OB/GYN Clinical Alert articles from March 2005

OB/GYN Clinical Alert archives from March 2005

Is it worthwhile to do a single fecal occult blood test?(Abstract & Commentary)
March 1, 2005... Synopsis: A single fecal occult blood test cannot be recommended as the only screening test for colorectal neoplasia. ********** FECAL OCCULT BLOOD TESTS (FOBTS) WERE PERFORMED ON SAMPLES from digital rectal examinations in 2665...

Postmenopausal hormone therapy and gallbladder disease.(Abstract & Commentary)(Brief Article)
March 1, 2005... Synopsis: Postmenopausal hormone therapy is associated with about a 2-fold increased risk of gallbladder disease. ********** THE MECHANISM FOR A POSSIBLE ADVERSE EFFECT OF hormone therapy on the biliary system is believed to be...

Consumption of vegetables and fruits and risk of breast cancer.(Abstract & Commentary)
March 1, 2005... Synopsis: In this prospective, observational study, increased total or specific vegetable and fruit intake did not reduce the risk of breast cancer. ********** THE PRESENT STUDY WAS UNDERTAKEN TO TEST THE hypothesis that high fruit...

Validation of referral guidelines for women with pelvic masses.(Abstract & Commentary)
March 1, 2005... Synopsis: The SGO and ACOG referral guidelines effectively separate women with pelvic masses into 2 risk categories for malignancy. This distinction permits a rational approach for referring high-risk patients to a gynecologic oncologist for...

Treating polycystic ovaries with Rosiglitazone.(Abstract & Commentary)
March 1, 2005... Synopsis: Rosiglitazone treatment effectively restores ovulation in very heavy women with polycystic ovaries and insulin resistance. ********** SEPILIAN AND NAGAMANI FROM THE UNIVERSITY OF Texas in Galveston reported the results of...

CME questions.
March 1, 2005... 6. The following statements regarding polycystic ovaries, insulin resistance and diabetic drug treatment are true except: a. Some evidence indicates that very obese women with insulin resistance do not respond to metformin treatment. ...

Treatment of recent-onset AF with the pill-in-the-pocket.(atrial fibrillation)(Brief Article)
March 1, 2005... ALTHOUGH CHRONIC: ORAL ANTIARrhythmic prophylaxis and catheter ablation both enjoy great success for preventing recurrences of atrial fibrillation (AF), some patients are not appropriate candidates for either method, especially patients with...

Antibody responses after intradermal flu vaccination.(Brief Article)
March 1, 2005... THE YEAR 2004 WAS UNUSUAL IN REFerence to problematic shortages of influenza vaccine (FLUVAX), resulting in vaccine rationing. One of the methods that might reduce the actual volume of vaccine needed in any season would be intradermal...

Isosorbide dinitrate and hydralazine in HF.(heart failure)(Brief Article)
March 1, 2005... NEUROHUMORAL MODULATORS SUCH as ACE inhibitors, angiotensin receptor blockers, beta blockers, and aldosterone have all shown meaningful benefit for patients with chronic heart failure (CHF). Retrospective analyses of trials including...

Acetyl-L-carnitine improves pain, nerve regeneration, and vibratory perception.(Brief Article)
March 1, 2005... DIABETIC PERIPHERAL NEUROPAthy (DPN), with or without diabetic peripheral neuropathic pain (DPNP), is a commonplace and consequential complication of diabetes (DM). Treatment of DPNP has been enhanced by the recent FDA approval of duloxetine...

Levodopa and the progression of Parkinson's disease.(Brief Article)
March 1, 2005... LEVODOPA (LDPA) HAS PROVEN A very valuable treatment for Parkinson's disease (PAR). Since PAR is characterized by a progressive decline in production of dopamine due to degeneration of the substantia nigra, it is pathophysiologically attractive...

Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery.(Brief Article)
March 1, 2005... THE LONG-TERM CONSEQUENCES OF obesity include increased cardiovascular disease (CVD), diabetes (DM), and dyslipidemia. Although surgical interventions have provided meaningful shortterm reductions in BMI and surrogate markers of cardiovascular...

The risk of aspirin withdrawal in ACS patients.(acute coronary syndrome )
March 1, 2005... Stopping aspirin may be hazardous to your health, according to recent research. Patients with heart disease who developed acute coronary syndrome (ACS) were questioned to determine whether their aspirin therapy had recently been interrupted....