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Volume 3, No. 10, October 2005
Newly Released Perinatology Corner Module - Shoulder Dystocia
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
| Links to Topic Summaries: |
Contents
Abstract of the Month
Family cohesion and conflict in an American Indian Community
Guest Editorial: Peter Stuart, Chinle
Read More - Abstract of the Month
From Your Colleagues
Carolyn Aoyama
- Children and Teens Told by Doctors That They Were Overweight
- CDC Childhood Obesity Fact Sheets
Burt Attico
- Health Status of American Indians, Alaska Natives Still Lagging Behind
Tony Dekker
- Opioid Use for Moderate to Severe Pain
Mary Lynn Eaglestaff
- Preterm Labor: Signs and Symptoms - Patient Education Brochure
James Galloway
- Sunday Morning Program : Cardiovascular Disease in AI/AN
Ben Garnett
- Passive immunization during pregnancy for congenital cytomegalovirus infection
Chuck North
- FIT test - Toward a better fecal occult blood test: Comparison with colonoscopy
Judy Thierry
- Maternal Mortality in Indian Country: Follow-up to September CCCC Abstract
- Using Geographic Information Systems (GIS) to Analyze MCH EpiData
- Health Care Services Are Not Always Available to Native Americans
- Birth Defects Prevention: Realizing the Full Potential of Folic Acid
- Scrub Club: As we enter flu, coughs and cold season - hand washing
Read More - From Your Colleagues
Hot Topics
- Do Pregnant Women Require Rectal Swabs for GBS?
- First Validated Model Predicts Risk of Failed Vaginal Birth After Cesarean
- Both obesity and excessive weight gain decrease the likelihood for VBAC
- MRSA Infection Emerging Problem in Pregnant Patients
- Postnatal Depression - What are the effects of drug treatments?
- …and more
- Paroxetine Curbs Premenstrual Dysphoric Disorder
- Social and cultural barriers to Pap test screening: Fatalistic attitudes, lack of support
- Tension-free vaginal tape procedure is effective over a period of 7 years
- IDSA Guidelines for Diagnosis and Treatment of Asymptomatic Bacteriuria
- Management of Spontaneous Abortion
- …and more
- #1 cause of pediatric deaths!!!
- Broad portrait of what adolescents are doing and thinking
- Concussion tool kit for coaches
- AAP Report on Pregnancy in Adolescents
- Children’s Health Month
- …and more
- Native Americans with highest rates of major depressive disorder
- "Menopausal Arthritis" May Develop in Women Receiving Aromatase inhibitors
- Metformin for Overweight and Obese Adults: Not proven outside of DM or PCOS yet
- Systematic review: TCAs and SSRIs effective, low-dose TCAs also effective - primary care
- Blood pressure reading is one of the most inaccurately performed
- …and more
Features
- Does a Low Glycemic Index Diet Reduce CHD?
- Racial and Ethnic Disparities in Women's Health
- The Role of the Obstetrician–Gynecologist in the Assessment and Management of Obesity
- Smoking Cessation During Pregnancy
- Screening for Tay–Sachs Disease
- Supracervical and TAH result in similar sexual functioning and quality of life
- Women with atherosclerosis / high cholesterol receive less intense management than men
- Estrogen with progestin higher discontinuation rates in women with diabetes and CVD
- Help Us Establish a Free Electronic Patient Education Resource Center
- Katrina: The Role of Human Milk and Breastfeeding
- Great opportunity for any AI/AN nurses with Masters or PhDs - Request from HRSA
- Cesarean delivery in AI/AN women: How are low rates explained?
- Diabetes prevention and control - Prenatal program
- Maternal Morbidity in AI/AN Women, 2002-2004
- Meperidine for Dystocia During First Stage of Labor: Limit Use
- PID: Outpatient treatment was as effective in preventing reproductive morbidity
- Adolescents Prefer Honesty and Patient-Centered Care
- One Third of Deaths From GI Bleeding Due to NSAIDs
- Elaine Locke: Key Contributor to Improve AI/ AN Women’s Health for 35 years
- Management of abnormal cervical cytology and histology, ACOG Practice Bulletin
- AHRQ Research Activities Relevant to the American Indian and Alaska Native Community
- Glyburide nor glipizide compatible with breast-feeding
- Wouldn’t it be nice if there was more distance education available to nurses?
