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Volume 4, No. 6, June 2006
News Flash
-
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: Abstract of the Month | From Your Colleagues | Hot Topics | Features
| Links to Topic Summaries: |
Contents
Abstract of the Month
VariZIG replaces VZIG: Varicella Prophylaxis for high risk persons (including pregnancy)
Read More - Abstract of the Month
From Your Colleagues
Carolyn Aoyama
- Management of Eating Disorders Webcast on July 18, 2006 - Save the Date
- National Conference on women, addiction, and recovery
Burt Attico
- Injectable Contraception and Skeletal Health: No fractures seen
Donald Clark
- What is the rate of preterm birth in Native Americans?
Rich Dickson
- Protein to Creatinine Ratio in Pre-eclampsia: Is the data preceding the U.S. benchmarks?
Steve Heath
- Risk Management and Medical Liability, 2 nd Edition, Indian Health
Sunnah Kim
- Access to Mental Health Services
Chris Lamer
- Tobacco assessment algorithm, Cherokee
Ron Pust
- Prenatal setting: Missed opportunity to link tuberculin skin test–positive and Tx
Ty Reidhead
- Towards a better Patient Education webpage for Indian Health
Judy Thierry
- Achievements in Public Health: Reduction in Perinatal Transmission of HIV Infection
- Safety belts: Single most effective means of preventing death and serious injury in a crash
- MUST VIEW CHILD safety short video "UNTIL THEY ARE 4' 9"
- Connected Kids: Safe, Strong, Secure is a new set of resources developed by VIPP
Read More - From Your Colleagues
Hot Topics
- Incontinence not correlated with vaginal delivery
- Serious maternal morbidity increases with increasing number of cesarean deliveries
- Characteristics of glyburide failures in GDM: EGA at diagnosis, parity, and fasting glucose
- Improve the systems against maternal mortality from hemorrhage
- High-risk centers have higher rates of cesarean delivery for their low risk population
- and more….
- FDA Licenses New HPV Vaccine for Prevention of Cervical Cancer
- Overlap repair of obstetric anal sphincter injury: Decrease in fecal incontinence
- Criteria should be developed for the use of intraoperative cystoscopy to detect injuries
- Atypical glandular cell cytology confers a 38% risk of preinvasive disease or carcinoma
- Cesarean scar ectopic pregnancies are becoming more frequent
- and more….
- Maternal cholestasis is significantly associated with RDS in the newborn
- Co-occurring maternal conditions and behavior problems in children
- Treatment of Chlamydia trachomatis in Adolescents
- Extremely Low-Birth-Weight Infants Become Normal Adults
- ACIP Updates Recommendations for Prevention of Hepatitis B Virus Transmission
- and more….
- Group visits: Promising approach to chronic care management for the motivated patient
- Depression Relapse in Pregnancy High When Medication Stopped
- Determining Eligibility for Gastric Bypass Surgery
- Metformin lowers cardiovascular risk factors in hyperinsulinemic women with PCOS
- Nonpharmacologic Strategies for Managing Hypertension
- and more….
Features
- Toremifene Is Effective Therapy for Mastalgia
- Low-Fat, High-Carbohydrate Diet Does Not Cause Obesity
- Duloxetine Is Effective for Fibromyalgia in Some Women
American College of Obstetricians and Gynecologists
- Use of Hormonal Contraception in Women With Coexisting Medical Conditions
- Noncontraceptive Uses of the Levonorgestrel Intrauterine System
- Analgesia and Cesarean Delivery Rates
- Tamoxifen and Uterine Cancer
- Patient-Requested Cesarean Update: Cesareans should be performed for medical reasons
- and more….
Agency for Healthcare Research and Quality
- AHRQ study finds wrong-site surgery is rare and preventable
- Patient responses to medical errors: Timeliness and quality of the communication
- MCH Library launches redesigned web site
- Early breastfeeding choice, GDM, and BMI
- Intervention to Increase Breastfeeding Rates
- Study hints at link between breastfeeding and intelligence
- May 2006 Highlights include
- Maternal periodontal disease in early pregnancy: Small-for-gestational-age infant
- Improve colorectal cancer screening: Contribute to this survey
- Counterpoint: Not Yet Time to Use the P:C Ratio for pre-eclampsia
- FDA: Vaccine to Prevent Cervical Cancer Is Safe, Effective
- Relationship between team sport participation and adolescent smoking
- Caring for Patients After Bariatric Surgery
- ACOG Recommends First Ob-Gyn Visit in Early Teens
- ACOG: Hepatitis B and Hepatitis C Virus Infections, Committee Opinion
- 31% of Sexually Active U.S. Teenage Girls Become Pregnant
- Are there any cultural barriers/among Native Americans to becoming cord blood donors?
