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https://www.readbyqxmd.com/read/28647574/a-rare-uterine-malformation-asymmetric-septate-uterus
#1
Alper Biler, Ali Akdemir, Nuri Peker, Fatih Sendag
STUDY OBJECTIVE: To demonstrate a step by step surgical hysteroscopy technique in a patient with asymmetric uterine septum and transverse uterine septum that was not previously described in the literature. DESIGN: Resection of a asymmetric uterine septum by laparoscopy and ultrasound-guided hysteroscopy (Canadian Task Force Classification III). The video was assumed exempt from official review by our institutional review board. SETTING: A septate uterus is defined as the uterus in which the uterine cavity is longitudinally divided by the septum (1)...
June 21, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28647446/social-and-geographic-determinants-of-hysterectomy-in-ontario-a-population-based-retrospective-cross-sectional-analysis
#2
Innie Chen, Michelle R Wise, Sheila Dunn, Geoffrey Anderson, Naushaba Degani, Guylaine Lefebvre, Arlene S Bierman
OBJECTIVES: This study sought to determine whether social factors (neighbourhood education and income) and geographic factors (urban or rural dwelling and local service area) are associated with hysterectomy rates, proportion of hysterectomies performed minimally invasively, and hysterectomy complication and readmission rates in Ontario. METHODS: The Canadian Institute for Health Information Discharge Abstract Database was used to perform a population-based retrospective cross-sectional study on women who had an abdominal, vaginal, and laparoscopic hysterectomy in 2007 for benign gynaecologic conditions in hospitals in Ontario, Canada...
June 21, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28642253/military-related-sexual-assault-in-canada-a-cross-sectional-survey
#3
Kimberley Watkins, Rachel Bennett, Mark A Zamorski, Isabelle Richer
BACKGROUND: Most research on military-related sexual assault is based on the United States military and has important limitations, such as low response rates. We sought to estimate the lifetime prevalence of sexual assault, assess its relation to military service and identify the circumstances, correlates and associations with mental disorders of military-related sexual assault among Canadian military personnel. METHODS: We used the 2013 Canadian Forces Mental Health Survey, a cross-sectional representative survey of Canadian Regular Force personnel (n = 6696)...
June 22, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28642091/a-see-and-treat-office-procedure-for-retained-products-of-conception-removal-after-normal-vaginal-delivery-using-manual-vacuum-aspiration-preliminary-efficacy-and-reproductive-outcomes
#4
Karavani Gilad, Bahar Raz, Herzberg Shmuel, Yanai Nili
STUDY OBJECTIVES: To compare efficacy and reproductive outcomes of an ultrasound guided manual vacuum aspiration (MVA) procedure to the widely accepted operative hysteroscopy (OH) procedure in removal of retained products of conception (RPOC) after normal vaginal delivery. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2) SETTING: University-affiliated tertiary medical center PATIENTS: Eighty-six patients after normal vaginal delivery diagnosed with RPOC from 2005 through 2015...
June 19, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28642025/total-laparoscopic-resection-surgery-for-a-cervical-carcinoma-that%C3%A2-recurred-in-the-pelvic-sidewall-after-radical-hysterectomy-and%C3%A2-adjuvant-concurrent-chemoradiotherapy
#5
Hiroyuki Kanao, Yoichi Aoki, Kazuyoshi Kato, Maki Matoda, Sanshiro Okamoto, Hidetaka Nomura, Kohei Omatsu, Kuniko Utsugi, Nobuhiro Takeshima
STUDY OBJECTIVE: To show total laparoscopic resection of a cervical carcinoma that recurred at the left pelvic sidewall after radical hysterectomy and concurrent chemoradiotherapy (CCRT). DESIGN: A step-by-step demonstration of the technique in a surgical video, including the strategy for achieving complete surgical resection with negative margins (R0 resection) (Canadian Task Force Classification III). SETTING: For high-risk cervical carcinoma, radical hysterectomy and adjuvant CCRT is the standard treatment, but even this multimodal therapy cannot prevent recurrence...
