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Volume 4, No. 5, May 2006
News Flash
-
2007 Indian Health MCH and Women’s Health National Conference
- August 15 -17, 2007 - Save the Dates
Direct Links to Topic Content: Abstract of the Month | From Your Colleagues | Hot Topics | Features
| Links to Topic Summaries: |
Contents
Abstract of the Month
Maternal periodontal disease in early pregnancy: Small-for-gestational-age infant
Read More - Abstract of the Month
From Your Colleagues
Carolyn Aoyama:
- Women’s Health Assessment Toolkit (WHAT)
- The Management of Eating Disorders: New Report, AHRQ
Donald Haverkamp
- Take the provider survey on colorectal cancer screening!
Chuck North
- The new medical "missionaries"--grooming the next generation of global health workers
Ty Reidhead
- New funding opportunity under the IHS Chronic Disease Initiative
Christine Rinki
- Infant Mortality Statistics from the 2003 Period Linked Birth/Infant Death Data Set
Judy Thierry
- Gestational Diabetes best practices CALL for examples
- Congratulations to Yolanda Adams, Charlotte Briggs and all!
Read More - From Your Colleagues
Hot Topics
- Counterpoint: Not Yet Time to Use the P:C Ratio by David Gahn and Eric Manske
- New campaign materials released to help GDM patients prevent or delay Type 2 Diabetes
- Prenatal Weight Gain Recommendations - Obesity in Pregnancy
- Preconception Care: Recommendations to Improve Health of Babies and Moms, CDC
- Early Glucose Challenge Testing Identifies Diabetes Versus Gestational Diabetes
- Strategies and outcome of Infant Mortality Reviews in the Aberdeen Area of the IHS
- and more…
- FDA: Vaccine to Prevent Cervical Cancer Is Safe, Effective
- Amenorrhea: Evaluation and Treatment
- Relationship between team sport participation and adolescent smoking
- Prevalence of diabetes and impaired fasting glucose levels among U.S. adolescents
- Sudden, Unexplained Infant Death Initiative
- Tool Kit on Teaching and Assessment children with Special needs -SIDS/Infant Death Resource Center is looking for materials
- and more…
- Caring for Patients After Bariatric Surgery
Features
- Immersion Exercise Reduces Leg Edema in Pregnancy
American College of Obstetricians and Gynecologists
- ACOG Recommends First Ob-Gyn Visit in Early Teens
- Vaginitis, Practice Bulletin
- Hepatitis B and Hepatitis C Virus Infections in Obstetrics–Gynecology, Committee Opinion
- The Apgar Score, Committee Opinion
- Role of the ON/GYN in the Screening and Diagnosis of Breast Masses, Committee Opinion
- The Initial Reproductive Health Visit, Committee Opinion
Agency for Healthcare Research and Quality
- Do-not-resuscitate orders for terminally ill children may not be honored by public schools
- Ectopic pregnancy rates are declining, but the decline is slower among black women
- Close-call reporting systems may be underutilized in identifying potential medical errors
- Doctors still prescribe antibiotics for over half of children with sore throats
- MCH Library launches redesigned web site
- Database provides information about drugs in breastfeeding mothers
- Protein to Creatinine Ratio in Pre-eclampsia: Is the data preceding the U.S. benchmarks?
- RCTs: Do they have external validity for patients with multiple co-morbidities?
- Gestational Diabetes Mellitus Tracking Sheets and Case Management PPT
- Glyburide is at least as effective as insulin therapy in treating gestational diabetes
- Urinary incontinence: Substantial economic costs and decrement in quality of life
- Infant Mortality Reviews in the Aberdeen Area: Strategies and Outcomes
- Breast cancer study from PIMC
- Less Invasive Management of Cervical Cytology Abnormalities in Adolescents
- ACOG: New Guidelines Call for Restricted Use of Episiotomies
- Early feeding choice and obesity
- MCH Frequently Asked Question (FAQ) site
- What is the common theme?
