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Gyn onc

Christina Terrazas, Lisa S Segre, Cheryl Wolfe
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice...
February 12, 2018: Primary Health Care Research & Development
Laura H Taouk, Kristen A Matteson, Lauren M Stark, Jay Schulkin
Obstetrician-gynecologists (ob-gyns) are well-positioned to detect symptoms of perinatal depression; however, little is known about how ob-gyns respond. The purpose of this study was to evaluate ob-gyns' beliefs and practices related to prenatal depression screening and antidepressant prescription during pregnancy. A larger survey on prenatal medication was developed at the American College of Obstetricians and Gynecologists (ACOG) and distributed to a sample of 1000 Fellows. The overall response rate was 37...
February 2018: Archives of Women's Mental Health
Elizabeth J N Miller, Lisa M Cookingham, Teresa K Woodruff, Ginny L Ryan, Karen M Summers, Laxmi A Kondapalli, Divya K Shah
BACKGROUND: Despite a large body of data suggesting that delivery of fertility care to cancer patients is inconsistent and frequently insufficient, there is a paucity of literature examining training in fertility preservation for those physicians expected to discuss options or execute therapy. The study objective was to compare fertility preservation training between Reproductive Endocrinology & Infertility (REI) and Gynecologic Oncology (GYN ONC) fellows and assess the need for additional education in this field...
2017: Fertility Research and Practice
Imam M Xierali, Marc A Nivet, William F Rayburn
OBJECTIVE: To examine recent trends in the relocation of obstetrician-gynecologists (ob-gyns) in the United States. METHODS: This longitudinal descriptive study analyzed relocation patterns of ob-gyns between the earliest reference point (2005) and most recently (2015). A physician's county location in a year was compared with his or her location during the previous year. Physician background and county characteristics came from three data resources (Association of American Medical Colleges databases, American Medical Association Physician Masterfile, American Community Survey)...
March 2017: Obstetrics and Gynecology
Jodie G Katon, Lacey Lewis, Selma Hercinovic, Amanda McNab, John Fortney, Susan M Rose
Purpose We describe results from a quality improvement project undertaken to address perinatal mental healthcare for women veterans. Description This quality improvement project was conducted in a single VA healthcare system between 2012 and 2015 and included screening for depressive symptoms with the Edinburgh Postnatal Depression Scale (EPDS) three times during the perinatal period, a dedicated maternity care coordinator (MCC), an on-site clinical social worker, and an on-site obstetrician/gynecologist (Ob/gyn)...
August 2017: Maternal and Child Health Journal
Mohamed Ait Aiss, Helene P Phu, Lakeisha R Day, Varkey Abraham, Karen Chen, Mejia Rodrigo, Shehla Razvi, Carmen E Gonzalez, Norman Brito-Dellan, Srinivas Banala, David Rubio, Nicole Vaughan-Adams, Debra S Ruiz, Tan Jens, Charles F Levenback, Michael M Frumovitz, Behrouz Zand, Carmelita P Escalante
242 Background: Communication failures cause two-thirds of sentinel events in hospitals. These adverse occurrences are often both fatal and preventable. Consequently, improving the quality of handoffs has been identified by multiple accreditation constituents as a top priority patient safety goal. This project was part of an institutional initiative to standardize handoffs among physicians, trainees, and midlevel providers. METHODS: Four subgroups were identified as pilot areas: Gynecologic Oncology (Gyn Onc) fellows to nocturnalists, Surgical Oncology fellows, Pediatric Oncology residents and fellows, and Emergency Center attending staff to inpatient hospitalists...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Kelly Shum, Amber Solivan, Parham Parto, Nichole Polin, Eiman Jahangir
BACKGROUND: Because of the improvements in survival rates, patients with breast cancer are now more likely to die from cardiovascular disease than from cancer. Thus, providing appropriate preventive cardiovascular care to patients with cancer is of the utmost importance. METHODS: We retrospectively compared the cardiovascular risk and management of 146 women treated at the Cardio-Oncology (Cardio-Onc) and the Obstetrics and Gynecology (Ob-Gyn) clinics. We calculated cardiovascular risk using the American College of Cardiology (ACC)/American Heart Association (AHA) atherosclerotic cardiovascular disease (ASCVD) risk calculator and the Framingham Risk Score Calculator...
