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Office gynaecology

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https://www.readbyqxmd.com/read/29786947/does-general-experience-affect-self-assessment
#1
Parisa Rezaiefar, Kelly Forse, Joseph K Burns, Sharon Johnston, Elizabeth Muggah, Claire Kendall, Douglas Archibald
BACKGROUND: The assessment of clinical competence is critical in medical education. Understanding the effect of general experience on a physician's self-assessment would help design more effective curricula and evaluations of procedural skills in postgraduate training and continuing professional development (CPD). In this observational study, we assessed the effect of general experience on the correlation between confidence and competence amongst experienced clinicians (ECs) and postgraduate trainees (PGTs) when learning an office-based procedure in pessary care...
May 22, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29664546/the-role-of-the-gynaecologist-in-the-promotion-and-maintenance-of-oral-health-during-pregnancy
#2
Angelika Kobylińska, Nicole Sochacki-Wójcicka, Natalia Dacyna, Magdalena Trzaska, Anna Zawadzka, Dariusz Gozdowski, Mirosław Wielgoś, Dorota Olczak-Kowalczyk
OBJECTIVES: The aim of the study was to assess routine dental examination attendance of pregnant women and a possible impact of gynaecological referrals on the attendance rate. MATERIAL AND METHODS: An electronic survey was conducted that was inclusive of women up to 5 years following delivery. The questions related to socio-demographic data, the course of pregnancy and childbirth, and visits to dental office during pregnancy. For statistical analysis, the authors utilized the chi-square test, Spearman's rank correlation coefficient and odds ratios...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29510373/hysteroscopy-in-the-netherlands-and-flanders-a-survey-amongst-practicing-gynaecologists
#3
Steffi van Wessel, Tjalina Hamerlynck, Benedictus Schoot, Steven Weyers
OBJECTIVE: To gain insight in the current ideas on, and implementation of hysteroscopy amongst practicing gynaecologists in the Netherlands and Flanders. STUDY DESIGN: In August 2016 an electronic questionnaire was sent to practising gynaecologist members of the Dutch (N = 591) and Flemish (N = 586) Society of Obstetrics and Gynaecology. RESULTS: The response rate for the Netherlands was 15.4% (91/591), and for Flanders 27.0% (158/586)...
April 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29475047/are-3d-ultrasound-and-office-hysteroscopy-useful-for-the-assessment-of-uterine-cavity-after-late-foetal-loss
#4
E Thellier, J-M Levaillant, A-G Pourcelot, M Houllier, H Fernandez, P Capmas
OBJECTIVE: To assess the efficacy of office hysteroscopy and 3D ultrasound for the diagnostic of uterine anomalies after late foetal loss. METHOD: This retrospective observational study took place in the gynaecologic unit of a teaching hospital from 2009 to 2014. Women with late foetal loss (<22 weeks of gestation) had an office hysteroscopy and 3D ultrasound within three months after delivery. The results of the ultrasound and hysteroscopy were recorded and compared...
May 2018: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/29336298/-diagnosis-of-vaginal-discharge
#5
Sidsel Böcher, Rikke Bek Helmig, Magnus Arpi, Lars Bjerrum
Changes in vaginal discharge are often caused by imbalance in the vaginal microflora, and laboratory testing is usually of little use, as most microbes detected are commensals. In-office diagnosis in general practice using wet mount microscopy and Amsel criteria is helpful and often sufficient to ensure correct diagnosis and treatment. Laboratory testing of vaginal discharge should only be performed, if sexually transmitted disease is suspected, if there is treatment failure or inconclusive wet mount prior to gynaecological surgery, and in pregnant women with recurrent miscarriage or preterm birth...
January 15, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29238287/survey-among-esge-members-on-leiomyosarcoma-morcellation-incidence
#6
Vasilios Tanos, Hans Brölmann, Rudi Leon DeWilde, Peter O'Donovan, Elina Symeonidou, Rudi Campo
Background: Increased awareness of leiomyosarcoma (LMS) risk during myomectomy or hysterectomy is essential. Objective and correct reasoning should prevail on any decision regarding the extent and type of surgery to employ. The anticipated risk of a sarcoma after myoma or uterus morcellation is low, and the frequency of leiomyosarcoma especially in women below the age of 40 is very rare. The prevalence data has a wide range and is therefore not reliable. The European Society of Gynaecological Endoscopy (ESGE) initiated a survey among its members looking into the frequency of morcellated leiomyosarcoma after endoscopic surgery...
