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Volume 4, No. 8, August 2006
News Flash(s)
New CCCC Columnist:
Claire Wendland – International Health
Good time to sign up (limited scholarships available):
I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course
- September 17 – 21, 2006
- Denver, CO
Contact YMalloy@acog.org
Direct Links to Topic Content
Links to Topic Summaries on This Page
Contents
Abstract of the Month
Rate of uterine rupture hasn’t changed for 20 years – Why have our practices changed?
Read More - Abstract of the Month
From Your Colleagues
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Carolyn Aoyama
Jean Howe
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Judy Thierry
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Read More - From Your Colleagues
Hot Topics
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Features
American College of Obstetricians and Gynecologists
Agency for Healthcare Research and Quality
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Indian Child Health Notes - July 2006 Highlights
Barbara Stillwater, Alaska Dibaetes Prevention and Control
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What’s new on the ITU MCH web pages
New Deputy CCC for Family Practice, Ann Bullock, MD
http://www.ihs.gov/NonMedicalPrograms/nc4/nc4-fmDep.asp
There are several upcoming Conferences
and Online CME/CEU resources, etc . . .
and the latest Perinatology Corners (free online CME from IHS)
. . . or just take a look at the What’s New page
Save the Dates: Upcoming events of interest
I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course
- September 17 – 21, 2006
- Denver , CO
- Contact YMalloy@acog.orgor call Malloy at 202-863-2580
- Neonatal Resuscitation Program available
- Brochure
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOG_06brochR1_1.pdf
Second Annual AI / AN Long Term Care Conference
- September 18 & 19, 2006
- Tulsa , Oklahoma
- www.aianlongtermcare.org
- Contact Alvin Rafaelito atAlvin@nicoa.org, 505-292-2001
- Honoring Our Elders: Best Practices in Long Term Care 2006
Best Practices and GPRA Tracking
- Nov 1-2, 2006
- Sacramento CA
- California IHS Area Office, Contact Elaine.brinn@ihs.gov
- http://www.ihs.gov/MedicalPrograms/MCH/F/documents/BestPracticesFlyer1.pdf
22nd Annual Midwinter Indian Health OB/PEDS Conference
- For providers caring for Native women and children
- January 26-26, 2007
- Telluride, CO
- Contact Alan Waxman awaxman@salud.unm.edu
2nd International Meeting on Indigenous Child Health
- April 20-22, 2007
- Montreal , Quebec, Canada
- Solutions, not Problems
- Joint meeting of IHS, AAP-CONACH, First Nations and several other stakeholders
- http://www.aap.org/nach/2InternationalMeeting.htm
2007 Indian Health MCH and Women’s Health National Conference
- August 15 -17, 2007
- Albuquerque , NM
- THE place to be for anyone involved in care of AI/AN women, children
- Internationally recognized speakers
- Save the dates. Details to follow
- 12 months away and counting
- Want a topic discussed? Contact nmurphy@scf.cc
Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
July 2006 OB/GYN CCC Corner
Volume 4, No. 7, July 2006
Abstract of the Month
- Point / Counterpoint: Refusals by pharmacists to dispense emergency contraception
From Your Colleagues
Carolyn Aoyama
- Excellent article on breast cancer in American Indian women seen at PIMC
- The APN policy is on the Web!
- Science of Sex and Gender in Human Health Online Course Web Site
- Women of Color Health Data Book and AI/AN Health Education materials
Burt Attico
- Pregestational Diabetes Linked to Higher Rates of Perinatal Death and Anomalies
David Boyd
- The AUDIT has been reported to outperform the CAGE
Terry Cullen
- Best Practices and GPRA Tracking
Judy Thierry
- Top 10 Preventive Services
- Observing and reading cues from our infants - researched based education tool
- Accurate data means better programs and more funding
- Have you ordered your 2006-07 flu vaccine?
- The Health Consequences of Involuntary Exposure to Tobacco Smoke
Mark Traeger
- How to address health disparities? One story of success – Whiteriver, AZ
Hot Topics
- The return of the vaginal breech delivery
- Nalbuphine Injection (Nubain) Linked to Risk for Fetal Adverse Events
- VBAC pendulum is posed to swing back
- Avoiding post-term pregnancy improves perinatal mortality
- Adverse neonatal outcomes were not increased after 30 minute decision to incision times
- and more…
- CDC’s Advisory Committee Recommends Human Papillomavirus Virus Vaccination
- Speculum lubrication does not affect cervical cytology: Traditional or liquid based
- Three Questions Distinguish Urge From Stress Incontinence
- Burch colposuspension combined with uterine prolapse repair reduces incontinence
- Monsel's paste and fulguration with ball electrode equally effective for hemostasis after LEEP
- Boyfriends, girlfriends, and Adolescents’ risk of sexual involvement
- New Guidelines for Pediatric and Neonatal Emergency Cardiovascular Care
- 2nd International Meeting on Indigenous Child Health
- Driving, Other Erratic Behaviors Reported After Taking Zolpidem (Ambien)
- New shingles vaccine is a smart precaution with little downside
- Medical Management of Common Urinary Calculi
- Diagnosis and Treatment of Antiphospholipid Syndrome
- Few Americans with Diabetes Receive Multiple Preventive-Care Services
- and more…
Features
- Planned Early Birth vs. Expectant Management for PROM
American College of Obstetricians and Gynecologists
- William H. J. Haffner American Indian / Alaska Native Women’s Health Award
- Antibiotic Prophylaxis for Gynecologic Procedures
- Ethical Ways for Physicians to Market a Practice
Agency for Healthcare Research and Quality
- Gender disparities in the quality of preventive care / management of heart disease/ DM
- How to find Evidence?
