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Results 251 - 300 of 5284
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Allen George - - 2014
In recent years, researchers have developed an increasing awareness of the role of the environment in the development of health care-associated infections. AORN's "Recommended practices for environmental cleaning" is an evidence-based document that provides specific guidance for cleaning processes, for the selection of appropriate cleaning equipment and supplies, and for ...
Creinin Mitchell D MD University of California, Davis Health System, Sacramento, - - 2014
Nomegestrol acetate and 17β-estradiol is a novel combined oral contraceptive; the aim of this analysis is to compare the effects of nomegestrol acetate and 17β-estradiol against drospirenone and ethinylestradiol. We pooled analyses from two 1-year, randomized, open-label studies to compare the effects of nomegestrol acetate and 17β-estradiol (2.5 mg and ...
Nitsche Joshua F JF Wake Forest School of Medicine, Winston-Salem, - - 2014
Many medical students feel anxious and unprepared for their first vaginal delivery. Simulation of the procedure can do much to boost learner confidence and build the necessary skills before a student's first real-life delivery. Although simulation is now used to aid in the training of obstetric emergencies such as shoulder ...
Morosky Christopher M CM University of Connecticut School of Medicine, Farmington, - - 2014
Salpingectomy at the time of hysterectomy for benign indications is a controversial topic in gynecologic surgery. Emerging research points to the fallopian tube as a possible origin of some pelvic cancers. The aim of this study was to determine the practice patterns of generalist obstetrician-gynecologists regarding salpingectomy at the time ...
Ayala-Yañez Rodrigo R National Institute of Perinatology Mexico, México, Distrito - - 2014
The objective of this study was to determine the risk factors associated with the need to use insulin therapy to glycemic control among Mexican women with gestational diabetes mellitus (GDM). We conducted a case-control study: group 1 (glycemic control with insulin) and group 2 (glycemic control without insulin). We included ...
Derogatis Leonard R LR Maryland Center for Sexual Health, Lutherville, - - 2014
Bremelanotide is a novel heptapeptide melanocortin receptor-4 agonist. This study examined its at-home, as-needed subcutaneous self-administration by premenopausal women with female sexual dysfunctions. Key outcomes were subjected to prespecified responder analyses. After 4 weeks of at-home placebo self-dosing (baseline period), premenopausal women with hypoactive sexual desire disorder, female sexual arousal ...
Apte Gauri G Boston University School of Medicine/Boston Medical Center, Boston, - - 2014
Many surveys estimate vaccine uptake using unverified patient report. We examined factors affecting concordance between recall of human papillomavirus (HPV) vaccination and electronic medical records. Parents or guardians of girls aged 11-17 years in an urban safety net hospital and three suburban private practices were interviewed about their recall of ...
Boyle Annelee A MedStar WA Hospital Center, Washington, - - 2014
The objective of this study was to evaluate pregnancy outcomes by obesity classification using the 2009 Institute of Medicine weight gain guidelines. We conducted a retrospective cohort analysis of 1,886 obese women who delivered a singleton pregnancy at our institution from 2009 to 2012. Women were stratified based on prepregnancy ...
Feldman Yelena Y Trihealth, Cincinnati, - - 2014
Using retrospective evaluation of pregnancies complicated by preterm premature rupture of membranes (PPROM), this project developed a profile that can be used to predict onset of labor in the setting of PPROM. Patients between 24 and 34 weeks of gestation admitted with PPROM during a 2-year period were evaluated retrospectively ...
Guseh Stephanie S Brigham and Women's Hospital, Harvard Medical School, Boston, - - 2014
Our institution implemented a policy preventing elective delivery at less than 39 weeks of gestation. We assessed its effect accounting for potential inaccuracies in pregnancy dating. We analyzed a cohort of singleton pregnancies delivered by elective repeat cesarean delivery before and after the policy change. We excluded anyone with an ...
Araki Motoko M Office of Health and Safety, Hokkaido University, Sapporo 060-0808, - - 2014
Genome-editing technology, although a robust tool for genetic engineering, is creating indistinct regulatory boundaries between naturally occurring and modified organisms. However, researchers must act with caution in research and development to avoid misleading society. Furthermore, appropriate regulations should be proactively discussed and established for handling genome-editing technology.
Kohles Micah M Oxbow Animal Health, 29012 Mill Road Murdock, Nebraska, NE 68407, USA; School of Veterinary Medicine and Biomedical Sciences, University of Nebraska-Lincoln Lincoln, Nebraska, NE 68583, USA. Electronic address: - - 2014
The anatomy and gastrointestinal physiology of rabbits, guinea pigs, and chinchillas are different from those of other exotic companion mammals. Rabbits, guinea pigs, and chinchillas are all concentrate selectors, hindgut fermenters, and coprophagic. They are designed to intake large quantities of high-fibrous, low-energy-density foods. They use unique colonic separation mechanisms ...
