Volume 2, No. 11, November
2004
Direct Links to Topic Content:
Abstract of the Month | From Your Colleagues | Hot Topics | Features
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Links to Topic Summaries: |
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Contents:
Results
of the National Study of Vaginal Birth After Cesarean in Birth Centers
From
Burt Attico: Glycemic
Control in Diabetic Women Fosters Delivery of Normal Weight Infants;
Health Disparities in Women's Health
From
Bonnie Bishop-Stark: Total
Cr/P useful for ruling out preeclampsia, but not at diagnosing
From
Mark Carroll: Opportunities
for local/regional collaboration between IHS and VA
From
Diane Cooper: Ask
a Medical Librarian - New service available to all Indian Health
Staff
From
Terry Cullen: UpToDate
Subscriber Newsletter - UpToDate Version 12.3 Now Available
From
Sandra Dodge: Smoking
During Pregnancy; Trends
in national estimates of mean weight, height, and body mass index;
Access to care
From
Doug Eby: Asthma
prevalence, hospitalization, and corticosteroid use: Alaska Natives
From
Kat Franklin: Easy
access to Patient Education materials
From
Steve Holve: November Child
Health Notes highlights
From
Bob Laliberte:
LOCUM TENENS AVAILABILITY
From
Kelly Moore : Best
practices for diabetes programs and care in pregnancy
From
Kelton Oliver: IHS
Patient Education codes can make your life easier
From
Ty Reidhead: Easier
access to Clinical Guidelines in Indian Health
From
Judy Thierry: Overweight
and obese women had a significantly slower labor ; 4 in 10 people
who start drinking before age 15 eventually become alcohol dependent
From
Alan Waxman : Conference
on Women's and Children's Healthcare-20th Annual
From
Pat Yee-Spencer: There
is an OB/GYN physician interested in IHS
From
Rebecca Werner : Treatment
for migraines in pregnant women
Obstetrics:
3
Articles on CenteringPregnancy; Fetal Manipulation Often Best for
Shoulder Dystocia; Data support the routine use of antibiotics for
women with PROM; AFI offers no advantage over single deepest pocket
when performed with the BPP; Mercury Levels in Young Children and
Childbearing-Aged Women; Vaginal-perianal compared with vaginal-rectal
cultures for group B; Perinatal infections due to group B streptococci;
Treatment of Bacterial Vaginosis in Pregnancy; Pregnancy Nutrition
Surveillance System / Pediatric Nutrition Surveillance websites;
Blunt Trauma in Pregnancy; Seat belt use during pregnancy; Pregnancy
Prevention in Adolescents; Teenage Pregnancy Prevention: What Can
We Do? Introduction of Routine HIV Testing in Prenatal Care
Gynecology:
Colposcopy
Possibly Unjustified for Screening Young Women for Cervical Cancer;
Women With Atypical Glandular Cells: A Long-Term Study in a High-Risk
Population; Pessary Test May Predict Urinary Incontinence After
Hysterectomy; Many older patients are bothered by night sweats,
day sweats, and hot flashes; Pelvic symptoms in women with pelvic
organ prolapse; Incontinence Products and Devices for the Elderly;
Urinary incontinence strategies for frail elderly women; Physiotherapy
Helpful for Persistent Postnatal Stress Urinary Incontinence; Laparoscopic
vs. Abdominal Hysterectomy: a Comparison;
Add-back
therapy plus GnRH-a improves treatment of endometriosis pain; Cognitive
Behavior Therapy Should Be First-Line Therapy for Sleep-Onset Insomnia;
Do your patients complain of poor sleep? Is it hormonal? Or something
else? Laparoscopic Excision Often Helpful for Endometriosis; Ultrasound
Therapy Effective for Vulvar Dystrophy; Stress urinary incontinence
– An excellent review of management; Management of Cervical Cytologic
Abnormalities; The 2001 ASCCP Management Guidelines for Cervical
Cytology, Editorial
Child
Health:
Cholestasis
of pregnancy - Bile acid pneumonia: a "new" form of neonatal
respiratory distress syndrome? AHRQ
and its partners launch new tools to help combat childhood obesity;
AAP to Issue Advisory to
Help Diagnose, Treat and Monitor Depressed Children; Childhood Bullying:
Implications for Physicians; Bullying: Patient Education
Chronic
Illness and Disease:
A
novel specific prophylaxis for menstrual-associated migraine; Identifying
patients who require a change in their current acute migraine treatment;
National Diabetes Awareness Month; Acne patients should include
attention to anger and other chronic emotional states; Prevalence
of Overweight and Obesity Among Adults with Diagnosed Diabetes;
