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Biomedical subjects

Jan M Kriebs

Publications and source records attributed to Jan M Kriebs.

4 recordsLinked to original sources
PubMed2002

The global reach of HIV: preventing mother-to-child transmission.

This article focuses on the effects of the worldwide human immunodeficiency virus (HIV) epidemic on the lives of pregnant women and their infants in the developing world. It discusses the natural history of mother-to-child transmission (MTCT) in HIV, including the role of breastfeeding and the effectiveness of various treatment/prevention schemes in resource-poor communities. Although the treatment schemes are not the same as those used in North America, the underlying principles of transmission are the same. Understanding the mechanisms of MTCT and recognizing the benefits of even short-term therapies can promote appropriate interventions when complete perinatal antiretroviral therapy is impossible.

Anti-HIV Agents↗
PubMedDate not supplied

Trouble in the office: liability issues in ambulatory care.

Most clinicians are keenly aware of the liability risks associated with adverse birth outcomes for mother and/or infant. This level of awareness and concern also needs to extend to the day-to-day management of office practice. Clinicians who care for healthy women and their families may see abnormalities infrequently. The low yield of abnormal results means that close monitoring is essential to prevent overlooking the rare abnormal finding. This article focuses on three areas of liability risk for midwives and others who practice in the ambulatory setting: 1) inadequate tracking of test and referral results, 2) failure to diagnose, and 3) poor communication. Although none of these issues are limited to the ambulatory setting, only office practice is addressed in this article.

Ambulatory Care↗
PubMedDate not supplied

Ectopic pregnancy.

The incidence of ectopic pregnancy in the United States has been reported to be as high as 20 per 1000 pregnancies, a more than 4-fold increase over the last 20 years. Clinical presentation can range from subtle, nonspecific abdominal complaints to acute onset pain or hemorrhagic bleeding. This article reviews the associated risk factors, pathophysiology, diagnosis, and management of ectopic pregnancy. Clinicians must maintain a high index of suspicion whenever women who might be pregnant have abdominal complaints.

Chorionic Gonadotropin, beta Subunit, Human↗