Latest Updates

Clinical Management of Drug Use Disorders

    • Outlines updated DSM-5 classifications of substance use disorders
    • Synthesizes current heritable and genetic factors in substance use disorders
    • Reviews current treatment options with the strongest evidence base
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Pelvic Organ Prolapse IV: Surgical Options

    • Minimally invasive approaches to traditional open abdominal sacrocolpopexy result in decreased patient morbidity and faster recovery while providing similar anatomic and subjective outcomes
    • Uterine-sparing hysteropexy procedures eliminate complications attributed to hysterectomy at the time of prolapse repair while providing similar anatomic and subjective outcomes
    • Numerous native tissue repair techniques allow for prolapse repair without the use of synthetic graft material

Neurobiology of Addiction

    • Epidemiology of and heritable risk factors for developing addictive disorders
    • Dysregulated brain networks and neurochemical systems in several substance and nonsubstance addictions
    • Treatment options for substance and nonsubstance addictions
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorders

Clinical Management of Drug Use Disorders

    • Outlines updated DSM-5 classifications of substance use disorders
    • Synthesizes current heritable and genetic factors in substance use disorders
    • Reviews current treatment options with the strongest evidence base
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Clinical Management of Drug Use Disorders

    • Outlines updated DSM-5 classifications of substance use disorders
    • Synthesizes current heritable and genetic factors in substance use disorders
    • Reviews current treatment options with the strongest evidence base
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Constipation: Diagnosis and Management

    • Updated with 2019 CAG Practice Guidelines for IBS
    • Added 2016 ASCRS Practice Guidelines for Constipation

Preventing Cesarean Delivery

    • Cesarean delivery is a significant contributor to maternal morbidity and mortality. The rise in cesarean delivery has not been associated with a decrease in cerebral palsy in offspring.
    • A multi-strategy quality improvement approach that accounts for fetal heart tracing assessment, progress in labor, and environmental stress may lead to a reduction in cesarean delivery rates.
    • Many cesarean deliveries occur because of subjective interpretation of fetal heart rate tracings. Standardization of interpretation of fetal heart rate tracings using NICHD-endorsed terminology may help to decrease the incidence of cesarean for “nonreassuring” fetal heart tracings
    • Allowing patience with the labor curve may achieve increased numbers of safe vaginal deliveries. Redefining arrest and protraction could potentially decrease the cesarean rate and the resultant morbidity. Of particular importance for clinicians, active labor may not begin until 6cm of cervical dilation, and before diagnosing arrest of labor in the second stage, providers should allow for at least 2 hours of pushing in multiparous women and 3 hours in nulliparous women.  ACOG and SMFM also endorse longer second stages on an individualized basis.

Viral Hepatitis C: Epidemiology, ­Pathogenesis, Transmission, And ­Natural History

    • Changing incidence and prevalence of HCV
    • Increasing burden of HCV-related liver disease
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