- Hands off" versus "hands on" for decreasing perineal lacerations: No difference
- Methamphetamine abuse among women on Navajo, Part 1
- Journey to Magnet
- Peripartum Cardiomyopathy
- Vaginal breech < 3, 500 g - No increase risk in neurodevelopment at 2 years of age
- Adverse Childhood Events: Impact on chronic adult illness / Risk taking
- Announcing New Program Manager for the IHS National STD Program
- ”Clinical inertia" - Providers not intensifying diabetes therapy when indicated
- Grants Alert: Domestic Violence, Cultural Competence
- Maintenance treatment of major depression in old age
- 31% of Sexually Active U.S. Teenage Girls Become Pregnant
- Postpartum contraception: New Mexico Pregnancy Risk Assessment Monitoring System
- The MCH Frequently Asked Question (FAQ) site
- Are there any cultural barriers among Native Americans to becoming cord blood donors?
- Is cord blood stem cell storage a viable option in Indian Country?
- Remember when they told you in medical school that half of what they were teaching you was wrong, they must didn't know which half. Now we do...
- Humidification doesn't benefit croup
- Fluoroquinolones can be used in children < 12 years
- However our editors Drs. Singleton and Esposito do know some things and will share them...
- Which Haemophilus influenzae type b vaccine is the best for AI/AN infants?
- Helicobacter pylori and anemia in AI/AN children
- Lessons from New Zealand - access to care for indigenous Maori
- Annual IHS Technology Conference
- Special Journal Issue Features Articles on Women, Gender, and Health Care Disparities
- Dieting behavior among overweight and non-overweight adolescents
- What was the common theme in these 2 cases?
- Effects of Conjugated Equine Estrogen on Quality of Life
- Routine use of sweeping of membranes from 38 weeks of pregnancy onwards
- Methamphetamine abuse among women on Navajo (PART 2 of 4)
- Native American Scholarship Opportunities at the School of Nursing
- Success stories of American Indian people throughout the US needed
- April was National Child Abuse Prevention Month. This year’s theme was Safe Children and Healthy Families are a Shared Responsibility –MMWR article
- Female Sexual Dysfunction
- Women need information about alternatives, risks, and benefits of hormone therapy for osteoporosis to make an informed decision
- Amenorrhea: What You Should Know
- Factors Associated With Rise in Primary Cesarean Births in the United States, 1991-2002
- Recurrence of hypertensive disorder in second pregnancy
- Despite "inadequate placentation" hypothesis, preeclampsia and IUGR do not seem to be related as different aspects of the same disorder
- Adverse Childhood Events: Impact on chronic adult illness / Risk taking: Ongoing now
- Prediction of Pelvic Inflammatory Disease Among Young, Single, Sexually Active Women
- Diagnosis and Treatment of Chlamydia trachomatis Infection
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Long-term Dietary Intervention May Reduce Risk for Insulin Resistance in Children
- Insulin Sensitivity Measures Predict Preeclampsia
What’s new on the ITU MCH web pages
Is a fetal ultrasound survey indicated for all patients routinely?
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/USsurvey42406.doc
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
PUBLIC’S HEALTH & THE LAW IN THE 21 ST CENTURY
- June 12-14, 2006
- Atlanta , Georgia
http://www2a.cdc.gov/phlp/conference2006.asp
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
- Neonatal Resuscitation Program available
- Brochure
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOG_06brochR1_1.pdf
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 women, children
- Internationally recognized speakers
- Save the dates. Details to follow
Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
April 2006 OB/GYN CCC Corner
Volume 4, No. 4, April 2006
Abstract of the Month
- Protein to Creatinine Ratio in Pre-eclampsia: Is the data preceding the U.S. benchmarks?
