Mortality May Be Improving in Patients Hospitalized for Anorexia Nervosa
Psychiatry
Summary and Comment
Free
Why? Is it better treatment or earlier detection?
By Joel Yager, MD
August 21, 2006
Covering:
Lindblad F et al., Am J Psychiatry 2006 Aug; 163:1433-5
Is There a Neurology of Menopause?
Neurology
Summary and Comment
We are beginning to understand the neurologic dimensions of menopause, but we have much yet to learn about how hormones influence neurologic disease.
By Autumn Klein, MD, PhD
August 15, 2006
Covering:
Henderson VW., Neurologist 2006 May; 12:149-59
Women Prefer Pelvic Exams Without Stirrups
Emergency Medicine
Summary and Comment
Discomfort and feelings of vulnerability are reduced.
By Kristi L. Koenig, MD, FACEP
August 11, 2006
Covering:
Seehusen DA et al., BMJ 2006 Jul 22; 333:171-3
Oakeshott P and Hay P., BMJ 2006 Jul 22; 333:173-4
Barr WB., BMJ 2006 Jul 22; 333:158-9
Prevalence of HPV Infection in the U.S.
Infectious Diseases
Summary and Comment
The high prevalence of human papillomavirus infection among sexually active women supports a strategy of early, widespread vaccination.
By Daniel J. Diekema, MD, MS
August 9, 2006
Covering:
Manhart LE et al., Sex Transm Dis 2006 Aug; 33:502-8
Pituitary Tumors Associated with Antipsychotic Use
Psychiatry
Summary and Comment
A research report from the FDA
By Barbara Geller, MD
July 24, 2006
Covering:
Szarfman A et al., Pharmacotherapy 2006 Jun; 26:748-58
Endocrine Effects of Valproate in Bipolar Disorder
Psychiatry
Summary and Comment
Women with bipolar disorder who take valproate might develop PCOS symptoms.
By Steven Dubovsky, MD
July 17, 2006
Covering:
Joffe H et al., Biol Psychiatry 2006 Jun 1; 59:1078-86
Progestogen-Only Contraception: Unlimited Use Remains Appropriate
General Medicine
Summary and Comment
Bone-mineral density was lower in progestogen users than in nonusers, but the clinical significance of this finding isnt clear.
By Robert W. Rebar, MD
July 13, 2006
Covering:
Curtis KM and Martins SL., Contraception 2006 May; 73:470-87
d’Arcangues C., Contraception 2006 May; 73:443-4
Condom Use Reduces Risk for HPV Infection in Women
Infectious Diseases
Summary and Comment
The incidence of genital human papillomavirus infections was greatly reduced in young women whose male sexual partners consistently used condoms.
By Neil R. Blacklow, MD
July 12, 2006
Covering:
Winer RL et al., N Engl J Med 2006 Jun 22; 354:2645-54
Gardasil: A Quadrivalent Human Papillomavirus Vaccine
Newly licensed by the FDA, this vaccine was developed to protect against HPV-induced genital warts, precancerous genital lesions, and cervical cancer.
By Robert S. Baltimore, MD
July 12, 2006
Covering:
US Food and Drug Administration., 2006 June 16
2006 June
Steinbrook R., N Engl J Med 2006 Mar 16; 354:1109-12
Villa LL et al., Lancet Oncol 2005 May; 6:271-8
Koutsky LA et al., N Engl J Med 2002 Nov 21; 347:1645-51
Adverse Neonatal Outcomes After Female Genital Mutilation
General Medicine
Summary and Comment
Likelihood of adverse outcomes increased with the severity of mutilation.
By Bruce Soloway, MD
July 11, 2006
Covering:
WHO study group on female genital mutilation and obstetric outcome., Lancet 2006 Jun 3; 367:1835-41
Eke N and Nkanginieme KEO., Lancet 2006 Jun 3; 367:1799-800
Seeking the Cause(s) of Chronic Pelvic Pain
Women's Health
Patient Information
Information for patients about CPP, including possible causes of the condition and how it is diagnosed
By Diane E. Judge, APN/CNP
June 30, 2006
Reducing Urinary Incontinence After Surgery for Pelvic-Organ Prolapse
Women's Health
Summary and Comment
Free
Burch colposuspension performed prophylactically during pelvic-organ prolapse repair significantly reduced postoperative stress incontinence.
By Andrew M. Kaunitz, MD
June 6, 2006
Covering:
Brubaker L et al., N Engl J Med 2006 Apr 13; 354:1557-66
Initial Evaluation of Chronic Pelvic Pain
Chronic pelvic pain is a complex, multifactorial problem; clinicians must carefully evaluate both the evident pathology and its development over time.