- Pain is one the reasons that moms quit breastfeeding in the first 2 weeks
- Varicella Prophylaxis for high risk persons (including pregnancy): VariZIG replaces VZIG
- Achievements in Public Health: Reduction in Perinatal Transmission of HIV Infection
- What is the rate of preterm birth in Native Americans?
- Incontinence not correlated with vaginal delivery
- FDA Licenses HPV Vaccine for Prevention of Cervical Cancer in Females
- Co-occurring maternal conditions and behavior problems in children
- Group visits: Promising for chronic care management for the motivated patient
- Hormonal Contraception: Coexisting Medical Conditions, Practice Bulletin
- Early breastfeeding choice, GDM, and BMI
- 4x more common than breast cancer, major morbidity / mortality: Can’t be ignored
- Refusals by pharmacists to dispense emergency contraception: a critique
- GREAT site for Health Promotion Disease Prevention Utah Department of Health
- Copious post operative mucous secretions
- Empowering women to find the power of birth is of great value
- Methamphetamine abuse among women on Navajo (Part 3 of 4)
- SANE/SAFE training and capacity
- Recommendations to Improve Preconception Health and Health Care
- Patient-Requested Cesarean: Should be performed for medical reasons
- Cesarean delivery rate: Continues to increase without improving outcomes
- September 1, 2006: Palliative Medicine's Role in the Continuity of Care
- HIV Testing and Additional Analysis of National Survey on HIV/AIDS
- Women Who Don't Snooze Enough Gain Weight
- Sexual assault victims: factors associated with follow-up care
- 10th National Indian Nations: Conference for Victims of Crime - Call for Indian Health Input
- 4th Biennial National Conference on Health and Domestic Violence
- Rural pilot project funds for violence against women
- When in doubt – Involve a geriatrician in your elderly female patient’s care
- Depo-Provera: Baseline bone density / follow-up studies not needed
- Initiating Hormonal Contraception
- FDA says one reported abortion pill death was unrelated
- Try Michigan’s site. It’s super!
- The Indian Health MCH Frequently Asked Question (FAQ) site
Indian Child Health Notes - July 2006 Highlights
- Free on-line full text journals and textooks are available to all Indian Health and 638 sites.
- Fever treatment - Motrin versus Tylenol and together
- Human Papillomavirus (HPV) vaccine approved
- Substance Abuse and AI/AN adolescents
- Find out who won the AAP Native American Child Advocacy Award
- Hospital Computer Keyboards Should Be Disinfected Daily
- Health Information Technology: A rural provider’s roadmap to quality
- UpToDate 14.2 is now available
- Where There is No Doctor & A Book for Midwives
- Convenience makes a big difference in HIV testing: a Zimbabwe study
- A new way to develop reliable tests for neglected diseases: Doctors Without Borders
- Summary of Adolescent Pregnancy Prevention Programs
- Conjugated Equine Estrogen Treatment May Not Increase Breast Cancer Risk
- Changes in U.S. Prescribing patterns of menopausal hormone therapy
- ACOG Reports on Compounded Bioidentical Hormones
- Nuchal cords, somersaults, and the value of a pulsing cord: Nuchal Cord Management
- Midwives in IHS- Choose Midwifery: A Perfect Match
- Short and Long Pregnancy Spacing Impairs Perinatal Outcomes
- Coitus is associated with reduced requirement for labor induction at 41 weeks
- Coitus During Early Pregnancy Not Linked to Recurrent Preterm Birth
- Methamphetamine abuse among women on Navajo: Part IV - The “Drop- in” gravida
- Impact of Methamphetamine on Family Well Being
- The Association of Nurses in Aids Care
- Are you aware of a school curriculum dealing with STI/HIV prevention activities?
- 2006 ANAC 19th Annual Conference: Scaling the Heights of HIV/AIDS Nursing
- 2007 Evidence-Based Practice Conference
- Important for sites to promote height and weight standardization
- New Data on Priority Health Risk Behaviors among Adolescents and Young Adults
- IHS Division of Epidemiology and Disease Prevention Launches New Website
- Osteoporosis Guidelines Updated: North American Menopause Society
- Do you need a Native oriented sex education resource in your clinic?
- Kidney Stones: What You Should Know
- Recovering from a Hip Fracture: What You Should Know
- Only 29% of ACOG recommendations are good / consistent evidence. What’s at fault?
- Evidence-based surgery for cesarean delivery
- Higher rate of pain-free coitus at 6 weeks after delivery: Fast-absorbing polyglactin
- Progestational agents, initiated in the second trimester, reduce preterm delivery
- Calcium reduced preeclampsia severity, maternal morbidity, and neonatal mortality
- September 1, 2006: Palliative Medicine's Role in the Continuity of Care
- Focus on adolescent sexual behavior this month: 5 relevant articles
- Risk taking occurs, even among couples provided ready and free access to condoms / EC
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Diabetes Is The Clinical Equivalent of Aging 15 Years
- Escaping the Tyranny of the Urgent by Delivering Planned Care
- Mindset, Weight Tied to Willingness to Exercise
- Walking Faster Improves Diabetes Control
- Low-fat Dairy Foods Lower Women's Diabetes Risk
- and more…
Save the Dates: Upcoming events of interest
What’s new on the ITU MCH web pages
Past CCC Corners
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 MCHdiscuss.cfm
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.
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