Primary care update for Ob/Gyns最新文献_第5页

Improving patient compliance by understanding some etiologies of non-compliance 通过了解一些不遵医嘱的病因，提高患者的遵医嘱

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00022-2

Nada L. Stotland MD, MPH

引用次数: 3

New rapid diagnostic tests for HIV infection 新的艾滋病毒感染快速诊断检测方法

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00020-9

Meredith Doughty MD , Gregory J. Locksmith MD

{"title":"New rapid diagnostic tests for HIV infection","authors":"Meredith Doughty MD , Gregory J. Locksmith MD","doi":"10.1016/S1068-607X(03)00020-9","DOIUrl":"10.1016/S1068-607X(03)00020-9","url":null,"abstract":"<div><p><span>Technological advances in the diagnosis of human immunodeficiency virus (HIV) infection provide the clinician with greater opportunities to reduce HIV transmission rates. The main drawback of conventional methods of HIV testing is a potential delay of 1–2 weeks for obtaining results, making routine screening a two-step method. Many of those tested never return to learn of their results, limiting our efforts to notify seropositive individuals and their contacts. Consequently, our ability to educate them on strategies for optimizing their health and reducing their risk for transmitting the disease is impaired. For pregnant women who present to Labor and Delivery with late prenatal care, having unknown HIV serological status reduces our ability to prevent transmission to neonates. Two new rapid HIV tests have become available commercially. These tests are just as accurate as conventional methods and offer the advantage of producing preliminary results within hours rather than days. As a result, case- finding and prevention counseling can be completed in a single visit, making the process more efficient and, hopefully, more effective. Additionally, faster identification of seropositive pregnant women who present later for prenatal care allows us to more precisely target </span>intrapartum<span> antiretroviral therapy for prevention of vertical HIV transmission.</span></p></div>","PeriodicalId":80301,"journal":{"name":"Primary care update for Ob/Gyns","volume":"10 3","pages":"Pages 131-134"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1068-607X(03)00020-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86954031","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: 1

Hormonal management of early endometrial cancer 早期子宫内膜癌的激素管理

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00019-2

Marcela G. del Carmen MD , Robert E. Bristow MD , F.J. Montz MD, KM

引用次数: 1

Managing reproductive tract malignancy 生殖道恶性肿瘤的治疗

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00003-9

James W. Orr Jr MD, FACOG, FACS , Phillip Y. Roland MD, FACOG, FACS , F.Joseph Kelly MD , Pamela F. Orr RN, OCN

{"title":"Managing reproductive tract malignancy","authors":"James W. Orr Jr MD, FACOG, FACS , Phillip Y. Roland MD, FACOG, FACS , F.Joseph Kelly MD , Pamela F. Orr RN, OCN","doi":"10.1016/S1068-607X(03)00003-9","DOIUrl":"10.1016/S1068-607X(03)00003-9","url":null,"abstract":"<div><p>The basic, accepted tenet of every physician and every obstetrician-gynecologist’s treatment philosophy is to provide the highest quality, cost effective medical care to each and every woman in their practice. Given this fact, our direction, response, and therapeutic goals for all patients at each and every branch of the medical algorithm decision tree should be no less than that expected or desired for one of our beloved family members. All aspects of our daily practice, including but not limited to decisions regarding appropriate spacing of appointment times, careful correct prescribing practices, thorough history taking, appropriate and complete physical examination, a resolve to relieve pain, thoughtful preoperative preparation, and successful safe completion of every surgical procedure should by governed by these “standards.” While every decision regarding women’s health care carries potential value and possible consequences, few carry as much psychologic or physiologic impact on short- or long-term patient well being as the correct diagnosis and appropriate management of a suspected gynecologic malignancy.</p></div>","PeriodicalId":80301,"journal":{"name":"Primary care update for Ob/Gyns","volume":"10 3","pages":"Pages 95-104"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1068-607X(03)00003-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77547189","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

Dr. Alexander Fleming and the discovery of penicillin 亚历山大·弗莱明博士和青霉素的发现

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00006-4

Jessica Wong

引用次数: 8

Clinical lectures that do not require prior preparation are of limited value 不需要事先准备的临床讲座价值有限