2017: Gynecological Surgery
https://www.readbyqxmd.com/read/28890676/the-effect-of-music-in-gynaecological-office-procedures-on-pain-anxiety-and-satisfaction-a-randomized-controlled-trial
#7
N Mak, I M A Reinders, S A Slockers, E H M N Westen, J W M Maas, M Y Bongers
BACKGROUND: Pain can interfere with office procedures in gynaecology. The aim of this study is to measure the positive effect of music in gynaecological office procedures. METHODS: A randomized controlled trial was performed between October 2014 and January 2016. Women scheduled for an office hysteroscopy or colposcopy were eligible for randomization in the music group or control group. Stratification for hysteroscopy and colposcopy took place. The primary outcome is patients' level of pain during the procedure measured by the visual analogue scale (VAS)...
2017: Gynecological Surgery
https://www.readbyqxmd.com/read/28762121/-in-patient-hospital-care-of-selected-sexual-disorders-an-analysis-of-data-from-the-german-federal-statistical-office-from-2000-to-2014
#8
Franziska Brunner, Thula Koops, Timo O Nieder, Geoffrey M Reed, Peer Briken
BACKGROUND: Patients with the ICD-10 sexual disorders F52, F64, F65, and F66 are treated by a variety of medical disciplines. Until now, there has been a paucity of data regarding which sexual disorders are treated by means of in-patient hospital care and whether changes have occurred over time. OBJECTIVES: The aim of this study is to examine how many patients with sexual disorders that are classified by ICD-10 chapter V (F) as "mental" are treated as in-patients...
September 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28643658/quality-assessment-of-pelvic-ultrasound-for-uterine-myoma-according-to-the-cngof-guidelines
#9
D Perrot, H Fernandez, J M Levaillant, P Capmas
INTRODUCTION: French guidelines regarding the minimum criteria for gynaecological ultrasound were given in a recent report in 2016, by the French National College of Obstetricians and Gynaecologists (CNGOF). An accurate report is essential for the optimal care of women, especially those presenting myomas. The goal of this study was to evaluate the quality of gynaecological ultrasound reports for women with type 0 to 2 uterine myomas, referring to the items contained in the French guidelines...
April 2017: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/28609712/two-week-waits-what-are-we-waiting-for
#10
Ahmed R Abdelraheim, Mohammed Khairy, Mo'men Mohammed, Alexandra Lawrence
OBJECTIVES: To evaluate the two-week referral system by analysing the 2-week wait (2WW) referrals to the rapid access gynaecology clinic over one year. We have also sought to identify the risk factors for endometrial cancer to help setting criteria that can be used to prioritise urgent appointments, refine subsequent management strategies. STUDY DESIGN: Retrospective review of the data of all women referred for suspected gynaecological cancers over one year via the 2 WW office at Queen's Hospital, Romford, UK...
August 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28582327/a-comprehensive-review-of-asherman-s-syndrome-causes-symptoms-and-treatment-options
#11
Christina A Salazar, Keith Isaacson, Stephanie Morris
PURPOSE OF REVIEW: Intrauterine adhesions, also known as Asherman's syndrome, can have an impact on both reproductive outcomes and gynaecologic symptoms. Understanding the cause of intrauterine adhesions and the common clinical presentation will increase awareness of the condition and guide the patient to appropriate therapy. Surgical management offers favourable fertility outcomes and is often successful in restoring menstruation. RECENT FINDINGS: Surgical management with hysteroscopic lysis of adhesions is the gold standard for treatment and adopting an office-based approach offers several advantages...
August 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28502106/misoprostol-for-cervical-priming-prior-to-office-hysteroscopy-works-in-premenopausal-nulliparous-but-not-in-postmenopausal-women
#12
S Bakour
No abstract text is available yet for this article.
January 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28003798/a-patient-preference-cohort-study-of-office-versus-inpatient-uterine-polyp-treatment-for-abnormal-uterine-bleeding
#13
Natalie A M Cooper, Lee Middleton, Paul Smith, Elaine Denny, Lynda Stobert, Jane Daniels, T Justin Clark
Uterine polyps can cause abnormal bleeding in women. Conventional practise is to remove them under general anaesthesia but advances in technology have made it possible to perform polypectomy in the office setting. We conducted a patient-preference study to explore women's preferences for treatment setting and to evaluate the effectiveness and treatment experience of women undergoing uterine polypectomy. Three hundred ninety-nine women with abnormal uterine bleeding who were found to have uterine polyps at diagnostic hysteroscopy were recruited...
2016: Gynecological Surgery
https://www.readbyqxmd.com/read/27968830/availability-and-use-of-primary-care-facilities-in-china-a-nationwide-representative-survey
#14
William C W Wong, Sunfang Jiang, Jason Ong, Minghui Peng, Eric Wan, Zhanshu Zhu, Cindy L K Lam, Michael Kidd, Martin Roland
BACKGROUND: China introduced a national policy to develop primary care in 2009, with 8669 community health centres (CHCs) established by 2014, employing more than 300 000 staff. However, against a background of the "barefoot doctor" legacy in rural China, mistrust of doctors, and over-reliance on specialist care, these facilities have been underused. This study aimed to evaluate the current quality of CHCs in China, including the organisation and infrastructure, as well as the use and training of the health-care professionals within primary care...
