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Issue:  September 2010 •  Archive  •  Subscribe •  Unsubscribe
In This Edition Featured Article Featured CE
•  Editor's Notebook
•  Counseling Pearls
•  It's the Law
•  Clinical Corner
•  Consult Your Pharmacist
•  Educational Spotlight
•  Quick Poll
     - OTC Contraceptives
  Photo Iron Deficiency Anemia in Women
Adolescent girls and premenopausal women are at the greatest risk for inadequate intake of this essential mineral.
  Photo Understanding Female Infertility: Causes and Treatments
Reproductive difficulties and related treatments place psychological, physical, and financial challenges on the couple trying to conceive.


Editor's Notebook
The Impaired Pharmacist

One of the most difficult things for a health care professional to do is report a colleague who may be practicing while under the influence.
Counseling Pearls
Photo Prevention and Treatment of Human Papillomavirus Infections

HPV is the most common sexually transmitted infection in the United States. Two FDA-approved vaccines are available that protect against the most widespread HPV genotypes.
Photo The Treatment of Early Lyme Disease

Antimicrobials are an effective therapy for this common tickborne disease. Early localized disease frequently begins with the classic bull's-eye lesion at the site of the bite, manifesting in 90% of cases.
It's the Law
Political Influence and "Pharmacy Choice"

A case involving state legislator fraud and several health care companies crosses the line between conflict of interest and legitimate support.
Clinical Corner
Photo An Overview of Systemic Lupus Erythematosus

This complex autoimmune disease mimics the symptoms of other disorders and presents predominantly in women of child-bearing age. Additional research and new treatments for lupus are critically needed.
Photo Managing Severe Preeclampsia and Diabetic Ketoacidosis in Pregnancy

Pregnancy is associated with increased levels of emotional and physical stress. Women with hypertension or diabetes require intense prenatal monitoring by health care professionals.
Consult Your Pharmacist
Treating Vaginal Fungal Infections

Vulvovaginal candidiasis can be self-treated if properly diagnosed.
Educational Spotlight
HIV: A Primer for Pharmacists

An overview of this complex disease's clinical features, diagnosis, and treatment strategies is presented.
A Review of Asbestos and Related Consequences

Significant exposure to hazardous materials has been associated with an increased risk of developing pulmonary illnesses, especially asbestosis, lung cancer, and mesothelioma.

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Health Care Reform Provisions Kick In
Washington, DC — Several provisions of health care reform went into effect on September 23, 2010, six months after it was signed into law. Insurance companies are now banned from dropping coverage when an enrollee gets sick, are prohibited from denying coverage to children younger than 19 years who have pre-existing conditions, cannot impose lifetime benefit limits, and must offer free preventive services such as mammograms and flu shots. Parents will also be able to insure their adult children up to age 26, and patients will be able to designate a pediatrician or an OB-GYN as their primary care doctor. Some mandates apply only to new plans, and many people who are insured through employee health plans will not notice immediate changes.
Survey Reveals Poor Insulin Adherence
Stockholm, Sweden — According to an international survey, more than one in three patients with diabetes fail to take their insulin as prescribed. The Global Attitudes of Patients and Physicians in Insulin Therapy (GAPP) survey, which was funded by Novo Nordisk, was conducted in eight countries with 2,780 respondents (1,250 physicians and 1,530 patients). It was designed to uncover the challenges patients and physicians are facing in obtaining effective outcomes in insulin therapy. The survey revealed that busy lifestyles, difficulty in adhering to prescribed regimens, and fear of hypoglycemia are key contributing factors to poor glycemic control. It also found that 67% of patients feel that diabetes has controlled their lives since starting insulin, while a third of physicians are dissatisfied with the ability of current regimens to fit into patients' lifestyles.
Vaccination of Children Remains High
Atlanta, GA — The CDC reports that immunization of children age 19 to 35 months against most vaccine-preventable diseases remains high in the United States. Vaccine coverage against poliovirus, varicella (chickenpox), hepatitis B, measles, mumps, and rubella remained relatively stable and near or above the national Healthy People 2010 goal of 90% or higher. In fact, despite reports of measles outbreaks in 2008, only less than 1% of young children receive no vaccinations at all. "While it's encouraging to see immunization rates remaining high, we know that parents have questions about vaccines and we must continue to educate parents about the importance of vaccination to help avoid future resurgences in serious, preventable illnesses," said Anne Schuchat, MD, director of the CDC's National Center for Immunization and Respiratory Diseases.
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