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https://www.readbyqxmd.com/read/27668101/a-ruptured-ectopic-pregnancy-presenting-with-a-negative-urine-pregnancy-test
#1
Johnathan Michael Sheele, Rachel Bernstein, Francis L Counselman
A negative urine pregnancy test in the emergency department traditionally excludes the diagnosis of pregnancy. We report a rare case of ruptured ectopic pregnancy in a patient with a negative urine pregnancy test but with a serum beta-human chorionic gonadotropin (β-hCG) of 10 mIU/mL. The patient developed hemoperitoneum and required laparoscopy by Obstetrics and Gynecology (OB/Gyn). This case highlights the fallibility of the urine pregnancy test in diagnosing early pregnancy.
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/27524764/health-care-and-human-trafficking-we-are-seeing-the-unseen
#2
Makini Chisolm-Straker, Susie Baldwin, Bertille Gaïgbé-Togbé, Nneka Ndukwe, Pauline N Johnson, Lynne D Richardson
OBJECTIVES: This study aimed to build the evidence base around human trafficking (HT) and health in the U.S. by employing a quantitative approach to exploring the notion that health care providers encounter this population. Furthermore, this study sought to describe the health care settings most frequented by victims of human trafficking. METHODS: This was an anonymous, retrospective study of survivors of U.S.-based human trafficking. RESULTS: One hundred and seventy-three participants who endured U...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/26979827/power-day-addressing-the-use-and-abuse-of-power-in-medical-training
#3
Nancy R Angoff, Laura Duncan, Nichole Roxas, Helena Hansen
PROBLEM: Medical student mistreatment, as well as patient and staff mistreatment by all levels of medical trainees and faculty, is still prevalent in U.S. clinical training. Largely missing in interventions to reduce mistreatment is acknowledgement of the abuse of power produced by the hierarchical structure in which medicine is practiced. APPROACH: Beginning in 2001, Yale School of Medicine has held annual "Power Day" workshops for third year medical students and advanced practice nursing students, to define and analyse power dynamics within the medical hierarchy and hidden curriculum using literature, guest speakers, and small groups...
June 2016: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/26966600/retained-products-of-conception-an-atypical-presentation-diagnosed-immediately-with-bedside-emergency-ultrasound
#4
Kristin Adkins, Joseph Minardi, Erin Setzer, Debra Williams
Background. Retained products of conception is an important diagnosis to consider in patients presenting with postpartum complaints. Bedside ultrasound is a rapid, accurate, noninvasive modality to evaluate these patients. Objective. To report an atypical case of retained products of conception diagnosed with bedside ultrasound in the emergency department. Case Report. A 27-year-old female who was 1-month postpartum presented with vaginal bleeding, pelvic pain, and no fever. At the time of initial H&P, bedside ultrasound revealed echogenic material within the endometrial cavity with blood flow seen by color Doppler consistent with retained products of conception...
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/26942392/committee-opinion-no-657-the-obstetric-and-gynecologic-hospitalist
#5
(no author information available yet)
The term "hospitalist" refers to physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities may include patient care, teaching, research, and inpatient leadership. The American College of Obstetricians and Gynecologists supports the continued development and study of the obstetric and gynecologic (ob-gyn) hospitalist model as one potential approach to improve patient safety and professional satisfaction across delivery settings. Effective patient handoffs, updates on progress, and clear follow-up instructions between ob-gyn hospitalists and patients, nurses, and other health care providers are vital to maintaining patient safety...
February 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26942385/committee-opinion-no-657-summary-the-obstetric-and-gynecologic-hospitalist
#6
REVIEW
(no author information available yet)
The term "hospitalist" refers to physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities may include patient care, teaching, research, and inpatient leadership. The American College of Obstetricians and Gynecologists supports the continued development and study of the obstetric and gynecologic (ob-gyn) hospitalist model as one potential approach to improve patient safety and professional satisfaction across delivery settings. Effective patient handoffs, updates on progress, and clear follow-up instructions between ob-gyn hospitalists and patients, nurses, and other health care providers are vital to maintaining patient safety...
February 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26659209/clinical-laboratory-assessment-of-mycoplasma-genitalium-transcription-mediated-amplification-using-primary-female-urogenital-specimens
#7
Erik Munson, Holly Bykowski, Kimber L Munson, Maureen Napierala, Pamela J Reiss, Ronald F Schell, Jeanne E Hryciuk
Following analysis of primary cervix, vagina, and first-void female urine specimens for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis via commercial transcription-mediated amplification (TMA), residual material was subjected to Mycoplasma genitalium research-use-only TMA. Representation within a 2,478-specimen retrospective study set was established by comparison to a 6-month audit of clinical C. trachomatis TMA (12,999 specimens) on the basis of the C. trachomatis detection rate, specimen source distribution, clinic location, and age...