By John F. Steege, MD
June 30, 2006
Bacterial Vaginosis: Do High Recurrence Rates Suggest Sexual Transmission?
Infectious Diseases
Summary and Comment
Over half of women with bacterial vaginosis had recurrence within 12 months.
By Daniel J. Diekema, MD, MS
June 9, 2006
Covering:
Bradshaw CS et al., J Infect Dis 2006 Jun 1; 193:1478-86
Emergency Contraceptive Pills Alter Next-Cycle Bleeding Pattern
Women's Health
Summary and Comment
Free
Women who took levonorgestrel had altered menstrual cycle and period durations.
By Diane E. Judge, APN/CNP
May 23, 2006
Covering:
Raymond EG et al., Contraception 2006 Apr; 73:376-81
Sleep-Induced Menarche?
Women's Health
Summary and Comment
Duration of sleep was negatively associated with age of menarche in a group of North Korean refugees.
By Sandra Ann Carson, MD
May 23, 2006
Covering:
Ku SY et al., Hum Reprod 2006 Mar; 21:833-6
As with Squamous Tumors, HPV Is Key in Cervical Adenocarcinoma Etiology
Women's Health
Summary and Comment
HPV infection was associated with an 80-fold increase in risk for cervical adenocarcinoma.
By Andrew M. Kaunitz, MD
May 2, 2006
Covering:
Castellsagué X et al., J Natl Cancer Inst 2006 Mar 1; 98:303-15
Erosive Vulvar Lichen Planus Improves with Treatment
Women's Health
Summary and Comment
Topical ultrapotent steroids improved or completely relieved symptoms in most women.
By Diane E. Judge, APN/CNP
May 2, 2006
Covering:
Cooper SM and Wojnarowska F., Arch Dermatol 2006 Mar; 142:289-94
Predicting Pelvic Inflammatory Disease
Women's Health
Summary and Comment
A modified chlamydial risk-factor scoring system was the best predictor of incident PID in a cohort of women at high risk for chlamydia.
By Anna Wald, MD, MPH
May 2, 2006
Covering:
Ness RB et al., Sex Transm Dis 2006 Mar; 33:137-42
Fibroid Thermoablation Safe, Somewhat Effective
Women's Health
Summary and Comment
About 70% of subjects reported symptomatic improvement 6 months after undergoing thermoablation by magnetic resonanceguided focused ultrasound.
By Sandra Ann Carson, MD
April 4, 2006
Covering:
Stewart EA et al., Fertil Steril 2006 Jan; 85:22-9
High Incidence of PE After Abdominal Surgery for Gynecologic Cancers
General Medicine
Summary and Comment
In a retrospective study of women undergoing major surgery, PE occurred much more often in those with cancer than in those with benign disease.
By Robert W. Rebar, M.D.
March 28, 2006
Covering:
Martino MA et al., Obstet Gynecol 2006 Mar; 107:666-71
Ultrapotent Topical Corticosteroids Are Effective for Erosive Lichen Planus of the Vulva
Dermatology
Summary and Comment
Delays in diagnosis are common and may have consequences.
By Jeffrey P. Callen, MD
March 28, 2006
Covering:
Cooper SM and Wojnarowska F., Arch Dermatol 2006 Mar; 142:289-94
Hypoactive Sexual Desire Disorder Common in Women of All Ages
General Medicine
Summary and Comment
And women with HSDD were 11 times more likely than others to feel dissatisfied with their sex lives.
By Robert W. Rebar, MD
March 17, 2006
Covering:
Leiblum SR et al., Menopause 2006 Jan/Feb; 13:46-56
Kingsberg SA., Menopause 2006 Jan/Feb; 13:10-1
Resection of Cervical Lesions Associated with Later Obstetric Complications
General Medicine
Summary and Comment
In this meta-analysis, LEEP and cold-knife conization were associated with future obstetric complications; laser conization and ablation were not.
By Bruce Soloway, MD
March 7, 2006
Covering:
Kyrgiou M et al., Lancet 2006 Feb 11; 367:489-98
Lingering Questions About Hormone Therapy
General Medicine
Summary and Comment
Patient age and the timing of therapy initiation might affect the coronary risk associated with HT use.
By JoAnne M. Foody, MD, Yale University School of Medicine, New Haven, CT
March 7, 2006
Covering:
Hsia J et al., Arch Intern Med 2006 Feb 13; 166:357-65
Grodstein F et al., J Womens Health (Larchmt) 2006 Jan/Feb; 15:35-44
Mikkola TS and Clarkson TB., J Womens Health (Larchmt) 2006 Jan/Feb; 15:51-3