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Medical


Obstetrics and Gynecology



POSTPARTUM MOOD DISORDERS

Laura Miller, MD; Katherine L. Wisner, MD; Susan Baab, RN, MSN, CS

Understand the clinical features of ostpartum 'blues', depression and psychoses. Understand the differences in clinical presentation and correlates, etiology and course of illness for the three categories of postpartum disorders; Identify medications which are reasonable choices for women with postpartum depression; Develop a monitoring plan for babies whose mothers take antidepressants and breastfeed; Learn the precautions of treating them under those circumstances; Gain an understanding of the best treatment options for postpartum bipolar women, including breastfeeding mothers, after a careful cost-risk analysis.


DVD / 2011 / () / 60 minutes

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GENDER DIFFERENCES IN ACUTE CORONARY SYNDROMES CARE AND OUTCOMES

By Christopher P. Cannon, MD

Gender plays an important role in a patient's risk of developing disease, as well as in the complications that are most likely to occur. Data also show that gender may affect what treatment options are most appropriate. While men with acute coronary syndromes (ACS) appear to benefit from early treatment using invasive options, women often do not. Current American College of Cardiology/American Heart Association guidelines for unstable angina/non¡VST-segment elevation myocardial infarction (UA/NSTEMI) recommend a conservative strategy for women with low-risk features. They also stress the use of risk stratification as an integral prerequisite to decision making, not only in the intensive initial assessment of patients but also during continuous clinical assessment. In this video program, Dr. Christopher Cannon addresses the treatment of women with ACS, specifically with regard to early risk stratification and assessment, the role of cardiac biomarkers, and the efficacy and safety of GP Iib/IIIa inhibitor therapy.


DVD / 2009 / () / 60 minutes

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FIBROMYLAGIA: PUTTING YOUR FINGER ON THE DIAGNOSIS

By Jessica R. Berman, MD

Fibromyalgia is a common but enigmatic and frustrating disorder, since it tends to produce such nonspecific symptoms as fatigue, chronic widespread pain, and sleep problems. The ill-defined nature of this chronic syndrome may lead patients to seek care from multiple providers, often due to misunderstandings and missed diagnoses. In this program, Dr. Berman demonstrates a focused, hands-on approach to diagnosing fibromyalgia that includes a physical exam to identify positive tender points. The 18 tender points, which are shown by Dr. Berman in a patient case study, are sensitive and specific for fibromyalgia in 80% of cases. Once the diagnosis is made, Dr. Berman shows how a combination of medications and exercise can help patients with fibromyalgia reduce their symptoms, function better, and enjoy an improved quality of life.


DVD / 2006 / () / 120 minutes

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HORMONE REPLACEMENT THERAPY

By Gae Rodke, MD

Hormone replacement therapy (HRT) has been available to women for decades. Although estrogen and progesterone formulations have changed over the years, the controversy surrounding the use of HRT has not. In the wake of recent data from landmark trials, including the Women's Health Initiative, physicians and patients are often left with questions concerning the relative benefits and risks of HRT. In this program, Dr. Gae Rodke offers an historical overview of HRT, along with a contemporary perspective on what the latest data mean for women considering HRT today. Using a case-presentation format, Dr. Rodke discusses key issues in the decision to recommend HRT for patients. Dr. Richard N. Pierson moderates the discussion and provides practical commentary.


DVD / 2006 / () / 60 minutes

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MANAGING DEPRESSION: MOOD DISORDERS ACROSS THE REPRODUCTIVE CYCLE

Steven F. Pariser, MD; Kimberly A. Yonkers, MD; Susan Kornstein, MD; Anthony Rothschild, MD; Lee Cohen, MD; Zachary N. Stowe, MD

Premenstrual Dysphoric Disorder; Treatment Options for the Female Patient; Menopause, Peri-Menopause, and Depression; Depression in Pregnancy and the Postpartum State.


DVD / 2006 / () / 90 minutes

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RESTLESS LEG SYNDROME

By Winona Tse, MD

Restless legs syndrome (RLS) is a common, progressive, treatable neurologic disorder that is underdiagnosed. It is characterized by dysesthesias, or uncomfortable sensations in the legs, which occur primarily while at rest or during sleep. A variety of medical conditions may cause similar symptoms, thus complicating diagnosis. In some cases, the symptoms of RLS abate spontaneously and do not return; however, in most cases, the symptoms worsen. This video program reviews the epidemiology, pathophysiology, clinical features, and potential sequelae of RLS. Two hypothetical cases are used to illustrate how to accurately diagnose the disorder and determine the appropriate treatment. The video also discusses issues in the management of RLS in children and in cognitively impaired older adults.