- Cancer screening in elderly patients: a framework for individualized decision making
- EC in adolescents: No compromise of family planning or increased sexual behavior
- CDC “Key Facts about Flu Vaccine”
- Magical Mystery Tour: Overbooked clinic and next patient with chronic pelvic pain
- Public health approach to suicide prevention in an American Indian Tribal Nation
- Follow-up of Last month’s Corner Ortho Evra discussion
- Electronic Health Record for care of women and children
- First trimester prenatal genetic screening: Is it ready for ‘Prime Time’ at your facility?
- Primary Care Discussion Forum- November 1, 2005 - Rectal bleeding: Is it hemorrhoids?
- Appropriate use of narcotics for chronic non-malignant pain, Chuck North, ABQ
- Screening for sexually transmitted diseases in non-traditional settings: a personal view
- October is Domestic Violence Awareness Month
- Domestic Violence Prevention Enhancement and Leadership Through Alliances (DELTA)
- Indian Health Violence Against Women web site
- 50 Tribal TANF sites, updated August 2005
- Cancer screening in elderly patients: a framework for individualized decision making
- Stop Abuse and Sexual Assault against older individuals: Grants available
- ParaGard ® T 380A Approved for Nulliparous Women in Stable Relationships from Age 16
- Extension of the ring cycle reduced bleeding days, well tolerated and desired by many
- Lower- vs. Higher-Dose Estrogen for Contraception Clinical Question
- Newly Released Perinatology Corner Module - Shoulder Dystocia
- Are there any clinical pointers for alcohol withdrawal in pregnancy?
- If a patient has an IUD and develops a Chlamydia infection, should you remove the IUD?
- Is gambling good for you?
- Guidelines for Menactra, the new quadrivalent meningitis vaccine
- Oral health therapists - a low cost and low tech approach to the problem of dental access
- Community Acquired Methicillin - coming to a clinic near you
- Still doing GYN surgery the old fashioned way? Robotic surgery in remote settings
- After Katrina: Health Professionals' Notes From the Field
- Association between neighbor characteristics and adolescent sexual behavior
- Racial and Ethnic Disparities in Health Knowledge Path
- HCG curves redefined: Symptomatic patients with an early viable intrauterine pregnancy
- Complications of Cesarean Deliveries
- Racial and Ethnic Health Disparities, Women, and Cancer - CME
- What really causes hot flashes and how to fix them?
- Gabapentin May Control Hot Flashes in Women With Breast Cancer
- Increased risk of overall major congenital malformations with paroxetine
-
Syphilis Treatment Issues—Azithromycin Use Not Encouraged for Syphilis Treatment
- Cesarean Rates for First Births and Repeat Cesarean for Low-Risk Women: 1990-2003
- Sexual Behavior and Health Measures: Men and Women 15-44 Years of Age
- Births: Final Data for 2003
-
Less quantity of prenatal visits with higher quality: Outcome based analysis
- Secondary Fracture Prevention with Calcium and Vitamin D
- Can Examination Findings Predict Osteoporosis Risk?
- Soy Consumption Reduces Bone Fracture Risk in Postmenopausal
- Preterm Labor: Signs and Symptoms – Aberdeen Area Brochure
- Diverticular Disease: What You Should Know?
- Newly Released Perinatology Corner Module - Shoulder Dystocia
- Thyroid-stimulating hormone decreases significantly during the first trimester
- November 1, 2005, Rectal bleeding: Is it hemorrhoids Morbidity and Mortality Rounds
- Goodbye Laura Shelby, Welcome Lori de Ravello
- Which Comes First in Adolescence—Sex and Drugs or Depression?
