OB/GYN Clinical Alert articles from April 2005

OB/GYN Clinical Alert archives from April 2005

Non-invasive prenatal diagnosis screening.(Abstract & Commentary)
April 1, 2005... NON-INVASIVE PRENATAL DIAGNOSTIC SCREENING HAS BECOME A hot topic of late. Large studies from England, Europe, and now 2 from the United States have borne out the efficacy of first trimester ultrasound determined nuchal translucency (NT)...

Does practice make perfect?(Abstract & Commentary)(relationship between clinical experience and quality of care )
April 1, 2005... Synopsis: Physicians who have been practicing longer may be at risk for providing less quality care. Source: Choudhry NK, et al. Ann Intern Med. 2005;142: 260-273. Choudhry and colleagues sought to establish the relationship between...

Sildenafil citrate for erectile dysfunction in men receiving multiple antihypertensive agents.(Brief Article)
April 1, 2005... ERECTILE DYSFUNCTION (ED) IS commonplace in men at middle-age and beyond, the same era when hypertension (HTN) incidence begins to rise steeply. Since ED is widely recognized as a vasculopathy, in large part related to endothelial dysfunction,...

Risk of fracture after androgen deprivation for prostate cancer.(Brief Article)
April 1, 2005... IN THE POPULATION OF MEN WITH advanced prostate cancer (PCA) as a whole, androgen deprivation, through medical or surgical orchiectomy, produces benefits in morbidity and mortality. In 2 distinct PCA populations--men with localized disease, and...

Chronic stress accelerates ultraviolet-induced cutaneous carcinogenesis.(Brief Article)
April 1, 2005... LONG-TERM CONSEQUENCES OF STRESS in human beings are difficult to measure, but it is believed that excessive emotional stress contributes to important adverse health outcomes such as myocardial infarction. Whether stress impacts cancer is...

Air contrast barium enema, CT colonography, and colonoscopy.(Brief Article)
April 1, 2005... CLINICIANS SHARE A COMMON GOAL in respect to early diagnosis and treatment of colon cancer, yet the optimum pathway with which to reach this goal is controversial. Colonoscopy (COL), air contrast barium enema (ACBE), and computed tomographic...

Risk stratification for in-hospital mortality in acutely decompensated heart failure.
April 1, 2005... HEART FAILURE (CHF) REMAINS THE most common diagnosis resulting in hospital admission in the United States. Because the risk for mortality amongst CHF patients at the time of acute decompensation is not insubstantial, it would be valuable to be...

Obesity, weight gain, and the risk of kidney stones.(Brief Article)
April 1, 2005... The lifetime prevalence of kidney stones in American men and women (10% and 5%, respectively) merits attention from the clinical community to help identify modifiable risk factors. It has been suggested that insulin resistance, a consistent...

Preparing for the possibility of a bird flu pandemic.
April 1, 2005... The possibility of a bird flu pandemic has health officials worldwide in a high state of alert. The highly pathogenic avian influenza A virus is responsible for the death of more than 100 million birds in Southeast Asia, but less than 100 cases...

Does it matter how ovaries removed prophylactically are processed pathologically?(Abstract & Commentary)
April 1, 2005... Synopsis: A rigorous operative and pathologic protocol for RRSO increases the detection rate of occult ovarian malignancy in BRCA mutation carriers nearly sevenfold. If confirmed, this finding will alter postoperative management because...

The WHI results on urinary incontinence.(Abstract & Commentary)(Women's Health Initiative )
April 1, 2005... Synopsis: Conjugated equine estrogen alone and CEE + MPA increased the risk of urinary incontinence among continent women and worsened the characteristics of urinary incontinence among symptomatic women after 1 year. RESULTS FROM THE 2...

The length of third stage of labor and risk of postpartum hemorrhage.(Abstract & Commentary)
April 1, 2005... Synopsis: A third stage of labor longer than 18 minutes is associated with a significant risk of postpartum hemorrhage. After 30 minutes the odds of having postpartum hemorrhage are 6 times higher than before 30 minutes. HOW LONG DOES ONE...

Validating intraoperative pathology: frozen section.(Abstract & Commentary)
April 1, 2005... Synopsis: The accuracy of frozen section diagnosis for the assessment of the ovarian mass is good, with acceptable sensitivities for almost perfect specificities. Future studies on patient preferences for the different outcomes, as well as...

Non-Invasive Prenatal Diagnosis Screening.
April 1, 2005... Non-Invasive Prenatal Diagnosis Screening Abstract & Commentary Non-invasive prenatal diagnostic screening has become a hot topic of late. Large studies from England, Europe, and now 2 from the United States have borne out the efficacy...

Does Practice Make Perfect?
April 1, 2005... Does Practice Make Perfect? Abstract & Commentary Synopsis: Physicians who have been practicing longer may be at risk for providing less quality care. Source: Choudhry NK, et al. Ann Intern Med. 2005;142:260-273. Choudhry and...

The Length of Third Stage of Labor and Risk of Postpartum Hemorrhage.
April 1, 2005... The Length of Third Stage of Labor and Risk of Postpartum Hemorrhage Abstract & Commentary Synopsis: A third stage of labor longer than 18 minutes is associated with a significant risk of postpartum hemorrhage. After 30 minutes the...

Pharmacology Watch: Preparing for the Possibility of a Bird Flu Pandemic.
April 1, 2005... Preparing for the Possibility of a Bird Flu Pandemic Pharmacology Watch The possibility of a bird flu pandemic has health officials worldwide in a high state of alert. The highly pathogenic avian influenza A virus is responsible for the...

Clinical Briefs in Primary Care supplement.
April 1, 2005... Click here for the April 2005 Clinical Briefs in Primary Care supplement. SOURCE-OB/GYN Clinical Alert

CME Question.
April 1, 2005... CME Question 10. The following statements are true regarding postmenopausal hormone therapy and the risk of incontinence except: a. Hormone therapy does not appear to benefit any specific type of incontinence. b. Estrogen therapy...