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Gynecologic Oncology

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  • Washington Watch: Medicaid expansions for family planning progress

    In October 2011, Ohio became the seventh state to use new authority under the Affordable Care Act (ACA) to extend coverage for family planning services to women and men with incomes well above the state's standard Medicaid income eligibility ceilings.
  • Rapid syphilis test released in U.S.

    A new point-of-care test for syphilis will provide clinicians another tool in battling increases in the sexually transmitted infection (STI). The new test, Syphilis Health Check (Diagnostics Direct, Stone Harbor, NJ), will no longer require lengthy wait times for results, refrigeration, or the drawing of blood to test for the STI.
  • New year, new implant: Time to add Nexplanon to contraceptive options

    Get ready to offer women Nexplanon, the latest iteration of the contraceptive implant. The subdermal implant is similar to the Implanon device; however, the applicator has been redesigned to facilitate insertion of the implant in the appropriate subdermal position using one hand.
  • Finally! HPV male shot routinely recommended

    The Advisory Committee on Immunization Practices (ACIP) has voted to recommend that males be routinely vaccinated against human papillomavirus (HPV), a move many public health officials seeing as a boost for use of the shot.
  • Hot topic: Medicine that is evidence-based

    This year will see development of new evidence-based documents for the family planning resource library: the U.S. Selected Practice Recommendations for Contraceptive Use from the Centers for Disease Control & Prevention (CDC) and the newly-updated Title X Program Guidelines, issued by the Office of Family Planning within the Department of Health & Human Services' Office of Population Affairs.
  • Hot Flash Treatment: 2011

    In a randomized, double-blind, placebo-controlled trial, clonidine and venlafaxine both proved superior to placebo in reducing hot flashes in breast cancer patients. The study was insufficiently powered to prove superiority of one drug over the other. However, venlafaxine produced earlier reductions and it appeared clonidine had more sustained effect (i.e., at 12 weeks of treatment).
  • The Risk of Surveillance vs Lymph Node Dissection in Germ Cell Cancer: The Occurrence of Second Malignancy

    In an epidemiologic analysis of SEER data, middle-aged patients with early-stage disease who opted for active surveillance rather than retroperitoneal lymph node dissection experienced a greater rate of second malignancy. The investigators speculate that this may relate to increased radiation exposure (multiple CT scans) and a greater likelihood of subsequent chemotherapy use.
  • Clinical Briefs in Primary Care Supplement

  • Pharmacology Watch

    Medication poisonings in children; rosuvastatin vs atorvastatin for atherosclerosis; saw palmetto for prostate symptoms; using atypical antipsychotics for off-label indications in adults; and FDA actions.
  • Height and Cancer Risk

    From a large cohort of women followed prospectively and with an adjunct meta-analysis of existing evaluable studies, a clearly demonstrated, nearly universal (i.e., across tumor types) incremental increase in cancer incidence was observed with advancing height.