South Dakota medicine : the journal of the South Dakota State Medical Association
-
Comparative Study
The outpatient use of atypical antipsychotics with Alzheimer's disease.
-
Unintended and teenage pregnancies are major public health concerns in the United States. Emergency contraception is used to prevent pregnancy after failure of a contraceptive method or after unprotected intercourse. Expanded use of emergency contraception has the potential to reduce unintended pregnancy and induced abortions, while reducing state and federal healthcare expenditures. ⋯ Expanded access to emergency contraception is associated with increased use, but not associated with decreased efficacy, increased sexual risk-taking behavior, or less consistent use of traditional birth control methods. This review is designed to provide clinicians with information regarding the use of emergency contraception for reproductive age patients. It includes a brief description of methods of use, mechanisms of action, and side effect profiles of the most commonly used methods of emergency contraception, levonorgestrel and the Yuzpe method.
-
Sudden Infant Death Syndrome (SIDS) has dramatically declined nationally and in South Dakota since the beginning of the "Back to Sleep Campaign" in 1994. Nonetheless, in spite of data showing that the majority of babies now are placed on their backs, data from the US and South Dakota show that racial disparities, the safety of infants' sleep environment, and child care are issues requiring attention as strategies are developed to prevent sudden unexpected infant deaths. Data from the Regional Infant and Child Mortality Review Committee that reviews deaths of infants and children in southeastern South Dakota show that among 37 cases, nearly half of all unexpected deaths of infants between 1997 and 2006 occurred in out-of-home child care settings, considerably higher than what would be expected with census data predictions. Fewer (82%) of the out-of-home deaths, versus in-home deaths (100%), were associated with risks of being put to sleep in a non-supine position or in the presence of other sleeping hazards.