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Volume 4, No. 3, March 2006
News Flash(s)
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New CCC Columnist: Sandra Haldane - Nurses Corner
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Two New Perinatology Corner Modules
Twins: Antepartum assessment and Intrapartum management
Double Trouble? -
Antibody Screen Positive: Rh Disease and Other Atypical Antibodies
Kell kills, Duffy dies, and Lewis lives?
Direct Links to Topic Content: Abstract of the Month | From Your Colleagues | Hot Topics | Features
| Links to Topic Summaries: |
Contents
Abstract of the Month
Tired of hearing only bad news from the Women’s Health Initiative (WHI)?
Read More - Abstract of the Month
From Your Colleagues
Carolyn Aoyama
- Deadline Extended: Special AI/AN issue of the Maternal and Child Health Journal
- Three Women's Health Awards
Burt Attico
- Calcium Supplementation May Reduce the Severity of Pre-eclampsia
- Low-Dose Aspirin in the Primary Prevention of Cardiovascular Disease in Women
Terry Cullen
- Indian Health Service Medical Provider Best Practice Conference
- Costs Are Too High: Improving Perinatal Care -New Learning & Innovation Community from IHI
Eve Espey
- Sample templates for guidelines: IUDs, Manual Vacuum Aspiration (MVA) for SAB, etc…
Chuck North
- Keams Canyon 1979: Have you ever noticed that some things never seem to change?
Frances Placide
- Please Welcome Frances Placide, new Chief Clinical Consultant for Physician Assistants
Jane Powers
- New Child Abuse Website from IHS and Office for Victims of Crimes: Child Abuse Training
Judy Thierry
- What is the evidence on school health promotion in improving health?
- Meeting the needs of our native children in special education
Sara Thomas
- Is a low fat diet not good idea? Comments on recent research?
Roberta Ward
- New Information on Paxil and Congenital Malformations
- For Your Reading Pleasure . . . Asthma in Pregnancy
Judy Whitecrane
- Needed: PHS Nurses with OB experience
- 2006 Clinical Update on Substance Abuse and Dependency
Read More - From Your Colleagues
Hot Topics
- GDM: Can we proceed directly to one step screening / diagnosis in AI / AN women?
- Link between GDM and Type 2 DM can be broken: Update
- Gestational Glucose Tolerance Risk of Type 2 Diabetes in Young Pima Indian Offspring
- Is Influenza Vaccination Safe for Pregnant Women?
- Membrane sweeping at induction increases vaginal delivery rate and patient satisfaction
- and more…
- Diet and Exercise Reduce Incontinence in Women at Risk of Diabetes
- Hysterectomy increases resource use significantly, but increases quality-of-life too
- Atypical glandular cells: High risk - several markers put patients at more substantial risk
- Laparoscopic assistance not useful in performing vaginal hysterectomies w/ BSO
- Psychosocial Stress May Raise Risk of Bacterial Vaginosis
- and more…
- Maternal cholestasis and neonatal respiratory distress syndrome
- FDA Warns Parents About Contaminated Teething Rings
- Incidence of a Type AB Infant Born to a Type O Mother
- CDC Releases Guidelines on Identifying and Referring Persons with FAS
- Prevalence of overweight among children entering school
- and more…
- Colon cancer rates: Significantly increased in AI/AN women – Colon Cancer Month
- American Heart Association Updates Guidelines for Blood Pressure Management
- Prenatal setting represents a missed opportunity for Tuberculosis treatment completion
- Anyone snore in your house: Oral Appliances for Obstructive Sleep Apnea?
- Statins and beta-blockers may reduce severity of first coronary event
- and more…
Features
- Steroids Before Cesarean Delivery May Reduce RDS
American College of Obstetricians and Gynecologists
- LAY MIDWIFERY: Statement of Policy
- Tracking and Reminder Systems
Agency for Healthcare Research and Quality
- Results raise doubts about the value of the bimanual pelvic exam in routine screening
- I have a great resource for you: Diane Cooper, NIH
- Breastfeeding as a Pain Reliever
- February highlights include
- Results of a Well-Defined Protocol for a Trial of Labor After Cesarean
- Oral misoprostol for cervical priming in non-pregnant women
- The term breech trial recommendations should be re-evaluated
- Superiority of Liquid-Based Cytology for Cervical Screening Questioned
- Broad-spectrum antibiotics in labor linked to serious late-onset neonatal infections
- Dietary intervention alone of little benefit in preventing disease
- Vaginal Birth after Cesarean: Evidence Based Recommendations
- Nearly half of urban AI/AN travel back to their reservation to visit during the year
- Birth News Highlights: Young mothers, VBACs down, Early Care? Low birth weight
- Maternal Child Health Website Gets a Facelift
- What is the latest on an OB/GYN solution for the PCC, PCC+ and EHR in Indian Health?
