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New York Times Column Examines Experiences Of Nurse-Midwife
Elizabeth Letts, an author and certified nurse-midwife, in the New York Times" "Cases" column on Tuesday reports on her first experience assisting in the delivery of a stillborn infant. Letts describes how witnessing a more experienced midwife comfort the pregnant woman and perform the delivery helped her to stop "believ[ing] that providing support meant sitting in a corner pretending that death could be covered up with small talk." The experience reminded Letts that "birth and death are right around the corner from each other, and that as a midwife I may be charged with bringing either one into the world" (Letts, "Cases," New York Times, 6/23).

Survey Finds Overwhelming Public Support Of Laws To Help Protect Teens From Tanning Beds
An overwhelming number of Americans believe young adults and children should not have access to tanning salons without parental oversight because of the danger of skin cancer, suggests an online poll by http://www.dermanetwork.org.
News of the day
Efforts To 'Fix' Medicare Payments At Center Of Reform
The Wall Street Journal reports: "A plan to end a program that would cut government payments to doctors is emerging as the flash point in the debate over whether President Barack Obama"s effort to overhaul the health system would increase the federal budget deficit. The proposal was crucial to winning support from the politically powerful American Medical Association -- but it has also made it tougher to argue that the health overhaul would pay for itself. ... Health and Human Services Secretary Kathleen Sebelius, appearing on NBC"s "Meet the Press," said costs associated with the legislation could be reduced significantly if lawmakers included the administration"s recommendation to bolster the power of the Medicare Payment Advisory Commission, or MedPAC, to set Medicare payment policies.
Cardiovascular

Effectiveness Of Pelvic Floor Exercises, Digital Vaginal Palpation And Interpersonal Support On Stress Urinary Incontinence

UroToday.com - Pelvic floor muscle exercise (PFME) is most appropriate for patients with mild-to-moderate stress urinary incontinence (SUI). To obtain therapeutic efficacy, it is crucial that PFME be performed correctly and consistently. Without appropriate training; however, up to 30% of patients are not aware of how to perform PFME. This was a randomized clinical trial, Pretest-Posttest Control Group Design. The subjects totaled 108. Half were randomly assigned to the experimental group, and the other half were randomized to the control group. The objective of this study is to investigate the relative effects of interpersonal support and digital vaginal palpation (DVP) as part of PFME training as compared to PFME with a printed handout instruction, in a 12-week, individualized training program. To reflect the efficacy of DVP, a 1-h pad test was employed as the primary outcome measure. The decrease in the weight of the 1-h pad test from baseline was significant (p UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice. To access the latest urology news releases from UroToday, go to: www.urotoday.com Copyright © 2009 - UroToday Copyright: Medical News Today Not to be reproduced without permission of Medical News Today


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