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Obstetrics and gynecology

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https://www.readbyqxmd.com/read/29908767/a-qualitative-cross-sectional-study-of-positive-and-negative-comments-of-residency-programs-across-9-medical-and-surgical-specialties
#1
Brittany O Dulmage, Lisa Akintilo, Leah J Welty, Matthew M Davis, Maria Colavincenzo, Shuai Xu
IMPORTANCE: Residency applicants often use social media to discuss the positive and negative features of prospective training programs. An examination of the content discussed by applicants could provide guidance for how medical education faculty can better engage with prospective trainees and adapt to meet the educational expectations of a new generation of digital-native physicians. OBJECTIVE: To identify unstructured social media data submitted by residency applicants and categorize positive and negative statements to determine key themes DESIGN: Qualitative analysis of a retrospective cohort SETTING: Publically available data sets PARTICIPANTS: Anonymized medical trainees applying to residency training positions in nine specialties: dermatology, general surgery, internal medicine, obstetrics/gynecology, plastic surgery, otolaryngology, physical medicine and rehabilitation, pediatrics, and radiology from 2007 to 2017...
June 14, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29907100/demand-for-integrative-medicine-among-women-in-pregnancy-and-childbed-a-german-survey-on-patients-needs
#2
Nikolas Schürger, Evelyn Klein, Alexander Hapfelmeier, Marion Kiechle, Daniela Paepke
BACKGROUND: Although integrative medicine is gaining increasing attention and is claiming more and more its place in modern health care, it still plays a marginal role in conventional maternity care. The present study aims to examine the patterns of Complementary and Alternative Medicine (CAM) use and the demand for integrative therapies, including CAM, relaxation therapies, nutritional counseling, and psychological assistance, among women in pregnancy and childbed. METHODS: The survey was conducted from April 2017 to July 2017 by means of a pseudo-anonymous 38-item questionnaire at the Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University of Munich...
June 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29903566/patient-provider-discussions-about-strategies-to-limit-air-pollution-exposures
#3
Maria C Mirabelli, Scott A Damon, Suzanne F Beavers, Kanta D Sircar
INTRODUCTION: Exposure to air pollution negatively affects respiratory and cardiovascular health. The objective of this study was to describe the extent to which health professionals report talking about how to limit exposure to air pollution during periods of poor air quality with their at-risk patients. METHODS: In 2015, a total of 1,751 health professionals completed an online survey and reported whether they talk with their patients about limiting their exposure to air pollution...
June 11, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29902779/a-clinicopathologic-review-and-obstetric-outcome-of-uterine-smooth-muscle-tumor-of-uncertain-malignant-potential-stump-in-a-single-institution
#4
Hyeong In Ha, Min Chul Choi, Jin Hyung Heo, Kyoung Ah Kim, Sang Geun Jung, Hyun Park, Won Duk Joo, Seung Hun Song, Tae Hoen Kim, Chan Lee
OBJECTIVES: The present study aimed to analyze the clinicopathologic features and treatment of uSTUMP in a single institution. In addition, we described the obstetric outcomes after uterine-preserving surgery for uSTUMP. METHODS AND MATERIALS: A retrospective chart review was performed of patients diagnosed with uSTUMP between January 2000 and February 2018 at the Comprehensive Gynecologic Cancer Center, CHA Bundang Medical Center. We obtained data on the patients' demographics, treatment, therapeutic results, time to recurrence, disease-free and overall survival, and subsequent obstetric outcomes...
June 5, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29901722/genitourinary-surgical-workload-at-deployed-u-s-facilities-in-iraq-and-afghanistan-2002-2016
#5
Caryn A Turner, Jean A Orman, Zsolt T Stockinger, Steven J Hudak
Introduction: Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. Material and Methods: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29890351/laparoscopic-evacuation-of-an-early-pregnancy
#6
Kemal Ozerkan, Adnan Orhan, Isil Kasapoglu, Bilge Cetinkaya Demir, Gurkan Uncu
DISCLOSURE STATEMENT: The authors declare that they have no conflicts of interest and nothing to disclose. STUDY OBJECTIVE: Minimally invasive surgical procedures have shown significant improvement over the last twenty years. Today, nearly half of the surgeries, including oncology, are performed with minimally invasive methods. In obstetrics and gynecology surgery practice, laparoscopy can now be used in almost all operations. In this video, we performed a laparoscopic evacuation of a 12-week missed abortion case like a cesarean section at the time of bilateral salpingectomy...