- Listen up any parents or grandparents: How NOT to give Acetaminophen
- When Should We Clamp the Umbilical Cord? Preterm vs Term Infants
- Liability in triage: management of EMTALA regulations and common obstetric risks
- Focus on preventable causes of stillbirth: 3 articles
- Efficacy and safety of azithromycin for treatment of C. trachomatis in pregnancy
- Women with pain, but w/o coronary artery disease: Coronary microvascular dysfunction
- Vaginal Birth after Cesarean - New Perinatology Corner Module
- Survey queries women and men about their experiences as victims of rape
- Not too Late: Funding Available for Palliative Care Training - April 3 - 5, 2006
- Screen for cognitive impairment with many non-English speaking elders
- Fatal infection without fever: Sepsis and Medical Abortion - FDA Public Health Advisory
- Pharmacists' Knowledge, Attitudes, and Beliefs Toward Prescribing EC
- Are continuous and extended-cycle combined contraceptives safe and effective?
- Continuous OCPs with norethindrone: More bleeding-free days than levonorgestrel preps
- Two New Perinatology Corner Modules
Twins: Antepartum assessment and Intrapartum management - Double Trouble?
Antibody Screen Positive: Rh Disease and Other Atypical Antibodies: Kell kills, Duffy dies, and Lewis lives?
- How do the EMTALA regulations effect the evaluation of patient with false labor?
- Can we perform one step GDM screening in AI/AN?
- What is the best screening cut-off for gestational diabetes mellitus?
- What are some of the issues about viability in the range of 23-25 EGA weeks?
- Cardiovascular screening for high school athletes - a summary of the appropriately named "Sudden Death" Committee of the American Heart Association
- Medico legal Implications of Cardiovascular Screening of Athletes - Yes, you can say "No"
- The new Rotavirus vaccine is on the way
- Doug Esposito: Race, genetics, social construct and political correctness - read it if you dare
- UpToDate 14.1 is now available: Evidence based recommendations added now
- IHS received an “effective” rating: buried in President Bush’s fiscal 2007 budget
- Evaluation of IHI work within IHS
- Combating poverty and social exclusion
- Quinacrine sterilization (From Yolanda Meza)
- How to expand the reach of successful programs by replicating effective ones
- Reducing substance uptake among younger adolescents
- As seen on TV- Desperate Housewives: Wandering spleen
- Increasing Diversity in the Medical Workforce Is Way to Prevent Disparities in Healthcare
- Hormone Therapy: Predictor of worsening insulin sensitivity in postmenopausal women
- 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 (pre-pregnancy)
- Nurse Education Loan Repayment Program: D eadline March 30
- Idealized Design of Perinatal Care - Institute for Healthcare Improvement
- Sign up for the ‘Every Woman’ quarterly magazine
- NNLC Award Announcement
- Global Tobacco Use in Young People: Future Chronic Disease Burden in Adults
- National Women's Health Week, May 14-20, 2006
- Metformin and Polycystic Ovarian Syndrome
- Nutritional Influences on Bone Health: Update on Research and Clinical Implications
- Preterm Premature Rupture of Membranes: What it Means to You
- Behavior Problems in a Family Member with Dementia: What You Should Know
- Caring for Your New Baby
- Move beyond ‘integrated’ screening to ‘contingency’ screening
- Misoprostol for postpartum hemorrhage
- Cardiology Topics for Primary Care Providers – Ongoing, ‘not too late to join in
- Incorrect use of condoms not product failure may account for the lack of effectiveness
- Expedited Partner Therapy in the Management of Sexually Transmitted Diseases
- Chlamydia screening and management: Primary care providers in California
- Raise Awareness of Impact of HIV /AIDS on Women and Girls
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Statin Therapy for Type 2's Regardless of LDL Levels and CVD
What’s new on the ITU MCH web pages
Two New Perinatology Corner Modules
Twins: Antepartum assessment and Intrapartum management - Double Trouble?
http://www.ihs.gov/MedicalPrograms/MCH/M/Twin01.cfm
Antibody Screen Positive: Rh Disease and Other Atypical Antibodies: Kell kills, Duffy dies, and Lewis lives?
