Volume 3, No. 5, May 2005
News Flash(s)
ACOG / IHS Course Total Women’s Health and Neonatal Course: June 19-23, 2005
Sign up before it is too late Late fees = waived
New Perinatology Corner Module - Should you be using the quad screen?
Prenatal Genetic Screening – Serum and Ultrasound
New Features:
Medical Mystery Tour: Can you guess what the correct question is?
Oklahoma Perspective by Greggory Woitte – Hastings Indian Medical Center
CCC Corner Digest - Print friendly Digest of the CCC Corner 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
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Links to Topic Summaries: |
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Contents:
Pelvic Floor Muscle Function and Urinary Incontinence: A Role for Physical Therapy
Terry Cullen: What is GPRA?
James Galloway: School junk food ban law in Arizona - How about our IHS facilities next?
George Gilson: AI/AN Premature Delivery Rate Higher than the National Average
Sandy Haldane: ACOG / IHS Course - DISREGARD $50.00 fee for late registration
Steve Holve: May 2005 Indian Child Health Notes; Methamphetamine in Indian Country
Ted Mala: American Indian/Alaska Native Health Policy Monograph
Chuck North: Loss of bone mass reversed: Significant gains post DMPA discontinuation
Robert Pittman: Use lindane products as second-line only
Phil Smith: Quality Through Collaboration: The Future of Rural Health Care
Judy Thierry:
-Good Screening Tools for Substance Use: 5 P’s or 4 P’s
-Post GDM care at your site: Anything interesting? What more could be done?
-Feature Highlight: 2005 Prematurity Profile – March of Dimes
-CDC web site with Repro health and SIDS and SUID
-Infant mortality (SIDS/SUIDI) in AIAN and structure of IHS health care
-Federal Registry HP/DP Grant Announcement
-Child abuse prevention Funding
Judy Whitecrane:
-APN / PA Meeting: June 6-10, 2005
-Primary Care Provider Training in Addictions
-Do you want to learn more about VRE, MRSA, and Influenza? Other topics?
Obstetrics
-Should we help patients decide on storage of umbilical cord stem cells? Yes
-Brief interventions for prenatal alcohol use reduce subsequent consumption the most
-Time has come to take on the professional responsibility of reducing episiotomy use
-Subcutaneous drain is ineffective in preventing wound complications in obese women
-Cesarean and Vaginal Birth After Previous Cesarean Delivery
-Epidural Analgesia During Labor Increases Risk of Abnormal Fetal Head Position
-Evidence-Based Prenatal Care: Part II. 3rd Trimester Care, Infectious Disease Screening
-Perinatal Depression: Prevalence, Screening Accuracy, and Screening Outcomes: AHRQ
Gynecology
-Testosterone patch effective in hypoactive sexual desire in surgically menopausal
-Negative LEEP Is Not Reassuring
-Human Papillomavirus Quadrivalent Vaccine May Be Effective
-Oophorectomy and Hysterectomy No Curb on Sexuality
-Randomised comparison of microwave endometrial ablation with transcervical resection
-The physiologic effects of pneumoperitoneum in the morbidly obese
-Hypertension Boosts Uterine Fibroid Risk
-Failure to simply get a Pap test often to blame for cervical cancer diagnosis
Child
Health
-To eat fruit and vegetables or not? Factors that influence consumers’ decisions
-School nutrition resources
Chronic
Illness and Disease
-What are the best ways to quit smoking?
-Screening for Asymptomatic Bacteriuria: Recommendation Statement: USPSTF
-The Living to 100 Life Expectancy Calculator
-Improving the Quality of Care for Adults with Type 2 Diabetes Mellitus
-Acupuncture: a clinical review
-Benefits of Omega-3 Fatty Acids
-One size doesn't fit all
-Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women
-Evaluation of Palpable Breast Masses
-AHRQ Recent Findings: Cardiovascular Disease
AFP
-Does Lipid Lowering Decrease Stroke Risk?
-Hyperbaric Oxygen Therapy in Patients with Chronic Wounds
-Mammography Screening Intervals Questioned
-Estrogen Increases the Risk of Gallbladder Disease
-Fibroids (Uterine Myomatosis, Leiomyomas) BMJ Clinical Evidence Concise
-Anticonvulsant Medications for Migraine Prevention: Cochrane for Clinicians
ACOG
Intrapartum fetal heart rate monitoring. ACOG Practice Bulletin
AHRQ
-Recent findings
-AHRQ Patient Safety Network (PSNet), the new "one-stop" patient safety portal
Ask a Librarian
Vitamin C reduced premature rupture of the membranes (PROM)
Breastfeeding
-Making Every Mother and Child Count - Through Breastfeeding, One Baby at a Time
-Breast-feeding initiation in low-income women
-Interested in the US Breastfeeding Committee Task Force and Coalition Conference?