Wei Guangquan G Molecular Imaging Center, Department of Radiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi - - 2014
Lhermitte-Duclos disease (LDD) is a rare, non-cancerous entity characterized by enlarged, abnormally developed cerebellar folia containing dysplastic cells. Symptomatic LDD is commonly observed in adults (adult-onset LDD, aLDD) as an isolated condition or associated with Cowden's disease (CD). The present study aimed to investigate the magnetic resonance imaging (MRI) characteristics ...
Rolland Yves Y Gerontopôle, Toulouse, - - 2014
The International Association of Gerontology and Geriatrics held its first conference on nursing home research in St Louis, MO, in November 2013. This article provides a summary of the presentations.
Dayananda Ila I Planned Parenthood of New York City, New York, - - 2014
Immediate postabortion intrauterine device (IUD) placement has been shown to be safe and is effective in decreasing repeat abortion. Data are available to counsel patients on expulsion, perforation, and infection; however, little has been reported about immediate postoperative pain and recovery after postabortion IUD insertion. We performed a retrospective cohort ...
Oakley Susan H SH Good Samaritan Hospital, Cincinnati, - - 2014
In 2011, the Accreditation Council for Graduate Medical Education implemented work restrictions for interns (Postgraduate Year [PGY] 1) to combat potential physical and emotional burdens. We hypothesized resident burnout remains high despite these limitations. This web-based survey queried Ohio-based residents in general surgery, obstetrics-gynecology, family medicine, and internal medicine using ...
Batra Priya P University of California, Los Angeles, Los Angeles, - - 2014
Under the California Maternal Quality Care Collaborative, the University of California, Los Angeles, initiated an obstetric hemorrhage identification and response protocol in August 2009. This study evaluated the protocol's effect on hemorrhage outcomes at this institution. This was a retrospective review of postpartum hemorrhage cases identified by International Classification of ...
Patel Jasmine J SUNY Downstate Medical Center, Brooklyn, - - 2014
The tradition of a lecture-based obstetrics-gynecology curriculum has been changing. The haptic approach to teaching has proven to be successful for undergraduate and medical students. The objective was to determine whether a combination of clay modeling with concurrent lecture is an effective way of reviewing female pelvic anatomy and teaching ...
Carter-Harris Lisa L School of Nursing, Indiana University in - - 2014
Purpose/Objectives: To examine relationships among demographic variables, healthcare system distrust, lung cancer stigma, smoking status, and timing of medical help-seeking behavior in individuals with symptoms suggestive of lung cancer after controlling for ethnicity, socioeconomic status, and social desirability.Design: Descriptive, cross-sectional, correlational study.Setting: Outpatient oncology clinics in Louisville, KY.Sample: 94 patients ...
Krans Elizabeth E EE University of Pittsburgh, Pittsburgh, - - 2014
This study describes the health care use patterns of opioid-dependent pregnant women and the effect of these patterns on maternal and neonatal outcomes. We identified a retrospective cohort of 174 opioid-dependent pregnant women and 174 individually matched women in a control group not dependent on opioids during pregnancy from 2009 ...
Warsheski Stephanie S Queens Hospital Center, Queens, - - 2014
High maternal prepregnancy body mass index (BMI) has been linked to adverse maternal and neonatal outcomes. Many patients enter prenatal care late and their prepregnancy health status and pregnancy-related weight gain is not available. We examined effects of maternal third-trimester BMI on maternal and neonatal outcomes. Retrospective cohort study of ...
Estes Christopher C University of Miami Miller School of Medicine, Miami, - - 2014
Underuse of intrauterine contraceptives is attributable in part to health care provider misconceptions. Education of medical students is essential to improve intrauterine contraceptive uptake and referral for insertion. This study explores the effect of the obstetrics-gynecology clerkship on medical students' knowledge and attitudes regarding intrauterine contraceptive use. All students in ...
Goss Mary Ann MA Merck, North Wales, - - 2014
Human papillomavirus (HPV) 6/11/16/18 vaccine (qHPV vaccine) is a quadrivalent vaccine for the prevention of cervical, vulvar, and vaginal cancers; their respective precancers; and genital warts caused by these vaccine types. As of December 2012, more than 50 million doses of qHPV vaccine have been distributed in the United States ...
Devereaux Danielle D Department of Emergency Medicine, University of Maryland Medical System, University of Maryland, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: - - 2014
Hyperthyroidism and thyrotoxicosis are hypermetabolic conditions that cause significant morbidity and mortality. The diagnosis can be difficult because symptoms can mimic many other disease states leading to inaccurate or untimely diagnoses and management. Thyroid storm is the most severe form of thyrotoxicosis, hallmarked by altered sensorium, and, if untreated, is ...
