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Topics in Obstetrics & Gynecology最新文献

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Management of Simple Ovarian Cysts 单纯性卵巢囊肿的处理
Topics in Obstetrics & Gynecology Pub Date : 2023-06-30 DOI: 10.1097/01.PGO.0000937004.49421.0f
Olivia Chafitz, Anat Chemerinski, P. McGovern
{"title":"Management of Simple Ovarian Cysts","authors":"Olivia Chafitz, Anat Chemerinski, P. McGovern","doi":"10.1097/01.PGO.0000937004.49421.0f","DOIUrl":"https://doi.org/10.1097/01.PGO.0000937004.49421.0f","url":null,"abstract":"on a random sample of 335 women aged 25 to 40 years.1 Contrastingly, 2 large cancer screening studies evaluated asymptomatic women over the age of 50 and 55 years, and reported prevalence rates of 18% and 14.1%, respectively.2,3 An important consideration in the evaluation of adnexal masses is the exclusion of malignancy.4 Given the low risk of malignancy and high rate of spontaneous resolution, interval surveillance is typically the recommended management for simple ovarian cysts.","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129532985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antibiotic Stewardship and Intrapartum Fever 抗生素管理和产热
Topics in Obstetrics & Gynecology Pub Date : 2023-05-15 DOI: 10.1097/01.PGO.0000927168.41776.93
Audrey Marinelli, Lauren Benedetto, Hannah Hughes Ehasz
{"title":"Antibiotic Stewardship and Intrapartum Fever","authors":"Audrey Marinelli, Lauren Benedetto, Hannah Hughes Ehasz","doi":"10.1097/01.PGO.0000927168.41776.93","DOIUrl":"https://doi.org/10.1097/01.PGO.0000927168.41776.93","url":null,"abstract":"Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This CME activity expires on May 14, 2025.","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128324351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cervical Ectopic and Cesarean Scar Pregnancies: Navigating the Differential of an Abnormal Lower Uterine Pregnancy 宫颈异位和剖宫产疤痕妊娠:导航下子宫异常妊娠的鉴别
Topics in Obstetrics & Gynecology Pub Date : 2023-04-30 DOI: 10.1097/01.PGO.0000924208.59373.f6
F. DiBiase, D. Burrell, H. Smith
{"title":"Cervical Ectopic and Cesarean Scar Pregnancies: Navigating the Differential of an Abnormal Lower Uterine Pregnancy","authors":"F. DiBiase, D. Burrell, H. Smith","doi":"10.1097/01.PGO.0000924208.59373.f6","DOIUrl":"https://doi.org/10.1097/01.PGO.0000924208.59373.f6","url":null,"abstract":", such as the ovary, abdomen, or cervix. Fewer than 10% of all ectopic pregnancies occur outside the fallopian tube, but these ectopic pregnancies contribute more significantly to A 30-year-old gravida 3 para 2002 woman at 5 weeks estimated gestational age by her last menstrual period presents to the emergency department with mild cramping and vaginal bleeding. Examination demonstrates a small amount of dark red bleeding and mild, diffuse tenderness to palpa-tion over bilateral lower abdominal quadrants. Her vital signs are normal. Laboratory workup is unremarkable, consistent with pregnancy with a beta-human chorionic gonadotropin ( β hCG) value of 3700 IU/L. She is Rh positive. Ultrasound shows a yolk sac consistent with gestational age in the lower portion of the uterus, near the cervix (Figure 1). Most obstetrician-gynecologists have cared for","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128247534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overactive Bladder Management: Cognitive Risk With Anticholinergics and Alternative Management Options for the General Practitioner 膀胱过度活动的管理:认知风险与抗胆碱能药物和替代管理方案的全科医生
Topics in Obstetrics & Gynecology Pub Date : 2023-03-31 DOI: 10.1097/01.PGO.0000921332.43236.fc
Miriam R. Raffeld, Avita K. Pahwa, C. Glowacki
{"title":"Overactive Bladder Management: Cognitive Risk With Anticholinergics and Alternative Management Options for the General Practitioner","authors":"Miriam R. Raffeld, Avita K. Pahwa, C. Glowacki","doi":"10.1097/01.PGO.0000921332.43236.fc","DOIUrl":"https://doi.org/10.1097/01.PGO.0000921332.43236.fc","url":null,"abstract":"5-10 Given these new data, a focus on alternative oral medication treatments has emerged, including use of selective M2/M3 antagonists such as trospium and β -3 adrenergic agonists mirabegron and vibegron. 11-13 The American Geriatrics Society recently updated the Beers Criteria to include anticholinergic medications as a risk Overactive bladder (OAB) is a symptomatic condition characterized by urinary urgency, with or without incontinence, and is often associated with nocturia and increased frequency. 1 OAB is highly prevalent in the US adult population, affecting women and men similarly (16.9% and 16%, respectively). The prevalence of symptom type and severity, however, significantly differs by sex, with women noting urgency incontinence more frequently than men: 19.1% in women aged 65 to 74 years and 8.2% in men aged 65 to 74 years. 2 In women older than 65 years, the prevalence of OAB increases from 16% to 30%. 3 The hallmark physiologic abnormality responsible for OAB is detrusor overac-VOLUME","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"22 13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123420544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment and Prevention of Recurrent Urinary Tract Infections for the Obstetrician/Gynecologist 妇产科医生复发性尿路感染的治疗和预防
Topics in Obstetrics & Gynecology Pub Date : 2023-03-15 DOI: 10.1097/01.pgo.0000920232.40375.8b
J. Shinnick, N. Korbly
{"title":"Treatment and Prevention of Recurrent Urinary Tract Infections for the Obstetrician/Gynecologist","authors":"J. Shinnick, N. Korbly","doi":"10.1097/01.pgo.0000920232.40375.8b","DOIUrl":"https://doi.org/10.1097/01.pgo.0000920232.40375.8b","url":null,"abstract":"tract,","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116425422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation and Management of Heavy Menstrual Bleeding in Adolescents 青少年月经大量出血的评价与处理