The colon is a pelvic organ too: taking the Couric challenge; Aggressive
statin strategy best for patients with heart disease;
Is Antibiotic
Use Associated with Breast Cancer Risk? Caloric Restriction Decreases
Incidence of Breast Cancer; Vioxx Pulled From Global Market - Potential
Mechanisms for Cardiovascular Risk; Outcomes After Cardiac Catheterization
in Women; Common Dietary Supplements for Weight Loss
AFP:
Isoflavones Do Not Reduce Menopausal
Symptoms; Trial of Labor After Cesarean Section Is Relatively Safe;
Ultrapotent Topical Steroids for Vulvar Lichen Sclerosus; Screening
for Syphilis Infection: Recommendation Statement;
ACOG:
Gynecologic
Herpes Simplex Virus Infections; Prenatal and Perinatal Human Immunodeficiency
Virus Testing: Expanded; Influenza Vaccination
and Treatment During Pregnancy; ACOG Issues State-of-the-Art Guide
to Hormone Therapy
AHRQ:
Study
finds that some pregnant women are prescribed drugs that may be
considered unsafe during pregnancy; Quality-of-life benefits of
short-term hormone therapy may outweigh the risks for some menopausal
women; After more than 20 years, quality of life is similar for
women who had a hysterectomy or went through natural menopause;
Instruments that measure the health status of children: Impact of
race, ethnicity, and income on health
Breastfeeding:
Breastfeeding
reduced risk of leukemia; New Brochure: Nursing Mothers Room's
Domestic
Violence: Intimate
Partner Violence: What Are Physicians' Perceptions with older patients?
Abuse in childhood and adolescence as predictor of future victimization
Elder
Care News: Use
of Traditional Foods in a Healthy Diet in Alaska : Risks in Perspective;
Metabolic
syndrome plus inflammation increases risk of cognitive decline
Family
Planning: Depo
Provera: Loss of significant bone mineral density; Effectiveness
of Spermicides Containing Nonoxynol-9; Contraception for Adolescents
Frequently
asked questions:
Does IHS have
any policy on distribution of the morning after pill? Is exercise
actually recommended in pregnancy? What do you use to treat pregnant
women with migraines? Is routine antenatal surveillance indicated
with an elevated maternal serum alpha-fetoprotein? Can
we use misoprostol for labor induction in asthma patients? Using
weekly 17-OH-progesterone caproate in your patient population for
PTL? What are some of the issues involving rapid cesarean delivery
+ local anesthesia? What is the best antenatal surveillance
regimen for twin gestations?
Hormone
Replacement Update: Effect
of Hormone Therapy on Cognition in Elderly Women
Information
Technology: Prenatal
care: a strategic first step toward EMR acceptance; Designated provider
management system, version 1.0 released
International
Health: Prenatal
care: a strategic first step toward EMR acceptance; Designated provider
management system, version 1.0 released
MCH
Alert:
New Web site to
support the education and training of those working in the MCH;
Economic factors explain weight outcomes
Medscape:
Cultural Differences
in Diet and Heart Health Among Women
Office
of Women’s Health, CDC: Intervention
and Evaluation Trials to Prevent Intimate Partner Violence: Funding
Osteoporosis:
Pharmacologic
Prevention of Osteoporotic Fractures; Osteoporosis Management: Out
of Subspecialty Practice and into Primary Care
Patient
Education: Timing
of pregnancy, and pre-pregnancy health habits and important issues;
Seat Belt Use During Pregnancy; Bullying: Patient Education
Primary
Care Discussion Forum: Domestic
violence – now; Gastric stapling surgery – Feb. 05
Barbara
Stillwater, Alaska Diabetes Prevention and Control:
Obesity and Diabetes
Independently Increase Cesarean Delivery Risk; Even Without Diabetes,
High Blood Sugar Ups Death, Heart Disease Risk; Western' Diet Linked
to Type 2 Diabetes in Women; Average American is 1 Inch Taller,
25 Pounds Heavier Than 40 Years Ago; MAJOR GAINS IN HEALTH CARE
QUALITY, BUT ONLY FOR 1/4th OF THE SYSTEM; Cultural Sensitivity
and Its Impact on Care
What’s
new on the ITU MCH web pages:
Save
the Dates Upcoming events of interest
I.H.S.
/ A.C.O.G. Postgraduate Course: Obstetric, Neonatal, and Gynecologic
Care
Did you miss something
in the last OB/GYN
Chief Clinical Consultant
Corner?
The
October 2004 OB/GYN CCC Corner is available at:
http://www.ihs.gov/MedicalPrograms/MCH/M/obgyn1004.cfm
Here
is the October Table of Contents
Abstract of the Month: page 2
Premenstrual syndrome, premenstrual dysphoric disorder, and beyond: a clinical primer for practitioners.
