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Thu Dec 9 03:57:02 EST 2010


reauthorized the Children’s Health Insurance Program (CHIP) earlier this
year, they took a big step toward guaranteeing that all children have
access to high-quality, affordable
health care. However, their job is not done: Millions of children
remain uninsured, and countless more families are struggling to afford
the insurance they have. To learn more,  go to
http://www.familiesusa.org/assets/pdfs/health-reform/better-coverage-for-children.pdf
 
 
NB: This web site www.familiesuas.org  is very up to date about what
proposed changes in health care might mean to families and children. 
 

New From National Resource Defense Fund: Mercury Contamination in Fish –
A Guide to Staying Healthy and Fighting Back. NRDF says that eating fish
contaminated with mercury, a poison that interferes with the brain and
nervous system, can cause serious health problems, especially for
children and pregnant women. Their new document  offers information on
mercury's effects and its sources, tips for eating fish more safely and
action opportunities consumers can take to reduce the threat from this
hazardous pollution. To download the document, go to
http://www.nrdc.org/health/effects/mercury/index.asp
 
ARTICLES:


Shaw RJ et al. The Relationship Between Acute Stress Disorder and
Posttraumatic Stress Disorder in the Neonatal Intensive Care Unit. 
Psychosomatics. 50:131-137, March-April 2009
Having an infant hospitalized in the neonatal intensivecare unit (NICU)
is a highly stressful event for parents. Researchershave proposed
posttraumatic stress disorder (PTSD) as a modelto explain the
psychological reaction of parents to their NICUexperience. The authors
sought to examine the prevalenceof PTSD in parents 4 months after the
birth of their prematureor sick infants and the relationship of PTSD and
symptoms ofacute stress disorder (ASD) immediately after their
infant’sbirth. Eighteen parents completed a self-report measureof ASD
at baseline in addition to self-report measures of PTSDand depression at
a 4-month follow-up assessment. 
Inthe sample, 33% of fathers and 9% of mothers met criteria forPTSD.
ASD symptoms were significantly correlated with both PTSDand depression.
Fathers showed a more delayed onset in theirPTSD symptoms, but, by 4
months, were at even greater risk thanmothers. 
NB: This is a very small sample.However, the authors say that the
relatively high levels of psychologicaldistress experienced by parents
coupled with the potential negativeoutcomes on the parent and infant
suggest that it is importantto try to prepare parents for the expected
psychological reactionsthat may occur in the event of a NICU
hospitalization and alsoto support parents during the transition to home
care.
 


Joyner BL, Gill-Bailey, C and Moon RY. Infant Sleep Environments
Depicted in Magazines Targeted to Women of Childbearing AgePEDIATRICS
Vol. 124 No. 3 September 2009, pp. e416-e422
The authors set out was to evaluate pictures in magazines widelyread by
women of childbearing age, for adherence to AmericanAcademy of
Pediatrics (AAP) guidelines for safe infant sleeppractices. Magazines
were included in this study if they had anaverage female readership of
>5 million, circulation of >900000,and median age of female readers of
20 to 40 years. Twenty magazinesmet these criteria. An additional 8
magazines targeted towardexpectant parents and parents of young children
were included,for a total of 28 magazines. The authors analyzed pictures
of infant sleep environmentsand sleeping infants in articles and
advertisements in issuesof these 28 magazines were analyzed for
adherence to AAP guidelinesfor decreasing the risk of sudden infant
death syndrome.A total of 391 unique pictures from 34 magazine
issueswere included in the analysis. 
The authors found that only 57 pictures (64%) portrayingsleeping
infants not being held by an adult portrayed the infantsin the supine
position, and 14.8% of sleeping infants were portrayedas sleeping with
another person. Only 36 pictures (36.4%) ofinfant sleep environments
portrayed a safe sleep environment,as recommended by the AAP.
The authors conclude thatmore than one third of pictures of sleeping
infantsin magazines geared toward childbearing women demonstrated
infantsin an inappropriate sleep position, and two thirds of picturesof
infant sleep environments were not consistent with AAP
recommendations.Messages in the media that are inconsistent with health
caremessages create confusion and misinformation about infant
sleepsafety and may lead inadvertently to unsafe practices. 
This article is free and can be read in its entirety at
http://pediatrics.aappublications.org/cgi/content/full/124/3/e416
 
Saladino TM et al. Pesticide Exposure and Hypertensive Disorders During
PregnancyEnvironmental Health PerspectivesVolume 117, Number 9,
September 2009 (
http://www.ehponline.org/cgi-bin/findtoc2.pl?tocinfo=Environmental%20Health%20Perspectives@117@9@2009
)