DVD / 2006 / () / 60 minutes

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BREAST CANCER UPDATE, 2004

By Anne Rosenberg, MD

Breast cancer is the most common cancer in women in the United States. Based on lifetime probability estimates from the National Cancer Institute, the risk is one in seven that a woman living in the United States will develop breast cancer. Although breast cancer typically affects women, men are at risk too. Techniques of early detection allow physicians to manage patients when survival rates are highest. In this program, Dr. Rosenberg discusses identification of patients at risk for developing breast cancer, reviews the most effective methods and appropriate timing for screening patients, and describes the symptoms of breast cancer. She also discusses current efforts in breast cancer prevention, the various stages of the disease, local and systemic therapies, and prognosis of patients with breast cancer.


DVD / 2005 / () / 60 minutes

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COLORECTAL CANCER - SCREENING, MANAGEMENT AND PREVENTION 2004

By William MacMillan Rodney, MD, FAAFP, FACEP

Colorectal cancer is the second leading cause of cancer deaths for men and women in the United States. Screening methods are effective in reducing the incidence and mortality related to colorectal cancer. When discovered at an early stage, this disease is 90% curable. The American Cancer Society and other related organizations recommend colorectal cancer screening for asymptomatic adults over age 50. However, various reports indicate that less than half of these adults have been screened with fecal occult blood testing within the past year, or by flexible sigmoidoscopy or colonoscopy within the past 5 years. In this program, Dr. Rodney discusses the importance of starting the screening process at age 50 for average-risk patients and explains why the term "low-risk patients" is a misnomer. With the invaluable information provided in this program, primary care physicians will be able to incorporate effective screening and preventive strategies into the care of their patients


DVD / 2005 / () / 60 minutes

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DOMESTIC VIOLENCE: THE ROLE OF THE PROACTIVE PHYSICIAN

By Elaine J Alpert, MD,MPH

In this video, Dr. Elaine Alpert discusses the prevalence and types of domestic violence, addresses myths associated with this serious public health issue, and presents practical ways to screen for, recognize, and treat victims of domestic violence, and refer them for additional help and support. An actual victim of domestic violence tells her story at various points throughout the video¡Xhow the abuse began, how it went undetected, and why she tells her story now. In addition, Dr. Alpert models doctor-patient interactions using direct and indirect questions that can make it easier for a patient to tell a primary care physician about violence in the home


DVD / 2005 / () / 60 minutes

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SEXUALLY TRANSMITTED DISEASES, EXCLUDING HIV/AIDS

By Harry G. Adams, MD

Workowski KA, Levine WC, Wasserheit JN. U.S. Centers for Disease Control and Prevention guidelines for the treatment of sexually transmitted diseases: an opportunity to unify clinical and public health practice. Ann Intern Med. 2002;137:255-262. CME CREDIT DESIGNATIONS ACCME The Network for Continuing Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designates this educational activity for a maximum of 2 category 1 credits toward the AMA Among industrialized countries, the United States has the highest prevalence and incidence rates of sexually transmitted diseases (STDs). It is estimated that each year approximately 15 million Americans acquire a new STD. Several STDs are notifiable infectious diseases that must be reported to the local health department: syphilis, gonorrhea, chlamydia, and chancroid. In addition, numerous other infections that are sexually transmitted require timely treatment and careful follow-up. It is essential that health care professionals communicate to their patients the importance of sexual health, STD prevention, and partner notification. The potential consequences and sequelae of untreated STDs can lead to long-term complications. Other STDs that are commonly encountered in the primary care setting in the United States are genital herpes; nongonococcal urethritis or cervicitis, which can be caused by Chlamydia trachomatis; human papillomavirus (HPV) infection, which may manifest as genital warts or cause cervical squamous intraepithelial lesions and cervical cancer; and pelvic inflammatory disease, or PID. Dr. Harry Adams discusses STDs from a syndromic perspective by considering a series of case studies. Clinical presentation and examination, diagnosis, treatment, and follow-up of each case provide insights into the challenges physicians face in the clinical management of their STD patients.


DVD / 2005 / () / 60 minutes

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MENOPAUSE MANAGEMENT: A MULTIDISCIPLINARY TEAM APPROACH

By Morrie Gelfand, MD, Meryl Elman, PhD, Roz Paris Dearce, Nelda Swinton, RN

During midlife, women often look to their physicians to help manage some of the distressing symptoms of perimenopause and menopause. Disease prevention is also a major concern for women during this midlife milestone. Dr. Gelfand and his team at the McGill Menopause Clinic offer definitive recommendations for menopausal symptoms, including vasomotor symptoms, mood swings, memory changes, and sexual dysfunction. Osteoporosis and cardiovascular diseases will also be discussed.


