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These Guidelines have been created through my own experiences with Chronic, Severe pain. Through many trials and errors, I have come up with a few ways of learning to deal and cope with chronic, unbearable pain and how to learn to adapt with the things it effects, in our life in general.

Howard I. Glazer, Ph. D., is a clinical associate professor of psychology in Obstetrics and Gynecology at Cornell University Medical College, and an associate attending psychologist at New York Hospital. He specializes in the use of surface electromyographic biofeedback in the treatment of vulvovaginal pain.

I would be so grateful for your perspective on my annoying chronic pelvic pain. I am 28 years old and in the past decade I have had an array of 'interesting problems: endometriosis, polycystic ovaries, vulvodynia and the popular irritable bowel syndrome.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

October Case Summaries

Clinical situations that typically result in litigation and the variation in jury verdicts and awards across the nation.

The majority of Americans are in favor of using a newly approved vaccine to prevent human papillomavirus, according to The Wall Street Journal (8/8/2006). About 70% of Americans agree that girls and young women should be encouraged to receive the HPV vaccine to prevent the spread of cervical cancer, while 7% disagreed and 23% were not sure.

Antimicrobial susceptibility patterns of gram-negative rods causing antepartum pyelonephritis have shown little change over the last 15 years. Susceptibility patterns in 1992 to 1993 and 2004 to 2006 were similar, with 51% and 54% (respectively) of the Escherichia coli strains being resistant to ampicillin, according to Roberts and colleagues from Metrohealth Medical Center in Cleveland. However, E coli resistance to trimethoprim-sulfamethoxazole increased from 5% to 20%. No resistance to first-generation cephalosporins was reported. This study confirms that ampicillin is a poor choice for the treatment of antepartum pyelonephritis.

A new, rapid point-of-care test for group B streptococcus colonization (Cepheid GenXpert), was recently evaluated in a multicenter trial and reported at the annual meeting of the Infectious Disease Society for Obstetrics/Gynecology (IDSOG), held in Monterey, Calif. Dr. Rodney Edwards from the University of Florida reported that the sensitivity of the new test was 91% and the specificity was 96%, used in both antepartum and intrapartum clinical settings. Intrapartum tests were performed by Labor and Delivery nurses after a short training session. Using real-time PCR technology, results are usually available in 70 minutes, which should be timely enough to begin antibiotic prophylaxis for those mothers found to be colonized. Costs of the new technology, which has just been approved by the FDA, vary by locality, but average around $40 per specimen run.

Waiting 2 minutes-rather than 10 seconds-after delivery of an infant's shoulders to clamp the umbilical cord of normal-weight, full-term infants helps prevent iron deficiency from developing before 6 months of age, according to the results of a randomized, controlled trial involving almost 400 mother-infant pairs in Mexico City

Weekly doses of prenatal steroids do not improve overall outcome and are associated with lower birthweight and smaller size for gestational age compared to a single dose, according to a study published in the September issue of the American Journal of Obstetrics & Gynecology.

Current guidelines that state that blood from a clamped umbilical cord can be used for blood samples up to 1 hour after delivery should not be applied to tests for lactate as a marker for prenatal hypoxia.

Can you provide me with any information or known contraindications for a lady with multiple sclerosis prescribed hormone replacement therapy?