Abstract of the Month
Open access can work for any type of practice. It is the wave of
the future.
From your colleagues
Sandy Haldane:
- New IHS Women’s Health and Advanced
Practice Nurse Consultants
-Public health approach to suicide prevention in an
American Indian Tribal Nation
-Healthy Native Communities Fellowship accepting
applications for 2006
-Cardiovascular Disease: The Kaw Nation and other minority
populations
Ruth Lagerberg: Fetal cardiac echogenic foci on routine
obstetric sonogram
Sheila Mahoney: Cord clamping: early versus delayed
Chuck North: Advances in Indian
Health, 6 th Annual
Miles Rudd: Relative value of physical exam of the breast
as a screening tool
Jennifer Retsinas: Uterine fibroids: uterine artery embolization
Phil Smith:
New Outreach: Updated educational materials about the Prescription Drug Benefit
Judy Thierry:
-Many girls are at a literal standstill
-Trends and Regional Differences: Latest
available
-Great resource: MCH Alert
-”Weaving WIC into Our Traditional Families”
-Child Protection Handbook
2004, IHS/BIA
Carol Treat: Brochure/support for sugar
substitute and gestational DM
Hot Topics
Obstetrics
-Trial of Labor After Cesarean: Evidence based guidelines
-Time of birth
and risk of neonatal death: 12-16% increase in mortality at night
-Parietal peritoneum
closure during cesarean delivery decreases adhesions
-Aerobic training increases
exercise capacity, overcoming negative effects of pregnancy
-Pre-pregnancy obesity:
Increasing excess risk of fetal death with advancing gestation
-Screening asymptomatic,
low-risk pregnant women for hepatitis C virus not cost effective
And more….
Gynecology
-Ovarian conservation benefits survival in women when
undergoing hysterectomy
-Hysterectomy Associated With Earlier Onset of Menopause
-One in ten adult women
perceives urinary incontinence to be barrier to exercise
-Reclosure of the disrupted
laparotomy wound is safe and successful in over 80%
-Cervical cytology screening
and evaluation - Clinical Expert Series
And more….
Child Health
-AAP Releases Report on Excessive Sleepiness in Adolescents
- High-Grade
Cervical Lesions Progress in Adolescents at Similar Rate as in Adults
-Reducing the Risk of SIDS Through Community Partnerships: Editorial
-Fetal
Alcohol Spectrum Disorders
-Foreign Body Ingestion in Children
And more….
Chronic Illness and Disease
-Guidelines for Improving Vaccination
Rates Among High-Risk Adults, CDC
-Bariatric Surgery Resolves Comorbid Conditions
-Tobacco Cessation: Kicking the
Habit in Alaska
- Existing coronary heart disease is undiagnosed in half of women
who have a first heart attack
Features
American Family Physician
-Aspirin Prevents Stroke, but Not Cardiovascular
Disease, in Women
-Intensive Diet-Behavior-Physical Activity Program for Obesity
in Children
-NSAIDs Alone or with Opioids as Therapy for Cancer Pain: Cochrane
for Clinicians
-Health Literacy: The Gap Between Physicians and Patients
American College of Obstetricians and Gynecologists
-Management
of Endometrial Cancer ACOG Practice Bulletin
-Health Care for Homeless Women
-Two Major Women's Health Groups Call Attention
to a Leading Reproductive Cancer
Agency for Healthcare Research and Quality
-Despite revised guidelines,
most OB/GYNs over-screen low-risk women for cervical cancer
-Physician supply
increases in States with caps on malpractice: greatest impact in rural areas
-Women respond differently to medications than men, should be proactive about
medication use
-Efforts to help improve care for underserved patients: address
communication and respect
Ask a Librarian
The Known and the Unknown - Clinical Evidence Summarized
Breastfeeding
Fentanyl During Labor May Impede Establishment of
Breastfeeding
Case Managers Corner (R.N.)
