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How to Improve Patient Safety with the Patient Handoff
Jamie L. Habib
, March 6, 2012
Poor communication is a leading cause of medical errors in this era of collaborative care. Effective communication strategies can help facilitate the continuity of care, prevent errors, and provide a safe environment for the patient.
Differentiating Between IC/PBS and Bladder Oversensitivity
Heidi Anne Duerr, MPH
, March 6, 2012
With common and overlapping symptoms and subjective patient reporting, interstitial cystitis/painful bladder syndrome (IC/PBS) and bladder oversensitivity can be difficult to distinguish, making diagnosis and treatment recommendations tricky.
Fluorochemical Exposure in Utero May Cause Obesity in Offspring
Heidi Anne Duerr, MPH
, March 5, 2012
Modern society has witnessed great improvements in everyday products, often thanks to advances in chemical compounds that make products better, stronger, and the like. Unfortunately, these advances may come at a cost, as prenatal exposure to some chemical compounds may have deleterious effects on offspring.
How to Screen for Intimate Partner Violence: Tools from ACOG
Jamie L. Habib
, February 29, 2012
More than one third of women in the United States will experience some form of intimate partner violence (IPV) in their lifetime. The consequences of IPV can be lifelong and include emotional trauma, long-term physical impairment, chronic health problems, and even death.
Stress Urinary Incontinence: What Treatment Works Best?
Heidi Anne Duerr, MPH
, February 24, 2012
While tension-free vaginal tape (TVT) is and single-incision mini-sling result in similar subjective cure rates for the treatment of stress urinary incontinence, the mini-sling is still inferior, according to a randomized study published in Obstetrics & Gynecology.
Group CBT Relieves Menopause Symptoms After Breast Cancer
Heidi Anne Duerr, MPH
, February 23, 2012
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.
Vitamin D Important for Fetal Neurocognitive Development
Heidi Anne Duerr, MPH
, February 22, 2012
Researchers have found that proper maternal serum 25(OH)-vitamin D concentrations are crucial to fetal development. Dr. Andrew J. O. Whitehouse, associate professor at the Telethon Institute for Child Health Research at the University of Western Australia, and colleagues published their work in a recent issue of Pediatrics.
Donor-Egg In Vitro Appears Safe for Older Women
Heidi Anne Duerr, MPH
, February 17, 2012
Women over the age of 50 who achieve a viable pregnancy via donor-egg in vitro fertilization (D-IVF) have no greater incidence of adverse outcomes than younger women,according to a new study published in the American Journal of Perinatology.
Misoprostol May Be Effective Oxytocin Alternative
Heidi Anne Duerr, MPH
, February 15, 2012
Misoprostol is a safe and effective alternative to titrated intravenous for addressing abnormalities of the active phase of labor, according to new research published in Obstetrics and Gynecology.
Ulipristal is Safe and Effective for Uterine Fibroids
Heidi Anne Duerr, MPH
, February 10, 2012
Ulipristal is a safe and effective option for women with uterine fibroids, according to two new studies published in the New England Journal of Medicine. In both studies, the oral selective progesterone receptor modulator was well-tolerated, rapidly reduced excessive bleeding, and decreased the size of uterine fibroids.
Do Combined Oral Contraceptives Relieve Dysmenorrhea?
Heidi Anne Duerr, MPH
, February 3, 2012
Oral contraceptives have long been considered an option for relieving symptoms of dysmenorrhea, but a 2009 Cochrane review cast doubt on that claim. Now, a new study out of Sweden offers contradictory evidence.
SSRI Use in Pregnancy May Double Infant’s Risk of Pulmonary Hypertension
Heidi Anne Duerr, MPH
, January 24, 2012
Persistent pulmonary hypertension, which affects as many as 2 per 1,000 liveborn infants, is a life-threatening condition. While there are many risk factors, research has linked the use of selective serotonin reuptake inhibitors (SSRIs) in late pregnancy with increased risk for persistent pulmonary hypertension.
The Link Between Parabens and Breast Cancer: How Much Worry Is Warranted?
Heidi Anne Duerr, MPH
, January 20, 2012
Over the past few years, there has been great concern over the presence of alkyl esters of p-hydroxybenzoic acid (parabens) in consumer products and their link to breast cancer. These compounds have been found in human blood, milk, urine, and breast tissue.
When Counting Counts: Maternal Fetal Movement Counts Improve Fetal Distress Recognition
Heidi Anne Duerr, MPH
, January 17, 2012
Fetal movement counts, a simple, inexpensive, and easily accessible tool a pregnant mother can use to help monitor the wellbeing of her fetus, have been used to identify potential problems in a timely manner, allowing for prompt interventions. However, the practice has been disputed among health care professionals for lack of conclusive evidence that counting reduces perinatal morbidity and mortality. Now, new research shows that counting has a positive impact.
Addition of Bevacizumab to Ovarian Cancer Treatment is Associated With Better Survival
Heidi Anne Duerr, MPH
, January 8, 2012
Two new studies published in the New England Journal of Medicine point to the importance of using bevacizumab in the treatment of ovarian cancer. Bevacizumab, a recombinant humanized monoclonal antibody directed against the vascular endothelial growth factor, has shown single-agent activity in women with recurrent tumors.
Impaired Uterine Contractility Associated With Diabetes
Heidi Anne Duerr, MPH
, January 6, 2012
Women with diabetes can bring a host of medical complications to their pregnancy. Recently, research has shown that cesarean section rates are higher in women with diabetes, and some estimates note that more than half of those C-sections are emergency operations and not elective procedures.
Foley Catheter is a Safe, Effective Option for Labor Induction
Heidi Anne Duerr, MPH
, January 4, 2012
Foley catheter or vaginal prostaglandin E2 gel—which is the better option for induction in pregnant women with unfavorable cervix at term? According to new research, the Foley catheter may be a better choice.
New Risks for Women with Endometriosis
Heidi Anne Duerr, MPH
, January 3, 2012
Endometriosis affects as many as 6% of the general population. While some women with endometriosis remain asymptomatic, many women experience dysmenorrhea, dyspareunia, non-cyclical pelvic pain, and subfertility. Now, new research indicates that patients with endometriosis are also more likely to develop inflammatory bowel disease.
Can DHEA Provide Relief for Menopause Symptoms?
Heidi Anne Duerr, MPH
, January 2, 2012
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.
Do Glucocorticoids in Pregnancy Have Long-term Effects on Offspring?
Heidi Anne Duerr, MPH
, December 30, 2011
The offspring of women who receive inhaled glucocorticoid medications to treat asthma during pregnancy may have a significantly increased risk of endocrine and metabolic disorders, according to a population-based cohort study published in the American Journal of Respiratory and Critical Care Medicine.
New Concerns, Risks Associated With Oophorectomy
Heidi Anne Duerr, MPH
, December 27, 2011
Decreases in bone mineral density and an increased risk of arthritis may be linked to bilateral oophorectomy, according to new research presented at the 2011 CTRC-AACR San Antonio Breast Cancer Symposium.
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FromPhysiciansPractice
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. 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.
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