Volume 3, No. 7, July, 2005

New Features starting this month:

• Case Manager's Corner by Donna Brown, Anchorage
• Navajo News by Jean Howe, Chinle

CCC Corner Digest - Print friendly Digest of the CCC Corner can be mailed to you, or your colleagues. Just send your address to nmurphy@scf.cc

Direct Links to Topic Content: Abstract of the Month | From Your Colleagues | Hot Topics | Features

Links to Topic Summaries:

Topic Summaries Abstract of the Month From Your Colleagues Hot Topics Features Miss Something?

Contents

Abstract of the Month

USPSTF recommends that clinicians screen all pregnant women for HIV

Read More - Abstract of the Month

From Your Colleagues

Katherine Palatianos: Brachial plexus injury: Permanent in 1 of every 10,000 deliveries
Terry Cullen: Native Peoples of North America HIV/AIDS Conference
Kat Franklin: Simple Patient Education Handouts
Sandy Haldane: Science and Leadership: Women With Heart Disease
Steve Holve: July 2005 Indian Child Health Notes
Harvey Huddleston: Interested in part-time or locums tenens
Phil Smith: Encouraging Onsite Mammography: New mammography standards for HSP
Roy Teramoto: HPV and Cervical Cancer: An Update on Prevention Strategies
Judy Thierry:

• Useful atlas for injury causes of AIAN morbidity and mortality when citing stats
• Ribavirin pregnancy registry - seeking enrollment Hepatitis C
• Rural/Frontier Women's Health Coordinating Centers (RFCCs) RFP is Out
• RFP for SIDS Training and Outreach in the AI/AN Communities
• Mean length stay for delivery hospitalization among AI/AN

Read More - From Your Colleagues

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Hot Topics

Obstetrics

• Treatment of GDM reduces perinatal morbidity, may improve health-related quality of life
• Elective Repeat Cesarean Delivery May Negatively Affect Neonatal Outcomes
• Indomethacin tocolysis not associated with increased risk of adverse neonatal outcomes
• Diabetic Retinopathy Occurs in Pre-Diabetes: Implications in GDM
• No benefit to hospitalization in women with arrested preterm labor and intact membranes
• …and more

Gynecology

• High Intake of Calcium, Vitamin D May Reduce the Risk of Premenstrual Syndrome
• Pediatric Torsed Ovaries May Be More Salvageable Than Previously Reported
• Benzocaine spray does not offer effective pain control during per endometrial biopsy
• US exam of the perineum after childbirth improves diagnosis of anal sphincter tears
• Short-term results of the TVT procedure encouraging, but long-term is disappointing
• …and more

Child Health

• OCPs more effective than placebo treatment for relieving dysmenorrhea in adolescents
• How to get your child off the couch? Evidence based physical activity for youth
• Children’s adaptation to a fat reduced diet
• Adolescent Pregnancy: Current Trends and Issues: American Academy of Pediatrics
• Suicide Prevention among AI/AN Adolescents Evaluated: Public Health Approach
• …and more

Chronic Illness and Disease

• Death rates for CVD are higher among AI/AN than other U.S. groups (AHRQ)
• Each Pound of Weight Lost May Reduce Knee Load per Step Fourfold
• Most parents want to quit smoking but they need assistance. Learn how to help
• European study confirms red meat link with bowel cancer
• Self-Monitoring in Type 2 Diabetes Not on Insulin: A waste of money?
• …and more

Read More - Hot Topics

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Features

AFP

• Three Days of Ciprofloxacin Better for Uncomplicated UTI
• Gonorrhea
• Low-Molecular-Weight Heparin for Initial Treatment of Venous Thromboembolism
• Follow-up After Surgically Treated Breast Cancer

ACOG

• Hemoglobinopathies in Pregnancy
• Pregnancy and Depression: What Women Need to Know

AHRQ

• Breast cancer risk and the effects of tamoxifen prophylaxis among women in primary care
• Acupuncture appears promising for the treatment of depression during pregnancy

Ask a Librarian

• A new quick and easy way to find best clinical articles: PubMed Clinical Queries

Breastfeeding

• 1st week of life critical window for ingestion of maternal "diabetic" breast milk
• Medication Use During Pregnancy and Breastfeeding
• Breastfeeding may be associated with a reduced risk of atherosclerosis

Case Manager’s Corner

• What is an RN Case Manager?

