OB/GYN Clinical Alert articles from July 2003

OB/GYN Clinical Alert archives from July 2003

Three more reports from the WHI. (Special Report).(Women's Health Initiative)
July 1, 2003... One year after the cancelation of the estrogen-progestin arm of the WHI, 3 more reports have emerged from this landmark study. Leon Speroff MD, and Sarah L. Berga, MD provide their analysis as a benefit to OB/GYN Clinical Alert subscribers. ...

Ethnicity and insulin resistance. (Abstract & Commentary).
July 1, 2003... Synopsis: Insulin resistance increases with increasing body weight and is most prevalent in Mexican-Americans. Source: Park YW, et al. Arch Intern Med. 2003;163: 427-436. THE PREVALENCE OF THE METABOLIC SYNDROME WAS assessed in the...

'Tamponade test' in the management of massive postpartum hemorrhage. (Abstract & Commentary).
July 1, 2003... Synopsis: This diagnostic test rapidly identifies those patients with postpartum hemorrhage who will require a laparotomy. Even when results are positive, life-threatening hemorrhage is arrested and time is also allowed to correct any...

CME questions.(Brief Article)
July 1, 2003... 1. The following statements are true regarding insulin resistance except: a. Most overweight, anovulatory, hyperandrogenic women are insulin resistant. b. Only older women with insulin resistance requiring annual surveillance for...

Influenza vaccination and reduction in hospitalizations. (Clinical Briefs in Primary Care[TM]).(Brief Article)
July 1, 2003... Source: Nichol KL, et al. N Engi J Med. 2003;348:1322-1332. DESPITE THE FACT THAT INFLUENZA and its consequences are well recognized, the number of at-risk individuals for serious sequelae to an influenza infection who receive vaccination...

Screening men for prostate and colorectal cancer. (Clinical Briefs in Primary Care[TM]).(Brief Article)
July 1, 2003... Source: Sirovich BE, et al. JAMA. 2003;289:1414-1420. PROSTATE CANCER (P-CA) AND COLorectal cancer (C-CA) do not share the same evidence base for potential efficacy in reducing mortality. For P-CA, there remain no data to confirm whether...

Weight loss in CHF and treatment with ACE-I. (Clinical Briefs in Primary Care[TM]).(congestive heart failure, ACE inhibitors)(Brief Article)
July 1, 2003... Source: Anker S, et al. Laneet. 2003;361:1077-1083. WEIGHT LOSS TO THE DEGREE OF cachexia complicates cancer, some infectious diseases (eg, H1V, thyrotoxicosis), and less obviously, perhaps, heart failure (CHiF). It has been previously...

Impaired fasting glucose vs impaired glucose tolerance. (Clinical Briefs in Primary Care[TM]).(Brief Article)
July 1, 2003... Source: Schianca GPC, et al. Diabetes Care. 2003;26:1333-1337. IN THE ABSENCE OF POSTGLUCOSE load measurements, most clinicians diagnose diabetes mellitus (DM) on the basis of an elevated fasting blood glucose (FBG), most recently...

Risk stratification in long-QT syndrome. (Clinical Briefs in Primary Care[TM]).(Brief Article)
July 1, 2003... Source: Priori SG, et al. N Eng J Med. 2003;348:1866-1874. ON EKG, PROLONGATION OF THE QT interval (QTI) may be a marker for increased susceptibility to life-threatening arrhythmias. With normal heart rates (60-100), the QTI (from the...

EBCT, motivation, behavioral change, and cardiovascular risk profile. (Clinical Briefs in Primary Care[TM]).(electron beam coronary tomography)(Brief Article)
July 1, 2003... Source: O' Malley PG, et al. JAMA. 2003;289:2215-2223. IT HAS BEEN SUGGESTED THAT AS MUCH AS 75% of clinical CHD can be predicted on the basis of traditionally recognized risk factors (eg, lipids, BP, smoking). Because of the ponderous...

HRT, estrogen, and postmenopausal women: year-old WHI study continues to raise questions. (Pharmacology Watch).(hormone replacement therapy, Women's Health Initiative)
July 1, 2003... The Women's Health Initiatives (WHI) was halted 1 year ago, but fallout from this landmark study continues. The study was designed to identify the risks or benefits of estrogen plus progesterone vs placebo in healthy postmenopausal women. More...