- What was the common theme in these 2 cases?
- 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
- Female Sexual Dysfunction
- Factors Associated With Rise in Primary Cesarean Births in the United States
- Adverse Childhood Events: Impact on chronic adult illness / Risk taking
- Prediction of Pelvic Inflammatory Disease Among Young, Single, Sexually Active Women
- Long-term Dietary Intervention May Reduce Risk for Insulin Resistance in Children
- Morbidity and Mortality of DV: 4x more common than breast cancer cannot be ignored
- Physical Dating Violence Among High School Students – United States, 2003
- 50% with female cancers: History of violence correlates with advanced stage at diagnosis
- Launch of Choose Respect Initiative!
- September 1, 2006: Palliative Medicine's Role in the Continuity of Care
- Refusals by pharmacists to dispense emergency contraception: a critique
- Discussion needed: Reasons why women discontinue oral contraception
- Fertility, Contraception, and Fatherhood: 2002 National Survey of Family
- Levonorgestrel-Releasing Intrauterine System (Mirena) for Contraception
- GREAT site for Health Promotion Disease Prevention per Candace Jones
- The Indian Health MCH Frequently Asked Question (FAQ) site
Indian Child Health Notes - June 2006 Highlights
- Wrist Fractures in children - All those kids who sawed off their own casts were right
- Developmental Dyslplasia of the Hip - USPSTF and AAP differ over value of screening
- Watch out for mumps. It is spreading out of Iowa
- Doug Esposito weighs in on health disparities for urban Indians
- RPMS Behavioral Health System Patch Release Announcement, June 1, 2006
- Nothing defines us better than providing service to colleagues less fortunate than we
- Chlorhexidine: Potential to improve maternal /newborn outcomes - Developing countries
- Report on Children and Families Displaced by Hurricanes Katrina and Rita
- Association of poverty with overweight among adolescents, 1971 - 2004
- Copious post operative mucous secretions
- Testosterone Treatments: Why, When, and How?
- Empowering women to find the power of birth is of great value
- Multiparous women with induced labor: Shorter active phase of labor than spontaneous
- Pushing During Second-Stage Labor Is Matter of Preference
- Methamphetamine abuse among women on Navajo (Part 3 of 4)
- SANE/SAFE training and capacity
- Recommendations to Improve Preconception Health and Health Care - United States
- USPSTF: Recommendations on Screening / Supplementation for Iron Deficiency Anemia
- Elective Cesarean Delivery
- Calcium Plus Vitamin D for Fracture Prevention: POEM
- Testosterone Therapy: What You Should Know
- Microscopic Hematuria: What You Should Know
- Is a Low-Carbohydrate Diet Right for Me?
- Gonorrhea: What You Should Know
- Opioid Addiction: What You Should Know
- and more….
- Cesarean delivery rate: Continues to increase without improving population outcomes
- Tocolysis after 32 weeks gestation does not reduce neonatal hospital stay
- Vaginal delivery of singleton fetuses in breech presentation at term remains a safe option
- Glyburide and insulin: Equally efficient for treatment of GDM in all levels of severity
- Improve patient safety, prevent medical errors and resolve the professional liability crisis
- and more….
- September 1, 2006: Palliative Medicine's Role in the Continuity of Care
- HIV Testing and Additional Analysis of National Survey on HIV/AIDS
- Teenagers with chlamydial receive antibiotics, but few receive other recommended care
- Social Networks Testing: Strategy for Identifying Persons with Undiagnosed HIV Infection
- Diagnosis and Treatment of Neisseria gonorrhoeae Infections
Barbara Stillwater, Alaska Dibaetes Prevention and Control
- Women Who Don't Snooze Enough Gain Weight
What’s new on the ITU MCH web pages
Is a fetal ultrasound survey indicated for all patients routinely?
Impromptu Discussion – Primary Care Forum
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
I.H.S. / A.C.O.G. Obstetric, Neonatal, and Gynecologic Care Course
- September 17 – 21, 2006
- Denver , CO
- Contact YMalloy@acog.org or call Yvonne Malloy at 202-863-2580
- Neonatal Resuscitation Program available
- Brochure
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
- 14 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?
May 2006 OB/GYN CCC Corner
Volume 4, No. 5, May 2006
Abstract of the Month
- Maternal periodontal disease in early pregnancy: Small-for-gestational-age infant
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!
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
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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