February 2016: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/26646119/racial-and-ethnic-differences-between-obstetrician-gynecologists-and-other-adult-medical-specialists
#8
William F Rayburn, Imam M Xierali, Laura Castillo-Page, Marc A Nivet
OBJECTIVE: To compare racial and ethnic differences between obstetrician-gynecologists (ob-gyns) and other large groups of adult medical specialists who provide the predominant care of women. Whether physician diversity influences their practice locations in underserved areas was also sought. METHODS: This cross-sectional study reports an analysis of U.S. national data about racial and ethnic characteristics, gender, and specialty (obstetrics and gynecology, general internal medicine, family medicine, emergency medicine) of 190,379 physicians who came from three resources (Association of American Medical Colleges Student Records System, Association of American Medical Colleges Minority Physicians Database, American Medical Association Physician Masterfile)...
January 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26585201/enrollment-with-a-primary-care-provider-does-not-preclude-ed-visits-for-patients-with-woman-s-health-related-problems
#9
Jessica Burns, Alfred Sacchetti
OBJECTIVE: The Affordable Care Act places primary care at the cornerstone of health maintenance. It is believed that increasing access to primary health care providers will limit emergency department (ED) use. This study examines woman's health-related ED visits by patients enrolled in an obstetric/gynecologic (OB/GYN) clinic. METHODS: A database was created combining patient information from a hospital-affiliated OB/GYN clinic and the electronic medical records from the ED of the affiliated hospital...
February 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26562703/evaluating-quality-of-care-for-sexually-transmitted-infections-in-different-clinical-settings
#10
Shwetha Sequeira, Jake R Morgan, Maura Fagan, Katherine K Hsu, Mari-Lynn Drainoni
BACKGROUND: We examined quality of care across different clinical settings within a large safety-net hospital in Massachusetts for patients presenting with penile discharge/dysuria or vaginal discharge. METHODS: Using a modified Delphi approach, a list of sex-specific sexually transmitted infection (STI) quality measures, covering 7 domains of clinical care (history, examination, laboratory testing, assessment, treatment, additional screening, counseling), was selected as standard of care by a panel of 5 STI experts representing emergency department (ED), obstetrics/gynecology (Ob/Gyn), family medicine (FM), primary care (PC), and infectious disease...
December 2015: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/26545053/gold-humanism-honor-society-election-and-academic-outcomes-a-10-institution-study
#11
Steven Specter, Marc J Kahn, Cathy Lazarus, Michael Prislin, Jeffrey G Wong, Joseph O'Donnell, Wayne T McCormack, Michael G Kavan, Ana Maria Lopez, Alice House
BACKGROUND AND OBJECTIVES: This study examines relationships among election to the Gold Humanism Honor Society (GHHS) and election to Alpha Omega Alpha (AOA), class rank, and residency selection to determine if GHHS members are more likely to select primary care residencies than students not elected to GHHS membership. METHODS: We evaluated five graduating classes (2006--2010) at 10 medical schools (n=5,481 students). Residency selections were grouped into primary care (family medicine, internal medicine, pediatrics, OB-GYN), surgery (including surgical specialties), or E-ROAD and other (including lifestyle practices-emergency medicine, radiology, ophthalmology, anesthesiology, and dermatology plus all other specialties, eg, neurology, pathology)...
November 2015: Family Medicine
https://www.readbyqxmd.com/read/26510932/the-problem-of-the-pannus-physician-preference-survey-and-a-review-of-the-literature-on-cesarean-skin-incision-in-morbidly-obese-women
#12
Marcela C Smid, Sarah G Smiley, Jay Schulkin, David M Stamilio, Rodney K Edwards, Alison M Stuebe
OBJECTIVE: This study aims to determine preferences of a nationally representative sample of obstetrician/gynecologists (OB/GYNs) regarding cesarean delivery (CD) incision practices for women with morbid obesity (body mass index ≥ 40 kg/m(2)). STUDY DESIGN: We conducted an online survey using the American College of Obstetricians and Gynecologists database. We compared physician demographics, practice characteristics, and CD incision type preference. RESULTS: After exclusion of ineligible participants, 247 OB/GYNs completed the survey (42% response rate)...
April 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/26444117/cross-cultural-obstetric-and-gynecologic-care-of-muslim-patients
#13
Sarrah Shahawy, Neha A Deshpande, Nawal M Nour
With the growing number of Muslim patients in the United States, there is a greater need for obstetrician-gynecologists (ob-gyns) to understand the health care needs and values of this population to optimize patient rapport, provide high-quality reproductive care, and minimize health care disparities. The few studies that have explored Muslim women's health needs in the United States show that among the barriers Muslim women face in accessing health care services is the failure of health care providers to understand and accommodate their beliefs and customs...