2016: Ochsner Journal
Sara Farag, Jessica Fields, Elena Pereira, Kathy Chyjek, Katherine T Chen
BACKGROUND: Currently, there are thousands of medical applications (apps) on the market potentially leading to app overload. Finding useful and accurate apps may be time-consuming and frustrating to gynecologic oncologists. INTRODUCTION: The objective of this study is to identify and rate gynecologic oncology (gyn-onc) apps using the APPLICATIONS scoring system. MATERIALS AND METHODS: A list of nonconsumer gyn-onc apps was identified from the Apple iTunes and Google Play Stores...
December 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Cristiano Rossitto, Salvatore Gueli Alletti, Barbara Costantini, Francesco Fanfani, Giovanni Scambia
STUDY OBJECTIVE: To highlight the first case of laparoscopic hysterectomy performed with percutaneous instruments (The Percuvance System, Teleflex Incorporated, Wayne, PA). DESIGN: The basis of the system is a <3-mm diameter shaft that, when connected to an introducer tool tip, can be inserted percutaneously through the skin. The introducer tool tip can then be exchanged outside the body for a wide variety of 5-mm interchangeable surgical tool tips. The shaft is sufficiently strong to hold structures, and surgeons can use its interchangeable tool tips to grasp, cut, and manipulate tissue...
January 2016: Journal of Minimally Invasive Gynecology
Chel Hun Choi, Joon-Yong Chung, Hanbyoul Cho, Haruhisa Kitano, Eileen Chang, Kris Ylaya, Eun Joo Chung, Jae-Hoon Kim, Stephen M Hewitt
OBJECTIVES: Cervical cancer is one of the most common gynecological malignancies worldwide, and its association with the AMP-activated protein kinase (AMPK) is still unknown. We aimed to investigate the clinical correlation between AMPK expression and cervical cancer. METHODS: The expression of AMPKα1, AMPKα2 and phosphorylated AMPKα (p-AMPKα) was determined immunohistochemically in 524 formalin-fixed, paraffin-embedded malignant and premalignant cervical tissues...
2015: Pathobiology: Journal of Immunopathology, Molecular and Cellular Biology
Nicolas Chevalier, Françoise Paris, Sylvie Fontana, Jérôme Delotte, Laura Gaspari, Patricia Ferrari, Charles Sultan, Patrick Fénichel
BACKGROUND: McCune-Albright syndrome (MAS), due to a somatic mutation of the GNAS1 gene, begins usually in girls with peripheral precocious puberty. Ovarian autonomy may persist in adulthood with acyclic hyperestrogenemia, infertility, and a potential risk of estrogen-dependent cancer. CASE: A 22-year-old woman, with MAS, was referred for infertility with left macropolycystic ovary, hyperestrogenemia, and chronic anovulation unsuccessfully treated by controlled hyperstimulation...
December 2015: Journal of Pediatric and Adolescent Gynecology
Christine Cohidon, Jacques Cornuz, Nicolas Senn
BACKGROUND: According to the Organization for Economic Cooperation and Development, the Swiss healthcare system is one of the most effective in the world. Yet, as other occidental countries, it has to face the increase of chronic diseases frequency and its resulting cost, particularly for primary care (PC). However very few consistent data are available to describe PC features and its evolution over time. The aim of this study is to describe the evolution of the Swiss PC physicians' (PCPs) profile and activities between 1993 and 2012...
2015: BMC Family Practice
Christina Nagel, Natascha Ille, Jörg Aurich, Christine Aurich
Transrectal palpation and ultrasonography of the genital tract in mares are first-day skills for equine veterinarians. In this study, the learning outcome in equine gynecology after four times training on horses (group H4, n = 8), training on horses once (group H1, n = 9), and four times simulator-based training (group Sim, n = 8) was assessed in third-year veterinary students with two tests in live mares 14 days apart. The students of group H4 always scored better for transrectal palpation than students of group Sim and H1 (P < 0...