- Inaccurate, Outdated Serologic Tests for Genital Herpes Still in Use
- HIV Screening Health-Care Settings: Adolescents, Pregnancy, Adult Recommendations
- Annual Screening for C. trachomatis Is Cost-Effective
- Testing for primary HIV infection with p24 antigen EIA may be a sound use of resources
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Pedometers Increase Activity for Patients
- Prevalence of Diabetes Among Adult Alaskans: 2002-2004
- Women who eat breakfast are less likely to be overweight than those who fast till lunch
- Implementing health behavior change in primary care: lessons from prescription for health
- Vinegar Significantly Lowers Blood Glucose, Insulin Response, and Increases Satiety
What’s new on the ITU MCH web pages
Newly ReleasedPerinatology Corner Module - Shoulder Dystocia
A great resource of information and / or free CEU / CME
http://www.ihs.gov/MedicalPrograms/MCH/M/shdyst.cfm
Domestic Violence Prevention Enhancement and Leadership Through Alliances (DELTA)
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
21st Annual Midwinter Indian Health OB / PEDS Conference
- For providers caring for Native women and children
- January 27-29, 2006
- Telluride, CO
- Contact Alan Waxman AWaxman@salud.unm.edu
Advances in Indian Health, 6 th Annual
- May 2-6, 2006
- Albuquerque , NM
- Save the dates brochure
Native Peoples of North America HIV/AIDS Conference
- May 3–6, 2006
- Anchorage , Alaska
- Embracing Our Traditions, Values, and Teachings www.embracingourtraditions.org
- National Institutes of Health (NIH), DHHS http://www.ou.edu/rec/pdf/Native_Fact_Sheet.pdf
ACOG 2006 Annual Clinical Meeting (ACM)
- May 6-10, 2006
- Washington , DC
- Save the dates brochure http://www.acog.org/abstract%2Dsubmission/
I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course
- September 17 – 21, 2006
- Denver , CO
- Contact YMalloy@acog.orgor call Yvonne Malloy at 202-863-2580
- Last year’s brochure link below (2005 Brochure) (PDF 145k)
- http://www.ihs.gov/MedicalPrograms/MCH/M/Documents/FinalACOGBrochure.pdf
- NEONATAL RESUSCITATION PROGRAM available
Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
September 2005 OB/GYN CCC Corner
Volume 3, No. 9, September 2005
Abstract of the Month
Cesarean delivery in Native American women: are low rates explained
by practices common to the Indian health service?
From your colleagues
Terry Cullen
-UpToDate available even while you are deployed
-The Commonwealth Fund/Harvard Fellowship in Minority Health Policy
Chuck North
- Summary: Appropriate use of narcotics for chronic non-malignant pain
Meera Ramesh
- Diabetes prevention and control - Prenatal program
Judy Thierry
-Maternal Morbidity in AI/AN Women, 2002-2004
-Methamphetamine in Indian Country: Good Resources
-FDA Director of the Office of Women's Health resigns
-Women's Health USA 2005 is online
-Healthy People 2010 midcourse review seeks your comments
Hot Topics
Obstetrics
-Meperidine for Dystocia During First Stage of Labor: Limit Use
-Progesterone therapy ameliorates other risk factors in previous preterm delivery
-Misoprostol: Effective and safe treatment option in term premature rupture of
membranes
-Risk of stillbirth is substantially elevated among very and extremely high parity
gravidas
-The 4P's Plus screen for substance use in pregnancy: clinical application and
outcomes
and more…
Gynecology
-PID: Outpatient treatment was as effective in preventing reproductive
-Every woman matters study: Improving female health care through practice change
-Metformin for Anovulation in Normoandrogenic Women
-Virtually all women with prolapse can be treated and their symptoms alleviated
-Colposcopy: An Evidence-Based Update
and more…
Child Health
-Adolescents Prefer Honesty and Patient-Centered Care
-Parent Intervention in Risky Adolescent Behaviors Can Help
-Clustering of fast food restaurants around schools
-AMA releases findings on sources of alcohol for adolescents
-School-based dental sealant program manual now available online
and more…
Chronic Illness and Disease
-One Third of Deaths From GI Bleeding Due to NSAIDs
-Withdrawing Aspirin May Significantly Increase Stroke Risk
-Dietary Calcium Intake and Obesity
-Intertrigo and Common Secondary Skin Infections
-Screening for HCV Infection: Understanding the USPSTF Recommendation
and more…
Features
American Family Physician – Cochrane for Clinicians-Room Air vs. Oxygen for Resuscitating Infants at Birth
-Short-Acting Insulin Analogues vs. Human Insulin for Diabetes
American College of Obstetricians and Gynecologists
-Elaine Locke: Key Contributor to Improve AI/ AN Women’s Health for
35 years
-Management of abnormal cervical cytology and histology, ACOG Practice Bulletin
No. 66
-Obesity in Pregnancy
-The Importance of Preconception Care in the Continuum of Women’s Health
Care
-Meningococcal Vaccination for Adolescents
Agency for Healthcare Research and Quality
-AHRQ Research Activities Relevant to the American Indian and Alaska Native
Community
-Omega-3 Fatty Acids, Effects on Child and Maternal Health
-Prenatal screening and Tx needed to identify pregnant women with Asx chlamydia
infection
-Screening asymptomatic, low-risk pregnant women for hepatitis C virus is not
cost effective
-AHRQ-Supported Study Finds Medical Disparities Narrowing
Ask a Librarian
-The Known and the Unknown - Clinical Evidence Summarized
Breastfeeding
-Glyburide nor glipizide compatible with breast-feeding
Case Managers Corner
-Wouldn’t it be nice if there was more distance education available
to nurses?
