Less expensive screening for chromosomal abnormalities
June 1st 2006Reserving full karyotyping for the 10% of fetuses with first trimester nuchal translucency (NT) measurements of 4 mm or more and using quantitative fluorescent polymerase chain reaction (qf-PCR) for less suspicious samples may be an effective screening strategy that provides rapid results at significant cost savings, according to a recent observational study.
Statins reduce cholesterol, not risk of colorectal cancer
June 1st 2006Some studies have indicated that statins inhibit colorectal carcinogenesis in rodents. And one large case–control study from Israel-the Molecular Epidemiology of Colorectal Cancer (MECC) Trial-found that people who took statins for 5 years or more cut their risk of colorectal cancer in half.
Researchers find HPV vaccine safe, effective for 4.5 years
June 1st 2006Three immunizations with a bivalent human papillomavirus (HPV)-16/18 L1 virus-like particle AS04 vaccine safely induces sustained high levels of antibodies that provide long-term protection against HPV-16 and -18 infection and associated cervical lesions and possibly against HPV 45 and HPV 31-the third and fourth most common HPV types associated with cervical cancer-for up to 4.5 years.
Editorial: Prohibition didn't work, neither will an abortion ban
June 1st 2006The Supreme Court established a trimester-based paradigm to balance a woman's reproductive rights against the state's obligation to protect its unborn citizens. Were today's rhetoric taken to the extreme in a post-Roe world, we could see boycotts of a state's products, services, and tourism.
Relaxation and Music Significantly Reduce Patients' Postoperative Pain
May 6th 2006New research has found that relaxation and music, separately or together, significantly reduce patients' pain following major abdominal surgery. The study, published in the May issue of Pain, found that these methods in combination with pain medication reduce pain more than pain medication alone.
Anxiety and Panic More Common in Women
May 5th 2006As a group, anxiety disorders are the most common mental illness in the United States. According to the National Institute of Mental Health, more than nineteen million Americans face anxiety disorders each year. And women are more vulnerable to most types of anxiety disorders than men.
From physician to legislator: how one ob/gyn advocated forstate-level tort reform
May 1st 2006Watching his state's medical care system crumble and many of hispartners shutter their practices spurred one Mississippi ob/gyn totake a personal stand on tort reform. His run for elected officewas successful-in more ways than one.
Adolescent patients and their confidentiality: Staying within legal bounds
May 1st 2006What right does a teenager have to confidential health care? What influence does HIPAA have on that right? How you apply the answers in your practice could determine whether an adolescent seeks health services-or forgoes necessary care.
Grand Rounds: Managing future pregnancies after a severe perineallaceration
May 1st 2006What do you tell a pregnant patient with a previous third- orfourth-degree tear, for whom another vaginal delivery raises therisk of further injury? Can some women safely have a trial oflabor? Diagnose occult tears with ultrasound, advise theseexperts-and use it to assess the anal sphincters of allincontinent women.