-AAP Releases Updated Breastfeeding Recommendations
-Exclusive Breast-feeding May Reduce Risk of Postnatal HIV Transmission
CCC Corner Digest
Highlights include
-Human Papillomavirus ACOG Practice Bulletin
-Burt Attico, Phoenix: DMPA / BMD, and Teens: Recent and Reassuring Data
-Tx for BV or T. vaginalis does not reduce Preterm birth or adverse outcome
-Antibiotics for Recurrent Urinary Tract Infections: Cochrane for Clinicians
-FASlink: The approach is directed at maternal drinking behavior and dose
-Can Patients with Cancer Postpone Death for Important Events?
-Access to the NIH Library web resources being explored - Indian Health Tribal staff
-‘The patch’: Trouble getting it on your formulary?
-Midwifery care of poor and vulnerable women, 1925-2003
-Natural mentoring relationships and adolescent health: evidence from a national study
-A Decline in Life Expectancy in the US
-Should you be using the quad screen?
-Prenatal Genetic Screening – Serum and Ultrasound - New Perinatology Corner Module
Domestic
Violence
-Intimate Partner Violence using PRAMS data - group studied age 20+
-AHRQ Recent Findings: Violence Against Women
-McCain introduces safety to Indian Women Act
-PREVENT WORKSHOP: Moving Towards Violence Prevention
-Preventing Sexual and Intimate Partner Violence Within Racial/Ethnic Minorities
-Injury Prevention Fact Sheet Focuses on Child Maltreatment
-Hidden Problem of Child Abuse
Elder
Care News
-Funding available to engage elders in service and mentor youth
Family
Planning
Oral Contraceptives: Their Mode of Action and Dermatologic Applications
Frequently
asked questions
-What types of drug testing are indicated in pregnancy?
-Is it standard of care to obtain a 2nd ultrasound on low risk patients for a fetal survey?
-What kind of availability is necessary for vaginal birth after cesarean? and
-Does there have to be Pediatrician at all emergency deliveries?
-Does the active management of the third stage of labor really work?
-What is the significance of ultrasound (US) ‘soft markers’ for Down Syndrome?
-What are the main risks for expectant mothers in day care settings?
-Do you need help documenting Patient Education or GPRA items?
Hormone
Replacement Update
-Estrogen plus progestin: WHI showed relief of menopausal symptoms but adverse effects
-Exercise: Alternative to estrogen for endothelial dysfunction in postmenopausal women
-Black cohosh extract is more effective than placebo in treating climacteric symptoms
-Does Beginning HT Earlier Decrease Mortality?
-The Impact of Comorbidities on Hormone Use
Information
Technology
IHS Office of Information Technology (OIT) latest edition of the IT News:
International Health
-10.6 million children die before age five, and half a million women die in childbirth
-Neonatal survival: a call for action
-Make Every Mother and Child Count: The World Health Report 2005
-Some countries will not achieve millennium development goals for health by 2015
-Children having children: The state of the World’s mothers 2004
-Improving Aboriginal Health: First Ministers’ and Aboriginal Leaders’ Meeting
MCH Alert
-Randomized controlled trial: Risk of Adolescent Suicide Screening Programs
-Reduce the Risk of SIDS: New Tools from American Academy of Pediatrics
-Interventions to improve cultural competence among health professionals
Medical Myster Tour
-The Case of the Mystery Question
-Who prescribed that really potent clomiphene in 1978? March Medical Mystery follow-up
Medscape
Midwives Corner
-Antibiotic Treatment for Bacterial Vaginosis Does Not Prevent Preterm Birth
-Elective Cesarean Section; How informed is informed?
-Share These With Women – ACNM Patient/ client hand- outs
-New low and high – Tech calendar methods of family planning
-Herbs and the childbearing woman: Guidelines for midwives
Office
of Women’s Health, CDC
Health Characteristics of the American Indian and Alaska Native Adult Population
Oklahoma Perspective
To VBAC, or not to VBAC, that is the question……
Osteoporosis:
-Statins and osteoporosis: a clinical review
-Guidelines Unclear on Screening for Osteoporosis
-AHRG Recent Findings: Osteoporosis
Patient Education:
-Infections During Pregnancy: What You Should Know?