-What are some resources for nurse staffing ratios in L/D and postpartum?
CCC Corner Digest
-Open access can work for any type of practice. It is the wave of the future
-New IHS Women’s Health Consultant / Advanced Practice Nurse Consultant
-Relative value of physical exam of the breast as a screening tool
-Trial of Labor After Cesarean: Evidence based guidelines
-Ovarian conservation benefits survival in women undergoing hysterectomy
-AAP Releases Report on Excessive Sleepiness in Adolescents
-Existing heart disease is undiagnosed in 1/2 of women with first heart attack
-Management of Endometrial Cancer ACOG Practice Bulletin NUMBER 65
-The Known and the Unknown - Clinical Evidence Summarized
-Stress and verbal abuse in nursing
-Toward optimal screening strategies for older women: Should cost matter the
most?
-Over-The-Counter Sales of Emergency Contraception Do Not Increase Unsafe Sex
-Magical Mystery Tour: The Answer: 2 positive blood cultures in a postpartum
patient with fever
-Please help us build the Midwives Indian Health Patient Education Resources
page
-Is the patch more dangerous than the pill?
-Glyburide, Glargine, and Effects of Obesity
-Condom effectiveness for prevention of Chlamydia trachomatis infection
-Women the stronger gender? Men more carbohydrate intolerant / less physical
endurance
Domestic Violence
-Patients May Prefer That Physicians Ask About Family Conflict
-Guides to Investigating Child Abuse
Elder Care News
-Cancer screening in elderly patients: a framework for individualized decision
making
Family Planning
-EC in adolescents: No compromise of family planning or increased sexual
behavior
-Contraception, the ‘Patch’, and reports of adverse events including
death
Featured Website
-CDC “Key Facts about Flu Vaccine”
Frequently asked questions
-Should a urine test be performed on every pregnant patient each prenatal
visit?
-Should we be performing some type of long term follow-up on our GDM patients?
-Should we do a test of cure for Chlamydia in pregnancy? If so, when?
-What is the safest, most effective approach to prodromal labor?
-Should we use glargine use in pregnancy?
and more…..
Indian Child Health Notes
-Early Childhood Longitudinal Study provides a wealth of background information
-Roslayn Singleton, ANMC: Information on the new adolescent pertussis booster
vaccination
-Doug Esposito of Fort Defiance, AZ: Effort to reduce suicide in AI/AN communities
Information Technology
-Physicians' Use of Electronic Medical Records
-NCHS Statistics on the Use of Electronic Medical Records
-ISAC Request for Issues/Recommendations
International Health
-Indigenous peoples' health--why are they behind everyone, everywhere?
-Volunteer Opportunities - Hurricane Katrina
-Adolescent pregnancy prevention
-Cost effectiveness of interventions for major depression in low income minority women Medical Mystery Tour
-Overbooked clinic and next patient with chronic pelvic pain
Menopause Management
-AHRQ Releases Evidence Report on Managing Menopause-Related Symptoms
-Tibolone and Low-Dose Hormone Therapy Seen as Postmenopausal
-Natural History of Menopause Symptoms in Primary Care Patients
Midwives Corner
-Centering Pregnancy – Group Prenatal Care, Amy Doughty, Zuni
-Public health approach to suicide prevention in an AI/AN, Marsha Tahquechi,
GIMC
Navajo News
-Annual Navajo Area Women’s Health Provider Meeting, September 23
rd in Chinle
-Breast and Cervical Cancer Program Highlights
Oklahoma Perspective
-Electronic Health Record for care of women and children
Osteoporosis
-Osteoporosis Prevention in Postmenopausal Women
-New Report on Soy Finds Limited Evidence for Health Outcomes
Patient Education
-The “talk-sing test” – If patient can sing, then the
pace can be increased
-Intertrigo: What You Should Know
Perinatology Picks
-First trimester prenatal genetic screening: Is it ready for ‘Prime
Time’ at your facility?
Primary Care Discussion Forum
-Rectal bleeding: Is it hemorrhoids? November 1, 2005
-Morbidity and Mortality Rounds - Web Based - Moderator: Terry Cullen
STD Corner
-Evaluating a teen STD prevention Web site
-Screening for sexually transmitted diseases in non-traditional settings: a personal
view
-Should we do a test of cure for Chlamydia in pregnancy? If so, when?
-Reduce insulin resistance during pregnancy
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 http://www.ihs.gov/MedicalPrograms/MCH/M/MCHdiscuss.asp
Previous › Abstract of the Month
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.
