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Volume 4, No. 7, July 2006
News Flash(s)
New CCCC Columnist:
Claire Wendland – International Health
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
Links to Topic Summaries on This Page
Contents
Abstract of the Month
Point / Counterpoint: Refusals by pharmacists to dispense emergency contraception
Read More - Abstract of the Month
From Your Colleagues
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Carolyn Aoyama
Burt Attico
David Boyd
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Terry Cullen
Judy Thierry
Mark Traeger
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Read More - From Your Colleagues
Hot Topics
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Features
American College of Obstetricians and Gynecologists
Agency for Healthcare Research and Quality
Indian Child Health Notes - July 2006 Highlights
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Barbara Stillwater, Alaska Dibaetes Prevention and Control
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What’s new on the ITU MCH web pages
Two great new resources:
National Indian Women's Health Resource Center
http://www.ihs.gov/MedicalPrograms/MCH/F/PROG01.cfm#Indresource
IHS Division of Epidemiology and Disease Prevention
http://www.ihs.gov/MedicalPrograms/MCH/F/DbRef.cfm#disPrev
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.orgor call Yvonne Malloy at 202-863-2580
- Neonatal Resuscitation Program available
- Brochure
Best Practices and GPRA Tracking
- Nov 1-2, 2006
- Sacramento CA
- California IHS Area Office
- Contact Elaine.brinn@ihs.gov
22nd Annual Midwinter Indian Health OB/PEDS Conference
- For providers caring for Native women and children
- January 26-26, 2007
- Telluride, CO
- Contact Alan Waxman awaxman@salud.unm.edu
2nd International Meeting on Indigenous Child Health
- April 20-22, 2007
- Montreal , Quebec, Canada
- Solutions, not Problems
- Joint meeting of IHS, AAP-CONACH, First Nations and several other stakeholders
- http://www.aap.org/nach/2InternationalMeeting.htm
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 AI/AN women, children
- Internationally recognized speakers
- Save the dates. Details to follow
- 13 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?
June 2006 OB/GYN CCC Corner
Volume 4, No. 6, June 2006
Abstract of the Month
- VariZIG replaces VZIG: Varicella Prophylaxis for high risk persons (including pregnancy)
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
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
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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