From your colleagues: page 3
From Biennial Meeting: Francis Byrn, M.D. Polycystic Ovarian Syndrome / Insulin Resistance
From Rosemary Bolza: Where is the OB package for new EHR?
From Katy Ciacco Palantinos: “Informed Refusal" document when patients decline a procedure
From Terry Cullen: Commonwealth Fund/Harvard University Fellowship in Minority Health Policy
From Lori de Ravello: Eliminating health disparities in pregnancy; Celebrating Women's Health Research
From Sandra Dodge: Goals for smoking in pregnancy: Healthy People 2010Helpful lifestyle and diabetes data: mean weight, height, and body mass index; Access to care
From Sandy Haldane: Please share this with any AN/AI college students you know
From Steve Holve: November Indian Child Health Notes: Highlights
From Jean Howe: Any solutions that can help the ongoing ‘Meth’ crisis in your area?
From Bob Laliberte: LOCUM TENENS AVAILABILITY
From Judy Thierry: Periodontal Disease and Pregnancy Outcomes; Pregnancy Risk Assessment Monitoring System (PRAMS) National Meeting:
From Rebecca Werner: Treatment for migraines in pregnant women
Hot Topics:
Obstetrics: page 7
Early delivery associated with severe periodontal disease; Infant Mortality Rate Doubles with Short Umbilical Cord; Blunt Trauma in Pregnancy; Seat Belt Use During Pregnancy
Gynecology: page 7
Which Women Develop Fever Following Hysterectomy? Sacrocolpopexy consistently resolves vaginal vault prolapse; Primary and Secondary Syphilis with Oral Sex
Child Health: page 7
SSRIs for children and adolescents should be prescribed judiciously; Lack of Progress in physical activity in high school students; Inhalant Abuse and Dependence Among Adolescents; Newborn Screening for Cystic Fibrosis; Measures of sexual orientation in adolescent health surveys
Chronic Illness and Disease: page 8
Complementary Therapies in Primary Care Patients With Arthritis
Features: page 9
AFP: Postmenopausal Estrogen and Cognitive Function; Blood Loss of 80 mL or More Poorly Defines Menorrhagia; Many Pap Smears Unnecessary After HysterectomyProphylactic Cerclage in Women with a Short Cervix; Misoprostol for Uterine Evacuation in Missed Abortion; Postmenopausal Estrogen Therapy and Dementia
ACOG: Inappropriate Use of the Terms Fetal Distress and Birth Asphyxia; Cervical Cancer Screening in Adolescents; Multiple Gestation: Complicated Twin, Triplet, and High-Order Multifetal Pregnancy: Sexually Transmitted Diseases in Adolescents; Guidelines for Adolescent Health Research
AHRQ: Studies show that obesity affects mammography accuracy and screening rates; Initial surfactant treatment to prevent respiratory distress in very premature infants is often delayed in routine practice; Diagnosis of pain by primary care doctors is influenced by pain severity, patient sex, and physician practice style
Breastfeeding: Workplace lactation program resource kit available
Domestic Violence: November 1, 2004: Violence against Native women Discussion
Elder Care News: Pharmacologic Prevention of Osteoporotic Fractures
Family Planning: Accuracy of Early Results with Home Pregnancy Test Kits
Frequently asked questions: Should we perform routine urine dipstick protein screening in our prenatal clinic? When should antenatal testing start after an intrauterine fetal demise (IUFD)?
Hormone Replacement Update: ACOG Issues State-of-the-Art Guide to Hormone Therapy
ACOG Frequently Asked Questions About Hormone Therapy for Patients; Phytoestrogens do not improve hot flushes or other menopausal symptoms
Information Technology: Parklawn Library has a new identity; International Health: Effectiveness of Condoms in Reducing Heterosexual Transmission of HIV
MCH Alert: New edition of adolescent pregnancy prevention knowledge path released
Office of Women’s Health, CDC: Social Determinants of Health at the Local Level
Osteoporosis: Surgeon General encourages bone health throughout the lifespan
Patient Education: Seat Belt Use During Pregnancy: Patient Education
Primary Care Discussion Forum: November 1, 2004: Violence against Native women Discussion; February 1, 2005: Surgery for obesity?
Barbara Stillwater, Alaska Diabetes Prevention and Control: Is your diabetic patient non-adherent? Maybe she is depressed? Doctors' Interpersonal Skills Valued More than Their Training or Being Up-to-Date
What’s new on the ITU MCH web pages: page 16
Save the Dates: Upcoming events of interest page 17
The
past CCC Corners are archived at:
http://www.ihs.gov/MedicalPrograms/M
C H/M/OBGYN02.cfm#top
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 http://www.ihs.gov/MedicalPrograms/MCH/M/MCHdiscuss.asp
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