http://www.ihs.gov/MedicalPrograms/MCH/M/AntBod01.cfm
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
Indian Health Service Medical Provider Best Practice Conference
- April 4-5, 2006
- San Diego , CA
- Edna.Johnson@IHS.GOV
http://www.ihs.gov/FacilitiesServices/AreaOffices/California/Universal/PageMain.cfm?p=43#159
18th Annual IHS Research Conference
- April 24-26, 2006
- Albuquerque , NM
- Discovering Pathways to Better Health for AI/AN
- http://www.ihs.gov/MedicalPrograms/ClinicalSupportCenter/index.cfm
Advances in Indian Health, 6 th Annual
- May 2-6, 2006
- Albuquerque , NM
- Save the dates brochure
- http://www.ihs.gov/MedicalPrograms/MCH/M/CN01.cfm#May06
Native Peoples of North America HIV/AIDS Conference
- May 3–6, 2006
- Anchorage , Alaska
- Embracing Our Traditions, Values, and Teachings
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
- Neonatal Resuscitation Program available
- Brochure
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOG_06brochR1_1.pdf
PUBLIC’S HEALTH & THE LAW IN THE 21ST CENTURY
- June 12-14, 2006
- Atlanta , Georgia
http://www2a.cdc.gov/phlp/conference2006.asp
Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?
February 2006 OB/GYN CCC Corner
Volume 4, No. 2, February 2006
Abstract of the Month
- Results of a Well-Defined Protocol for a Trial of Labor After Cesarean
From Your Colleagues
Carolyn Aoyama
- AHRQ expands women's health program to include gender-based research
- 2nd Annual Summer Institute in Maternal-Fetal Pharmacology (Summer Institute)
- Three Women's Health Awards
Nancy Brannin
- Oral misoprostol for cervical priming in non-pregnant women
Phil Smith
- 18th Annual IHS Research Conference
Judy Thierry
- Please Welcome Roy Hoffman: Roy is working on Children with Special Health Care Needs
- Data to improve the health of mothers and infants: PRAMS
- Western Tobacco Prevention Project - NPAIHB Tribal Tobacco Policy Workbook
- 2005 NPAIHB Tobacco Policy on Pregnant Women
- WIC participant characteristics: Aggregate AIAN data
Judy Whitecrane
- 13th Annual Mayo Clinic Nicotine Dependence Conference
- 3rd Annual Spit Tobacco Summit, Mayo Clinic
Hot Topics
- Term breech trial: The original term breech trial recommendations should be re-evaluated
- Late postpartum eclampsia: a preventable disease?
- Ensure that newborn infants are protected from hepatitis B virus (HBV) infection, CDC
- Ginger is effective means for reducing postoperative nausea and vomiting: Meta-analysis
- Obstetric Characteristics Predict Risk of Sudden Infant Death Syndrome
- and more….
- Superiority of Liquid-Based Cytology for Cervical Screening Questioned
- LEEP: Treatment of Cervical Neoplasia Linked to Preterm Births
- Restricted activities after gynecologic surgery: No greater impact than rising from a chair
- Continued frequent screening of women with normal pap: Costly and benefits
- Protective Effect of Progesterone or Estrogen: Ovarian Cancer
- and more….
- Broad-spectrum antibiotics during labor linked to late-onset serious infections in infants
- Over Bundling: Winter and SIDS
- Your female patient athletes: Treatment of stress fractures: the fundamentals
- Screening and Counseling for Obesity in Children
- AAP Recommendations for Treating Children After a Disaster
- Dietary intervention alone of little benefit in preventing disease
- Cardiovascular Disease in American Indians and Alaska Natives
- Cold Sores: Famciclovir for the Treatment of Recurrent Genital and Labial Herpes Lesions
- Percentage of Persons Aged >18 Years Reporting Severe Headache or Migraine
- Substandard preventive care for diabetes more likely: Multiple low priority visits
- and more….
Features
- Vaginal Birth after Cesarean (continued)
- No Difference Among New Antidepressants
- Are Alpha-glucosidase Inhibitors Effective for Control of Type 2 Diabetes?
- Gabapentin for Pain: Balancing Benefit and Harm
American College of Obstetricians and Gynecologists
- Patient Safety in the Surgical Environment
Agency for Healthcare Research and Quality
- Nearly half of urban AI/AN travel back to their reservation to visit during the year
- Women with moderate PID: Similar reproductive outcomes - inpatient and outpatient care
- Misconceptions about cancer screening may be common among women
- Women who suffer from obesity less likely to undergo Pap testing
- Women who are at high risk of developing preeclampsia: Cytokine genotypes may identify
- Birth News Highlights: Young mothers; VBACs down; Early Prenatal Care; Low birth weight
- Dose-dependent association between duration of breastfeeding and risk of overweight
- ACOG, AAP Develop First Collaborative Physician-Focused Breastfeeding Handbook
- Quality of consumer related breastfeeding education: Web Site evaluates
- Health LITERACY: Breastfeeding is to be seen as normative
- GAO recommends removal of WIC logo from any formula marketing
- Link between GDM and Type 2 DM can be broken
- Integrating prevention of mother-to-child HIV transmission into routine antenatal care
- Bed Rest for pregnancy related hypertension: Not recommended
- Prior Function and Relationship, More Than Hormones, Affect Sexual Function in Midlife
- Oral Contraceptives and Dysmenorrhea in Adolescents: RCT
- Waking up to Sleep Deprivation: Countermeasures for Daytime Sleepiness
- New studies shows a 15% reduction for the risk of diabetes for every year of lactation
- Emergency Contraception Use Not Associated With Risky Sexual Behavior
- Vaginal Birth after Cesarean New Perinatology Corner Module – 2 credits
- CC: I feel really cold and my side hurts, plus I am shaking all over
- Shoulder Dystocia Prevention: plus the ‘CCC Deliver Through Maneuver’
- Depo-Provera available in a lower dose: limited data to assess 104mg SQ vs. 150mg IM
- Should Pregnant Women Be Tested for Herpes Susceptibility?