DVD / 2004 / () / 60 minutes

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ABNORMAL UTERINE BLEEDING: AN ULTRASOUND APPROACH

By Steven R Goldstein, MD

Abnormal uterine bleeding can be experienced by a woman at any age. If organic pathology is absent, the bleeding is either anovulatory in premenopausal women or atrophic in menopausal women. Sonography, in the form of saline infusion sonohysterography (SIS), has gained widespread use as a useful tool for diagnosing this problem in women. Once the domain of obstetricians, the use of endovaginal probes with fluid instillation can enhance the assessment of the endometrium. Dr. Goldstein offers a step-wise approach to the diagnosis, evaluation, and treatment of abnormal uterine bleeding with a special emphasis on using this procedure to its fullest advantage.


DVD / 2003 / () / 60 minutes

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EFFECTS OF EXERCISE ON FEMALE HEALTH AND REPRODUCTION

By Michelle P. Warren, MD

There has been a dramatic increase in the number of women participating in organized sports over the past 30 years. Such women may develop several reproductive and skeletal conditions associated with such activity. These include menstrual irregularities such as primary and secondary amenorrhea, oligomenorrhea, and anovulation. Other susceptibilities include osteoporosis, disordered eating, urinary incontinence, and stress fractures. Dr. Warren reviews the special health concerns of the female athlete and gives clinicians up-to-date information on how to best help these individuals with their ongoing medical care.


DVD / 2002 / () / 60 minutes

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12TH WORLD AIDS CONFERENCE UPDATE: ISSUES FOR WOMEN WITH HIV

Brenda L. Haile, RN, DrPH; Joseph C Gathe, Jr., MD, FACP; Patricia D. Salvato, MD

Introduce to women, nurses and healthcare workers the latest information on HIV & AIDS as it relates to women; Be able to elaborate on current developments in the treatment of HIV and AIDS focusing on women; update the community on HIV & AIDS knowledge gained at the 12th World AIDS Conference in Geneva, Switzerland.


DVD / / () / 60 minutes

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ADVANCES IN THE TREATMENT OF BREAST CANCER

I. Craig Henderson, MD; John Kennedy, MD, FRCPI; William Gradishar, MD; Claudine Isaacs, MD

Leading medical experts making presentations on advances in the management and treatment of breast cancer, including new agents and combination therapies, emphasizing the role of chemotherapy.


DVD / / () / 90 minutes

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BREAST CANCER: ADVANCES IN SCREENING, DIAGNOSIS & TREATMENT

Laszlo Tabar, MD; Linda Warren, MD; Richard Bird, MD; Jeffery Weinreb, MD; Kevin Fox, MD; Barbara Fowble, MD; Michael Osborne, MD; John Hainsworth, MD

Topics included in this program are: The effectiveness of mammographic screening; the diagnostic workup: mammography, sonography, MRI; and therapeutic options: radiotherapy, chemotherapy, and surgury.


DVD / / () / 180 minutes

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BREAST DISEASE: DIAGNOSIS

John Sandbach, MD; Gillian Newstead, MD; Christopher Merritt, MD; Ellen Mendelson, MD; Jeff Weinreb, MD; Mitch Schnall, MD

Role of mammography in the diagnosis of breast cancer, breast ultrasound, role of MRI in evaluation of breast disease, ultrasound guided fine needle aspiration.


DVD / / () / 120 minutes

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CANCER UPDATE: BREAST CANCER

Gabriel Hortobagyi, MD; Barbara L. Weber, MD; Charles L. Vogel, MD

Intro on the Management of Advanced Breast Cancer and the Use of Standard Chemotherapy; Current Hormonal Therapy and New Hormonal Agents in the Management of Breast Cancer; New Agents, including Taxol and Taxotere; Use of Navelbine and Clinical Trial Results.


DVD / / () / 90 minutes

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CONCEPTS AND CONTROVERSIES IN THE DIAGNOSIS AND TREATMENT OF OSTEOPOROSIS

David J. Baylink, MD; Robert Lindsay, MD; Michael J. Maricic, MD; Charles H. Chestnut, III, MD

Focuses on this prevalent disease, which is gaining increased attention as an important issue in woman's health and geriatric medicine. Program also focuses on the fundamentals of agents used for the treatment of osteoporosis, including side effects, efficacy, compliance, dosage regimen, and the need for additional drugs.


DVD / / () / 90 minutes

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CURRENT ISSUES IN THE HORMONAL TREATMENT OF BREAST CANCER

Harold Harvey, MD; Richard Santen, MD; Paul Goss, MD; Andrea Manni, MD

Topics covered in this program include: new aromatase inhibitors; risks and benefits of adjuvant tamoxifen; potential prevention of breast cancer by hormonal therapies; optimal duration therapy with tamoxifen; post-menopausal estrogen replacement therapy.


