet Turtles-Again
Breastfeeding:
-Resurgence of kernicterus attributed primarily to early discharge of newborns
CCC Corner Digest:
-LEEP Treatment Increases Risk of Preterm Delivery in Future Pregnancies
-New OB/GYN Deputy Chief Clinical Consultant IHS
-Progesterone Treatment Decreases Preterm Birth Rate
-Radio-Frequency Endometrial Ablation for Menorrhagia
-Hormonal Contraceptives and Weight Gain
-Walk 2000 More Steps a Day and Never Gain Another Pound
Domestic
Violence:
-Intimate Partner Violence During Pregnancy APRIL 2005 MCH EPI GRAND ROUNDS
-Primary Care Discussion Forum: Domestic Violence in AI/AN - Just finished
-Assaults during pregnancy: both immediate and long-term adverse neonatal outcomes
Elder
Care News:
-Palliative care and hospice training in Anchorage, Alaska - May 10-12, 2005
Family
Planning:
-Women continue to die from unintended pregnancy
-Effects of Contraception on Bone Mineral Density
Frequently
asked questions:
-What is the Indian Health policy for HIV screening in pregnancy?
-Should I prescribe Depo Provera as a long term agent for more than 2 years?
-What preventive therapy is recommended for patients at high risk for pre-eclampsia?
-My patient is not doing too well with her hormone replacement therapy. Options?
-What are some of the opportunities to provide care in Indian women’s health?
Hormone
Replacement Update:
-Estrogen with or without progestin should not be prescribed for relief of incontinence
Information
Technology:
-Computerized order entry system may increase risk of medication errors
-Intranet-based prenatal record improves communication
-UpToDate Version 13.1 Now Available; Includes Pediatrics
-Tribal Connections
-Native Web.org: Resource Database / Health International Health:
-Women, inequality, and the burden of HIV
-Physician Missions With Doctors Without Borders:
-UN Predicts Global Population of 9.1 Billion by 2050
MCH Alert
-Task Force presents recommendations for reducing violence
Medscape
-Genital Herpes and Pregnancy: Preventing Neonatal Transmission
Midwives Corner
- Emergency OB Drills: The Phoenix Indian Medical Center Experience
-Concern over rising cesarean delivery rate: ACNM approaches Congress
-Alternative Medicines' Popularity Prompts Concern
Office
of Women’s Health, CDC:
-Spread the Word - National Women's Health Week, May 8-14, 2005 Osteoporosis:
-How best to start good bone health?
-Clinical Rules Don't Predict Osteoporosis in Women
Patient
Education:
-Consumer Health: Indian Health
-What Should I Know About Cholesterol?
-Vertigo-A Type of Dizziness
Primary
Care Discussion Forum:
-April 1, 2005: Methamphetamine use in Indian
STD Corner :
-Women's Sexual Health and Sexually Transmitted Diseases – May 13, 2005
-Expedited treatment of sex partners on persistent gonorrhea or chlamydial infection
Barbara
Stillwater, Alaska Diabetes Prevention and Control:
-Postmenopausal Women and Visceral Fat Loss through Exercise
-Minding the gender gap: The divergence between men's and women's health research
-Omitting breakfast on insulin sensitivity and fasting lipid: Deleterious effects
-Beginning Exercise Routine Later in Life Still Reduces Heart Disease, Diabetes risk
-Blood Pressure, Insulin Sensitivity Linked to Waist Circumference
What’s
new on the ITU MCH web pages:
Save the Dates: Upcoming events of interest
Did you miss something
in the last OB/GYN
Chief Clinical Consultant
Corner?
The February 2005 OB/GYN CCC Corner is available at:
http://www.ihs.gov/MedicalPrograms/MCH/M/obgyn0205.cfm
Volume 3, No. 2, February, 2005
Abstract of the Month: page 3
LEEP Treatment Increases Risk of Preterm Delivery in Future Pregnancies
From your colleagues: page 4
Elaine Locke: Free Job Postings for Indian Facilities on ACOG Career Connection
Sandra Haldane: Web portal linking all HHS.gov sites to breast cancer information
-Women and Medication Safety: Special Journal Issue Is Available Online
Steve Holve: How common is Methamphetamine use in your area? Feb ’05 ICHN available
Jean Howe: Announcing the new Deputy Chief Clinical Consultant
Yolanda Meza: Routine suctioning of meconium-stained before delivery of the shoulders?
Suzan Murphy: Methamphetamine abuse and breastfeeding
Chuck North: Patients with more than one medical condition: How can guidelines help?
-Single digit need to treat (NNT) obesity are remarkable statistics - should spur us on
Lori de Ravello: Contraceptive Methods Among Women: Quickstats
Judy Thierry: Discourage use of infant car seats as long term sleep environments
-Training for Nursery Room Nurses on Back to Sleep
-Tony Dekker, M.D. New Addiction Medicine Chief Clinical Consultant (CCC)
-The Chief Clinical consultants - are available for your consultation
-What is the definition of ‘preventable or avoidable maternal death?
