American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Apr 2002
Comparative StudyRisk factors for early death among extremely low-birth-weight infants.
The purposes of this study were to compare the clinical characteristics of extremely low birth-weight infants (501-1000 g birth weight) who die early (<12 hours of age) with those of infants who die >12 hours after birth and infants who survive to neonatal intensive care unit discharge and to develop a model of risk for early death. ⋯ Early death (<12 hours of age) among extremely low-birth-weight infants may reflect an assessment of non-viability by obstetricians and neonatologists.
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Am. J. Obstet. Gynecol. · Apr 2002
Randomized Controlled Trial Clinical TrialEffects of a laboratory-based skills curriculum on laparoscopic proficiency: a randomized trial.
The purpose of this study was to determine the effect and validity of an intensive laboratory-based laparoscopic skills training curriculum on operative proficiency in obstetrics and gynecology residents. ⋯ A core curriculum of intensive video laparoscopic skills training improves not only technical but also operative performance among postgraduate year 3 and 4 residents.
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Am. J. Obstet. Gynecol. · Apr 2002
ReviewRepeated doses of antenatal corticosteroids in animals: a systematic review.
The purpose of this review was to assess the effects of repeated doses of antenatal corticosteroids on lung and brain function and on growth restriction in animals. ⋯ Evidence from randomized controlled trials in animals suggests that repeated doses of antenatal corticosteroids may have beneficial effects in terms of lung function but may have adverse effects on brain function and fetal growth. Because of the differences between animals and humans, it is difficult to extrapolate directly the results of these studies to humans. Therefore, randomized controlled trials in humans are needed to assess the effects of repeated courses of antenatal corticosteroids for pregnant women who are at increased risk of preterm birth in terms of important perinatal, neonatal, and maternal outcomes.
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Am. J. Obstet. Gynecol. · Apr 2002
Burnout in chairs of obstetrics and gynecology: diagnosis, treatment, and prevention.
The purpose of this study was to determine the prevalence of burnout in chairs of academic departments of obstetrics and gynecology, identify important stressors, and develop strategies to treat and prevent burnout. ⋯ Burnout in chairs of obstetrics and gynecology is characterized by a high level of emotional exhaustion, moderate-high depersonalization, and high personal accomplishment. These findings should be used to develop programs to improve the psychologic well-being of our academic leaders.