June 8, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29889758/industry-payments-to-obstetricians-and-gynecologists-under-the-sunshine-act
#7
Tyler M Muffly, Whitney L Giamberardino, Joseph Guido, Robbie Weterings, Brittney Bastow, Jeanelle Sheeder
OBJECTIVE: To evaluate financial relationships between obstetrician-gynecologists (ob-gyns) and industry, including the prevalence, magnitude, and the nature of payments. METHODS: We conducted a cross-sectional study in which we obtained a list of industry contributions to U.S. obstetricians and gynecologists through the Centers for Medicare and Medicaid Services Open Payments Database from August 1, 2013, to December 31, 2015. These data were cross-referenced with the entire cohort of practicing obstetricians and gynecologists, who were identified using the National Provider Identification database, because not all practicing ob-gyns received payments...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29889745/simulation-in-obstetrics
#8
Andrew J Satin
Simulation in obstetrics is a widely accepted and valuable tool that benefits all levels of learners from medical students to maternal-fetal medicine subspecialists. What began as an adjunct to medical education now has a rapidly expanding role in acquisition of new and innovative procedures, team and unit training, and safety and quality initiatives. The number of obstetric simulation peer-reviewed reports has increased exponentially in recent years, yet only a small percentage of reports primarily addresses clinical outcomes...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29889138/disparities-predict-for-higher-rates-of-cut-through-hysterectomies-in-locally-advanced-cervical-cancer
#9
Arya Amini, Tyler P Robin, Chad G Rusthoven, Tracey E Schefter, David Akhavan, Yi-Jen Chen, Scott M Glaser, Bradley R Corr, Kimlin T Ashing, Christine M Fisher
OBJECTIVES: The treatment of choice for locally advanced cervical cancer is definitive chemoradiation (CRT). Hysterectomy is not indicated due to higher-rates of cut-through resections leaving gross disease behind, requiring additional therapy with increasing morbidity and no benefit in overall survival (OS). The objectives of this study were to determine factors associated with cut-through hysterectomies and evaluate OS outcomes. MATERIALS AND METHODS: The National Cancer Database (NCDB) was queried for patients 18 years and older with clinical Federation of Gynecology and Obstetrics stage IB2 to IVA...
June 7, 2018: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29888259/a-comprehensive-evaluation-of-the-predictive-abilities-of-fetal-electrocardiogram-derived-parameters-during-labor-in-newborn-acidemia-our-institutional-experience
#10
Ning Tian, Weiyuan Zhang
This study aimed to identify cardiotocography patterns that discriminate fetal acidemia newborns by comprehensively evaluating the parameters obtained from Holter monitoring during delivery. Between June 1, 2015, and August 1, 2016, a prospective observational study of 85 patients was conducted using fetal Holter monitoring at the Beijing Obstetrics and Gynecology Hospital, Capital Medical University, China. Umbilical cord blood was sampled immediately after delivery and fetal acidemia was defined as umbilical cord arterial blood pH < 7...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29888150/postpartum-magnesium-sulfate-overdose-a-multidisciplinary-and-interprofessional-simulation-scenario
#11
Adam Garber, Purnima M Rao, Chandrew Rajakumar, George A Dumitrascu, Genevieve Rousseau, Glenn D Posner
This case is one of an eight-case multidisciplinary curriculum designed and implemented at the University of Ottawa by simulation educators with specialty training in obstetrics and gynecology (OB/GYN) and anesthesiology. Consultation with a nurse educator maintained the quality and relevance of objectives for nursing participants. The curriculum was prepared to train OB/GYN and anesthesiology residents and labor and delivery nurses to hone crisis resource management skills and to recognize and manage rare/critical medical events in an obstetrical setting...
April 7, 2018: Curēus
https://www.readbyqxmd.com/read/29886772/copper-and-ceruloplasmin-levels-are-closely-related-to-the-severity-of-preeclampsia
#12
Sibel Sak, Mert Barut, Hakim Celik, Adnan Incebiyik, Elif Ağaçayak, Hacer Uyanikoglu, Adnan Kirmit, Muhammet Sak
OBJECTIVE: The aim of this study was investigate the maternal serum concentrations of copper (Cu) and ceruloplasmin (CP) in patients with mild preeclampsia, severe preeclampsia, and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome, and to determine their associations with the severity of the disease. METHODS: This study was carried out at the largest tertiary care health center in the southeast region in Turkey and Department of Obstetrics and Gynecology...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29886589/-consistency-of-diagnosis-between-cervical-cytology-and-colposcopic-biopsy-diagnosis
#13
H Zhang, J N Xiao, X Tao, X R Zhou, L Wang
Objective: To identify underlying reasons for discrepant cases of positive cytology but negative histology. Methods: Cases with positive cytology and negative histology from 2008 to 2016 were retrieved from Department of Pathology, Obstetrics and Gynecology Hospital of Fudan University. Low grade squamous intraepithelial lesion or higher grade lesions were considered as positive cytology test in the study. Consecutive follow-up biopsies and as well as sites of biopsy were documented for analysis. Results: Overall positive rate of biopsy followed positive cytology was 74...
