90% of HPV infections resolve after 3 years. SOURCE: Dr Greg Robertson, Healthed Annual Women’s Health Update, Sydney 2010 Editor Dr Ramesh Manocha
Category Archives: Newsletter – Clinical pearls
Managing menstrual problems in women with PCOS
Menstrual problems, including amenorrhoea, oligomenorrhoea and anovulatory cycles with dysfunctional uterine bleeding, are common in women with PCOS – and manageable. The combined oral contraceptive (COC) pill is generally safe to use in patients with PCOS, despite their increased risk of diabetes, and there is no clear evidence of negative metabolic effects such as increased …
Continue reading “Managing menstrual problems in women with PCOS”
New bug identified in teen pharyngitis
A review article in the Annals of Internal Medicine has concluded that the gram-negative anaerobe Fusobacterium necrophorum is as common as group A strep in teenagers with sore throats. Up to 1 in 400 of these cases develop complications, such as abscess formation, septicaemia with septic pulmonary emboli, and Lemierre syndrome (septic thrombophlebitis of the …
Gestational diabetes, not obesity, causes congenital anomalies
US researchers have calculated that 71% of congenital anomalies in children of obese women are attributable to maternal diabetes. They looked at weight, pregestational diabetes and major congenital anomalies in 42,000 singleton pregnancies at various time intervals between 1991 and 2004. With time, average maternal weight, BMI, the proportion of obese mothers and the prevalence …
Continue reading “Gestational diabetes, not obesity, causes congenital anomalies”
What are the 5 most common psychological traits in resilient teens?
 Presence of a charismatic adult in their lives Social emotional competencies (anger management, conflict resolution, problem solving, ability to name and recognise one’s own and other’s emotions, ability to display empathy) Sense of meaning, purpose and belonging Optimistic self talk Islands of competence SOURCE: Dr Michael Carr-Gregg, Healthed Annual Women’s Health Update, Sydney 2010 …
Continue reading “What are the 5 most common psychological traits in resilient teens?”
Osteoporosis treatment
How can you impreove compliance and persistence? Patient education of the seriousness of the disease More convenient treatments with less frequent dosing: once-monthly oral and IV bisphosphonate formulations SOURCE: Professor Philip Sambrook, Healthed Annual Women’s Health Update, Sydney 2010 Editor Dr Ramesh Manocha.
Tea and exercise may reduce depression in breast cancer patients
People with breast cancer who exercise and drink tea regularly may be less likely to develop depression, according to a study of 1,399 women enrolled in the Shanghai Breast Cancer Survival Study in China. The women were interviewed about exercise and dietary habits six months after they were diagnosed with cancer and again a year …
Continue reading “Tea and exercise may reduce depression in breast cancer patients”
Ovulation during the menopausal transition
Ovulation can occur during the menopausal transition – even with high FSH levels To assess the risk of conception during perimenopause, investigators looked at 108 women aged 25 to 58, checking their urine daily for six months at a stretch for five consecutive years. They measured FSH, LH, oestrone glucuronide and pregnanediol glucuronide (a metabolite …
Continue reading “Ovulation during the menopausal transition”
Things that do not cause ADHD
ADHD is not typically caused by: too much TV food allergies excess sugar, food additives (these are involved in < 5% of cases) poor home life, and poor schools However, poor parenting can certainly make the behaviours worse and difficult children often make their parents’ discipline appear inadequate. SOURCE: Dr Barry Kras, Melbourne Women’s Health …
Tonsillitis / pharyngitis: who do you treat?
The modified Centor clinical prediction rule helps clinicians detect which children presenting with sore throat are likely to have group A beta-hemolytic streptococcus and therefore need investigation and/or treatment. This group is identified by three or more of the following signs and symptoms: fever tender anterior cervical lymph nodes tonsillar or pharyngeal exudate absence of …
Continue reading “Tonsillitis / pharyngitis: who do you treat?”