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Induction Of Labour After 37 Weeks Recommended For Women With Gestational Hypertension/Mild Pre-Eclampsia (Hypitat Study)
Pregnant women with mild hypertensive disorders such as high blood pressure/mild pre-eclampsia^ should have their labour induced once they complete 37 weeks of their pregnancy. This is the conclusion of the HYPITAT study, published in an Article Online First and in an upcoming edition of The Lancet, written by Dr Corine M Koopmans, Department of Obstetrics and Gynaecology, University Medical Centre Groningen, Netherlands, and colleagues.

Treatable Hormonal Condition Sometimes Overlooked In Infertility Patients
A condition known as congenital adrenal hyperplasia, or CAH, is easily treatable but frequently overlooked or misdiagnosed, leading to infertility and other "perplexing symptoms," the New York Times reports. CAH is a hormone deficiency that leads to excess production of androgens, which can hinder ovulation in women and cause low sperm count in men. It also can cause short stature, body odor, acne, irregular menstruation and excessive hair growth. The condition can be diagnosed through a blood test and treated with small doses of the steroid dexamethasone, which can reverse symptoms in three months to two-and-one-half years.According to Maria New, a leading authority on CAH and a professor of pediatrics and human genetics at Mount Sinai School of Medicine, the disease occurs in one in every 100 people in the general population. It is more common among certain ethnic groups, occurring in one in 27 Ashkenazi Jews and one in 40 Hispanics. Not everyone with the condition has symptoms or needs to be treated. The most severe form of the disease, classic CAH, can result in ambiguous genitalia in girls, while the milder nonclassical form sometimes produce no symptoms, the Times reports.Many fertility clinics do not test for the disease or only test after attempting other treatments. Some obstetricians are unaware of CAH and its effect on fertility, according to Zev Rosenwaks, director of the Center for Reproductive Medicine at New York Presbyterian-Weill Cornell hospital. CAH also can be confused with polycystic ovarian syndrome -- which has some similar symptoms -- or early puberty in younger patients (Tarkan, New York Times, 7/7).
News of the day
Ascenta Therapeutics Announces Multiple Presentations On AT-101 At 2009 ASCO Annual Meeting
Ascenta Therapeutics announced that eleven presentations or publications on pre-clinical and clinical studies of AT-101, an oral, pan-Bcl-2 inhibitor, in several major tumor types will be made during the 2009 American Society of Clinical Oncology (ASCO) Annual Meeting, May 29-June 2, in Orlando, Florida.
Medical Devices

GPs Deliver Cost Effective Health Care, Australian Medical Association

An OECD report has confirmed that GP-led primary care is a cost effective way to promote good health while sending a warning about the need to better promote general practice as a career. The OECD Health Data 2009 report says despite the growing need for GPs worldwide there is an increasing trend towards specialisation. The number of specialists rose by 60% between 1990 and 2007, compared with only a 23% increase in GPs. AMA President, Dr Andrew Pesce, said the report sends a strong message to Government on primary health care reform in Australia. "The clear message is that any plan to improve primary care must include increased support for general practice," Dr Pesce said. "The Government has made a good start through increasing the number of GP training places, but more needs to be done to continue to attract our best and brightest to general practice. "Last week the Productivity Commission reported that GPs continue to be tied down by red tape, which is one of the reasons that doctors opt for other speciality areas." Dr Pesce said that the AMA Council of General Practice met in Canberra today and highlighted the role GPs played in providing continuous comprehensive care for their patients as being one of the success stories of the Australian health system. "The AMA is looking to the Government"s response to the three health reform reports it has received as promoting and supporting the core role of general practice," Dr Pesce said. Australian Medical Association


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