Obstetrics/Gynecology
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Cesarean Delivery Rates and Pregnancy Outcomes
The increased rate of cesarean section in the United States has been the subject of many editorials over the last 3 years and the very recent spurt in elective cesareans has triggered commentary varying from "this is unconscionable" to "why not?"Clomiphene and Dexamethasone
Elnashar and colleagues in Egypt performed a randomized trial assessing the efficacy of adding dexamethasone to clomiphene citrate treatment (up to 150 mg/day). The subjects were 80 women with polycystic ovaries who had demonstrated resistance to clomiphene induction of ovulation and who had normal levels of dehydroepiandrosterone sulfate (DHAS).GTD: Understanding the Spectrum of Normalcy
Persistent low levels of serum hCG in the absence of pregnancy or tumor is a perplexing problem that often leads to aggressive interventions including surgery and multi-agent cytotoxic chemotherapy. Given the low prevalence of true disease in these cases, it is not surprising these interventions provide little impact and may, and in fact, prove harmful.Pharmacology Watch: The Indictment of Pharma Industry Marketing Practices
TNF Blockers: Should You Be Concerned?; FDA ActionsClinical Briefs in Primary Care supplement
Full October 2006 Issue in PDF
Osteoporosis Medications: Are your Patients Really Taking Them?
A 6-year retrospective study shows that 45% of Medicare patients with state-funded drug benefits who initiate a medication for osteoporosis do not continue to take it as prescribed one year later and 52% are no longer compliant 5-years later.Pharmacology Update: Levalbuterol Tartrate Inhalation Aerosol (Xopenex HFA)
The FDA has approved a cfc-free levalbuterol aerosol inhaler for the treatment of asthma. Levalbuterol is the active isomer of albuterol and has been available in a nebulized solution for many years. This new formulation is marketed by Sepracor as Xopenex HFA.Full January 29, 2006 Issue in PDF
A Novel Treatment for Diabetic Foot Ulcers
Tretinoin solution helps heal diabetic foot ulcers.