Judy Whitecrane: It makes it easy for moms to remember: 2 days, 2 weeks, and 2 months
Hot Topics:
Obstetrics: page 10
-Severe Preeclampsia and Eclampsia: Systolic Hypertension Is Also Important
-Progesterone Treatment Decreases Preterm Birth Rate
-Ripening of the Cervix and Risk for Later Preterm Birth
-Ginger May Relieve Nausea During Early Pregnancy
-Effect of Episiotomy on Pelvic Floor Weakness
Gynecology: page 12
-Sexual Function After Hysterectomy
-Screening for Ovarian Cancer: Recommendation Statement
-Limitations of Screening Tests for Asymptomatic Chlamydia
-Abnormal Uterine Bleeding: Surgical or Medical Therapy?
-Endometriosis and Subfertility: Is the Relationship Resolved?
Child Health: page 13
-Gender bias in child growth evaluations may miss disease in girls
-Recommended Childhood and Adolescent Immunization Schedule, United States, 2005
-Protective effects of firearm storage practices for children
-Dramatic decline in varicella related mortality: Impact of vaccine
-Oral health is looking to better capture the topical fluoride applications
Chronic Illness and Disease: page 14
-Quality of Care May Decline as Physicians Age
-Chronic disease antecedents arise in utero and infancy
-JAMA Editorialist recommends the "low fad" approach
-Diabetes Mellitus in Women: Adolescence Through Pregnancy and Menopause
-Irritable Bowel Syndrome: Clinical Evidence Concise - BMJ
Features: page 17
American Family Physician
-Radio-Frequency Endometrial Ablation for Menorrhagia
-Esterified Estrogen and Venous Thrombotic Risk
-Physical Therapy and Stress Urinary Incontinence
-Lactobacillus Does Not Prevent Post-Antibiotic Vaginitis
-Antidepressants and Smoking Cessation
ACOG
Coping With the Stress of Medical Professional Liability Litigation
AHRQ
-Computerized Order Entry Leads to Unwanted Testing- Web M + M - Clinical Ethics
-Women who have given birth only via cesarean are less likely than those with vaginal -deliveries to report stress incontinence
Ask a Librarian
-Infant Mortality: Bad News, Good News
Breastfeeding
-American Academy of Pediatrics Revised policy on Breastfeeding
CCC Corner Digest
-A compact digest of last month’s CCC Corner - Highlights include:
Depo Provera and bone loss
Oral rehydration solution – reverse transfer of technology
What maneuver is in best in shoulder dystocia?
Midwives serving in Indian Country
Marriage may be good for you
Consumer Reports evaluates condoms, and 16 other contraceptive methods
Bariatric surgery may be a viable treatment option in severe obesity, etc…
Domestic Violence
-Intimate Partner Violence During Pregnancy APRIL 2005 MCH EPI GRAND ROUNDS
-Primary Care Discussion Forum: Domestic Violence in AI/AN - Just finished
-Assaults during pregnancy: both immediate and long-term adverse neonatal outcomes
Elder Care News
-Caring for elders at home: what is the best bath strategy?
-Cultural Diversity at the End of Life: Issues and Guidelines
-Management of Hypertension in Older Persons
-White House Conference on Aging
Family Planning
-Do combination hormonal contraceptives cause weight gain?
-Availability and Use of Publicly Funded Family Planning Clinics
Frequently asked questions
What is the Indian Health policy on use of chaperones?
How does one manage possible exposure to hand foot and mouth disease in pregnancy?
The ‘quad’ second trimester screening test is expensive. Is it worth it?
.How can you predict if a placenta previa will persist based on US at 15-24 weeks?
Hormone Replacement Update
Benefits and Risks of Estrogen in Postmenopausal Women
Information Technology
Free CME from Harvard to 60 of our providers
International Health
Institute for OneWorld Health -- A Not-for-Profit Pharmaceutical Company
MCH Alert
-Entire supplement on sleep in children: Cultural impacts
Medscape
Midwives Corner
Office of Women’s Health, CDC
-Cesarean Rate Highest Ever
Osteoporosis
-“Uncertain Role” of Biochemical Markers Use in Osteoporosis Therapy
-Fracture Protection Lost Five Years After Stopping Hormone Replacement Therapy
-Impact of Intense Exercise on Early Osteopenia in Women
Patient Education
-Painful Menstrual Periods
-Urinary Tract Infections
-Pelvic Floor Muscle Exercises
-Microscopic Hematuria
-Heart Palpitations
Primary Care Discussion Forum
-April 1, 2005: Methamphetamine use in Indian Country
STD Corner
-Men have often been overlooked for routine chlamydia screening
Barbara Stillwater, Alaska Diabetes Prevention and Control
-Walk 2000 More Steps a Day and Never Gain Another Pound
-Fit And Fat Not Good Enough
-15-Year Study Shows Link Between Fast Food, Obesity and Insulin Resistance
-How Well Do Adults Follow Prescriptions for insulin?
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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