October 2008 - Volume 33 - Issue 10
pp: 5-56

Editor's Memo

Clinical Case Report

Making Headlines

Advocacy In Practice

Short Communications

Product News

Medication Update


The 2008–09 Influenza Season: Are You Ready?

Kapustin, Jane

Nurse Practitioner . 33(10):12-19, October 2008.

Influenza is a highly contagious respiratory infection that is caused by a variety of influenza viruses. The illness produced by the virus can be mild to severe, and can even lead to death. Strategies to increase vaccination should be implemented as primary preventive efforts to protect the health of our nation.



Interpreting 12-Lead ECGs: A Piece by Piece Analysis

Lieberman, Karen

Nurse Practitioner . 33(10):28-35, October 2008.

Using a systematic approach for interpreting electrocardiograms (ECGs) is necessary. A specific framework helps the reader avoid diagnostic errors made by focusing on the ECG as a whole instead of the individual parts. A step-by-step analysis may aid the clinician in recognizing both the obvious and subtle abnormalities that help guide therapy.


Hormonal Contraception: Is It Worth It?

Hellier, Susan

Nurse Practitioner . 33(10):37-39, October 2008.

In 2004, the FDA announced a black box warning for depot medroxyprogesterone (DMPA) to highlight that prolonged use may result in significant loss of bone mineral density (BMD), the degree of loss is proportional to the amount of time on DMPA, and that the loss may not be completely reversible. However, research concludes that concerns over BMD loss should not restrict the use of DMPA.


Vulvodynia & Pelvic Pain? Think Interstitial Cystitis

Siegel, Judy Fried; Sand, Peter K.; Sasso, Karen

Nurse Practitioner . 33(10):40-45, October 2008.

The symptoms of interstitial cystitis (IC)—chronic pelvic pain, urinary urgency and frequency, and nocturia—overlap with those of many other urogynecologic conditions. Bladder-origin pelvic pain, and IC in particular, must be considered in all women who present with chronic pelvic pain, including vulvodynia.