November 2015: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26333642/business-and-organizational-models-of-obstetric-and-gynecologic-hospitalist-groups
#14
REVIEW
Thomas J Garite, Lisa Levine, Rob Olson
The growth of obstetric and gynecologic (OB/GYN) hospitalists throughout the United States has led to different organizational approaches, depending on the perception of what an OB/GYN hospitalist is. There are advantages of OB/GYN hospitalist practices; however, practitioners who do this as just 1 piece of their practice are not fulfilling the promise of what this new specialty can deliver. Because those with office practices have their own business models, this article is devoted to the organizational and business models of OB/GYN hospitalists for physicians whose practice is devoted to inpatient obstetrics with or without emergency room and/or inpatient gynecology coverage...
September 2015: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/26333635/what-is-an-obstetrics-gynecology-hospitalist
#15
REVIEW
Brigid McCue
The obstetrics/gynecology (OB/GYN) hospitalist is the latest subspecialist to evolve from obstetrics and gynecology. Starting in 2002, academic leaders recognized the impact of such coalescing forces as the pressure to reduce maternal morbidity and mortality, stagnant reimbursements and the increasing cost of private practice, the decrease in applications for OB/GYN residencies, and the demand among practicing OB/GYNs for work/life balance. Initially coined laborist, the concept of the OB/GYN hospitalist emerged...
September 2015: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/26301861/peptic-ulcer-disease-in-healthcare-workers-a-nationwide-population-based-cohort-study
#16
Hong-Yue Lin, Shih-Feng Weng, Hung-Jung Lin, Chien-Chin Hsu, Jhi-Joung Wang, Shih-Bin Su, How-Ran Guo, Chien-Cheng Huang
Health care workers (HCWs) in Taiwan have heavy, stressful workloads, are on-call, and have rotating nightshifts, all of which might contribute to peptic ulcer disease (PUD). We wanted to evaluate the PUD risk in HCWs, which is not clear. Using Taiwan's National Health Insurance Research Database, we identified 50,226 physicians, 122,357 nurses, 20,677 pharmacists, and 25,059 other HCWs (dieticians, technicians, rehabilitation therapists, and social workers) as the study cohort, and randomly selected an identical number of non-HCW patients (i...
2015: PloS One
https://www.readbyqxmd.com/read/26244469/correlation-of-the-physician-assistant-education-association-end-of-rotation-examinations-with-the-physician-assistant-national-certifying-exam
#17
Scott Massey, David Holmerud, Jamie Hammond, Teresa Preston, Leslie Tipton, Denise Rizzolo
PURPOSE: The purpose of this study was to determine whether student scores on the Physician Assistant Education Association (PAEA) End of Rotation™ subject examinations had a statistically significant relationship with subsequent performance on the Physician Assistant National Certifying Exam (PANCE). The raw scores achieved by students from 3 participating programs were correlated with scores on the PANCE. METHODS: Seven 120-question End of Rotation examinations, developed by the PAEA, were administered to students from 3 PA programs (n=72)...
September 2015: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/26080798/the-learning-environment-in-the-obstetrics-and-gynecology-clerkship-an-exploratory-study-of-students-perceptions-before-and-after-the-clerkship
#18
Laura E Baecher-Lind, Katherine Chang, Maria A Blanco
For reasons that remain not entirely clear, Obstetrics and Gynecology (Ob/Gyn) clerkships often exhibit comparatively higher rates of medical student mistreatment. To explore perceptions of our local learning environment, focus groups were held with students yet to start (pre-students) and students having completed (post-students) their Ob/Gyn clerkship. Topics of discussion included learning expectations and experiences, perceptions of mistreatment, and suggestions for improving the learning environment and student treatment...
2015: Medical Education Online
https://www.readbyqxmd.com/read/26017314/estimation-of-surgery-capacity-in-haiti-nationwide-survey-of-hospitals
#19
Tu M Tran, Mackenson Saint-Fort, Marie-Djenane Jose, Jean Hugues Henrys, Jacques B Pierre Pierre, Meena N Cherian, Richard A Gosselin
BACKGROUND: Haiti's surgical capacity was significantly strained by the 2010 earthquake. As the government and its partners rebuild the health system, emergency and essential surgical care must be a priority. METHODS: A validated, facility-based assessment tool developed by WHO was completed by 45 hospitals nationwide. The hospitals were assessed for (1) infrastructure, (2) human resources, (3) surgical interventions and emergency care, and (4) material resources for resuscitation...
September 2015: World Journal of Surgery
https://www.readbyqxmd.com/read/25935475/the-role-of-obstetrics-and-gynecology-national-societies-during-natural-disasters
#20
André Lalonde, Lauré Adrien
When a natural disaster occurs, such as an earthquake, floods, or a tsunami, the international response is quick. However, there is no organized strategy in place to address obstetric and gynecological (ob/gyn) emergencies. International organizations and national ob/gyn societies do not have an organized plan and rely on the good will of volunteers. Too often, local specialists are ignored and are not involved in the response. The massive earthquake in Haiti in 2010 exemplifies the lack of coordinated response involving national organizations following the disaster...
July 2015: International Journal of Gynaecology and Obstetrics
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