CCC Corner Digest

• Have you had your ‘morning after’ antiretroviral cocktail yet?
• Why Prozac is okay during pregnancy and not for breastfeeding…. and why Zoloft is
• Slight delay in umbilical cord clamping better for preterm infants
• Transdermal contraceptive promising for reducing bleeding and delaying menses
• Risk of Autism: Parent, Pregnancy, and Birth Factors Found Possible Associations
• Women with pregnancy induced HTN: Increased risk for metabolic syndrome later
• Urinary Incontinence in Women: Practice Bulletin NUMBER 63, JUNE 2005
• AskUs Live! Available to all Indian Health Staff
• Being overweight may increase the risk of becoming pregnant while using OCs
• Follow-up: Answer to the May Mystery Question
• Screening for Genital Herpes: USPSTF
• West Nile Virus in Women
• Appropriate use of narcotics for chronic non-malignant (non-cancer) pain
• Screening for Gonorrhea: USPSTF Recommendation Statement
• Any new solutions to Nausea and Vomiting in Pregnancy?
• New Perinatology Corner Free CEU / CME Module

Domestic Violence

• Women who declined survey regarding DV at risk for adverse pregnancy outcome
• Juvenile Justice Issues - Coordinating Council - Key Programs Advancing Youth

Elder Care News

• 2nd Annual Alzheimer's Disease and Dementia Update Conference 
• Secondary Prevention of Coronary Heart Disease in Elderly Patients
• Nursing Guide to Prevention / Management of Falls in Patients in Long-term Care Settings
• 2005 ASCP Foundation Interdisciplinary GeroPsych/Behavioral Disorders Traineeship
• Prevention of Falls in Older Patients

Family Planning

• Low-dose oral contraceptives increase cardiovascular disease risk

Frequently asked questions

• Do you know of any good links to simple patient education?
• What are some good paper based women’s resources for Advanced Practice Nurses?

Information Technology

• Computer-assisted cognitive therapy effectively treats depression: RCT

International Health

• Medical Investigations of Homicides of Prisoners of War in Iraq and Afghanistan
• Association between subsidized housing and children’s nutritional status

MCH Alert

• Health Care Insurance (SCHIP) Improves racial / ethnic health disparities

Medical Mystery Tour

• 2 positive blood cultures found in a postpartum patient with a fever

Medscape

• Mammography: Is Early Detection Really the Best Form of Prevention?

Menopause Management

• Benefits of low-fat dairy products on weight loss
• Testosterone Patch Helps Surgically Menopausal With Hypoactive Sexual Desire: RCT
• SSRIs Ineffective for the Management of Hot Flashes
• Hormone replacement therapy plummeted after findings from the WHI trial (AHRQ)

Midwives Corner

• USPSTF Issues Revised Guidelines for Routing Gonorrhea Screening
• What Makes a Drug Over the Counter (OTC)? The case of Plan B
• The Nursing Mothers Herbal
• Current Resources for Evidence-Based Practice
• National Indian Health Board Conference - Oct. 16-19, 2005, Phoenix

Navajo News

• Active management of the third stage of labor among American Indian women
• Annual Navajo Area Women’s Health Provider Meeting
• Upcoming ALSO Course in Shiprock

Office of Women’s Health, CDC

• Racial / Ethnic Disparities in Infant Mortality: No significant improvement in AI / AN

Oklahoma Perspective

• "Talk-sing test" Able to talk while exercising. If can sing, pace can be increased

Osteoporosis

• Here is a good web based calcium screening tool
• Benefits and limitations of quantitative heel ultrasound in screening for osteoporosis

Patient Education

• Simple Patient Education Handouts
• Endometriosis, from WebMD Health
• Guide to Endometriosis- More Printable Patient FAQ's

Primary Care Discussion Forum

• August 1, 2005 Appropriate use of narcotics for chronic non-malignant (non-cancer) pain

STD Corner

• Can chlamydia be stopped?
• Chlamydia trachomatis infection in a colposcopy unit

Barbara Stillwater, Alaska Dibaetes Prevention and Control

• Waist Circumference Can Exclude Insulin Resistance and Identify Those At Greatest Risk

Read More - Features

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What’s new on the ITU MCH web pages

• Simple Patient Education Handouts
• Active management of the third stage of labor among American Indian women
• Atlas of Heart Disease and Stroke in AI/AN

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

Comprehensive Colposcopy course, ASCCP

• August 4-7, 2005
• San Francisco
• 29 credits, American Society for Colposcopy and Cervical Pathology

Primary Care Provider Training in Addictions

• August 8 - 12, 2005
• Tacoma, WA
• Alcoholism and Substance Abuse Program Branch (ASAPB), IHS
  Clinical Training in American Indian/Alaska Native Alcohol and Other Drug Abuse
  Contact Teresa Sappier, Behavioral Health HQE Teresa.Sappier@ihs.gov

Native Peoples of North America HIV/AIDS Conference

• May 3–6, 2006
• Anchorage, Alaska
• Embracing Our Traditions, Values, and Teachings
• National Institutes of Health (NIH), DHHS

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Did you miss something in the last OB/GYN Chief Clinical Consultant Corner?

June 2005 OB/GYN CCC Corner

Volume 3, No. 6, June, 2005

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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 http://www.ihs.gov/MedicalPrograms/MCH/M/MCHdiscuss.asp

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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.