OB/GYN Clinical Alert articles from January 2005

OB/GYN Clinical Alert archives from January 2005

Pharmacists and emergency contraception.(Abstract & Commentary)
January 1, 2005... Synopsis: Personal beliefs should not be imposed on others. ********** CANTOR AND BAUM, LAWYERS FROM THE YALE UNIVERSITY School of Medicine, have written an op-ed piece in the New England Journal of Medicine focusing on the central...

Effect of DHEA on abdominal fat and insulin action in elderly women and men.(Abstract & Commentary)
January 1, 2005... Synopsis: Administration of 50 mg of DHEA to elderly men and women for 6 months improved insulin action and decreased abdominal fat. Source: Villareal DT, Holloszy JO. JAMA. 2004;292: 2243-2248. ********** ABDOMINAL FAT INCREASES...

Efficacy of a bivalent L1 virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women.(Abstract & Commentary)
January 1, 2005... Synopsis: The bivalent HPV vaccine was efficacious in prevention of incident and persistent cervical infections with HPV-16 and HPV-18, and associated cytological abnormalities and lesions. Vaccination against such infections could...

Non-invasive prenatal diagnosis screening.(Abstract & Commentary)
January 1, 2005... Synopsis: This study demonstrates that a sequential screening program that provides patients with first-trimester results and offers the option for early invasive testing or additional serum screening in the second trimester can detect 98% of...

Raloxifene and breast cancer: the CORE study.(Abstract & Commentary)
January 1, 2005... Synopsis: Raloxifene treatment of postmenopausal women with osteoporosis is associated with a lower incidence of estrogen receptor-positive invasive breast cancer. Source: Martino S, et al. J Natl Cancer Inst. 2004;96: 1751-1761. ...

CME questions.
January 1, 2005... 1. The following statements regarding emergency contraception are true except: a. Emergency contraception is available over-the-counter in some states in the United States. b. There is no evidence that emergency contraception is an...

Hypertension: therapy vs calcium channel antagonists.
January 1, 2005... Pharmacotherapy of hypertension has been much in the news in the last 2 months. Standard therapies such as atenolol have been challenged, while calcium channel antagonists may be making a comeback. Researchers from Sweden performed a...

Incidence of diabetes in middle-aged men is related to sleep disturbances.(Brief Article)
January 1, 2005... Source: Nillson PM, et al. Diabetes Care. 2004;27(10):2464-2469. THE CONSEQUENCES OF SLEEP DEPRIvation, as measured in otherwise healthy men, include elevations of sympathetic activity, increased levels of cortisol, and altered glucose...

Renal dysfunction and cardiovascular outcomes after myocardial infarction.(Brief Article)
January 1, 2005... Source: Anavekar NG, et al. N Engl J Med. 2004;351:1285-1295. ALTHOUGH MARKED ALTERATION IN renal function can be anticipated to compromise lifespan, whether less substantial decrements in renal function are associated with adverse...

Topical treatments for psoriasis.(Brief Article)
January 1, 2005... Source: Mikhail M, Scheinfeld N. Adv Stud Med. 2004;4(8):420-429. THE PREVALENCE OF PSORIASIS (PSR) in the US adult population is as high as 3%, usually beginning during adolescence. Although there is no available cure for PSR, most...

Induction of longterm glycemic control in newly diagnosed type 2 diabetic patients is associated with improvement of beta-cell function.(Brief Article)
January 1, 2005... Source: Li Y, et al. Diabetes Care. 2004;27:2597-2602. TYPE 2 DIABETES (DM2) IS CHARACterized by insulin resistance accompanied by a progressive decline in beta cell function (BCF). Sustained supranormal glucose levels appear to further...

Predicting bacterial cause in infectious conjunctivitis.(Brief Article)
January 1, 2005... Source: Rietveld RP, et al. BMJ USA. 2004;4:511-514. ONLY ABOUT HALF OF ACUTE CONjunctivitis cases are bacterial. At presentation, it is often unclear whether patients are suffering acute bacterial conjunctivitis (ABC), or acute viral...

Angiotensin-receptor blockade vs converting-enzyme inhibition in type 2 diabetes and nephropathy.(Brief Article)
January 1, 2005... Source: Barnett AH, et al. N Engl J Med. 2004;351:1952-1961. THE MOST COMMON ETIOLOGY OF ENDstage renal disease remains type 2 diabetes (DM2). Since it is possible to reverse (in the case of diabetic microalbuminuria) or delay (in the case...