June 19, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28625296/no-193-laparoscopic-entry-a-review-of-techniques-technologies-and-complications
#6
George A Vilos, Artin Ternamian, Jeffrey Dempster, Philippe Y Laberge
OBJECTIVE: To provide clinical direction, based on the best evidence available, on laparoscopic entry techniques and technologies and their associated complications. OPTIONS: The laparoscopic entry techniques and technologies reviewed in formulating this guideline include the classic pneumoperitoneum (Veress/trocar), the open (Hasson), the direct trocar insertion, the use of disposable shielded trocars, radially expanding trocars, and visual entry systems. OUTCOMES: Implementation of this guideline should optimize the decision-making process in choosing a particular technique to enter the abdomen during laparoscopy...
July 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28625288/no-96-the-reproductive-care-of-women-living-with-hepatitis-c-infection
#7
Marc Boucher, Andrée Gruslin
OBJECTIVE: hepatitis C virus (HCV) is an increasingly important public health problem worldwide. Health care workers providing care to women of childbearing age are uniquely placed in their practices to identify a significant proportion of at-risk patients and to provide appropriate screening and counselling. The primary objective of this guideline is to provide accurate, current information to those offering reproductive care to women living with HCV. This document is also intended to raise awareness of HCV in both the medical and general populations...
July 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28625286/no-345-primary-dysmenorrhea-consensus-guideline
#8
Margaret Burnett, Madeleine Lemyre
OBJECTIVE: This guideline reviews the investigation and treatment of primary dysmenorrhea. INTENDED USERS: Health care providers. TARGET POPULATION: Women and adolescents experiencing menstrual pain for which no underlying cause has been identified. EVIDENCE: Published clinical trials, population studies, and review articles cited in PubMed or the Cochrane database from January 2005 to March 2016. VALIDATION METHODS: Seven clinical questions were generated by the authors and reviewed by the SOGC Clinical Practice-Gynaecology Committee...
July 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28611000/the-sterility-of-selected-operative-sites-during-total-laparoscopic-hysterectomy
#9
Marie E Shockley, Benjamin Beran, Heather Nutting, Katrin Arnolds, Michael L Sprague, Stephen Zimberg
STUDY OBJECTIVE: To describe the type and quantity of bacteria found intraoperatively on the abdomen, vagina, surgical gloves, instrument tips, and uterus at distinct time points during total laparoscopic hysterectomy (TLH). DESIGN: Observational study (Canadian Task Force classification III) SETTING: Academic affiliated hospital PATIENTS: 31 women undergoing TLH for benign indications in 2016 INTERVENTIONS: After antibiotic prophylaxis and chlorhexidine preparation, swabs were collected from the vaginal fornices and abdomen...
June 10, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28604347/treating-psoriasis-and-psoriatic-arthritis-position-paper-on-applying-the-treat-to-target-concept-to-canadian-daily-practice
#10
Dafna D Gladman, Yves Poulin, Karen Adams, Marc Bourcier, Snezana Barac, Kirk Barber, Vinod Chandran, Jan Dutz, Cathy Flanagan, Melinda J Gooderham, Wayne P Gulliver, Vincent C Ho, Chih-Ho Hong, Jacob Karsh, Majed M Khraishi, Charles W Lynde, Kim A Papp, Proton Rahman, Sherry Rohekar, Cheryl F Rosen, Anthony S Russell, Ronald B Vender, Jensen Yeung, Olga Ziouzina, Michel Zummer
OBJECTIVE: To develop preliminary treat-to-target (T2T) recommendations for psoriasis and psoriatic arthritis (PsA) for Canadian daily practice. METHODS: A task force composed of expert Canadian dermatologists and rheumatologists performed a needs assessment among Canadian clinicians treating these diseases as well as an extensive literature search on the outcome measures used in clinical trials and practice. RESULTS: Based on results from the needs assessment and literature search, the task force established 5 overarching principles and developed 8 preliminary T2T recommendations...
April 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28602786/the-intensity-of-postlaparoscopic-shoulder-pain-is-positively-correlated-with-to-the-amount-of-residual-pneumoperitoneum
#11
Taejong Song, Kye Hyun Kim, Kyo Won Lee
OBJECTIVES: Residual carbon dioxide, which is inevitably retained in the abdominal cavity after laparoscopy, plays an important role in inducing post-laparoscopic shoulder pain (PLSP). The aim of this study was to determine the relationship between the volume of residual pneumoperitoneum and the intensity of PLSP. DESIGN: Prospective cohort study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: A total of 203 patients undergoing laparoscopy for non-malignant gynecologic diseases...
