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https://www.readbyqxmd.com/read/29788287/provider-and-patient-satisfaction-with-the-integration-of-ambulatory-and-hospital-ehr-systems
#1
Chad D Meyerhoefer, Susan A Sherer, Mary E Deily, Shin-Yi Chou, Xiaohui Guo, Jie Chen, Michael Sheinberg, Donald Levick
Objective: The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers' satisfaction with the transmission of clinical information and patients' ratings of their care experience. Methods: We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR...
May 16, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29786511/-preeclampsia-a-challenge-also-for-cardiologists
#2
M Cournot, O Lairez, B Medzech
Due to its short-term consequences on perinatal outcome, preeclampsia has been long regarded as an obstetrical disease, strictly confined to a management by OB/GYNs. It has been now widely accepted that preeclampsia is most a systemic inflammatory and systemic vascular disease during pregnancy and then a lifelong risk factor for subsequent cardiovascular event in women's life. The aim of this review is to propose an overview in the current state-of-art in definition, early identification and management of preeclampsia...
May 18, 2018: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/29771940/unplanned-pregnancies-and-contraceptive-use-among-hiv-positive-women-in-care
#3
Madeline Y Sutton, Wen Zhou, Emma L Frazier
Among 230,360 women with diagnosed HIV in the United States (U.S.), ~ 8,500 give birth annually, and unplanned pregnancies (as with HIV-negative women) are prevalent. However, unplanned pregnancies and contraceptive use among HIV-positive women have been understudied. To examine unplanned pregnancies and contraceptive use among HIV-positive women, we used 2013-2014 data from the Medical Monitoring Project (MMP), an HIV surveillance system that produces national estimates for HIV-positive adults in care in the U...
2018: PloS One
https://www.readbyqxmd.com/read/29759380/impact-of-a-clinical-interventions-bundle-on-uptake-of-hpv-vaccine-at-an-ob-gyn-clinic
#4
Uma Deshmukh, Carlos R Oliveira, Susan Griggs, Emily Coleman, Lital Avni-Singer, Shefali Pathy, Eugene D Shapiro, Sangini S Sheth
INTRODUCTION: HPV vaccine uptake is lowest among young adults. Little is known about the most effective way to decrease missed opportunities (MO) and increase uptake of the vaccine in this vulnerable population. OBJECTIVES: To determine the impact of a clinical intervention bundle on the rate of MO and uptake of the vaccine among young adult women. METHODS: From 2/2014 to 7/2015, an intervention bundle (designating physician and nurse champions, pre-screening patients' charts, empowering nurses to recommend immunization, providing no-cost vaccinations, placing prompts in clinic note templates, eliminating requirement for pre-vaccination pregnancy test) was implemented at an urban, hospital-based OB/GYN clinic...
May 11, 2018: Vaccine
https://www.readbyqxmd.com/read/29734453/female-physicians-in-maternal-fetal-medicine-a-32-year-perspective
#5
Jacquelyn Blackstone, Vanessa K Will, William F Rayburn
OBJECTIVE:  To examine trends of female physicians either pursuing fellowships or in active practice in maternal-fetal medicine (MFM). METHODS:  This observational study examined complete sets of MFM fellows and active members of the Society for Maternal-Fetal Medicine (SMFM) between 1985 and 2016. Databases from SMFM, American College of Obstetricians and Gynecologists (ACOG), and Accreditation Council for Graduate Medical Education were used. Analysis of covariance testing was used to assess interactions over time between groups...
May 7, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29731385/image-guided-adaptive-brachytherapy-for-cervix-cancer-a-story-of-successful-collaboration-within-the-gec-estro-gyn-network-and-the-embrace-studies
#6
EDITORIAL
L T Tan, K Tanderup, P Hoskin, R Cooper, R Pötter
No abstract text is available yet for this article.
May 3, 2018: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/29713101/an-interesting-presentation-about-cyclical-menstrual-psychosis-with-an-updated-review-of-literature
#7
Srinagesh Mannekote Thippaiah, Soumya Nagaraja, Badari Birur, Arnold W Cohen
Cyclical menstrual psychosis is an uncommon, generally a self-limiting mental illness that occurs only in females. It is associated with other menstruation-related disorders and stressful psychogenic factors. Nonetheless, many cases remain unrecognized due to poor awareness of its presence. A young female who presented with psychotic and mood symptoms during each cycle of menstruation was admitted to the psychiatric inpatient unit. There was severe disruption in her activities of daily living and socio-occupational functioning...