Hypertensive disorders of pregnancy, including pregnancy-induced
hypertension (PIH) and preeclampsia (PE) complicate 2–8% of pregnancies.
The authors set out to examine whether pesticide exposure during
pregnancy was associated with hypertensive disorders of pregnancy. They
analyzed self-reported data from 11,274 wives of farmers enrolled in the
Agricultural Health Study (AHS) between 1993 and 1997. 
The authors found that:First-trimester residential and agricultural
activities with potential exposure to pesticides were associated with
both PIH and PE. 
The authors conclude thatexposure to pesticides during pregnancy may
increase the risk of hypertensive disorders of pregnancy. They say that
laboratory research may provide insights into relationships between
pesticide exposure and hypertensive diseases of pregnancy. 
Winchester PD el al. Agrichemicals in surface water and birth defects
in the United States Acta Pædiatrica (
http://www3.interscience.wiley.com/journal/117988202/home ) Volume 98,
Issue 4 ( http://www3.interscience.wiley.com/journal/122242451/issue ),
Pages 664-669
The authors set out to investigate if live births conceived in months
when surface water agrichemicals are highest are at greater risk for
birth defects.
They calculated monthly concentrations during 1996–2002 of nitrates,
atrazine and other pesticides using United States Geological Survey's
National Water Quality Assessment data. Monthly United States birth
defect rates were calculated for live births from 1996 to 2002 using
United States Centers for Disease Control and Prevention natality data
sets. Birth defect rates by month of last menstrual period (LMP) were
then compared to pesticide/nitrate means using logistical regression
models.
The authors found that mean concentrations of agrichemicals were
highest in April–July. Total birth defects, and eleven of 22 birth
defect subcategories, were more likely to occur in live births with LMPs
between April and July. A significant association was found between the
season of elevated agrichemicals and birth defects.
The authors conclude that elevated concentrations of agrichemicals in
surface water in April–July coincided with higher risk of birth defects
in live births with LMPs April–July. While a causal link between
agrichemicals and birth defects cannot be proven from this study the
author say that an association might provide clues to common factors
shared by both variables.
Also read more about this topic at
http://www.panna.org/resources/panups/panup_20090827#1
 
Wiltshire JC et al. Disentangling the Influence of Socioeconomic Status
on Differences Between African American and White Women in Unmet Medical
NeedsAmerican Public Health Association (
http://www.ajph.org/misc/terms.shtml ). September 2009, Vol 99, No. 9 |
American Journal of Public Health 1659-1665
The authors set out sought to disentangle the relationships
betweenrace/ethnicity, socioeconomic status (SES), and unmet medicalcare
needs.They analyzeddata from the 2003–2004 Community Tracking
StudyHousehold Survey to examine associations between unmetmedical needs
and SES among African American and White women.
The authors foundno significant racial/ethnic differences in unmet
medicalneeds in bivariate analyses. However, among women with12 years of
education or less, African Americans were less likelythan were Whites to
report unmet needs. Relative to AfricanAmerican women with 12 years of
education or less, the oddsof unmet needs were 1.69 and 2.18 among
African American women with 13 to 15years of education and 16 years of
education or more, respectively.In contrast, the relationship between
educational level andunmet needs was nonsignificant among White women.
The authors conclude thatAmong African American women, the failure to
recognizeunmet medical needs is related to educational attainment andmay
be an important driver of health disparities, representinga fruitful
area for future interventions.
 
  
Quotes sent from our readers:
“Our lives begin to end the day we become silent about things that
matter.”
Rev. Martin Luther King, Jr
            
"For all those whose cares have been our concern, the work goes on, the
cause endures, the hope still lives and the dream shall never die."
Edward M. Kennedy
 
 
 
 
 
To subscribe or unsubscribe to the NFIMR listserv, go to
http://suse.acog.org/mailman/listinfo/nfimr 
 
 
 
The National Fetal and Infant Mortality Review Program is a partnership
between the American College of Obstetricians and Gynecologists and the
federal Maternal and Child Health Bureau.

