Grand Rounds: Part 1: Cervical cancer guidelines: Making sense of the screening intervals
April 1st 2006If there's really been such a sea change in how and when to screen for cervical cancer, when are clinicians going to take the plunge and start applying new recommendations? An expert comes to the rescue by sifting through the new ACS and ACOG guidelines, to help you put them into practice.
Utah ruling could open door for lawsuits by patients in remission
April 1st 2006The Utah Supreme Court reversed itself recently when it allowed a woman to sue for future damages when there's only a possibility that her breast cancer may reoccur. A previous ruling by the high court had held that patients wanting to seek future damages must do so in their initial lawsuit. It is anticipated that this latest ruling may open the door for lawsuits against physicians by patients whose diseases are in remission, according to Medical Liability Monitor (1/2006).
UAE vs. myomectomy for uterine fibroids
April 1st 2006In a multicenter comparative study involving 149 women undergoing uterine artery embolization (UAE) and 60 women undergoing myomectomy, researchers found that both procedures resulted in similar bleeding improvement, uterine volume reduction, uterine fibroid quality-of-life score improvement, and overall quality-of-life score improvement.
Estrogen doesn't protect against heart disease, but...
April 1st 2006While unopposed conjugated equine estrogen (CEE) confers no protection against myocardial infarction (MI) or coronary death in generally healthy postmenopausal women between ages 50 and 79, when researchers looked only at women between 50 and 59, the story changed.
Intravaginal Surface Electromyography in the Diagnosis and Treatment of Vulvovaginal Pain Disorders
March 24th 2006This paper summarizes the work of the author in the field of pelvic floor muscle surface electromyography in the diagnosis and treatment of lower urogenital tract pain disorders. The history, definition, and treatment of vulvodynia is reviewed.
Cool and Menthol Receptor TRPM8 in Human Urinary Bladder Disorders and Clinical Correlations
March 7th 2006The recent identification of the cold-menthol sensory receptor (TRPM8; CMR1), provides us with an opportunity to advance our understanding of its role in the pathophysiology of bladder dysfunction, and its potential mediation of the bladder cooling reflex.
Contraceptive insurance coverage gets boost in two states
March 1st 2006New Jersey is now the 24th state to pass a law providing contraceptive insurance equity. The new law, A.B. 292, requires most insurers in the state to provide coverage of prescription contraceptive drugs and devices. The law provides an exemption for qualifying religious employers if contraceptive coverage conflicts with the employer's "bona fide religious beliefs and practices," according to the American College of Obstetricians and Gynecologists (Government Relations Newsletter, 1/13/2006).
CRITICAL CARE in OB, PART 2: Managing an eclamptic seizure and its aftermath
March 1st 2006Few ob/gyns are prepared for the terrifying sight of a pregnant woman in the throes of an eclamptic convulsion. You can't predict which preeclamptic patients will go on to develop life-threatening eclampsia. But when they do, you can be ready to follow these seven important steps for stabilization and induction of labor within 24 hours.
Legally Speaking: Was this bowel perforation malpractice--or a case of lawyerly semantics?
March 1st 2006Sometimes, even seemingly indefensible cases have to go to trial. This can happen if, for example, a defendant won't settle and expert review is critical of the care provided. To carry the day in such situations, which are rare, the defendant must be competent and credible and his or her lawyer clever and creative.
President Bush highlights liability crisis in ob/gyn
March 1st 2006President Bush used his State of the Union address to once again urge Congress to pass medical liability reform, specifically citing the crisis in obstetrics and gynecology. He said, "And because lawsuits are driving many good doctors out of practice?leaving women in nearly 1,500 American counties without a single ob/gyn?I ask the Congress to pass medical liability this year."
Insurers still overlook breast cancer screening
March 1st 2006This year's annual report from the National Committee for Quality Assurance showed a mixed bag of good and bad news, reported Managed Care (11/2005). Of the 289 commercial health plans that reported data to the NCQA, the average performance showed improvements in 18 of 22 clinical measures.