June 7, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28599885/essure-removal-for-the-treatment-of-device-attributed-symptoms-an-expanded-case-series-and-follow-up-survey
#12
Nisse V Clark, Doortje Rademaker, Avery A Mushinski, Mobolaji O Ajao, Sarah L Cohen, Jon I Einarsson
STUDY OBJECTIVE: To evaluate perioperative outcomes and symptom resolution in women undergoing removal of the Essure device for device-attributed symptoms. DESIGN: Retrospective case series and follow-up patient survey (Canadian Task Force classification III). SETTING: Large academic medical center. PATIENTS: Fifty-two women who underwent laparoscopic or hysteroscopic Essure removal between 2012 and 2016. INTERVENTIONS: Women underwent one of four procedures: laparoscopic hysterectomy (LH) and bilateral salpingectomy (BS), laparoscopic BS and cornuectomy, laparoscopic Essure removal and BS, or hysteroscopic Essure removal and laparoscopic BS...
June 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28599884/comparing-single-site-and-multiport-robotic-hysterectomy-with-sentinel-lymph-node-mapping-for-endometrial-cancer-surgical-outcomes-and-cost-analysis
#13
Lea A Moukarzel, Abdulrahman K Sinno, Amanda N Fader, Edward J Tanner
STUDY OBJECTIVE: To compare operative times, surgical outcomes, and costs of robotic laparo-endoscopic single-site (R-LESS) versus multiport robotic (MPR) total laparoscopic hysterectomy (TLH) with sentinel lymph node (SLN) mapping for low risk endometrial cancer. DESIGN: Retrospective cohort study (Canadian Task Force Classification Level II-2) SETTING: Academic university hospital PATIENTS: Patients with biopsy proven diagnosis of complex atypical hyperplasia (CAH) or low grade (1 or 2) endometrial cancer with body mass index less than 30 kg/m(2) and a undergoing robotic TLH and SLN mapping between 2012 and 2016 were included...
June 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28599883/uterine-sparing-laparoscopic-resection-of-accessory-cavitated-uterine-masses
#14
Ann Peters, Noah B Rindos, Richard S Guido, Nicole M Donnellan
To demonstrate surgical techniques utilized during uterine-sparing laparoscopic resections of accessory cavitated uterine masses (ACUM) BACKGROUND: ACUM represent a rare uterine entity observed in premenopausal women suffering from dysmenorrhea and recurrent pelvic pain. The diagnosis is made when an isolated extra-cavitated uterine mass is resected from an otherwise normal appearing uterus with unremarkable endometrial lumen and adnexal structures. Pathologic confirmation requires an accessory cavity lined with endometrial epithelium (and corresponding glands and stroma) filled with chocolate-brown fluid...
June 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28594480/comparison-of-drug-benefits-provided-by-veterans-affairs-canada-and-the-canadian-forces-health-services-group
#15
Matthew Chow, Charles J Wicks, Janice Ma, Sylvain Grenier
BACKGROUND: Drug benefits are provided at public expense to all actively serving Canadian Armed Forces (CAF) personnel, with ongoing drug coverage offered by Veterans Affairs Canada (VAC) for selected conditions following termination of employment. Differences in drug coverage between these programs could introduce risks for treatment disruption. OBJECTIVES: Work was undertaken to establish a process that would allow systematic comparison of the entire VAC and CAF formularies, and to identify and explain discordant listings in 14 therapeutic categories that pose risk of adverse outcomes with sudden treatment interruption...
May 23, 2017: Journal of Population Therapeutics and Clinical Pharmacology
https://www.readbyqxmd.com/read/28594206/actuarial-risk-assessment-of-sexual-offenders-the-psychometric-properties-of-the-sex-offender-risk-appraisal-guide-sorag
#16
Martin Rettenberger, Marnie E Rice, Grant T Harris, Reinhard Eher
The Sex Offender Risk Appraisal Guide (SORAG) is one of the most commonly used actuarial risk assessment instruments for sexual offenders. The aims of the present field study were to examine the predictive validity of the German version of the SORAG and its individual items for different offender subgroups and recidivism criteria in sexual offenders released from the Austrian Prison System (N = 1,104; average follow-up period M = 6.48 years) within a prospective-longitudinal research design. For the prediction of violent recidivism the German version of the SORAG yielded an effect size of AUC = ...