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fimr at acog.org</SPAN></A> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 7.5pt; LINE-HEIGHT: normal; =
mso-outline-level: 2"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; =
FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New =
Roman'; mso-font-kerning: 18.0pt">Excerpt from NYT Editorial: <I style=3D"m=
so-bidi-font-style: normal">A Living Memorial </I></SPAN><SPAN style=3D"FON=
T-SIZE: 12pt; COLOR: gray; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-f=
ont-family: 'Times New Roman'">Published: September 9, 2009: <o:p></o:p></S=
PAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: 18pt; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-=
SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: =
'Times New Roman'">=E2=80=9COut of the ashes of the horrific 9/11 attacks, =
a positive custom is taking hold. Since 2002, victims=E2=80=99 family =
members and friends have joined with community nonprofits, faith-based =
groups and others to mobilize Americans to mark the anniversary of the =
attacks with useful volunteer service. Under a provision of the larger =
national service measure signed in April by President Obama, Friday will =
be the first 9/11 anniversary to be commemorated as a National Day of =
Service and Remembrance.=E2=80=9D =E2=80=A6<SPAN style=3D"mso-spacerun: =
yes">&nbsp;&nbsp; </SPAN>To read the editorial in full go to <A href=3D"htt=
p://www.nytimes.com/2009/09/10/opinion/10thu3.html?ref=3Dopinion"><SPAN =
style=3D"FONT-SIZE: 11pt; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-th=
eme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-=
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 'Times New Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#800080>=
http://www.nytimes.com/2009/09/10/opinion/10thu3.html?ref=3Dopinion</FONT><=
/SPAN></A> To find ways to participate in the day of service, go to <A =
href=3D"http://911dayofservice.org/"><SPAN style=3D"FONT-SIZE: 11pt; =
FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; =
mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; =
mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New =
Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#800080>http://911da=
yofservice.org/</FONT></SPAN></A> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<P class=3DDefault style=3D"MARGIN: 0in 0in 0pt"><SPAN><STRONG><FONT =
face=3DArial><SPAN style=3D"FONT-SIZE: 10pt; COLOR: windowtext"><FONT =
size=3D3>Symposium on Quality Improvement to Prevent Prematurity, October =
2009</FONT></SPAN><BR><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FO=
NT size=3D3>Date: </FONT></SPAN></FONT></STRONG></SPAN><SPAN style=3D"COLOR=
: windowtext"><FONT face=3DArial size=3D3>October 8 and 9, 2009 <STRONG><SP=
AN style=3D"FONT-FAMILY: 'Arial','sans-serif'">Location: </SPAN></STRONG>Hy=
att Regency Crystal City, Arlington, Virginia<BR>This Symposium will =
explore the present state of quality initiatives to prevent </FONT><A =
href=3D"http://www.marchofdimes.com/professionals/14332_1157.asp" =
target=3D_blank><SPAN style=3D"COLOR: windowtext"><FONT face=3DArial =
size=3D3>preterm birth</FONT></SPAN></A><FONT size=3D3><FONT face=3DArial> =
and develop an agenda for action to decrease the rate of those preterm =
births that are not inevitable or medically necessary. The program is a =
<SPAN style=3D"mso-bidi-font-weight: bold">collaborative project of the =
March of Dimes, The American College of Obstetricians and Gynecologists, =
</SPAN><o:p></o:p></FONT></FONT></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-fon=
t-weight: bold">American Academy of Pediatrics, American College of =
Nurse-Midwives, and Association of Women=E2=80=99s Health, Obstetric and =
Neonatal Nurses</SPAN><B><SPAN style=3D"FONT-SIZE: 10pt; LINE-HEIGHT: =
115%"><FONT face=3DCalibri> </FONT></SPAN></B><SPAN style=3D"FONT-SIZE: =
12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">The Symposium =
will bring together a multidisciplinary group of health care practitioners,=
 health insurers, policy makers, health purchasers, regulators and =
concerned citizens to discuss quality improvement as an essential =
component in the strategy to <A href=3D"http://www.marchofdimes.com/prematu=
rity/prematurity.asp" target=3D_blank><SPAN style=3D"FONT-SIZE: 11pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-fon=
t: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: =
'Times New Roman'; mso-bidi-theme-font: minor-bidi">prevent prematurity</SP=
AN></A>, promote health and <A href=3D"http://www.marchofdimes.com/prematur=
ity/21198.asp" target=3D_blank><SPAN style=3D"FONT-SIZE: 11pt; LINE-HEIGHT:=
 115%; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: =
minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: =
'Times New Roman'; mso-bidi-theme-font: minor-bidi">save costs</SPAN></A>. =
To learn more or to register, go to: <A href=3D"http://e-mail.marchofdimes.=
com/cgi-bin12/DM/y/n8yc0H1awF0EVf01770Eo" target=3D_blank><SPAN style=3D"FO=
NT-SIZE: 11pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Calibri','sans-serif'; =
mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; =
mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi">m=
archofdimes.com/conferences</SPAN></A> <o:p></o:p></SPAN></P>
<P><STRONG><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT =
size=3D3>Free &nbsp;Webinar Opportunity: Race, Ethnicity, and Language =
Data to Improve Health Care Quality <o:p></o:p></FONT></SPAN></STRONG></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>A lack =
of standardization of race, ethnicity, and language categories has been =
raised as one obstacle to achieving more widespread collection and =
utilization of these data. In 2009 AHRQ commissioned the Institute of =
Medicine (IOM) to&nbsp;examine approaches to standardization that could =
enhance measures that AHRQ collects and reports on in the&nbsp;<I>National =
Healthcare Disparities Report.&nbsp;</I>Your Voice is offering a free =
webinar&nbsp;that will provide an in-depth look at the just-released&nbsp;I=
OM report, "Race, Ethnicity, and Language Data: Standardization for Health =
Care Quality Improvement" (</FONT><A href=3D"http://www.iom.edu/datastandar=
