AMA Leader Commentary - A message to all physicians about current events in medical practice|American Medical News: views and opinions on issues in medical practice
Long QT Syndrome. Long QT syndrome (LQTS) is a congenital disorder characterized by a prolongation of the QT interval on electrocardiograms (ECGs) and a propensity to ventricular tachyarrhythmias, which may lead to syncope, cardiac arrest, or sudden death.
Women who experience early menopause are almost twice as likely to have osteoporosis and are at greater risk for fracture and death than women who experience menopause later in life, according to results of a 34-year study conducted in Sweden. More »
The North American Menopause Society has recently endorsed a flexible approach to the use of HRT that takes into account the individual patient’s needs, the type and timing of the therapy. More »
Group cognitive behavioral therapy (CBT) is an effective tool in reducing menopause-related symptoms in women with a history of breast cancer, according to new research published in The Lancet Oncology. More »
Since the debate about the safety of hormone replacement therapy began, researchers, patients, and clinicians have searched for a safe alternative to help alleviate the symptoms associated with menopause. Now, a small study in Italy suggests that dehydroepiandrosterone (DHEA) may be a solution. More »
According to some sources, there are as many as 600,000 hysterectomies performed annually in the US, making it the most common nonobstetrical surgical procedure among women in the US. While the procedure itself is relatively safe, we need to ask what are the long-term effects of a hysterectomy? More »
Chronic inflammatory diseases such as rheumatoid arthritis, lupus, and inflammatory bowel disease, negatively affect patients’ physical and psychological health. In fact, these diseases have been associated with gynecological complications, including menstrual and pelvic abnormalities, which can... More »
Hormone fluctuations. Hot flashes and night sweats. Depression and changes in mood. Coincidental and age-related changes in health and social issues. All of these factors associated with menopause can affect a patient’s sleep quality. More »
One of the earliest uses of HRT was documented in an 1897 publication highlighting the use of desiccated ovarian extracts to alleviate vasomotor symptoms. As science evolved, publications emerged describing the extraction of hormones from pregnant female urine (Emmenin®) in 1934 and eventually... More »
Let patients know that hot flashes, vaginal dryness, and other common menopausal symptoms can be treated successfully with hormonal and nonhormonal agents.
As rheumatoid arthritis (RA) occurs more often in women than in men, it has been suggested that reproductive hormones may play an important role in the pathogenesis.|Between 1991 and 1996, 30 447 subjects (18 326 women) were included in a community-based health survey. Information on female hormonal changes and stress-related factors was obtained using a self-administered questionnaire. This population was linked to four different local and national RA registers. The medical records for patients with a diagnosis of RA were subjected to a structured review and all women with incident RA according to the 1987 American College of Rheumatology criteria after inclusion in the health survey were included in a nested case-control study. Matched controls (1:4) were selected from the health survey population.|Early age at menopause (45 years) was associated with the subsequent development of RA (OR 2.42, 95% CI 1.32 to 4.45). The effect of early menopause remained significant after
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A service of the U.S. National Library of Medicine. Menopause. 1a ( 1): The natural cessation of menstruation occurring usually between the ages of 45 and 55 with a mean in
These women may have irregular menstrual cycles, an inability to have children ( infertility), early menopause, and elevated levels of a hormone known as follicle stimulating hormone ( FSH).
These women may have irregular menstrual cycles, an inability to have children ( infertility), early menopause, and elevated levels of a hormone known as follicle stimulating hormone ( FSH).
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
for the purpose of predicting menopause since clear markers for predicting menopause are yet to be identified. ( ... III) SUMMARY OF KEY POINTS: A4. Perimenopause is characterized by fluctuating hormone lev- els, irregular menstrual cycles, and the onset
Yes. Study can be found here http://www.bmj.com/content/344/bmj.e2838 Art Art Fougner, MD Liability Reform IS Healthcare Reform Follow @sonodoc99 on Twitter
THANKS. As usual you have information with excellent science. As I think we all know the ASCCP guidelines are great for first line and are great for the NPs and FPs doing colpos. The question posed is for those cases that then get referred to the ObGyns. THANKS again Joanne Joanne Bulley, MD, FACOG Keene, NH
This is a multipart message in MIME format. =_alternative 0004BE5888257A00 When the colpo is negative (no AWE or vascular changes), do You routinely check random biopsies, along with the ECC? Anticipating the answer is yes, and Path returns negative for SIL, keep in mind that most CIN2-3 originated in Patients with persistent HPV of 5-10 years duration. Integration of the (formerly) episomal DNA into the host genome takes time (some will
I see quite a lot of patients with ASCUS, HPV DNA (+) in whom colposcopy is negative, but who continue to come back with the same cytology. For a number of years, I'd repeat the colposcopy only to continue to have the same result. Now, I have stopped doing a second colposcopy unless the cytology is consistent with high grade disease. I have found no reason to return to the very
Physician Performance Goals Are Great, But Balance Is More Realistic Jennifer Frank, MD, May 15, 2012 Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice C. Noel Henley, MD, May 11, 2012 Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices Audrey "Christie" McLaughlin, RN, May 10, 2012 Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes James Doulgeris, May 10, 2012 There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice? Rosemarie Nelson, May 9, 2012 Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