October 2016: Lancet
https://www.readbyqxmd.com/read/27909879/investigating-vaginal-bleeding-in-postmenopausal-women-found-to-have-an-endometrial-thickness-of-equal-to-or-greater-than-10%C3%A2-mm-on-ultrasonography
#15
Hilary L Turnbull, Nikolaos Akrivos, Paul Simpson, Timothy J Duncan, Joaquin J Nieto, Nikolaos Burbos
PURPOSE: This aim of this study is to determine the risk of endometrial cancer in symptomatic postmenopausal women, when endometrial thickness on transvaginal ultrasonography is equal to or greater than 10 mm, and subsequent office-based endometrial sampling histology is negative. METHODS: This is a prospective cross-sectional study, performed in a gynaecological oncology centre in the United Kingdom between February 2008 and July 2012. All postmenopausal women presenting with vaginal bleeding were investigated using transvaginal ultrasonography...
February 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27897024/-peripheral-precocious-puberty
#16
REVIEW
J Zvonařová Skalická, R Pilka
OBJECTIVE: To summarize literature data on peripheral precocious puberty. DESIGN: A literature review. SETTING: Středomoravská nemocniční a.s., hospital Šternberk, Department of Obstetrics and Gynaecology, University Hospital, Medical Faculty, Palacky University, Olomouc. METHODS AND RESULTS: We searched in PubMed using the key words stated below according to date and published since 1980.Peripheral precocious puberty occurs in girls with the frequency 1:400-1000...
December 0: Ceská Gynekologie
https://www.readbyqxmd.com/read/27607740/hysteroscopic-resection-of-type-3-myoma-a-new-challenge
#17
Perrine Capmas, Audrey Voulgaropoulos, Guillaume Legendre, Anne-Gaelle Pourcelot, Hervé Fernandez
OBJECTIVE: Type 3 myomas are intramural within contact with the endometrium but lack any cavity deformation. There is no guideline for management of symptomatic type 3 myoma. The aim of this study was to evaluate the feasibility of symptomatic type 3 myoma hysteroscopic resection. METHOD: This retrospective study included symptomatic women (mainly pain, infertility or bleeding) who obtained an operative hysteroscopy for type 3 symptomatic myoma from June 2010 to December 2014 in the gynaecological unit of a teaching hospital...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27232878/socioeconomic-status-and-use-of-outpatient-medical-care-the-case-of-germany
#18
Jens Hoebel, Petra Rattay, Franziska Prütz, Alexander Rommel, Thomas Lampert
BACKGROUND: Socially disadvantaged people have an increased need for medical care due to a higher burden of health problems and chronic diseases. In Germany, outpatient care is chiefly provided by office-based general practitioners and specialists in private practice. People are free to choose the physician they prefer. In this study, national data were used to examine differences in the use of outpatient medical care by socioeconomic status (SES). METHODS: The analyses were based on data from 6,754 participants in the Robert Koch Institute's German Health Interview and Examination Survey for Adults (DEGS1) aged between 18 and 69 years...
2016: PloS One
https://www.readbyqxmd.com/read/27055773/office-hysteroscopy-a-report-of-2402-cases
#19
P Capmas, A-G Pourcelot, E Giral, D Fedida, H Fernandez
INTRODUCTION: Hysteroscopy is the gold standard for evaluation of uterine cavity. It can be performed either as office setting or as day care procedure under general anaesthesia. Objective of this study is to assess feasibility and acceptability of office hysteroscopy without anaesthesia. MATERIALS AND METHODS: This retrospective observational study took place in the gynaecologic unit of a teaching hospital. Women who had had an office hysteroscopy from 2010 to 2013 were included...
May 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/26769777/proliferation-of-gynaecological-scientific-societies-and-their-financial-transparency-an-italian-survey
#20
Paolo Vercellini, Paola Viganò, Maria Pina Frattaruolo, Edgardo Somigliana
OBJECTIVES: To determine the number of Italian obstetrical and gynaecological societies, and to ascertain their financial transparency. DESIGN: Internet-based national survey and website content analysis. PARTICIPANTS: Currently active, not privately owned, non-religious, apolitical, obstetrical and gynaecological associations. METHODS: From October 2014 to June 2015, scientific societies were identified using combinations of search terms, and examining the website of the two main Italian obstetrical and gynaecological organisations...
January 13, 2016: BMJ Open
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