dization"><SPAN style=3D"FONT-FAMILY: 'Times New Roman','serif'"><FONT =
size=3D3>www.iom.edu/datastandardization</FONT></SPAN></A><FONT size=3D3>).=
 <o:p></o:p></FONT></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>This =
webinar will be held Monday, September 21, 2009 at 1 PM =E2=80=93 2 PM =
Eastern Time. It features: <o:p></o:p></FONT></SPAN></P>
<UL type=3Ddisc>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 =
lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">IOM Committee member Romana Hasnain-Wynia, speaking =
on&nbsp;what these recommendations mean for health care providers. =
<o:p></o:p></SPAN></LI>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 =
lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">Grace Ting from WellPoint, Inc., a large health care =
system that collects and uses patient demographic data to improve health =
care quality and system performance. <o:p></o:p></SPAN></LI>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 =
lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">An online Question &amp; Answer session. <o:p></o:p><=
/SPAN></LI>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 =
lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">The opportunity to join a post-webinar Peer Learning =
Networkon this topic. <o:p></o:p></SPAN></LI></UL>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>To =
register for this free webinar, go to: </FONT><A href=3D"https://www2.gotom=
eeting.com/register/303778418"><SPAN style=3D"FONT-FAMILY: 'Times New =
Roman','serif'"><FONT size=3D3>https://www2.gotomeeting.com/register/303778=
418</FONT></SPAN></A><FONT size=3D3> <o:p></o:p></FONT></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>To =
learn more about Your Voice, go to: </FONT><A title=3Dhttp://www.diversityr=
xconference.org/yourvoice href=3D"http://www.diversityrxconference.org/your=
voice"><SPAN style=3D"FONT-FAMILY: 'Times New Roman','serif'"><FONT =
size=3D3>www.diversityRxConference.org/yourvoice</FONT></SPAN></A><FONT =
size=3D3> <o:p></o:p></FONT></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>To =
access the <EM><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'">National =
Healthcare Disparities Report</SPAN></EM>, go to: </FONT><A href=3D"http://=
www.ahrq.gov/qual/qrdr08.htm"><SPAN style=3D"FONT-FAMILY: 'Times New =
Roman','serif'"><FONT size=3D3>http://www.ahrq.gov/qual/qrdr08.htm</FONT></=
SPAN></A><FONT size=3D3> <o:p></o:p></FONT></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 15pt 0in 18.75pt; LINE-HEIGHT: =
normal; mso-outline-level: 2"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; =
mso-font-kerning: 18.0pt">HOME VISITING PROGRAMS&nbsp; IMPROVE HEALTH AND =
WELL-BEING OF BOTH WOMEN AND CHILDREN<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: 18pt"><SPA=
N style=3D"FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-fareast-font-family: 'Times New Roman'">Home visiting programs =
that would be significantly expanded under a new initiative proposed by =
the administration have demonstrated modest but important benefits for =
children and significant benefits for women, </SPAN><SPAN style=3D"FONT-SIZ=
E: 12pt; FONT-FAMILY: 'Arial','sans-serif'"><A href=3D"http://www.guttmache=
r.org/pubs/gpr/12/3/gpr120311.html"><B><SPAN style=3D"COLOR: #1b5369; =
TEXT-DECORATION: none; mso-fareast-font-family: 'Times New Roman'; =
text-underline: none">according to a new policy analysis</SPAN></B></A></SP=
AN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 'Arial','sa=
ns-serif'; mso-fareast-font-family: 'Times New Roman'"> published in the =
Summer 2009 issue of the <I>Guttmacher Policy Review</I>. Home visiting =
programs pair new families=E2=80=94particularly low-income, single-parent =
ones=E2=80=94with trained professionals who provide parenting information, =
resources and support throughout a child=E2=80=99s first few years. =
<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; COLOR: #666666; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">To read the report, go to </SPAN><SPAN style=3D"FONT-SIZE: 12pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><A href=3D"http://www=
.guttmacher.org/pubs/gpr/12/3/gpr120311.html"><SPAN style=3D"FONT-SIZE: =
11pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-the=
me-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-fami=
ly: 'Times New Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#8000=
80>http://www.guttmacher.org/pubs/gpr/12/3/gpr120311.html</FONT></SPAN></A>=
<SPAN style=3D"COLOR: #666666"> <o:p></o:p></SPAN></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 7.5pt 0in 10pt; LINE-HEIGHT: 14.4pt; =
mso-margin-bottom-alt: auto"><A name=3Dmaincontent></A><B><SPAN style=3D"FO=
NT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast=
-font-family: 'Times New Roman'">CDC Guidance on Shortage of Erythromycin =
(0.5%) Ophthalmic Ointment - September 2009. </SPAN></B><SPAN style=3D"FONT=
-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-f=
ont-family: 'Times New Roman'">CDC continues to work with the U.S. Food =
and Drug Administration (FDA) and other experts to provide updates =
regarding the shortage of Erythromycin Ophthalmic Ointment (0.5%). To read =
their recommendations, go to </SPAN><SPAN style=3D"FONT-SIZE: 12pt; =
FONT-FAMILY: 'Arial','sans-serif'"><A href=3D"http://www.cdc.gov/std/treatm=
ent/2006/erythromycinOintmentShortage.htm"><SPAN style=3D"FONT-SIZE: 11pt; =
FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; =
mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New =
Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#800080>http://www.c=
dc.gov/std/treatment/2006/erythromycinOintmentShortage.htm</FONT></SPAN></A=
></SPAN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'"> =
<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"BACKGROUND: #f8f5e9; MARGIN: 0in 0in 0pt; =
LINE-HEIGHT: 15.6pt"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; =
FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt 0.5in; LINE-HEIGHT: =
normal; TEXT-ALIGN: center" align=3Dcenter><B><SPAN style=3D"FONT-SIZE: =
12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-fam=
ily: 'Times New Roman'"><o:p>&nbsp;</o:p></SPAN></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt 0.5in; LINE-HEIGHT: =