March 13, 2018: Psychopharmacology Bulletin
https://www.readbyqxmd.com/read/29678365/comparison-of-expulsions-following-intracesarean-placement-of-an-innovative-frameless-copper-releasing-iud-gyn-cs%C3%A2-versus-the-tcu380a-a-randomized-trial
#8
Ceren Unal, Ahmet Eser, Elif Tozkir, D Wildemeersch
OBJECTIVE: The intent of this study (primary outcome measure) is to assess the expulsion rate of a newly developed copper releasing frameless intrauterine IUD GyneFix® Cesarean Section (Gyn-CS®) at 3months' follow-up, compared to the TCu-380A IUD, inserted immediately postplacental expulsion following cesarean section delivery. STUDY DESIGN: This is a randomized trial from one hospital research center in Istanbul, Turkey. Eligible pregnant women, the majority undergoing elective cesarean delivery (n=106), and the remaining emergency cesarean section cases (n=34), received intracesarean insertion of Gyn-CS or TCu380A insertion...
April 17, 2018: Contraception
https://www.readbyqxmd.com/read/29673570/pregnancy-and-parental-leave-among-obstetrics-and-gynecology-residents-results-of-a-nationwide-survey-of-program-directors
#9
Eduardo Hariton, Benjamin Matthews, Abigail Burns, Chitra Akileswaran, Lori R Berkowitz
INTRODUCTION: The health and economic benefits of paid parental leave have been well documented. In 2016, the American College of Obstetrics and Gynecology (ACOG) released a policy statement on recommended parental leave for trainees, yet, data on adoption of said guidelines is nonexistent and published data on parental leave policies in Ob-Gyn is outdated. The objective of our study is to understand existing parental leave policies in Ob-Gyn training programs and to evaluate program director opinions on these policies and on parenting in residency...
April 16, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29667456/fertility-and-fertility-preservation-knowledge-awareness-and-attitudes-of-female-graduate-students
#10
Lisa C Hickman, Chelsea Fortin, Linnea Goodman, Xiaobo Liu, Rebecca Flyckt
PURPOSE: To evaluate the general knowledge of female graduate students on reproductive aging and fertility preservation options, as well as to investigate the perceptions, personal beliefs, and desires regarding fertility and preservation modalities. MATERIALS AND METHODS: A cross-sectional online survey study of female graduate students and medical trainees from academic institutions in Ohio was performed. Women were excluded if the online survey was incomplete or if they were >45 years...
April 18, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29660297/structured-integration-of-family-planning-curriculum-comparative-assessment-of-knowledge-and-skills-among-new-medical-graduates-in-ethiopia
#11
Berhanu G Gebremeskel, Alula M Teklu, Lia T Gebremedhin, Solomon W Beza, Tegbar Yigzaw, Munir K Eshetu, Mengistu H Damtew, Yolanda R Smith
OBJECTIVE: To assess if structured integration of a comprehensive family planning (FP) training into a medical school curriculum improves FP knowledge and skill scores of medical interns. STUDY DESIGN: We compared mean contraception knowledge scores of interns in a medical school with the integrated FP curriculum [intervention school] (n=56) to interns at four conventional medical curriculum schools without structured reinforcement of FP content [control schools] (n=161) in Ethiopia...
April 13, 2018: Contraception
https://www.readbyqxmd.com/read/29651517/national-survey-of-urogynecological-practice-patterns-among-united-states-ob-gyn-oral-board-examinees-in-different-practice-settings
#12
Andrey Petrikovets, Abigail Davenport, Sherif A El-Nashar, David Sheyn, Jeffrey Mangel, Sangeeta T Mahajan
INTRODUCTION AND HYPOTHESIS: The current urogynecological surgical experience of recent OB/GYN graduates in different practice settings is unclear. The aim of this study was to evaluate differences in urogynecological surgical care between private practitioners (PPs) and other generalist OB/GYN oral board examinees. METHODS: A total of 699 OB/GYN oral board examination examinees were administered a survey during board preparatory courses with a 70.7% response rate...
April 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29651359/preclinical-labor-and-delivery-shadowing-the-impact-on-medical-students-perceptions-of-obstetrics-and-gynecology
#13
Sarah Dotters-Katz, Alexis Panzer, Matthew Givens, Marcela Smid, Alice Chuang
Objective  We sought to determine the impact of preclinical exposure (shadowing) to labor and delivery (L&D) on medical students' perceptions of obstetrics and gynecology (OB/GYN). Study Design  We administered a written survey to rising third-year medical students at a single center prior to any clerkship. We described motivation/deterrents for shadowing among students, and experiences/perceptions of those students who shadowed. Results  In total, 119/136 (86%) students completed the survey. Of those, 29% participated in shadowing on L&D...
April 2018: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/29607234/large-vaginal-varicosities-in-the-setting-of-pregnancy-without-known-hepatic-or-vascular-risks-a-case-report-and-review-of-the-literature
#14
Mark Sueyoshi, Steven Clevenger, Elaine Hart
Pregnancy may cause the onset of vaginal or vulvar varicosities that may be a concern for hemorrhage risk during childbirth. A 38-year-old female G4P1112 at 34 weeks and 1 day was referred to an outpatient OB/Gyn clinic for evaluation of a large vaginal mass. The referring provider had concern for malignancy. Lesions of the vulva were biopsied and found to be benign. For two months prior to presentation, she was experiencing discomfort with walking, yellow vaginal discharge, and dysuria. Treatment with fluconazole showed no improvement...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29598924/oncentra-brachytherapy-planning-system
#15
REVIEW
Jack Yang
In modern cancer management, treatment planning has progressed as a contemporary tool with all the advances in computing power in recent years. One of the advanced planning tools uses 3-dimensional (3D) data sets for accurate dose distributions in patient prescription. Among these planning processes, brachytherapy has been a very important part of a successful cancer management program, offering clinical benefits with specific or combined treatments with external beam therapy. In this chapter, we mainly discussed the Elekta Oncentra planning system, which is the main treatment planning tool for high-dose rate (HDR) modality in our facility and in many other facilities in the United States...
