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• Local analgesia before prolapse surgery may not be needed to reduce postop pain

  pelvic floor muscle injections and pudendal nerve blocks with bupivacaine and dexamethasone do not significantly improve pain control after vaginal apical prolapse repair, compared with placebo, according to a study.In a randomized trial, patients generally reported mild postoperative pain and low dosages ......(full story)

• Patients usually understand and agree with physicians’ notes

  an opportunity to see physicians’ notes about their visits, patients mostly understand and agree with them, a survey shows.Overall, 93% of respondents said the notes accurately described the visit; only 6% reported that something important was missing, write Suzanne G. Leveille, RN, ......(full story)

• Cerclage in twin pregnancies reduces perinatal mortality in randomized trial

  women with twin pregnancies and asymptomatic cervical dilation before 24 weeks, cerclage reduced perinatal mortality and preterm birth, according to a randomized controlled trial. The trial, which was published in the American Journal of Obstetrics and Gynecology, included 30 patients at 8 ......(full story)

• Prior beta-blockers predict extra burden of heart failure in women with ACS

  taken for hypertension may predispose women to worse outcomes, compared with men, when they later present with acute coronary syndromes (ACS), a registry study suggests.In the analysis of more than 13,000 patients with ACS and no history of cardiovascular (CV) disease, the ......(full story)

• Women suffer less NAFLD but more advanced fibrosis

  have a lower risk of nonalcoholic fatty liver disease compared with men, but those who do develop the disease are significantly more likely than are men to develop advanced fibrosis, according to data from a meta-analysis of more than 62,000 individuals.Sex disparity ......(full story)

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CLICK for Credit articles are peer-reviewed by Lisa Joan Pfitzer, MD, Assistant Professor, University of Louisville School of Medicine and Chair, University of Louisville Continuing Medical Education Advisory Committee. Dr. Pfitzer has no relevant financial relationships with any commercial interests. Whitney McKnight has no relevant financial relationship with any commercial interests.

Joint Providership:

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Louisville School of Medicine and Global Academy for Medical Education. The University of Louisville is accredited by the ACCME to provide continuing education for physicians.

Designation Statement:

The University of Louisville Continuing Medical Education designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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