From Your Colleagues
Carolyn Aoyama:
- Pap screening: Great review of various types of interventions
- Breast Cancer Research Program Releases Program Announcements, 2006
- Emergency guide for older adults and their caregivers
Terry Cullen:
- All-or-None Measurement Raises the Bar on Performance: April 19, 2006
- Suicide Prevention Grants Available for Tribes and States
Chuck North:
- RCTs: do they have external validity for patients with multiple co-morbidities
Judy Thierry:
- Child and Youth Projects (CYP) Cooperative Agreement Grant Announcement
- Failure Mode Analysis (FMA) - Improving Perinatal Care
- Looking Ahead – Institute for Healthcare Improvement: Phase II
- CDC release: Sudden Unexplained Infant Death Investigation (SUIDI) Reporting Form
- National Women’s Health Indicators Data Base
- and more…
Shelley Thorkelson:
- Gestational Diabetes Mellitus Tracking Sheet
- Program Review and Case Management - Diabetes in Pregnancy
Alan Waxman:
- FDA Approves New Imaging System to Help Detect Cervical Pre-Cancer
Judy Whitecrane:
- 2006 Physician Assistant/Advanced Practice Nurse CE Seminar
- Exposure to Mumps During Air Travel --- United States, April 2006
Hot Topics
- Glyburide is at least as effective as insulin therapy in treating gestational diabetes
- Use the ‘talk but not sing’ rule: Physical activity predicts GDM risk
- Calcium reduced severity, maternal morbidity, and neonatal mortality in preeclampsia
- Increasing Angle of Episiotomy Reduces Third-Degree Tear Risk
- Bed Rest Not Be Helpful for Threatened Miscarriage
- and more…
- Extensive condyloma acuminata treated with imiquimod 5% cream
- Urinary incontinence: Substantial economic costs and decrement in quality of life
- Sexual activity and function in middle-aged and older women
- Connection Between Obesity and Pelvic Organ Dysfunction
- LLETZ and cold knife conization: Similar effects on pregnancy-related morbidity
- and more…
- New article from Aberdeen Area - Infant Mortality Reviews
- Adverse Childhood Events: Impact on chronic adult illness / Risk taking
- Anti-tobacco Advertising Has Positive Effect on Adolescents
- Shifts in the sexual behavior of adolescent males: It’s a Guy Thing
- Too Much TV Put Extra Pounds on Your Preschooler
- and more…
- Breast cancer study from PIMC
- Estrogen use after menopause does not increase breast cancer risk
- Newly identified risk factor for death, MI: Pregnancy complications
- Differences Between Painless and Painful Constipation Among Community Women
- Women and Heart Disease Fact Sheet
- and more…
Features
- Active Treatment for Partial Small Bowel Obstruction
- Sequential Testing Best Detects Down Syndrome
- Effect of Caffeine Intake on Risk of Hypertension
- Embolization Usually Successful to Treat Fibroids
American College of Obstetricians and Gynecologists
- Less Invasive Management of Cervical Cytology Abnormalities in Adolescents
- New Guidelines Call for Restricted Use of Episiotomies
- Safe Use of Medication
Agency for Healthcare Research and Quality
- Estimates of cervical cancers that may be missed by extending screening time
- Noninvasive tests may miss breast cancer
- Hospital type and location influence discharge of adolescents hospitalized for suicide
- Light therapy: Improves sleep, mood, and energy in women with non-seasonal depression
- Changes in the delivery of care needed to reduce the burden of diabetes among minorities
- Great Resource: Library Services for the Indian Health Service via NIH
- Early feeding choice and obesity
- Racial and Socioeconomic Disparities in Breastfeeding - United States, 2004
- New Quarterly Medical Journal on Breastfeeding Launched
- March 2006 Highlights include
- Tired of hearing only bad news from the WHI? Here is some good news
- Sample templates for guidelines: IUDs, Manual Vacuum Aspiration (MVA) for SAB, etc…
- GDM: Can we proceed directly to one step screening / diagnosis in AI / AN women?
- Diet and Exercise Reduce Incontinence in Women at Risk of Diabetes
- FDA Warns Parents About Contaminated Teething Rings
- Colon cancer rates: Increased in AI/AN women – March is Colon Cancer Month
- Are you aware of the vast amount of Library Services available to the Indian Health System?
- Results raise doubts about the value of the bimanual pelvic exam in routine screening
- Breastfeeding as a Pain Reliever
- Fatal infection without fever: Sepsis and Medical Abortion - FDA Public Health Advisory
- Two New Perinatology Corner Modules
- Twins: Antepartum assessment and Intrapartum management: Double Trouble?
- Antibody Screen Positive: Rh / Other Antibodies: Kell kills, Duffy dies, and Lewis lives?