Topics in Obstetrics & Gynecology Pub Date : 2023-02-28 DOI: 10.1097/01.PGO.0000919116.97611.fb
Francesca Yi, A. French
{"title":"Evaluation and Management of Heavy Menstrual Bleeding in Adolescents","authors":"Francesca Yi, A. French","doi":"10.1097/01.PGO.0000919116.97611.fb","DOIUrl":"https://doi.org/10.1097/01.PGO.0000919116.97611.fb","url":null,"abstract":"Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This CME activity expires on February 27, 2025.","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130336432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Topical Therapy for Vulvodynia: A Review of the Literature 外阴痛的局部治疗:文献综述
Topics in Obstetrics & Gynecology Pub Date : 2023-01-15 DOI: 10.1097/01.PGO.0000905060.98021.c3
Kaitlin Demarest, Ryan H. Sobel
{"title":"Topical Therapy for Vulvodynia: A Review of the Literature","authors":"Kaitlin Demarest, Ryan H. Sobel","doi":"10.1097/01.PGO.0000905060.98021.c3","DOIUrl":"https://doi.org/10.1097/01.PGO.0000905060.98021.c3","url":null,"abstract":"average of 5 health care providers before even receiving a diagnosis. 5 Based on studies in the United States, at least 16% of women suffer from vulvodynia. 2 There is a substantial economic burden due to costs of medical care, medications and other therapy, and time missed from work. A study by Xie et al 6 estimated the annual cost of vulvodynia to be $31 billion to 72 billion in the United States. Vulvodynia is defined as vulvar pain lasting at least 3 months without a clear identifiable cause but potential associated factors. This definition is a result of a multisocietal (International Society for the Study of Vulvovaginal Disease, International Society for the Study of Women’s Sexual Health, and International Pelvic Pain Society [IPPS]) consensus published in 2015. 1 As it has been studied over time, this condition has also been referred to as “vulvar dysesthe-sia,” “vulvar vestibulitis,” and “vestibulodynia.” 1,2 Patients with vulvodynia may experience vulvovestibular burning, stinging, itching, irritation, tenderness, or any combination of these. 2 The 2015 consensus guidelines for vulvodynia","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"303 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121467532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Integrative Approach to Recurrent Urinary Tract Infections for the Obstetrician and Gynecologist 妇产科医生治疗复发性尿路感染的综合方法
Topics in Obstetrics & Gynecology Pub Date : 2022-12-31 DOI: 10.1097/01.PGO.0000904320.61363.82
Simone Reaves, R. Ross, K. Echols
{"title":"An Integrative Approach to Recurrent Urinary Tract Infections for the Obstetrician and Gynecologist","authors":"Simone Reaves, R. Ross, K. Echols","doi":"10.1097/01.PGO.0000904320.61363.82","DOIUrl":"https://doi.org/10.1097/01.PGO.0000904320.61363.82","url":null,"abstract":"regimens for prevention and treatment. Proper diagnosis of rUTI and potential therapies are reviewed in this article. UTIs impact a large number of women regardless of age, race, or socioeconomic level. UTIs are responsible for approximately 3.6 million office visits per year, and cost nearly $2 billion in health care. 1 Over 50% of women are diagnosed with a UTI in their lifetime. Infections are based on the presence of a lower and/or upper urinary tract pathogen without underlying Urinary tract infection (UTI) is the most common type of bacterial infection, affecting more than 50% to 60% of women of all racial and socioeconomic backgrounds. Of those women experiencing UTI, 30% will have recurrent episodes causing significant morbidity, reduced quality of life, and health care costs totaling billions of dollars. 1 Accurate diagnosis continues to evolve based on emerging information of the intravesical microbiome. The American Urologic Association has current recommendations for the diagnosis of recurrent UTI (rUTI). Urinalysis (UA) and culture are not always necessary for simple cystitis, but UA and culture with sensitivities before initiating antibiotic Learning Objectives: After participating in this continuing education activity, the provider should be better able to: a treatment plan, appropriate antibiotic integrative","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124700367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eclampsia: The Essentials for Obstetricians and Gynecologists 子痫:产科医生和妇科医生的要点
Topics in Obstetrics & Gynecology Pub Date : 2022-11-30 DOI: 10.1097/01.PGO.0000892912.67238.28
A. Whelan, Amber Young, Martha B. Kole-White
{"title":"Eclampsia: The Essentials for Obstetricians and Gynecologists","authors":"A. Whelan, Amber Young, Martha B. Kole-White","doi":"10.1097/01.PGO.0000892912.67238.28","DOIUrl":"https://doi.org/10.1097/01.PGO.0000892912.67238.28","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125607118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal Diagnosis: Procedures and Genetic Testing Methods 产前诊断:程序和基因检测方法
Topics in Obstetrics & Gynecology Pub Date : 2022-10-31 DOI: 10.1097/01.PGO.0000884780.20913.9c
Rose C. Mahoney, Margaret M. Thorsen, M. Russo
{"title":"Prenatal Diagnosis: Procedures and Genetic Testing Methods","authors":"Rose C. Mahoney, Margaret M. Thorsen, M. Russo","doi":"10.1097/01.PGO.0000884780.20913.9c","DOIUrl":"https://doi.org/10.1097/01.PGO.0000884780.20913.9c","url":null,"abstract":"Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This CME activity expires on October 30, 2024.","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"33 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126195257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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