-A Guide to Perimenopause: Patient FAQs - Cleveland Clinic
Primary
Care Discussion Forum:
August 1, 2005 - Appropriate use of narcotics for chronic non-malignant (non-cancer) pain
STD Corner
-After the promise: The STD consequences of adolescent virginity promises
-2005 4-Corners STD/HIV Summit June 22 – 24, 2005, Farmington, NM
-Oral versus vaginal sex among adolescents: Perceptions, attitudes, and behavior
-Young age at first sexual intercourse and sexually transmitted infections in adolescents
Barbara Stillwater, Alaska Dibaetes Prevention and Control
-There are 1440 minutes in a day. Make 30 of them active
-Waistline of one meter or more are at serious risk of insulin resistance
-Rosiglitazone Crosses Placenta in First Trimester
-Happy People Are Healthier - Song "Don't Worry, Be Happy," - Sound medical advice
-Depressed diabetics die sooner than depressed non-diabetics
-Be surprised: Portion size, calories, amount of activity needed to expend those calories
-Step Counting Increases Exercise More Than Timed Walking
-Carrying weight around waist increases risk of metabolic syndrome even if BMI is normal
-Diabetes Increases Risk of Urinary Infection in Postmenopausal Women
-National Employee Health & Fitness Day: Wednesday, May 18, 2005
What’s
new on the ITU MCH web pages:
New Perinatology Corner Module Should you be using the quad screen?
Prenatal Genetic Screening – Serum and Ultrasound
http://www.ihs.gov/MedicalPrograms/MCH/m/TM01.cfm
US OB/GYNs helping to create residency program in Kabul
http://www.ihs.gov/MedicalPrograms/MCH/M/ACOG01_afghan.cfm#kabul
Royal College of OB/GYN Guidelines
http://www.rcog.org.uk/index.asp?PageID=1042
Pelvic Floor Muscle Function and Urinary Incontinence: A Role for Physical Therapy
../W/WHmature.asp#PT
There are several upcoming Conferences
../F/CN01.cfm#top
and Online CME/CEU resources, etc….
http://www.ihs.gov/MedicalPrograms/MCH/M/CN13.cfm
and the latest Perinatology Corners (free online CME from IHS) are at
http://www.ihs.gov/MedicalPrograms/MCH/M/MCHpericrnr.asp
…or just take a look at the What’s New page
wNew.cfm#top
Save the Dates: Upcoming events of interest
2005 U.S. Public Health Conference/Global Health Summit
- June 5-9, 2005
- Philadelphia, PA, Development of the Report on Global Health
- 40th Annual U.S. Public Health Professional Conference, June 6-9, 2005
- www.coausphsconference.org
I.H.S. / A.C.O.G. Postgraduate Course: Obstetric, Neonatal, and Gynecologic Care
Late fees = waived
National Summit on Preconception Care
Did you miss something
in the last OB/GYN
Chief Clinical Consultant
Corner?
The April 2005 OB/GYN CCC Corner is available at:
http://www.ihs.gov/MedicalPrograms/MCH/M/obgyn0405.cfm
Volume 3, No. 4, April, 2005
The April 2005 OB/GYN CCC Corner is available at:
http://www.ihs.gov/MedicalPrograms/MCH/M/obgyn0405.cfm
Abstract of the Month: page 4
Human Papillomavirus - ACOG Practice Bulletin
NUMBER 61, APRIL 2005
From your colleagues: page 5
Burt Attico: DMPA, Bone Mineral Density, and Teens: Recent and Reassuring Data
James Galloway: A previously under recognized disparity in CVD mortality exists for AIAN
Steve Holve: April Indian Child Health Notes: Highlights
Lori de Ravello: Reproductive Health 2005 - Call for Abstracts
Phil Smith: Commodity or Public Work? Two Perspectives on Health Care
Judy Thierry:
-School wellness (nutrition and PE focused) policies
-Improve your effectiveness in home visits, family and new parent interactions
-Fitness in Kids by State
-SAMHSA Releases Garret Lee Smith Requests for Applications
-Send me your translation of "Make every mother and child count" in your tribal language
-The population you serve may be in a county represented by the National Children’s study
Hot Topics:
Obstetrics: page 8
-Gestational Diabetes Rising at Alarming Rate in U.S. Women
-Ginger: effective and safe treatment in managing nausea and vomiting in pregnancy.
-Treatment for BV or T. vaginalis does not reduce of PTD or adverse perinatal outcomes
- Obstetric Anal Sphincter Injury Persists Over Long Term
- Effects of Discontinuing Epidurals in Late Labor: Cochrane Briefs
Gynecology: page 11
-Antibiotics for Recurrent Urinary Tract Infections: Cochrane for Clinicians
-Two Criteria May Be Sufficient to Diagnose Bacterial Vaginosis
-Vaginal Tape vs. Surgery for Stress Incontinence
- Polycystic ovarian syndrome: marked differences in diagnosis and management
- Laparoscopic Radiofrequency Thermal Ablation Safe and Effective for Fibroids
Child Health: page 12
-FASlink
- Prevalence of Overweight Among Children and Teenagers, by Age Group
Chronic Illness and Disease: page 12
-Can Patients with Cancer Postpone Death for Important Events?