- Cardiology Topics for Primary Care Providers – February 15, 2006
- Clinician-Delivered Intervention During Routine Care Reduces Unprotected Sexual Behavior
- Antidepressants Are No Match for Poverty
- Child Abuse Prevention for Nurses, Psychologists, Social Services, and Community
- Euthanasia: The Dutch Experience
- Over active bladder therapies on CNS functioning in elderly patients: First-line therapies
- Progestin-Releasing IUDs for Women with Diabetes
- Emergency Contraception- Women with two children who need 30 years of family planning
- Maternal Child Health Website Gets a Facelift
- New Vaginal Birth After Cesarean Delivery CME/CEU module
- Should a urine test be performed on every pregnant patient each prenatal visit?
- Can we use medical therapy in the setting of spontaneous abortion (SAB)?
- How do I manage patients with recurrent vulvovaginal candidiasis?
- Does IHS have any policy on distribution of the morning after pill?
- Does the IHS have a procedure for payment in pregnancy termination?
- and more….
- To Bag or Not to Bag: Is a bag urine specimen ever reliable?
- An updated immunization for Native Americans from Dr. Singleton
- The latest literature reviews from Dr. Esposito
- What is the latest on an OB/GYN solution for the PCC, PCC+ and EHR?
- Patient Safety and Health IT - Exploring and Expanding the Intersections, AHRQ
- New PCC PATCH released
- National Release - BMC Referred Care Information System, Version 4.0
- Summer opportunity for undergraduate students
- Attitudes toward the use of quarantine in a public health emergency in four countries
- Cultural Competency into Medical Education and Training
- Potential Environmental Risks to Women
- How not to give Acetaminophen: Listen up any parents or grandparents
- American Heart Association Does Not Recommend Isoflavone Supplements
- Black cohosh / St. John's wort combined: Decreases psychological climacteric complaints
- Nonhormonal Therapies for Hot Flashes in Menopause
- When Should We Clamp the Umbilical Cord? Preterm vs Term Infants
- Liability in triage: management of EMTALA regulations and common obstetric risks
- Withholding coaching during maternal pushing is not harmful
- Injuries to the Brachial Plexus: Mechanisms and Management
- Centering Association National Conference
- and more….
- Who do you contact in Navajo Area for MCH issues?
- New Mexico Indian Nurses Association Annual Symposium 2006
- Drugs containing PHENYLPROPANOLAMINE are being recalled
- Trends in Spina Bifida and Anencephalus in the United States, 1991-2003
- Community Based Cancer Control: A Seminar for AI/AN Health Advocates
- Who do you contact in Oklahoma Area for MCH issues?
- Cost-effectiveness of Drug Treatment for Osteopenia
- Vitamin D Levels During Pregnancy Affect Childhood Bone Mass
- Non-hormonal Options for Hot Flashes
- Vertigo: What You Should Know
- Keeping Your Heart Healthy Through Good Nutrition and Exercise
- Focus on preventable causes of stillbirth: 3 articles
- ‘Integrated Screening’ is the most efficient: Risk cutoff levels determine strategies
- Emergency cervical cerclage improves perinatal outcome compared with bed rest
- Cervical cerclage: Can the patient who could benefit from this procedure be identified?
- Prophylactic cerclage of a short cervix according to interleukin-8 in cervical mucus
- Cardiology Topics for Primary Care Providers – February 15, 2006
- Efficacy and safety of azithromycin for treatment of C. trachomatis in pregnancy
- Hormonal contraception use and risk of STIs: A systematic review
- New National Women and Girls HIV/AIDS Awareness Day: March 10, 2006
- 2006 Price Fellowships for HIV Prevention Program
- A clinician’s guide to condoms, spermicides, microbicides, and lubricants
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- The underlying pathology for heart disease in women
- Waist-to-Hip Ratio Is a Better Predictor for MI Than BMI
- Sulfonylureas Linked to Heart Deaths
- Getting Sufficient Sleep Helps Reduce Weight Gain
- Intensive Monitoring and Treatment Required for Gestational Diabetes
- 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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