Ob/Gyn & Women's Health Clinical Briefs

• Fasting Glucose Testing in First Trimester Allows Early Risk Detection CME High-normal fasting glucose levels in the first trimester increase the risk for adverse pregnancy outcomes, highlighting the potential benefits of first-trimester fasting glucose screening.
  Reuters Health Information CME, September 2009
• Aromatase Inhibitors and Joint Pain: A Deeper Look CME One third of postmenopausal women receiving aromatase inhibitors as adjuvant therapy for breast cancer have joint pain. What's happening rheumatologically in these women?
  Medscape Medical News CME, September 2009
• FDA Approvals: H1N1 Vaccine, Ova1, Vibativ CME/CE The FDA has approved 4 vaccines against the 2009 H1N1 virus, a blood test to detect ovarian cancer, and telavancin to treat MRSA skin infections.
  Medscape Medical News CME, September 2009
• Menopausal Hip Bone Loss Accelerated in Diabetic Patients CME Hip-bone loss is more rapid and spine-bone loss is slower in menopausal diabetic patients than nondiabetic patients, which might explain the high fracture risk in this group.
  Medscape Medical News CME, September 2009
• Extended Physiotherapy, High-Dose Vitamin D Reduces Post-Hip Fracture Falls CME A home-based therapy program and 2000 IU of vitamin D reduces falls by 25%, readmissions by 39% after hip fracture.
  Medscape Medical News CME, September 2009
• Depot Medroxyprogesterone Acetate Associated With Fracture Risk in Young Women CME Prolonged depot medroxyprogesterone acetate contraceptive use is associated with an increased risk for fractures in women, but socioeconomic confounders might be clouding the findings.
  Medscape Medical News CME, September 2009
• Bullying May Affect Girls More Than Boys CME/CE Bullying predicts future psychiatric problems for all girls but for only those boys who already have psychopathology.
  Medscape Medical News CME, September 2009
• Risk for Breast Cancer Recurrence Decreased by Lifestyle Changes CME/CE Obesity, moderate alcohol use, and smoking appear to significantly increase the risk of developing second breast cancer among breast cancer survivors.
  Medscape Medical News CME, September 2009
• Night Sweats in Postmenopausal Women Linked to Reduced 20-Year Mortality Rate CME/CE In an older, community-dwelling cohort of relatively healthy postmenopausal women, this association was independent of risk factors including past or current use of hormone therapy.
  Medscape Medical News CME, September 2009
• Metabolic Syndrome in Women Linked to Increased Risk for PAD CME : In a cohort study, metabolic syndrome was associated with an increased risk for symptomatic peripheral artery disease in women, mediated by the effects of inflammation and endothelial activation.
  Medscape Medical News CME, September 2009
• American Academy of Pediatrics Updates Flu Recommendations CME/CE The AAP has updated current recommendations for routine use of trivalent seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children.
  Medscape Medical News CME, September 2009
• Fish Intake in Maternal Diet, Mercury Exposure May Affect Fetal Growth CME In a cohort study, the role of fish in fetal growth depended on the amount and type of fish consumed, and the findings for mercury warranted further research in other settings.
  Medscape Medical News CME, September 2009
• Laparoscopic Uterosacral Nerve Ablation May Not Be Helpful for Women With Chronic Pelvic Pain CME Compared with laparoscopy without pelvic denervation, laparoscopic uterosacral nerve ablation did not improve pain, dysmenorrhea, dyspareunia, or quality of life in women with chronic pelvic pain.
  Medscape Medical News CME, September 2009
• Endometrial Biopsy With Nerve Fiber Detection May Reliably Diagnose Endometriosis CME A study shows that reliability of diagnosis for endometrial biopsy with detection of nerve fibers approaches the accuracy of laparoscopic assessment by experienced gynecologic laparoscopists.
  Medscape Medical News CME, September 2009
• Quadriceps Strength Linked to Lower Risk for Symptomatic Knee Osteoarthritis CME In a cohort study, quadriceps strength did not predict the occurrence of radiographic knee osteoarthritis in either sex but predicted lower incidence of painful or stiff knee osteoarthritis in women.
  Medscape Medical News CME, September 2009
• Oral Contraceptives Lower Risk of Urinary Incontinence Symptoms CME Women of child-bearing age who use oral contraceptives face a lower risk for lower urinary tract dysfunction than women of similar ages who do not, say researchers from Sweden.
  Reuters Health Information CME, September 2009
• Large Waist Size Linked to Asthma in Women CME In the California Teachers Study cohort, a large waist was associated with increased asthma prevalence, even among women considered to have normal body weight.
  Medscape Medical News CME, September 2009
• Adjuvant Hormonal Therapy for Breast Cancer May Affect Contralateral Breast Cancer Risk CME Long-term tamoxifen use was linked to a lower risk for contralateral estrogen receptorpositive breast cancer but a 4.4-fold increased risk for contralateral estrogen receptornegative breast cancer.
  Medscape Medical News CME, September 2009
• Mild Glucose Intolerance in Pregnancy May Signal Future CVD Risk CME In young pregnant women, mild glucose intolerance may be an early sign of future cardiac events, a study suggests.
  Heartwire CME, August 2009
• ACIP Issues Guidelines for Use of Influenza A (H1N1) 2009 Monovalent Vaccine CME/CE he Advisory Committee on Immunization Practices has provided recommendations regarding the use of vaccine against infection with novel influenza A (H1N1) virus.
  Medscape Medical News CME, August 2009