normal; TEXT-ALIGN: center" align=3Dcenter><B><SPAN style=3D"FONT-SIZE: =
12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-fam=
ily: 'Times New Roman'"><o:p>&nbsp;</o:p></SPAN></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt 0.5in; LINE-HEIGHT: =
normal"><B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">From =
ACOG Press Release: Recommendations Relax on Liquid Intake during Labor. =
</SPAN></B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">Women in =
labor may be allowed to quench their thirst with more than just the =
standard allowance of ice chips, according to a new Committee Opinion =
released today from The American College of Obstetricians and Gynecologists=
 (ACOG) and published in the September issue of <I>Obstetrics &amp; =
Gynecology</I>. Although the guidelines on prohibiting solid food while in =
labor or before scheduled cesarean surgery remain the same, ACOG says that =
women with uncomplicated labor, as well as uncomplicated patients =
undergoing a planned cesarean, may drink modest amounts of clear liquids =
during labor if they wish. To read the entire Press Release, go to =
</SPAN><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'"><=
A href=3D"http://www.acog.org/from_home/publications/press_releases/nr08-21=
-09-2.cfm"><SPAN style=3D"FONT-SIZE: 11pt; FONT-FAMILY: 'Calibri','sans-ser=
if'; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; =
mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi"><=
FONT color=3D#800080>http://www.acog.org/from_home/publications/press_relea=
ses/nr08-21-09-2.cfm</FONT></SPAN></A></SPAN><SPAN style=3D"FONT-SIZE: =
12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-fam=
ily: 'Times New Roman'"> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
mso-layout-grid-align: none"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
mso-layout-grid-align: none"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">From Families USA: Better Coverage for Children. =
When Congress reauthorized the Children=E2=80=99s Health Insurance Program =
(CHIP) earlier this year, they took a big step toward guaranteeing that =
all children have access to high-quality, affordable<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
mso-layout-grid-align: none"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">health care. However, their job is not done: =
Millions of children remain uninsured, and countless more families are =
struggling to afford the insurance they have. To learn more,<SPAN =
style=3D"mso-spacerun: yes">&nbsp; </SPAN>go to <A href=3D"http://www.famil=
iesusa.org/assets/pdfs/health-reform/better-coverage-for-children.pdf"><SPA=
N style=3D"FONT-SIZE: 11pt; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-=
theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-f=
amily: 'Times New Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#8=
00080>http://www.familiesusa.org/assets/pdfs/health-reform/better-coverage-=
for-children.pdf</FONT></SPAN></A> <SPAN style=3D"mso-spacerun: yes">&nbsp;=
</SPAN><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
mso-layout-grid-align: none"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
mso-layout-grid-align: none"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'">NB: This web site <A href=3D"http://www.familiesuas.o=
rg/"><SPAN style=3D"FONT-SIZE: 11pt; FONT-FAMILY: 'Calibri','sans-serif'; =
mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; =
mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi">w=
ww.familiesuas.org</SPAN></A> <SPAN style=3D"mso-spacerun: yes">&nbsp;</SPA=
N>is very up to date about what proposed changes in health care might mean =
to families and children. <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
mso-layout-grid-align: none"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'"><o:p>&nbsp;</o:p></SPAN></P>
<TABLE class=3DMsoNormalTable style=3D"WIDTH: 251.25pt; mso-padding-alt: =
0in 0in 0in 0in; mso-cellspacing: 0in; mso-yfti-tbllook: 1184" cellSpacing=
=3D0 cellPadding=3D0 width=3D335 border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
WIDTH: 251.25pt; PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR=
: transparent" width=3D335></TD></TR>
<TR style=3D"mso-yfti-irow: 1; mso-yfti-lastrow: yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
WIDTH: 251.25pt; PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR=
: transparent" width=3D335></TD></TR></TBODY></TABLE>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><SP=
AN style=3D"FONT-SIZE: 12pt; COLOR: #333333; FONT-FAMILY: 'Arial','sans-ser=
if'; mso-fareast-font-family: 'Times New Roman'">New From National =
Resource Defense Fund: <I style=3D"mso-bidi-font-style: normal">Mercury =
Contamination in Fish =E2=80=93 A Guide to Staying Healthy and Fighting =
Back. </I>NRDF says that eating fish contaminated with mercury, a poison =
that interferes with the brain and nervous system, can cause serious =
health problems, especially for children and pregnant women. Their new =
document <SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>offers information =
on mercury's effects and its sources, tips for eating fish more safely and =
action opportunities consumers can take to reduce the threat from this =
hazardous pollution. To download the document, go to </SPAN><SPAN =
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'"><A href=3D"htt=
p://www.nrdc.org/health/effects/mercury/index.asp"><SPAN style=3D"FONT-SIZE=
: 11pt; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: =
minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: =
'Times New Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#800080>h=
ttp://www.nrdc.org/health/effects/mercury/index.asp</FONT></SPAN></A></SPAN=
><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-s=
erif'; mso-fareast-font-family: 'Times New Roman'"> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"BACKGROUND: #f8f5e9; MARGIN: 0in 0in 0pt; =
LINE-HEIGHT: 15.6pt"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; =
FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 15pt 0in 0pt; LINE-HEIGHT: normal"><S=
PAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-fareast-font-family: 'Times New Roman'">ARTICLES:<o:p></o:p></SPAN>=
