American journal of obstetrics and gynecology
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In agreement with the Accreditation Council for Graduate Medical Education guidelines, a systems-based practice (SBP) curriculum was implemented to provide a hands-on, team-based experience, while providing an opportunity to contribute to quality improvement, and to develop a method to assess residents' understanding of SBP. ⋯ This project served as an effective educational forum for the competencies of SBP, communication skills, and professionalism. This initiative also offered improvement of patient care and/or educating peer providers, thereby fulfilling the goal of SBP in the process of education.
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Am. J. Obstet. Gynecol. · Nov 2008
Randomized Controlled TrialImpact of pain level on second-stage delivery outcomes among women with epidural analgesia: results from the PEOPLE study.
The objective of the study was to assess the effect of suboptimal second-stage pain control on the risk of difficult delivery. ⋯ Although most women achieve optimal epidural analgesia, the inability to sustain optimal epidural analgesia is associated with an increased risk of adverse second-stage obstetrical outcomes.
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Am. J. Obstet. Gynecol. · Nov 2008
Incidence, clinical analysis, and management of ovarian fibromas and fibrothecomas.
The objective of the study was to identify the incidence, diagnosis, and therapeutic and histological particularities of ovarian fibromas and fibrothecomas. ⋯ Ovarian fibromas and fibrothecomas are uncommon, accounting for 3.3% of ovarian tumors. These lesions often occur in perimenopausal and menopausal patients. Clinical, ultrasonographic, and tumor marker data remain the best preoperative approach currently available for ovarian tumors. However, the diagnosis remains histological.