Frederick Dorothea - - 2014
The literature suggests that acts of bullying are a root cause of new nurses leaving their units or the profession entirely and have the potential to worsen the nursing shortage. As an effective way to address bullying in the perioperative setting, mentoring benefits the nursing profession. Mentoring can have a ...
Zolgharni Massoud - - 2014
In clinical practice, echocardiographers are often unkeen to make the significant time investment to make additional multiple measurements of Doppler velocity. Main hurdle to obtaining multiple measurements is the time required to manually trace a series of Doppler traces. To make it easier to analyze more beats, we present the ...
Giugale Lauren E LE Magee Women's Hospital of UPMC, Pittsburgh, - - 2014
Inadvertent extensions of the uterine incision often increase surgical complexity and may increase surgical morbidity. We sought to evaluate risk factors for inadvertent hysterotomy extension. We retrospectively reviewed 1,732 low-transverse cesarean deliveries performed at term in a teaching hospital during 2011. Maternal, neonatal, and intraoperative characteristics were abstracted from the ...
Massarwa Abeer A Oregon Health & Science University, Portland, - - 2014
The question of the optimal route of delivery for pregnancies complicated by myelomeningocele is still controversial. The purpose of this study was to evaluate the relationship between mode of delivery and neonatal outcomes in such cases. Retrospective cohort study of singleton pregnancies complicated by myelomeningocele in a database of linked ...
Reyes-Muñoz Enrique E National Institute of Perinatology, Mexico City, México, Distrito - - 2014
To compare the efficacy of medical nutrition therapy plus metformin compared with medical nutrition therapy without metformin for preventing gestational diabetes mellitus (GDM) among Mexican women at high risk of developing GDM. In an open randomized clinical trial, we included single pregnant women with a high risk of developing GDM ...
Daniel David D SUNY Downstate College of Medicine, Brooklyn, - - 2014
Contraception is an important topic that is taught in medical school. The objective of this study is to assess contraceptive knowledge in incoming interns who have just graduated compared with students just entering medical school. A cross-sectional study was performed using a survey regarding nine methods of contraception (natural family ...
Irani Mohamad M Maimonides Medical Center, Brooklyn, - - 2014
Antimüllerian hormone is abnormally elevated in the serum of women with polycystic ovary syndrome (PCOS). Elevated antimüllerian hormone in PCOS plays a key role in ovulatory dysfunction. The epidemic of vitamin D deficiency affects reproductive potential. Vitamin D3 therapy has been suggested to improve the metabolic disturbances observed in women ...
Mastrogiannis Dimitrios D Temple University School of Medicine, Philadelphia, - - 2014
Philadelphia has one of the highest neonatal mortality rates in the country. It is believed that stillbirth rates are closely associated with neonatal mortality rates. Modifiable risk factors associated with intrauterine fetal demise are population-specific. We conducted this study to identify appropriate population-specific modifiable risk factors to improve fetal and ...
Petrikovsky Boris B NYU Downtown Hospital, New York, - - 2014
The objective of this study was to define a simple protocol for selection of chorionic villus sampling (CVS) route (abdominal compared with transcervical) based on the ultrasound-detected location of chorion. All patients who underwent CVS at Nassau University Medical Center, NY Downtown Hospital, and Moscow University School of Medicine, January ...
Grubb Elizabeth J EJ Teva Pharmaceuticals, Overland Park, - - 2014
Highly effective reversible contraceptives include the levonorgestrel and copper intrauterine devices and the levonorgestrel implant. This analysis examined the association between the use of oral contraceptives compared with highly effective reversible contraceptives and health insurance copayments. A retrospective analysis used data from the i3 In Vision Data Mart™. All females ...
Mastroleo Nadine R NR Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode - - 2014
ABSTRACT. Objective: Despite the increasing need to identify and implement effective interventions to reduce drinking with mandated college students, peer-led brief alcohol interventions have received minimal research attention. The current pilot study tested whether enhanced supervision (evidence-based application approach [EAA; group plus individual]) would improve peer counseling skills beyond those ...
Wen Hao H Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210011, P.R. China - - 2014
The aim of this study was to investigate the mechanism of action of Qizhu formula, a Chinese medicinal empirical formula, in modulating the action of survivin, an inhibitor of apoptosis, in MGC-803 gastric cancer cells. Western blot analysis and reverse transcription-polymerase chain reaction (RT-PCR) were applied to detect the effect ...
Ramesh Shanthi S Northwestern University Feinberg School of Medicine, Chicago, - - 2014
We sought to compare the effectiveness of 1 hour of 400 micrograms buccal misoprostol with overnight osmotic dilators in early second-trimester surgical abortion. We conducted a retrospective cohort study reviewing 170 charts from Family Planning Associates in Chicago, Illinois, to compare procedure times for women who received 400 micrograms of ...