June 8, 2018: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
https://www.readbyqxmd.com/read/29885996/multi-institutional-analysis-of-vaginal-brachytherapy-alone-for-women-with-stage-ii-endometrial-carcinoma
#14
Matthew M Harkenrider, Brendan Martin, Karina Nieto, Christina Small, Ibrahim Aref, David Bergman, Anupama Chundury, Mohamed A Elshaikh, David Gaffney, Anuja Jhingran, Larissa Lee, Ima Paydar, Kisuk Ra, Julie Schwarz, Cameron Thorpe, Akila N Viswanathan, William Small
PURPOSE: To investigate the survival endpoints in women with International Federation of Gynecology and Obstetrics (FIGO) stage II endometrial cancer who received adjuvant vaginal brachytherapy (VBT) alone using multi-institutional pooled data. METHODS AND MATERIALS: We performed a multi-institutional analysis of surgically staged patients with FIGO stage II endometrioid-type endometrial cancer treated with VBT alone. Patient, tumor, and treatment characteristics were collected and analyzed...
April 24, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29881531/usability-evaluation-of-obstetrics-and-gynecology-information-system-using-cognitive-walkthrough-method
#15
Azadeh Kamel Ghalibaf, Majid Jangi, Mohammad Reza Mazaheri Habibi, Sara Zangouei, Reza Khajouei
Background and aim: Obstetrics and gynecology information system is a critical component of the HIS in social security organization health centers. The objective of this study was to evaluate the usability of this system using the cognitive walkthrough method. Also, the present study provided a detailed formal description of how the cognitive usability evaluation can be applied and reported for a health care information system. Methods: This study was conducted at the Mashhad University of Medical Sciences' usability lab from March 2016 to June 2017...
April 2018: Electronic Physician
https://www.readbyqxmd.com/read/29875849/maternal-and-neonatal-outcomes-in-pregnant-women-with-gestational-diabetes-mellitus-treated-with-diet-metformin-or-insulin
#16
Slagjana Simeonova-Krstevska, Milco Bogoev, Ksenija Bogoeva, Elizabeta Zisovska, Igor Samardziski, Valentina Velkoska-Nakova, Vesna Livrinova, Irena Todorovska, Aneta Sima, Vesna Blazevska-Siljanoska
AIM: Aim of the study was to compare outcomes of pregnancy in gestational diabetes mellitus (GDM) treated with metformin, insulin, or diet. MATERIAL AND METHODS: The study included 48 women with GDM treated with metformin, 101 with insulin, and 200 women on a diet from the Outpatient Department of Endocrinology and University Clinic of Obstetrics and Gynecology in Skopje. RESULTS: The groups were comparable in age, smoking cigarettes and positive family history of diabetes...
May 20, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29873055/theses-publications-in-scientific-indexed-journals-the-study-of-theses-supported-at-tunis-faculty-of-medecine-from-2008-to2010
#17
Aschraf Chadli-Debbiche, Emna Abidi, Nèbiha Falfoul-Borsali, Ali Mrabet, Chadli Dziri, Héla Elloumi
INTRODUCTION: The classification of performing universities in the world based on the number of citations of universities scientific publications. However, the rate of publications resulting from theses to the Tunis Faculty of Medicine (FMT) is unknown. OBJECTIVE: To determine the publication rates of theses in indexed journals. METHODS: This is a descriptive study of theses of all specialties, supported in the FMT from 1 January 2008 to 31 December 2010...
October 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29869513/-the-relationship-between-cervicovaginal-and-oral-hpv-infection
#18
M Nipčová, J Sláma, T Podlešák, H Neumannová, M Zikán, B Sehnal
OBJECTIVE: To summarize current knowledge of the relationship of genital and oral HPV infection in women. DESIGN: Review article. SETTING: Gynecologic Oncology Center, Department of Gynecology and Obstetrics, Hospital Na Bulovce and 1st Medical School of Charles University, Prague; Gynecologic Oncology Center, Department of Gynecology and Obstetrics, General Faculty Hospital and 1st Medical School of Charles University, Prague; ENT Department, Hospital Na Bulovce, Prague...
2018: Ceská Gynekologie
https://www.readbyqxmd.com/read/29869512/-spontaneous-rupture-of-the-uterine-artery-in-connection-with-pregnancy
#19
P Gloserová, G Hensel, M Košťál
OBJECTIVE: To present two cases of spontaneous uterine artery rupture in connection with pregnancy, accompanied by life endangering bleeding. In the first case we talk about a thirty-three years old primigravida nullipara in the 20th week of pregnancy. In the second case there is a woman, who gave spontaneous birth in the 36th week of pregnancy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Pardubice Hospital. METHODS: Own observation...
2018: Ceská Gynekologie
https://www.readbyqxmd.com/read/29869510/-anaplastic-astrocytoma-in-pregnancy
#20
P Šrýtrová, I Bydžovská
OBJECTIVE: We describe the diagnose and treatment of patient with anaplastic astrocytoma in the third trimestr of pregnancy. DESIGN: Case report. SETTING: Department of Gynecology and Obstetrics, Regional Hospital Liberec. CONCLUSION: Malignant brain tumors are fortunately a rare disease. There is no difference in incidence between pregnant and non-pregnant women, but faster development of symptoms and progression of disease is suspected...
2018: Ceská Gynekologie
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