Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery
The integration of unimodality evidence-based perioperative care principles into a multimodal fast-track rehabilitation program is now well documented. <br /> <i>Annals of Surgery</i>

Continuous Transvaginal Contraceptive Ring Use May Reduce Bleeding, Pelvic Pain
In patients using the transvaginal contraceptive ring, continuous use was effective in reducing bleeding and pelvic pain, according to findings from a randomized controlled trial. <br /> <i>Medscape Medical News</i>

Noncoital Sexual Activity May Not Be "Safe" Sex
The American College of Obstetricians and Gynecologists has issued a committee opinion about the health risks associated with noncoital sexual activity. <br /> <i>Medscape Medical News</i>

U.S. FDA Staff Note Deaths in Pfizer Bone Drug Study
Osteoporosis patients who received a low dose of an experimental Pfizer Inc pill were more likely to die within five years than others who got a placebo, U.S. drug reviewers said in an analysis released on Thursday. <br /> <i>Reuters Health Information</i>

Depot Medroxyprogesterone Acetate May Be Safe for Long-Term Contraception
The American College of Obstetricians and Gynecologists states that the effects of this contraceptive on bone mineral density should not prevent clinicians from prescribing it to patients. <br /> <i>Medscape Medical News</i>

Massive Hemorrhage in Pregnancy Caused by a Diffuse Cavernous Hemangioma of the Rectum -- EUS as Imaging Modality of Choice
This Case Report describes a young pregnant woman who developed life-threatening rectal bleeding requiring early delivery. Doppler images of pulsatile flow through the cavernous hemangioma are shown. <br /> <i>The Medscape Journal of Medicine</i>

FDA Safety Changes: Evamist, Caduet, Emtriva
The FDA has approved revisions to the safety labeling for estradiol transdermal spray, amlodipine besylate plus atorvastatin calcium tablets, and emtricitabine capsules and oral solution. <br /> <i>Medscape Medical News</i>

Rate of Anaphylaxis After HPV Vaccine Higher Than Other Vaccines, Australians Report
Australian researchers report a higher rate of anaphylaxis with the HPV vaccine than has been seen with other vaccines, but they note that there were no serious sequelae and the overall rate was very low. <br /> <i>Medscape Medical News</i>

Bisphenol A: Some Concerns Remain
Scientists from the National Toxicology Program outline concerns in their final bisphenol A safety report, but the number of concerns is lower than previously noted. <br /> <i>WebMD Health News</i>

HPV Vaccine Is Most Cost Effective for Preadolescent Girls
The results of a cost analysis regarding efficacy of the HPV vaccine may have been oversimplified and even misinterpreted by the lay press. <br /> <i>Medscape Hematology-Oncology</i>

Hand Hygiene: How Can We Improve?
Lisa Maragakis, MD, reviews in her videoblog the serious challenges of measuring and improving hand hygiene compliance in the healthcare setting. <br /> <i>Medscape Infectious Diseases</i>

Bone Mineral Density Decreased in Young Women With Type 1 Diabetes
A study shows that bone mineral density decreases in young women with type 1 diabetes and may affect the risk for future postmenopausal osteoporotic fractures. <br /> <i>Medscape Medical News</i>

Treatment for Postmenopausal Women Reviewed
The reviewers offer health maintenance recommendations for postmenopausal women, including symptom management, diagnostic screening, treatment, and immunizations. <br /> <i>Medscape Medical News</i>

Anastrozole Does Not Impair Cognition as Breast Cancer Preventative
Although there have been concerns that estrogen depletion might impair cognition in women with or at risk for breast cancer, the results of a new study suggest that prophylactic use of the aromatase inhibitor anastrazole does not have this effect. <br /> <i>Reuters Health Information</i>

Memantine Reduces Binge Eating, but Not Body Weight
The Alzheimer's drug memantine appears to be a useful treatment for binge eating disorder, significantly reducing the frequency and severity of binge episodes, although it does not induce weight loss, new research shows. <br /> <i>Reuters Health Information</i>

Myeloperoxidase Levels Higher in Women With Preeclampsia
Women with preeclampsia have elevated myeloperoxidase levels in their circulation and the placenta. The finding, from a study reported in the August issue of Hypertension, may explain the inflammation and endothelial dysfunction seen with this condition and eventually help determine patients' cardiovascular risk. <br /> <i>Reuters Health Information</i>

C-Section Cuts Mortality of Very Preterm Infants
Cesarean section seems to improve the survival of most infants delivered at 22 to 25 weeks of gestation, new research shows. Moreover, this finding was noted independent of several risk factors indicating a need for the procedure. <br /> <i>Reuters Health Information</i>

Maternal Stress in Early Pregnancy Raises Schizophrenia Risk for Offspring
Acute maternal stress in the second month of pregnancy significantly increases the likelihood that the child will develop schizophrenia in later life, particularly if the child is female. <br /> <i>Medscape Medical News</i>

Electronic Personal Health Records: Should Doctors Worry?
Matthew K. Wynia, MD, MPH, FACP, Director, The Institute for Ethics, American Medical Association, Chicago, Illinois, describes many ethical twists in electronic health records. <br /> <i>The Medscape Journal of Medicine</i>

Suicide after Bereavement--An Overlooked Problem: Commentary from F1000
One in every 600 widowers committed suicide in the first year of bereavement: PCPs can help--ranked "must read" from F1000. <br /> <i>Faculty of 1000 Medicine</i>