Markham Margaret R MR Baylor College of Medicine, Houston, - - 2014
The objective of this study was to identify the incidence of gonorrhea and chlamydia in women presenting for intrauterine device (IUD) insertion in an academic community clinic and to evaluate the current "two-visit" practice for IUD insertion. A retrospective chart review was conducted from 2009 to 2010 at People's Community ...
Brankin Catherine C Naval Medical Center San Diego, San Diego, - - 2014
The objective of this study was to determine if race is associated with vaginal birth after cesarean delivery (VBAC) success in a military population. A retrospective cohort study was conducted examining women with a history of at least one prior cesarean delivery who delivered at a single tertiary care military ...
Martin Andi Céline AC Faculty of Kinesiology and Health Studies, University of Regina, Saskatchewan, - - 2014
Purpose/Objectives: To assess the effects of a six-week Vinyasa yoga (VY) intervention on caregivers' overall quality of life (QOL) and psychological distress.Design: A single-group, pre- and post-test pilot study.Setting: University public recreational facility.Sample: 12 informal caregivers for patients with cancer.Methods: Caregivers participated in a six-week VY intervention and completed measures ...
Larion Sebastian S Eastern Virginia Medical School, Norfolk, - - 2014
The American College of Obstetricians and Gynecologists recommends that all women be offered screening for fetal aneuploidy regardless of maternal age. Two first-trimester screening programs are the first-trimester combined screen and noninvasive prenatal testing with positive screens followed up with invasive methods such as chorionic villus sampling (CVS). We show ...
Rose Carl H CH Mayo Clinic, Rochester, - - 2014
The objective of this study was to determine the effectiveness of warfarin in achieving therapeutic anticoagulation during the initial 6 weeks after delivery. Retrospective review of patients who were treated with warfarin anticoagulation for a minimum of 6 weeks postpartum. Electronic medical records were abstracted for cumulative weekly warfarin dose ...
Worstell Teresa T Oregon Health & Science University, Portland, - - 2014
We evaluated the length of the second stage of labor in women with and without epidural analgesia to estimate the effect of an epidural. This was a retrospective cohort study of 4,605 women without a history of cesarean delivery at a single community hospital. Length of the second stage of ...
Jacob Nidhi S NS Palo Alto Foundation Medical Group, Los Gatos, - - 2014
Twenty-two percent of all pregnancies in the United States result in termination, reflecting the need for more robust contraception. The intrauterine device (IUD) is highly effective and reversible although underused in the United States compared with other countries. Several institutions in the United States insert IUDs immediately after abortions with ...
Sirota Ido I St Luke's Roosevelt Hospital center, New York, - - 2014
To determine long-term outcome differences in patients undergoing robotic-assisted compared with conventional laparoscopy for advanced-stage endometriosis. Cases were collected from our prospectively maintained computerized database of robotic-assisted and conventional laparoscopic surgical treatments for endometriosis. Included were all patients treated between July 2009 and October 2012 for endometriosis stage III or ...
Srinivas Umamahesh - - 2014
The multi-channel nature of digital histopathological images presents an opportunity to exploit the correlated color channel information for better image modeling. Inspired by recent work in sparsity for single channel image classification, we propose a new simultaneous sparsity model for multi-channel histopathological image representation and classification (SHIRC). Essentially, we represent ...
Murphy Lauren A LA New York Weill-Cornell Medical Center, New York, - - 2014
Our objective was to identify factors associated with unsuspected placenta accreta. Cases of cesarean delivery and peripartum hysterectomy were identified from 2002 to 2012. Those with histologic evidence of accreta were included. Fisher's exact test and Mann-Whitney U test were used to compare cases suspected based on imaging studies and ...
Mayer Deborah K DK School of Nursing, University of North Carolina in Chapel - - 2014
Purpose/Objectives: To evaluate the feasibility, usability, and satisfaction of a survivorship care plan (SCP) and identify the optimum time for its delivery during the first 12 months after diagnosis.Design: Prospective, descriptive, single-arm study.Setting: A National Cancer Institute-designated cancer center in the southeastern United States.Sample: 28 nonmetastatic colon cancer survivors within ...
Leal Nicole V NV Instituto de Pesquisa, Campina Grande, Paraíba, - - 2014
With the adoption of a policy of restrictive episiotomy, the interest in studying and preventing spontaneous lacerations in childbirth has increased. The present study was conducted to determine the main risk factors for perineal lacerations requiring suture in vaginal deliveries without episiotomy. We conducted a prospective cohort study including 400 ...
Meirowitz Natalie N Hofstra North Shore-LIJ School of Medicine, New Hyde Park, - - 2014
Our objective was to evaluate an obstetric triage acuity tool that we developed and implemented in January 2013. A four-level triage acuity tool, Level 1 (most acute) to Level 4 (least acute), was developed to prioritize patients presenting for urgent care to the obstetric triage unit. Acuity scores, assigned by ...
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