</P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 10pt; LINE-HEIGHT: 115%"><BR style=3D"mso-special-character: line-break"=
><BR style=3D"mso-special-character: line-break"></SPAN><SPAN style=3D"FONT=
-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p></o=
:p></SPAN></P>
<H2 style=3D"MARGIN: auto 0in"><FONT face=3DArial><SPAN style=3D"FONT-WEIGH=
T: normal; mso-bidi-font-weight: bold"><FONT size=3D3>Shaw RJ et al. The =
Relationship Between Acute Stress Disorder and Posttraumatic Stress =
Disorder in the Neonatal Intensive Care Unit. </FONT></SPAN><SPAN =
style=3D"FONT-WEIGHT: normal; FONT-SIZE: 10pt; mso-bidi-font-weight: =
bold"><SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN></SPAN><SPAN =
style=3D"FONT-WEIGHT: normal; mso-bidi-font-weight: bold"><FONT size=3D3>Ps=
ychosomatics. 50:131-137, March-April 2009<o:p></o:p></FONT></SPAN></FONT><=
/H2>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>Having =
an infant hospitalized in the neonatal intensive<SUP> </SUP>care unit =
(NICU) is a highly stressful event for parents. Researchers<SUP> </SUP>have=
 proposed posttraumatic stress disorder (PTSD) as a model<SUP> </SUP>to =
explain the psychological reaction of parents to their NICU<SUP> </SUP>expe=
rience. The authors sought to examine the prevalence<SUP> </SUP>of PTSD in =
parents 4 months after the birth of their premature<SUP> </SUP>or sick =
infants and the relationship of PTSD and symptoms of<SUP> </SUP>acute =
stress disorder (ASD) immediately after their infant=E2=80=99s<SUP> =
</SUP>birth. Eighteen parents completed a self-report measure<SUP> =
</SUP>of ASD at baseline in addition to self-report measures of PTSD<SUP> =
</SUP>and depression at a 4-month follow-up assessment. <B><o:p></o:p></B><=
/FONT></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>In<SUP>=
 </SUP>the sample, 33% of fathers and 9% of mothers met criteria for<SUP> =
</SUP>PTSD. ASD symptoms were significantly correlated with both PTSD<SUP> =
</SUP>and depression. Fathers showed a more delayed onset in their<SUP> =
</SUP>PTSD symptoms, but, by 4 months, were at even greater risk than<SUP> =
</SUP>mothers. <B><o:p></o:p></B></FONT></SPAN></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-weight: bold">NB: This is a very small sample.</SPAN><SPAN =
style=3D"FONT-FAMILY: 'Arial','sans-serif'"> However, the authors say that =
the relatively high levels of psychological<SUP> </SUP>distress experienced=
 by parents coupled with the potential negative<SUP> </SUP>outcomes on the =
parent and infant suggest that it is important<SUP> </SUP>to try to =
prepare parents for the expected psychological reactions<SUP> </SUP>that =
may occur in the event of a NICU hospitalization and also<SUP> </SUP>to =
support parents during the transition to home care.<SUP> </SUP><o:p></o:p><=
/SPAN></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 15pt 0in 0pt; LINE-HEIGHT: normal"><S=
PAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-fareast-font-family: 'Times New Roman'"><o:p>&nbsp;</o:p></SPAN></P=
>
<TABLE class=3DMsoNormalTable style=3D"mso-padding-alt: 0in 0in 3.75pt =
7.5pt; mso-cellspacing: 1.5pt; mso-yfti-tbllook: 1184; mso-table-lspace: =
2.25pt; mso-table-rspace: 2.25pt; mso-table-anchor-vertical: paragraph; =
mso-table-anchor-horizontal: column; mso-table-left: right; mso-table-top: =
middle" cellPadding=3D0 align=3Dright border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 3.75pt; BORDER-LEFT: =
#ebe9ed; PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: =
transparent"></TD></TR></TBODY></TABLE>
<TABLE class=3DMsoNormalTable style=3D"mso-padding-alt: 0in 0in 0in 0in; =
mso-cellspacing: 0in; mso-yfti-tbllook: 1184" cellSpacing=3D0 cellPadding=
=3D0 border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: transparent"></=
TD></TR></TBODY></TABLE>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-outline-level: =
2"><B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','s=
ans-serif'; mso-fareast-font-family: 'Times New Roman'">Joyner BL, =
Gill-Bailey, C and Moon RY. Infant Sleep Environments Depicted in =
Magazines Targeted to Women of Childbearing Age</SPAN></B><SPAN style=3D"FO=
NT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast=
-font-family: 'Times New Roman'"> PEDIATRICS Vol. 124 No. 3 September =
2009, pp. e416-e422<B><o:p></o:p></B></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">The =
authors set out was to evaluate pictures in magazines widely<SUP> =
</SUP>read by women of childbearing age, for adherence to American<SUP> =
</SUP>Academy of Pediatrics (AAP) guidelines for safe infant sleep<SUP> =
</SUP>practices.<SUP> <SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN></SUP>=
Magazines were included in this study if they had an<SUP> </SUP>average =
female readership of &gt;5 million, circulation of &gt;900000,<SUP> =
</SUP>and median age of female readers of 20 to 40 years. Twenty magazines<=
SUP> </SUP>met these criteria. An additional 8 magazines targeted =
toward<SUP> </SUP>expectant parents and parents of young children were =
included,<SUP> </SUP>for a total of 28 magazines. The authors analyzed =
pictures of infant sleep environments<SUP> </SUP>and sleeping infants in =
articles and advertisements in issues<SUP> </SUP>of these 28 magazines =
were analyzed for adherence to AAP guidelines<SUP> </SUP>for decreasing =
the risk of sudden infant death syndrome.<SUP> </SUP>A total of 391 unique =
pictures from 34 magazine issues<SUP> </SUP>were included in the analysis. =
<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">The =
authors found that only 57 pictures (64%) portraying<SUP> </SUP>sleeping =
infants not being held by an adult portrayed the infants<SUP> </SUP>in the =
supine position, and 14.8% of sleeping infants were portrayed<SUP> =
</SUP>as sleeping with another person. Only 36 pictures (36.4%) of<SUP> =
</SUP>infant sleep environments portrayed a safe sleep environment,<SUP> =
</SUP>as recommended by the AAP.<SUP> </SUP><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; =
mso-bidi-font-weight: bold">The authors conclude that<B> </B></SPAN><SPAN =
style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; =
mso-fareast-font-family: 'Times New Roman'">more than one third of =