March 27, 2018: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/29594251/the-embrace-ii-study-the-outcome-and-prospect-of-two-decades-of-evolution-within-the-gec-estro-gyn-working-group-and-the-embrace-studies
#16
REVIEW
Richard Pötter, Kari Tanderup, Christian Kirisits, Astrid de Leeuw, Kathrin Kirchheiner, Remi Nout, Li Tee Tan, Christine Haie-Meder, Umesh Mahantshetty, Barbara Segedin, Peter Hoskin, Kjersti Bruheim, Bhavana Rai, Fleur Huang, Erik Van Limbergen, Max Schmid, Nicole Nesvacil, Alina Sturdza, Lars Fokdal, Nina Boje Kibsgaard Jensen, Dietmar Georg, Marianne Assenholt, Yvette Seppenwoolde, Christel Nomden, Israel Fortin, Supriya Chopra, Uulke van der Heide, Tamara Rumpold, Jacob Christian Lindegaard, Ina Jürgenliemk-Schulz
The publication of the GEC-ESTRO recommendations one decade ago was a significant step forward for reaching international consensus on adaptive target definition and dose reporting in image guided adaptive brachytherapy (IGABT) in locally advanced cervical cancer. Since then, IGABT has been spreading, particularly in Europe, North America and Asia, and the guidelines have proved their broad acceptance and applicability in clinical practice. However, a unified approach to volume contouring and reporting does not imply a unified administration of treatment, and currently both external beam radiotherapy (EBRT) and IGABT are delivered using a large variety of techniques and prescription/fractionation schedules...
February 2018: Clinical and translational radiation oncology
https://www.readbyqxmd.com/read/29583064/prescribing-bioidentical-menopausal-hormone-therapy-a-survey-of-physician-views-and-practices
#17
Jamie P Dubaut, Fanglong Dong, Bruce L Tjaden, David A Grainger, Jennifer Duong, Laura L Tatpati
BACKGROUND: It is estimated that 1-2.5 million U.S. women use compounded bioidentical menopausal hormone therapy (MHT). However, the proportion of American physicians prescribing compounded bioidentical hormones remains unknown. This study aims to evaluate obstetrician-gynecologists' (OB/GYNs) and family medicine physicians' decisions reflected in prescribing practices of MHT in Kansas, and level of agreement with the American College of Obstetricians and Gynecologists (ACOG) recommendations...
March 27, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29580916/influences-on-intentions-to-place-long-acting-reversible-contraceptives-a-pilot-study-comparing-by-provider-specialty-in-ohio
#18
Charee Thompson, Jane Broecker, Maggie Dade, Kelly Nottingham
STUDY OBJECTIVE: According to the American Academy of Pediatrics (AAP), pediatricians are to counsel and provide LARCs as first-line-of-defense contraceptives because they are the most effective. We wanted to explore positive influences on LARC placement for pediatricians, particularly when compared to providers in other specialties who care for women. DESIGN: Survey methods with data analyzed using analyses of variance and general linear models in statistical software SPSS 24...
March 23, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29562754/pregnancy-planning-timing-happiness-and-depressive-symptoms-among-low-income-women-living-with-and-without-hiv
#19
Marcia Polansky, Hardeep Singh, Yang Gao, Erika Aaron
OBJECTIVE: This study assessed associations of sociodemographic factors and pregnancy intent and wantedness with pregnancy happiness and prenatal depressive symptoms and the relationship between prenatal depressive symptoms and pregnancy happiness. BACKGROUND: Depression is the leading cause of disability world-wide and more so for women. Women are most likely to experience depression in their child bearing years, including during pregnancy. Untreated prenatal depression, associated with unwanted pregnancies endangers the health and wellbeing of the mother and her child...
March 21, 2018: Journal of Reproductive and Infant Psychology
https://www.readbyqxmd.com/read/29542435/linking-global-health-to-local-health-within-an-ob-gyn-residency-program
#20
Sara Whetstone, Meg Autry
An unprecedented number of medical students and residents express the desire to participate in global health work during their training and beyond. Preparing learners for work in underserved settings makes it more likely that they will continue to work in areas of need. Training programs that focus on global health have been criticized as there is ample work to be done in the US, and often global health work becomes learner-centric, which is difficult to maintain and potentially burdensome and harmful to the host site...
March 1, 2018: AMA Journal of Ethics
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