DVD / / () / 60 minutes

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CURRENT ISSUES IN VULVOVAGINAL CANDIDIASIS & EMERGING ISSUES IN ORAL CONTRACEPTION

Martin Weisberg, MD; Vanessa E. Cullins, MD, MPH; James A. McGregor, MD, CM; Ron Burkman, MD; J. Kell Williams, MD; Geoffrey Redmond, MD

Diagnosing vulvovaginal candidiasis; shift of pathogens responsible; oral therapy; oral contraceptives; clinical features suggestive of androgen-related disorders; identify subgroups of women at risk; recognize modes of therapy.


DVD / / () / 90 minutes

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DIAGNOSIS, MANAGEMENT AND TREATMENT OF ENDOMETRIOSIS

Anthony Lucci, MD; Joseph R. Feste, MD; Russell L. Malinak, MD; Geof Tidey, MD

Diagnosis and early treatment of endometriosis, classifications of treatment, operative treatment and medical treatment and management.


DVD / / () / 60 minutes

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DISEASE MANAGEMENT: BREAST CANCER

V. Craig Jordan, PhD, D.Sc; Gabriel Hortobagyi, MD, FACP; Monica Morrow, MD

Long Term Tamoxifen Treatment for Breast Cancer, High Dose Combination Chemotherapy, and Issues in the Local Therapy of Breast Cancer.


DVD / / () / 90 minutes

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ELECTRONIC FETAL HEART RATE MONITORING

Barbara True-Driver, MN, RNC; Jack Graham, MD

This program, featuring experts in electronic fetal monitoring, will feature presentations focusing on etiology, physiology, and interventions. Specific discussions will cover periodic and early accelerations as well as variable and late decelerations.


DVD / / () / 90 minutes

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IMPORTANCE OF POSTPARTUM HOME VISITS

Linda J. Tandy, MSN, RN, CCM, IBCLC

Identify postpartum patients; List common early healthcare needs of the patient; Nursing interventions for identifying patients; How skilled nurses can effect change through education.


DVD / / () / 60 minutes

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OBGYN UPDATE: GNRH AGONISTS & THE ROLE OF ADD-BACK THERAPY

John A. Rock, MD; William D. Schlaff, MD; Deborah A. Metzger, PhD, MD

Implications of add-back therapy to the length of treatment with the GnRH agonists; The appropiate time to initiate add-back therapy on a patient being treated with GnRH agonists; Diseases which can be treated with add-back therapy; Candidate profile for add-back therapy.


DVD / / () / 90 minutes

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OBGYN: DIAGNOSIS, MANAGEMENT & TREATMENT OF ENDOMETRIOSIS

Anthony Lucci, MD; Russel L. Malinak, MD; Joseph R. Feste, MD; Geof Tidey, MD

These doctors address the following endometriosis issues: diagnosis and early management; classifications of treatment; operative treatment; and medical treatment and management.


DVD / / () / 120 minutes

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OBSTETRICS & GYNECOLOGY: UNDERSTANDING THE ROLE OF ESTROGEN

Wulf H. Utian, MD, PhD; Frank Bellino, PhD; Arie Birkenfeld, MD; Matan Yemini, MD; Mary Ellen Kennedy, RN

Comprehensive Health Care to the Peri-Menopause; Current Research Trends; Hormone Replacement Therapy; What is Menopause?; Nursing Perspectives in Menopause Management.


DVD / / () / 90 minutes

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SEXUALLY TRANSMITTED DISEASES (STDS) IN WOMEN

Ann McCloud Sneath, RN, MSN,CRNP; Amy Levi, CNM, MSN; Monica Choi, PhD, CRNP

Identify various types of STDs in women by taking sexual histories; Educate adolescents on healthy behaviours; Recognize the types of STDs that require and/or treatment; Recognize that patients may have coexisting STD's; Identify resources for recommended treatments; Identify high risk behaviours through history and a physical; Counsel sexually active women in choosing contraceptives methods that will reduce their risks of STD's; Educate women on gender-related risk factors for acquiring STD's.


DVD / / () / 60 minutes

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TREATMENT OF METASTATIC BREAST CANCER

Aman U. Buzdar, MD; I. Craig Henderson, MD; Howard Hochster, MD

Discuss the diagnosis and treatment of breast cancer; Presentations on 1st and 2nd line treatments will cover cytotoxic chemotherapy (CMF, CAF, and new cytotoxic agents); Diverse hormonal agents, neoadjuvant treatments, and combination therapies.


DVD / / () / 90 minutes

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