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Volume 4, No. 4, April 2006
Direct Links to Topic Content: Abstract of the Month | From Your Colleagues | Hot Topics | Features
| Links to Topic Summaries: |
Contents
Abstract of the Month
Protein to Creatinine Ratio in Pre-eclampsia: Is the data preceding the U.S. benchmarks?
Read More - Abstract of the Month
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
Read More - From Your Colleagues
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
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?
- The case of the wandering spleen - Desperate Housewives - ‘As seen on TV’
- 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
What’s new on the ITU MCH web pages
New Discussion: May 1, 2006 - Adverse Childhood Events: Impact on chronic adult illness / Risk taking http://www.ihs.gov/MedicalPrograms/MCH/F/PCdiscForum.cfm#adverse
Gestational Diabetes Mellitus Tracking Sheet
Diabetes and Pregnancy Program Flowsheet, Northern Navajo Medical Center
http://www.ihs.gov/MedicalPrograms/MCH/M/documents/GDMtrackingsheete.doc
Program Review and Case Management - Diabetes in Pregnancy
Processes of tracking case files using hard copy as well as RPMS and CMS computer systems
http://www.ihs.gov/MedicalPrograms/MCH/M/documents/gdmcasemanagement(3).ppt
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
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 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
- Neonatal Resuscitation Program available
- Brochure
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOG_06brochR1_1.pdf
PUBLIC’S HEALTH & THE LAW IN THE 21 ST 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?
March 2006 OB/GYN CCC Corner
Volume 4, No. 3, March 2006
Abstract of the Month
- Tired of hearing only bad news from the Women’s Health Initiative (WHI)?
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
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
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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