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MMWR Issues Summary of Recommendations for Vaccinating Healthcare Workers |
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Posted by Dr. Johanne Perez M.D
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Tuesday, 06 December 2011 11:44 |
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Physician's First Watch for November 29, 2011
David G. Fairchild, MD, MPH, Editor-in-Chief
 A summary of all current recommendations for vaccinating healthcare workers, issued by the Advisory Committee on Immunization Practices, has been published in MMWR. This report updates the summary from 1997.
The recommendations apply to healthcare personnel in acute care hospitals, long-term-care facilities, physicians' offices, rehabilitation centers, urgent care centers, and outpatient clinics, plus workers who provide home health care and emergency medical services.
MMWR article (Free): http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6007a1.htm
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Why Do Oral Contraceptives that Cause Monthly Bleeding Still Predominate? |
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Posted by Dr. Johanne Perez M.D
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Tuesday, 06 December 2011 11:41 |
Summary and Comment
Why Do Oral Contraceptives that Cause Monthly Bleeding Still Predominate?
— Anne A. Moore, WHNP/ANP-BC, FAANPHealthcare providers' attitudes about menstruation and medically induced amenorrhea are key factors.
Extended or continued use of oral contraceptive pills (OCs) remains low despite obvious advantages of menstrual cycle regulation and symptom management. To determine the factors that influence physicians' OC prescribing habits, researchers analyzed survey responses from 211 obstetrician-gynecologists (OB/GYNs) and family medicine physicians (FPs) in Oregon. Physicians were asked whether they prescribed extended-use (hormone-containing pills for >28 days with scheduled withdrawal bleeding) and continuous use (hormone-containing pills indefinitely without a scheduled withdrawal bleed) OCs, and, if yes, how often. A 5-point Likert scale was used to asse ss attitudes toward menstrual suppression.
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Cord Clamping — Not So Fast! |
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Posted by Dr. Johanne Perez M.D
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Tuesday, 06 December 2011 11:39 |
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Physician's First Watch for November 16, 2011
David G. Fairchild, MD, MPH, Editor-in-Chief
Cord Clamping — Not So Fast!
Delayed umbilical cord clamping results in better iron status for the infant than does immediate clamping, a BMJ study concludes.
Some 350 full-term, low-risk infants in Sweden were randomized either to immediate clamping (within 10 seconds after birth) or to delayed clamping (3 minutes or more). At age 4 months, hemoglobin levels in both groups of infants were similar, but the delayed-clamping group had a higher mean ferritin level (117 vs. 81 micrograms per liter) and a lower prevalence of iron deficiency (0.6% vs. 5.7%).
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Reversing the Adverse Cardiovascular Effects of Childhood Obesity Later in Life |
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Posted by Dr. Johanne Perez M.D
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Tuesday, 06 December 2011 11:37 |
Summary and Comment
Reversing the Adverse Cardiovascular Effects of Childhood Obesity Later in Life
—Louis M. Bell, MDResults of four large long-term studies indicate that adults who were obese during childhood can lower their cardiovascular risk by not being obese as adults.
Childhood obesity raises risk for obesity and cardiovascular disease during adulthood. To examine whether cardiovascular risks persist in obese children who are no longer obese as adults, researchers combined data from four longitudinal cohort studies (2 U.S., 1 Australian, and 1 Finnish) in which cardiovascular risk was tracked from childhood into adulthood in 6328 participants. Mean follow-up was 23 years, and adiposity status was based on body-mass index (BMI) measurements taken during childhood and adulthood.
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