March 17th 2025
"Bottom line, previous surgery for endometriosis is not a contraindication to the use of an IUD (usually with HT) if the patient and you agree that this is the best option," said Jon Matthew Farber, MD.
A Tethered Approach to Type 2 Diabetes Care – Connecting Insulin Regimens with Digital Technology
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Surv.AI Says™: What Clinicians and Patients Are Saying About Glucose Management in the Technology Age
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Addressing Healthcare Inequities: Tailoring Cancer Screening Plans to Address Inequities in Care
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Cases and Conversations™: Applying Best Practices to Prevent Shingles in Your Practice
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Success of NO treatment for term babies doesn't extend to preemies
August 5th 2005Contrary to earlier findings, inhaled nitric oxide (NO) therapy for lung immaturity in premature infants does not reduce an infant's risk of death or further lung problems, according to a study by the National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health that appeared in the July 7 issue of the New England Journal of Medicine. "Premature infants weighing less than 1,500 g should not receive inhaled NO therapy unless they are part of a research study," said NICHD Director Duane Alexander, MD.
Adolescent patients and their confidentiality: Staying within legal bounds
July 1st 2005What right does a teenager have to confidential health care? What influence does HIPAA exert on that right? How you apply the answers in your practice could determine whether an adolescent seeks health services-or forgoes necessary care.
The unbroken chain of pediatricians
July 1st 2005Anyone who is instrumental in helping a resident achieve the goals of learning enough to be an excellent pediatrician while doing everything possible to provide knowledgeable care for sometimes extremely ill patients, is an important link in the chain from one class of new pediatricians to the next.
Computer Screening Helps Identify Risk of Fetal Alcohol Exposure
May 16th 2005Women "tend to deny" drinking during pregnancy when asked directly by their physician, but screening using a new software system can make a significant difference in identifying women who consume alcohol while pregnant, said Margaret Rodan, MD, Georgetown University, Washington, D.C., at the PAS 2005 Annual Meeting. Health-care providers can then target those women for intervention.
Education of Parents Will Play a Role in the Acceptance of HPV Vaccine
May 16th 2005A vaccine for the human papillomavirus virus (HPV) will likely be available within two to four years and will probably be targeted to preadolescent children. Given the need for the consent of parents to administer the vaccine in that population, parents will play a key role in how widely accepted the vaccine is.
How Long Is Too Long To Resuscitate?
May 14th 2005Fewer than one in every 1,000 deliveries is stillborn but, of those that are, little is known about survival and neurologic outcome. Currently, the International Liaison Committee is considering a proposal to stop resuscitative efforts after 10 minutes on stillborn babies, even though most respond to resuscitative treatment beyond that time.
Jaundice in a newborn: How to head off an urgent situation. Second of two parts.
May 1st 2005Extreme hyperbilirubinemia must be treated swiftly to prevent neurologic damage. Here are methods for determining a newborn's likelihood of developing severe jaundice and guidelines for treating those judged at greatest risk.
Jaundice in a newborn: Answers to questions about a common clinical problem. First of two parts.
May 1st 2005Yes, jaundice in newborns is prevalent and usually benign, but these babies still need ongoing clinical assessment. Part 1 reviews ways to identify and categorize hyperbilirubinemia and sets out the testing that a jaundiced infant requires.
Why does the baby girl "quake and tremble all this day"?
May 1st 2005Your patient in the emergency department today is a 5-day-old girl brought in by her parents because of an episode of what they describe as "shaking." First, they tell you, she had an episode of choking and gagging during a feed, accompanied by noises resembling the hiccups. Shortly afterward, she developed rhythmic twitching of the arms and legs.
Taking the long view of new goals for immunization
April 1st 2005With the recent licensing of conjugated, quadrivalent meningococcal vaccine (MCV4) and likely approval of other "childhood" vaccines to prevent disease during adolescence and adulthood, the national immunization program ventures onto new ground.
Vaccine recommendations on the move
October 13th 2004Here is startling news: Much of what you know about childhood and adolescent vaccines is passing out of date. New vaccines in development and new mortality data mean that recommendations for vaccination against influenza, hepatitis A, meningococcal disease, varicella, human papillomavirus, and rotavirus are on the move.