pictures of sleeping infants<SUP> </SUP>in magazines geared toward =
childbearing women demonstrated infants<SUP> </SUP>in an inappropriate =
sleep position, and two thirds of pictures<SUP> </SUP>of infant sleep =
environments were not consistent with AAP recommendations.<SUP> </SUP>Messa=
ges in the media that are inconsistent with health care<SUP> </SUP>messages=
 create confusion and misinformation about infant sleep<SUP> </SUP>safety =
and may lead inadvertently to unsafe practices. <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">This =
article is free and can be read in its entirety at </SPAN><SPAN style=3D"FO=
NT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'"><A href=3D"http://pediatr=
ics.aappublications.org/cgi/content/full/124/3/e416"><SPAN style=3D"FONT-SI=
ZE: 11pt; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: =
minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: =
'Times New Roman'; mso-bidi-theme-font: minor-bidi"><FONT color=3D#800080>h=
ttp://pediatrics.aappublications.org/cgi/content/full/124/3/e416</FONT></SP=
AN></A><SPAN style=3D"COLOR: black"> <o:p></o:p></SPAN></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Saladino TM =
et al. </SPAN><FONT face=3DArial><SPAN class=3Darticletitle1><SPAN =
style=3D"FONT-SIZE: 12pt"><STRONG>Pesticide Exposure and Hypertensive =
Disorders During Pregnancy</STRONG></SPAN></SPAN><SPAN style=3D"FONT-SIZE: =
12pt; FONT-FAMILY: 'Arial','sans-serif'"> <A href=3D"http://www.ehponline.o=
rg/cgi-bin/findtoc2.pl?tocinfo=3DEnvironmental%20Health%20Perspectives at 117@=
9 at 2009"><FONT size=3D3><I><SPAN style=3D"FONT-SIZE: 11pt; FONT-FAMILY: =
'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; mso-hansi-theme-=
font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-=
font: minor-bidi">Environmental Health Perspectives</SPAN></I><SPAN =
style=3D"FONT-SIZE: 11pt; FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-th=
eme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-fam=
ily: 'Times New Roman'; mso-bidi-theme-font: minor-bidi"> Volume 117, =
Number 9, September 2009</SPAN></FONT></A><o:p></o:p></SPAN></FONT></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><BR><FONT size=3D3>Hyp=
ertensive disorders of pregnancy, including pregnancy-induced hypertension =
(PIH) and preeclampsia (PE) complicate 2=E2=80=938% of pregnancies. The =
authors set out to examine whether pesticide exposure during pregnancy was =
associated with hypertensive disorders of pregnancy. They analyzed =
self-reported data from 11,274 wives of farmers enrolled in the Agricultura=
l Health Study (AHS) between 1993 and 1997. <o:p></o:p></FONT></SPAN></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-weight: bold">The authors found that:<B> </B></SPAN><SPAN =
style=3D"FONT-FAMILY: 'Arial','sans-serif'">First-trimester residential =
and agricultural activities with potential exposure to pesticides were =
associated with both PIH and PE. <o:p></o:p></SPAN></FONT></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-outline-level: =
3"><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: =
'Arial','sans-serif'; mso-bidi-font-weight: bold">The authors conclude =
that<B> </B></SPAN><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Arial','sans-serif'">exposure to pesticides during pregnancy =
may increase the risk of hypertensive disorders of pregnancy. They say =
that laboratory research may provide insights into relationships between =
pesticide exposure and hypertensive diseases of pregnancy. <o:p></o:p></SPA=
N></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-outline-level: =
3"><B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: #333333; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Arial','sans-serif'">Winchester PD el al. Agrichemicals in =
surface water and birth defects in the United States </SPAN></B><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'"><A href=3D"http://www3.interscience.wiley.com/journal/117988202/home" =
target=3D_top><B><SPAN style=3D"FONT-SIZE: 11pt; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; =
mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New =
Roman'; mso-bidi-theme-font: minor-bidi">Acta P=C3=A6diatrica</SPAN></B></A=
> <A href=3D"http://www3.interscience.wiley.com/journal/122242451/issue" =
target=3D_top><B><SPAN style=3D"COLOR: #333333">Volume 98, Issue 4</SPAN></=
B></A><B><SPAN style=3D"COLOR: #333333">, Pages 664-669<o:p></o:p></SPAN></=
B></SPAN></P>
<P class=3Dpara2 style=3D"MARGIN: 0in 0in auto"><SPAN style=3D"FONT-SIZE: =
12pt"><FONT color=3D#333333><FONT face=3DArial>The authors set out to =
investigate if live births conceived in months when surface water =
agrichemicals are highest are at greater risk for birth defects.<o:p></o:p>=
</FONT></FONT></SPAN></P>
<P class=3Dpara2 style=3D"MARGIN: 0in 0in auto"><SPAN style=3D"FONT-SIZE: =
12pt"><FONT color=3D#333333><FONT face=3DArial>They calculated monthly =
concentrations during 1996=E2=80=932002 of nitrates, atrazine and other =
pesticides using United States Geological Survey's National Water Quality =
Assessment data. Monthly United States birth defect rates were calculated =
for live births from 1996 to 2002 using United States Centers for Disease =
Control and Prevention natality data sets. Birth defect rates by month of =
last menstrual period (LMP) were then compared to pesticide/nitrate means =
using logistical regression models.<o:p></o:p></FONT></FONT></SPAN></P>
<P class=3Dpara2 style=3D"MARGIN: 0in 0in auto"><SPAN style=3D"FONT-SIZE: =
12pt"><FONT color=3D#333333><FONT face=3DArial>The authors found that mean =
concentrations of agrichemicals were highest in April=E2=80=93July. Total =
birth defects, and eleven of 22 birth defect subcategories, were more =
likely to occur in live births with LMPs between April and July. A =
significant association was found between the season of elevated agrichemic=
als and birth defects.<o:p></o:p></FONT></FONT></SPAN></P>
<P class=3Dpara2 style=3D"MARGIN: 0in 0in auto"><SPAN style=3D"FONT-SIZE: =
12pt"><FONT color=3D#333333><FONT face=3DArial>The authors conclude that =
elevated concentrations of agrichemicals in surface water in April=E2=80=93=
July coincided with higher risk of birth defects in live births with LMPs =