Stress and verbal abuse in nursing
CCC Corner, Last month’s Digest
Highlights include
-USPSTF recommends that clinicians screen all pregnant women for HIV
-Simple
Educational Handouts – Kat Franklin, Sante Fe
-Elective Repeat Cesarean
Delivery May Negatively Affect Neonatal Outcomes
-Benzocaine spray does not offer
effective pain control during per endometrial biopsy
-OCPs are more effective
than placebo for relieving dysmenorrhea in adolescents
-Death rates for CVD are
higher among AI/AN than other U.S. groups
-Pregnancy and Depression: What Women
Need to Know
-What is an RN Case Manager?
-2 positive blood cultures found in a postpartum
patient with a fever
-Benefits of low-fat dairy products on weight loss
-What Makes a Drug Over the
Counter (OTC)? The case of Plan B
-Active management of the third stage of labor
among American Indian women
-Racial / Ethnic Disparities in Infant Mortality:
No significant improvement in AI / AN
-Use the talk / sing test during exercise
during pregnancy
-Here is a good web based calcium screening tool
-Can chlamydia be stopped?
Domestic Violence
-Developing Leaders in Violence Prevention – Travel
funding available
-Cultural Competency for Non-Native Advocates: Ending Violence
Against Native Women Training
-The 2006 PREVENT Institute: Developing Leaders
in Violence Prevention
Elder Care News
Toward optimal screening strategies for older women:
Should cost matter the most?
Family Planning
-
Over-The-Counter
Sales of Emergency Contraception Do Not Increase Unsafe Sex
Frequently asked questions
Q. Is there any help or assistance with
infertility through the Indian Health System?
Indian Child Health Notes
-Pediatric sleep apnea - you know more
than you think
-Sleepy teenagers - they are not just slugs, they're victims of
biology
-TB in AI/AN is down, but not out
Information Technology
-VHA Pharmacy Benefits Management (PBM) Strategic
Healthcare Group page
-Free Online CME from Thomson Healthcare
International Health
-Increase the interdisciplinary and transdisciplinary
focus in primary health care research
-Unite For Sight's 3rd Annual International
Health Conference
MCH Alert
-New edition of the Women’s Health Data Book Released
Medical
Mystery Tour
-Follow-up 2 positive blood cultures found in a postpartum patient
with a fever: The answer
Medscape
-Eating Disorders and Body Image Distress
in Women at Midlife - CME
Menopause Management
-
USPSTF Hormone Therapy for the Prevention of
Chronic Conditions in Postmenopausal Women
Midwives Corner
-Please help us build the Midwives Indian Health
Patient Education Resources page
-Women and Health Care: A National Profile
Navajo News
-
Is the patch more dangerous than the pill?
Office of Women’s Health, CDC
-
Publications and Materials – Many
Women’s Health Topics
Oklahoma Perspective
-
Who do you contact in Oklahoma for MCH issues?
Osteoporosis
-
Ultralow-Dose Estradiol and BMD in Postmenopausal Women
Patient Education
-Brochure/support for sugar substitute and gestational
DM
-What to Do If Your Child Swallows Something?
Perinatology Picks
-Glyburide for gestational diabetes in a large
managed care organization
-Overweight and obese in gestational diabetes: the
impact on pregnancy outcome
-Glargine use in pregnancy ?
Primary Care Discussion Forum
-
Appropriate use of narcotics for chronic
non-malignant (non-cancer) pain
STD Corner
-Condom effectiveness for prevention of Chlamydia
trachomatis infection
-The percentage of male teens who reported ever having
sexual intercourse
-Prenatal screening and treatment needed to identify women
with asymptomatic chlamydia
Barbara Stillwater, Alaska Diabetes Prevention and Control
-Women the
stronger gender? Men more carbohydrate intolerant / less physical endurance
-Teen
Inactivity Leads to Obesity for Girls
-Relationship of Obesity and Fitness Level
to Cardiovascular Risk and Diabetes
-New CERTs Program Brief on Women's
Health Is Available
Save the Dates: Upcoming events of interest
What’s new on the
ITU MCH web pages
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