October 15, 2015: Theriogenology
M Untch, N Harbeck, J Huober, G von Minckwitz, B Gerber, H-H Kreipe, C Liedtke, N Marschner, V Möbus, H Scheithauer, A Schneeweiss, C Thomssen, C Jackisch, M W Beckmann, J-U Blohmer, S-D Costa, T Decker, I Diel, P A Fasching, T Fehm, W Janni, H-J Lück, N Maass, A Scharl, S Loibl
For the first time, this year's St. Gallen International Consensus Conference on the treatment of patients with primary breast cancer, which takes place every two years, was held not in St. Gallen (Switzerland) but - for logistical reasons - in Vienna (Austria) under its usual name. The 2015 St. Gallen International Consensus Conference was the 14th of its kind. As the international panel of the St. Gallen conference consists of experts from different countries, the consensus mirrors an international cross-section of opinions...
June 2015: Geburtshilfe und Frauenheilkunde
M Zarepisheh, Y Ye, L Xing
PURPOSE: To propose a new parallel-friendly optimization algorithm, based on alternating direction method of multipliers (ADMM), for solving optimization problems emerging in treatment planning and imaging METHODS: ADMM, emerging as a powerful tool for distributed optimization, is employed here for IMRT treatment planning. We modify the existing ADMM by integrating that with two optimization techniques known as Barzilai-Borwein gradient method and line search. We apply original and integrated ADMM, with various penalty parameter values, on three IMRT treatment planning cases and we compare their performance...
June 2015: Medical Physics
Mohamed Rezk, Ragab Dawood, Mohamed Abo-Elnasr, Alaa Al Halaby, Hala Marawan
OBJECTIVE: This study was conducted to evaluate the efficacy and safety of lactoferrin in comparison to ferrous sulphate for the treatment of iron deficiency anemia (IDA) during pregnancy. MATERIALS AND METHODS: This prospective, randomized, parallel-group, single-center study was conducted in the Department of Obstetrics and Gynecology at Menoufia University Hospital, Egypt and included a total of 200 pregnant women in the second trimester with IDA who were enrolled and randomly assigned either to receive 150 mg of dried ferrous sulphate capsules or lactoferrin 250 mg capsules once daily for eight consecutive weeks...
2016: Journal of Maternal-fetal & Neonatal Medicine
Louise Wilkins-Haug, Ann Celi, Ann Thomas, Joseph Frolkis, Ellen W Seely
OBJECTIVE: To assess health care providers' knowledge regarding pregnancy outcome as a risk factor for cardiovascular disease and evaluate the variables associated with their responses to questions about routine surveillance for cardiovascular disease. METHODS: A voluntary, anonymous survey of internal medicine and obstetric and gynecologic health care providers at an academic institution. Responses to a case-based and direct inquiry questionnaire were evaluated...
June 2015: Obstetrics and Gynecology
Fernando Sansone Rodrigues, Sérgio Peixoto, Fernando Adami, Beatriz da Costa Aguiar Alves, Flávia de Sousa Gehrke, Ligia Ajaime Azzalis, Virginia Berlanga de Campos Junqueira, Fernando Luiz Affonso Fonseca
OBJECTIVES: Treatment for lower genital tract infections is the major demand for gynecological services in public and private health centers in Brazil. The aims of this study were to evaluate the diagnostic resources proposed by Amsel, comparing them with the microflora evaluation by the Nugent score and thus propose a new cutoff point in this rating score, showing the complementarity of both diagnostic criteria. METHODS: A total of 136 female patients aged between 18 and 69years were evaluated and had their vaginal discharge samples collected...
August 2015: Journal of Microbiological Methods
(no author information available yet)
Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during pregnancy and the postpartum period, affecting one in seven women. It is important to identify pregnant and postpartum women with depression because untreated perinatal depression and other mood disorders can have devastating effects on women, infants, and families. Several screening instruments have been validated for use during pregnancy and the postpartum period...
May 2015: Obstetrics and Gynecology
Julian Marschalek, Samir Helmy, Alice Schmidt, Stephan Polterauer, Martha Sobulska, Georg P Gyoeri, Christoph Grimm
OBJECTIVE: Renal transplant patients are at increased risk for human papillomavirus-related malignancies of the lower genital tract. Our aim was to describe the incidence of genital dysplasia, assess the most common cervical cancer screening intervals and identify independent risk factors for the development of genital dysplasia in renal transplant patients. DESIGN: Retrospective, non-interventional study from two centers. SETTING: Post-transplant nephrologic follow-up visit at the Medical University of Vienna and a Viennese teaching hospital...
August 2015: Acta Obstetricia et Gynecologica Scandinavica
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