April=E2=80=93July. While a causal link between agrichemicals and birth =
defects cannot be proven from this study the author say that an association=
 might provide clues to common factors shared by both variables.<o:p></o:p>=
</FONT></FONT></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Also read more about =
this topic at <A href=3D"http://www.panna.org/resources/panups/panup_200908=
27#1"><SPAN style=3D"FONT-SIZE: 11pt; LINE-HEIGHT: 115%; FONT-FAMILY: =
'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; mso-hansi-theme-=
font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-=
font: minor-bidi">http://www.panna.org/resources/panups/panup_20090827#1</S=
PAN></A><SPAN style=3D"COLOR: black"> <o:p></o:p></SPAN></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><o:p><FONT size=3D3>&n=
bsp;</FONT></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><STRONG><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'">Wiltshire JC et al. Disentangling the Influence of Socioeconomic =
Status on Differences Between African American and White Women in Unmet =
Medical Needs</SPAN></STRONG><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: =
115%; FONT-FAMILY: 'Arial','sans-serif'"> <A href=3D"http://www.ajph.org/mi=
sc/terms.shtml"><SPAN style=3D"FONT-SIZE: 11pt; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; =
mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New =
Roman'; mso-bidi-theme-font: minor-bidi">American Public Health Association=
</SPAN></A>. September 2009, Vol 99, No. 9 | American Journal of Public =
Health 1659-1665<o:p></o:p></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>The =
authors set out sought to disentangle the relationships between<SUP> =
</SUP>race/ethnicity, socioeconomic status (SES), and unmet medical<SUP> =
</SUP>care needs.<SUP> </SUP><SPAN style=3D"mso-bidi-font-style: italic">Th=
ey analyzed<I> </I></SPAN>data from the 2003=E2=80=932004 Community =
Tracking Study<SUP> </SUP>Household Survey to examine associations between =
unmet<SUP> </SUP>medical needs and SES among African American and White =
women.<SUP> </SUP><o:p></o:p></FONT></SPAN></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-style: italic">The authors found<I> </I></SPAN><SPAN =
style=3D"FONT-FAMILY: 'Arial','sans-serif'">no significant racial/ethnic =
differences in unmet medical<SUP> </SUP>needs in bivariate analyses. =
However, among women with<SUP> </SUP>12 years of education or less, =
African Americans were less likely<SUP> </SUP>than were Whites to report =
unmet needs. Relative to African<SUP> </SUP>American women with 12 years =
of education or less, the odds<SUP> </SUP>of unmet needs were 1.69 and =
2.18 among African American women with 13 to 15<SUP> </SUP>years of =
education and 16 years of education or more, respectively.<SUP> </SUP>In =
contrast, the relationship between educational level and<SUP> </SUP>unmet =
needs was nonsignificant among White women.<SUP> </SUP><o:p></o:p></SPAN></=
FONT></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-style: italic">The authors conclude that<I> </I></SPAN><SPAN =
style=3D"FONT-FAMILY: 'Arial','sans-serif'">Among African American women, =
the failure to recognize<SUP> </SUP>unmet medical needs is related to =
educational attainment and<SUP> </SUP>may be an important driver of health =
disparities, representing<SUP> </SUP>a fruitful area for future interventio=
ns.<o:p></o:p></SPAN></FONT></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><o:p><FONT size=3D3>&n=
bsp;</FONT></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><SP=
AN style=3D"DISPLAY: none; FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-fareast-font-family: 'Times New Roman'; mso-hide: all"><o:p>&nbsp;<=
/o:p></SPAN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: =
115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Quotes sent =
from our readers:<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">=E2=80=9COur =
lives begin to end the day we become silent about things that matter.=E2=80=
=9D<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Rev. Martin =
Luther King, Jr<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
TEXT-ALIGN: center" align=3Dcenter><SPAN style=3D"FONT-SIZE: 8.5pt; COLOR: =
black; FONT-FAMILY: 'Verdana','sans-serif'; mso-fareast-font-family: =
'Times New Roman'; mso-bidi-font-family: 'Times New Roman'"><SPAN =
style=3D"mso-tab-count: 1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp; </SPAN></SPAN><SPAN style=3D"FONT-SIZE: 10pt; COLOR: =
#cc0033; FONT-FAMILY: 'Verdana','sans-serif'; mso-fareast-font-family: =
'Times New Roman'; mso-bidi-font-family: 'Times New Roman'"><o:p></o:p></SP=
AN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-=
SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-fo=
nt-family: 'Times New Roman'; mso-bidi-font-style: italic">"For all those =
whose cares have been our concern, the work goes on, the cause endures, =
the hope still lives and the dream shall never die." Edward M. Kennedy</SPA=
N><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-=
serif'; mso-fareast-font-family: 'Times New Roman'"><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><SP=
AN style=3D"FONT-SIZE: 8.5pt; COLOR: black; FONT-FAMILY: 'Verdana','sans-se=
rif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: =
'Times New Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt 8.65pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 8.5pt; COLOR: black; FONT-FAMILY: =
'Verdana','sans-serif'; mso-fareast-font-family: 'Times New Roman'; =
mso-bidi-font-family: 'Times New Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><SP=
AN style=3D"FONT-SIZE: 8.5pt; COLOR: black; FONT-FAMILY: 'Verdana','sans-se=
rif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: =
'Times New Roman'"><o:p>&nbsp;</o:p></SPAN></P>
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tab-stops: 7.5pt"><SPAN style=3D"FONT-SIZE: 8.5pt; COLOR: black; FONT-FAMIL=
Y: 'Verdana','sans-serif'; mso-fareast-font-family: 'Times New Roman'; =
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auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;</o=
:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">To =
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