June 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28583100/insomnia-psychiatric-disorders-and-suicidal-ideation-in-a-national-representative-sample-of-active-canadian-forces-members
#17
J D Richardson, A Thompson, L King, B Corbett, P Shnaider, K St Cyr, C Nelson, J Sareen, J Elhai, M Zamorski
BACKGROUND: Past research on the association between insomnia and suicidal ideation (SI) has produced mixed findings. The current study explored the relationship between insomnia, SI, and past-year mental health status among a large Canadian Forces (CF) sample. METHOD: Data was obtained from the 2013 Canadian Forces Mental Health Survey (CFMHS), and included a large representative sample of Canadian Regular Forces personnel (N = 6700). A series of univariate logistic regressions were conducted to test individual associations between past-year mental health status, insomnia, and potential confounds and SI...
June 6, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28571944/indocyanine-green-versus-radiotracer-%C3%A2-blue-dye-for-sentinel-lymph-node-mapping-in-stage-ib1-cervical-cancer-2-cm
#18
Giampaolo Di Martino, Cinzia Crivellaro, Elena De Ponti, Beatrice Bussi, Andrea Papadia, Ignacio Zapardiel, Enrico Vizza, Federica Elisei, Maria Dolores Diestro, Luca Locatelli, Maria Luisa Gasparri, Paolo Di Lorenzo, Michael Mueller, Alessandro Buda
STUDY OBJECTIVE: To compare sentinel lymph node (SLN) mapping in women with cervical cancer stage > IB1 (tumor > 2 cm) by using indocyanine green (ICG) versus the standard radioisotope technetium 99m radiocolloid (Tc99(m)) radiotracer ± blue-dye technique. DESIGN: European multicenter, retrospective observational study (Canadian Task Force Classification II-2) SETTING: Four academic medical centers PATIENTS: 95 women with stage IB1 (> 2 cm) who underwent SLN mapping with Tc99(m) ± blue dye or ICG and radical hysterectomy INTERVENTION: Detection rate and bilateral mapping rate of ICG were compared with those obtained using the standard Tc99(m) radiotracer ± blue dye...
May 29, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28562093/child-abuse-experiences-and-perceived-need-for-care-and-mental-health-service-use-among-members-of-the-canadian-armed-forces
#19
Sarah Turner, Tamara Taillieu, Kristene Cheung, Mark Zamorski, David Boulos, Jitender Sareen, Tracie O Afifi
OBJECTIVE: Child abuse is associated with poor mental health outcomes in adulthood. However, little is known about how a history of child abuse may be related to perceived need for care (PNC) and mental health service use (MHSU) among Canadian military personnel. The objectives of this study were to determine 1) the relationship between child abuse history and PNC and 2) the relationship between child abuse history and MHSU in the Canadian military. METHOD: Data were drawn from the 2013 Canadian Forces Mental Health Survey ( n = 6692 Regular Force personnel between the ages of 18 and 60 years)...
June 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28558695/azithromycin-and-risk-of-copd-exacerbations-in-patients-with-and-without-helicobacter-pylori
#20
Seung Won Ra, Marc A Sze, Eun Chong Lee, Sheena Tam, Yeni Oh, Nick Fishbane, Gerard J Criner, Prescott G Woodruff, Stephen C Lazarus, Richard Albert, John E Connett, Meilan K Han, Fernando J Martinez, Shawn D Aaron, Robert M Reed, S F Paul Man, Don D Sin
BACKGROUND: Helicobacter pylori (HP) infection is associated with reduced lung function and systemic inflammation in chronic obstructive pulmonary disease (COPD) patients. Azithromycin (AZ) is active against HP and reduces the risk of COPD exacerbation. We determined whether HP infection status modifies the effects of AZ in COPD patients. METHODS: Plasma samples from 1018 subjects with COPD who participated in the Macrolide Azithromycin (MACRO) in COPD Study were used to determine the HP infection status at baseline and 12 months of follow-up using a serologic assay...
May 30, 2017: Respiratory Research
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