Quantifying menorrhagia and overview of nonsurgical management of heavy menstrual bleeding.

Heavy menstrual bleeding (HMB) is a common problem, presenting in 1 in 5 females. The quantification of menstrual blood loss and the subsequent treatment of HMB are both nuanced tasks that require the physician to consider the patient perspective. The individualization of care and transition to methods that fit each individual patient are critical to building a successful relationship with the patient to facilitate follow-up care and evaluation of response to treatment.

Change in recommendation affects influenza vaccinations among children 6 to 59 months of age.

Objective: To evaluate the impact of the 2002-2003 recommendation to "encourage when feasible" the influenza vaccine for healthy children 6 to 23 months of age.

Methods: A cross-sectional study of children who were 6 to 59 months of age and presented to a large, pediatric resident's continuity clinic or the affiliated acute care clinic in the summers of 2002 and 2003 was performed. The influenza vaccination status of children in the winter before enrollment and factors that influenced this status were determined by parental questionnaire.