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00009-X

Terrence J. Horrigan MD

{"title":"Clinical lectures that do not require prior preparation are of limited value","authors":"Terrence J. Horrigan MD","doi":"10.1016/S1068-607X(03)00009-X","DOIUrl":"10.1016/S1068-607X(03)00009-X","url":null,"abstract":"<div><p>The objective of this study was to determine whether requiring students to intensively prepare for clinical lectures resulted in improved scores on the National Board of Medical Examiners (NBME) Subject Examination in Obstetrics and Gynecology<span> (subject examination). A new curriculum was developed for the class of 2000/2001 at the Medical College of Ohio. The curriculum required that students, prior to attending clinical lectures, do required reading tested by a take-home test and an in-class quiz. The performances on the subject examination for the classes of 1998/1999 and 2000/2001 were compared. This was done as a cohort study controlling for previous NBME Step I performance, educational site, and timing of the clerkship in the academic year. The 2000/01 class had raw scores 5.7 points higher on average (71.3 versus 65.6). For students in Area Health Education Centers (AHEC) off campus, who attended only half the lectures, the average score was 3 points lower in 1999, p < 0.020. In 2000, these students were required to prepare for take-home examinations and quizzes the same as in-town students, and there was no significant difference between AHEC and in-town students who attended all of the lecture series. We conclude that students have better retention and understanding of clinical information if they prepare prior to lectures. Timely self-directed learning throughout the clerkship offers an advantage over cramming in the final weeks. The timely preparation was more important than the lecture exposure for these sophisticated adult learners.</span></p></div>","PeriodicalId":80301,"journal":{"name":"Primary care update for Ob/Gyns","volume":"10 3","pages":"Pages 147-150"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1068-607X(03)00009-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75238603","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: 1

Medical complications of anorexia nervosa 神经性厌食症的并发症

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00004-0

Jennifer Athey MD

{"title":"Medical complications of anorexia nervosa","authors":"Jennifer Athey MD","doi":"10.1016/S1068-607X(03)00004-0","DOIUrl":"10.1016/S1068-607X(03)00004-0","url":null,"abstract":"<div><p><span><span>Anorexia nervosa is a serious </span>systemic disease<span><span> affecting virtually all major organ systems. It is frequently undiagnosed, or there is a significant delay in the diagnosis. Anorexia nervosa is one of the few major medical diseases where patients frequently do not seek help and may actively hide their symptoms, making it especially hard for physicians to diagnose and treat. Anorexia has many endocrine and reproductive complications, including amennorhea or irregular menses, delayed puberty, changes in ovarian morphology, and </span>infertility. Women with anorexia have worse pregnancy outcomes; pregnancy itself may also worsen their symptoms of anorexia. Anorexia nervosa is a disease with high morbidity and mortality; patients may die, especially from cardiovascular complications. Anorexia also can cause gastrointestinal, renal, biochemical, hematologic, </span></span>dermatologic, and metabolic complications. Comorbid psychiatric illnesses occur in greater than 50% of patients with anorexia. Ob/Gyn physicians must know how to adequately assess patients for the presence of anorexia and understand basic treatment principles.</p></div>","PeriodicalId":80301,"journal":{"name":"Primary care update for Ob/Gyns","volume":"10 3","pages":"Pages 110-115"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1068-607X(03)00004-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78162959","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: 10

The Porro procedure: steps toward decreasing post-cesarean mortality 波尔罗手术:降低剖宫产后死亡率的步骤

Primary care update for Ob/Gyns Pub Date : 2003-05-01 Epub Date: 2003-05-21 DOI: 10.1016/S1068-607X(03)00005-2

Angela D. Earhart MD

{"title":"The Porro procedure: steps toward decreasing post-cesarean mortality","authors":"Angela D. Earhart MD","doi":"10.1016/S1068-607X(03)00005-2","DOIUrl":"10.1016/S1068-607X(03)00005-2","url":null,"abstract":"<div><p><span><span>In the second part of the 19th century, maternal mortality following classical cesarean section was nearly 100%. In 1876, the Italian </span>obstetrician<span>, Eduardo Porro, developed a cesarean section technique consisting of uterine corpus amputation and suturing of the cervical stump into the abdominal wall incision in an attempt to prevent life-threatening hemorrhage and infection. The successful outcome in Porro’s test case was due to his adherence to surgical principles that are well recognized today, but were not firmly established in 1876. He achieved hemostasis by use of the occluding snare of Cintrat. He irrigated the </span></span>peritoneal cavity<span> with carbolized sponges, drained the operative bed, and exteriorized the cervical stump in an effort to prevent access of bacteria from the lower genital tract into the peritoneal cavity. Despite the lack of blood products, intravenous fluids<span>, and antibiotics, the Porro operative technique subsequently decreased maternal mortality to 58%. His innovative, carefully planned approach for cesarean hysterectomy<span> was a major innovation in obstetric surgery.</span></span></span></p></div>","PeriodicalId":80301,"journal":{"name":"Primary care update for Ob/Gyns","volume":"10 3","pages":"Pages 120-123"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1068-607X(03)00005-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81974230","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: 6

The stress of litigation: do we still have something to fear? 诉讼的压力:我们还有什么可害怕的吗?

Primary care update for Ob/Gyns Pub Date : 2003-03-01 Epub Date: 2003-03-12 DOI: 10.1016/S1068-607X(02)00163-4

Sara C Charles MD

引用次数: 2

Dr. Robert Koch: 罗伯特·科赫博士:

Primary care update for Ob/Gyns Pub Date : 2003-03-01 Epub Date: 2003-03-12 DOI: 10.1016/S1068-607X(02)00167-1

Leslie Hurt MD

引用次数: 0