-Impact of Community-Based Yoga on Quality of Life
- Antioxidant Vitamin Supplements and Cardiovascular Disease Risk Reduction
- Comparison of Short-Term Treatments for GERD
- Parenteral dihydroergotamine for acute migraine headache: a systematic review
Features: page 14
American Family Physician
-Raloxifene Reduces the Risk of Breast Cancer
-Trial of Labor Carries Small but Real Increase in Risk
-Bariatric Surgery Effective for Long-Term Weight Loss
American College of Obstetricians and Gynecologists
-Appropriate Use of Laparoscopically Assisted Vaginal Hysterectomy
-Endometriosis in Adolescents - ACOG Committee Opinion No. 310
Agency for Healthcare Research and Quality
-Compare and Contrast: AHRQ Web M + M
-Use of certain antidepressants may increase risk of hip fractures among older patients
Ask a Librarian
-Access to the NIH Library web resources availability being explored for Indian Health staff
Breastfeeding
-Decline in breastfeeding rates: 2003 Ross breastfeeding stats
-Section on Breastfeeding: American Academy of Pediatrics
CCC Corner Digest
Highlights include
-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?
-Early epidural provided shorter labor and did not increase cesarean delivery
-How many deliveries does a provider need to maintain active privileges?
-What is the significance of the latest NEJM article on trial of labor after cesarean?
-Vaginal pH for Diagnosing Status of Menopause
-Pregnancy, Birth, and Abortion Rates Decline for Teenagers Aged 15-17 Years
- Emergency OB Drills: The Phoenix Indian Medical Center Experience
Domestic Violence
-IHS Child Abuse Project: Training Deadline extended
-The Truth About Rape
Elder Care News
-Helping elderly drivers stay on the road: Signs of an unsafe driver
-One-time screening for abdominal aortic aneurysm: B Recommendation
Family Planning
-‘The patch’: Trouble getting it on your formulary?
-One half of women who express desire for postpartum sterilization do not get procedure.
-Post-vasectomy semen analysis: are men following up?
Frequently asked questions
-In pregnancy, is a one hr. screening result > 185 or > 200 mg/dL diagnostic for GDM?
-Are there alternatives to the oral glucose tolerance test? A breakfast tolerance test?
-What is the value of biochemical markers in diagnosis or treatment of osteoporosis?
-What are some of the issues involved with vacuum assisted deliveries?
-What are the issues involved in adoption of an American Indian or Alaska Native child?
Hormone Replacement Update
-Modifiable Lifestyle Factors That May Affect Hot Flashes
Information Technology
-Free Native American Continuing Education online
-EHR INTRODUCTORY COURSE ANNOUNCEMENT
-IHS Technology Conference June 27 - July 1, 2005 - Save the Dates!!
International Health
-Patients’ Beliefs About Racism, Preferences for Physician Race, Satisfaction With Care
-Spectrum of dysfunctional organizational cultures can be diagnosed and managed
MCH Alert
-Ethical implications of health literacy and the steps needed to promote it
-Suicidal behavior in the family and adolescent risk behavior
Medscape
Midwives Corner
-Midwifery care of poor and vulnerable women, 1925-2003
Office of Women’s Health, CDC
-Methicillin-resistant Staphylococcus aureus Toxic Shock Syndrome
-Host a Women’s Health Fair - National Women's Health Week of May 9th 2005
Osteoporosis
-Osteoporosis and Fracture Prevention in the Indian Health System
-Osteoporosis: Strategies for Screening and Intervention
Patient Education
-Pregnancy: Keeping Yourself and Your Baby Healthy
-What Can You Do To Make Rheumatoid Arthritis (RA) Less Debilitating?
Primary Care Discussion Forum
-Methamphetamine use in Indian Country – still can join in
STD Corner
-Natural mentoring relationships and adolescent health: evidence from a national study
-Syphilis Elimination Effort (SEE) Toolkit
-Outbreak of Infectious Syphilis in Alaska--Follow-up
-HIV Infection in Alaska, 2004
Barbara Stillwater, Alaska Diabetes Prevention and Control
-A Decline in Life Expectancy in the US
-Dark Chocolate Improves Insulin Sensitivity/Resistance and Blood Pressure
-Yogurt Promotes Fat Loss
-Physical Activity Increases Insulin Sensitivity 44%
-Knowing One's Hgb A1c Can Improve Results
What’s new on the ITU MCH web pages page 24
-New Perinatology Corner module – Should you be using quad screen?
FREE CEUs, CME Prenatal Genetic Screening – Serum and Ultrasound
-Osteoporosis in Indian Health - A Systems Approach
-Osteoporosis: Strategies for Screening and Prevention
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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