- Should we continue to draw Rubella titers as part of the prenatal panel?
- Do Birth Certificate Data Reflect the Number of CNM-Attended Births?
- VZIG No Longer Available: Protect non-immune women against Chickenpox
- Nurse Education Loan Repayment Program: Deadline March 30
- Metformin and Polycystic Ovarian Syndrome
- Move beyond ‘integrated’ screening to ‘contingency’ screening
- Incorrect use of condoms, not product failure may account for lack of effectiveness
- Statin Therapy for Type 2's Regardless of LDL Levels and CVD
- Native women, violence, substance abuse and HIV risk
- Safety, permanency, and well-being of AI/AN children: New publication
- Child Maltreatment Institute
- Sexual Violence Prevention: Beginning the Dialogue
- April 2006 is National Child Abuse and Prevention month
- Can you read your patients' palms and predict their health?
- Older Adult Drivers with Cognitive Impairment
- Depo Provera Increase Diabetes Risk in Women
- Low educational status 2+ times risk of unintended pregnancy 1 year after delivery
- The MCH Frequently Asked Question (FAQ) site
- Can we use a protein to creatinine ratio instead of a 24 urine protein in preeclampsia?
- Is cord blood stem cell storage a viable option in Indian Country ?
- Ever had problems with a stenotic cervix? E.G., for an IUD placement or EmBx?
- When should we change the estimated date of delivery (EDD) based on ultrasound?
- Is my first trimester patient always hyperthyroid if her labs are abnormal?
- and more…
- In medical school that 50% of what you will learn will turn out to be wrong
- Ventilating tubes for Otitis Media with effusion turned out to be in the bad 50%
- Dr. Esposito says Indian Health deserves more money and here is how to get it.
- Helicobacter pylori is everywhere, especially in AI/AN children. What should we do - or not do
- National Release Graphical User Interface Clinical Scheduling System, Version 1.0
- Global Warming May Be a Graver Public Health Threat Than Nuclear War
- Prenatal Care Has Not Lowered Perinatal Mortality in Minorities
- Injury Reporting: Cautiously interpret injury data, esp. with stressful life circumstances
- What is the common theme?
- Do You Know The AHA Guidelines for CVD Prevention in Women?
- Gabapentin Reduces Hot Flashes in Breast Cancer Survivors
- Liability in triage: management of EMTALA regulations and common obstetric risks
- All-fours maneuver effective for reducing shoulder dystocia during labor
- "Hands off" versus "hands on" for decreasing perineal lacerations: No difference
- Does Vaginal Birth Increase the Risk for Incontinence?
- Diagnosis and Management of Candida of the Nipple and Breast
- and more…
- Methamphetamine abuse among women on Navajo: Part 1
- Journey to Magnet
- Nominations: "Integrating Cultural Competency into Nursing Education and Practice"
- For commissioned officers or those considering switching...
- Improving Perinatal Care: Nurses encouraged to attend, IHI
- Scholarship Opportunity for American Indian Commission Corps Officers
- Cigarette smoking among those who have spent >24 hours on the streets, in a shelter
- Peripartum Cardiomyopathy
- Role and Importance of Calcium in Preventing and Managing Osteoporosis
- Vulvodynia: What You Should Know
- What You Should Know About Worrying Too Much
- Driving and Dementia: What You Should Know
- No increase risk in neurodevelopment at 2 years of age: Vaginal breech < 3, 500 g
- Valacyclovir at 36 weeks reduced the number of women with clinical HSV recurrences
- 3 manuscripts that examine the timing and cesarean rate with epidural analgesia
- Is clinical research overrated?
- Adverse Childhood Events: Impact on chronic adult illness / Risk taking
- New CDC Fact Sheet on HPV in Men
- Announcing New Program Manager for the IHS National STD Program
- Funding opportunities announced. Applications due May 19th
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- ”Clinical inertia" - Providers not intensifying diabetes therapy when indicated
- Eating Potatoes May Increase Risk for Type 2 Diabetes
- Cutting Calories Helps You Live Longer
- Join for the WOMAN Challenge
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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