J Reprod Med
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To elucidate overseas Japanese women's preferences on whether to use a curtain to separate themselves from the provider during pelvic examinations in the United States, as practiced in Japan. ⋯ Most participating women did not support using a curtain during pelvic examinations in the U.S., as practiced in Japan, and some were critical of the Japanese practice. Clinicians may help place their Japanese patients at ease by acknowledging nonuse of a curtain in the U.S., and explaining the intentional use of a private room and sheet to protect patient privacy.
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Antiemetic medications are commonly used in the postoperative patient. Despite the lack of evidence-based data, these medications have also been increasingly used in the management of postoperative ileus. This practice is dangerous and increases the risk for morbidity and mortality. ⋯ Despite no scientific evidence for it, the practice of using antiemetic medications and prokinetic agents in the management of postoperative ileus continues. This places the patient at increased risk for completely preventable morbidity, including aspiration, pneumonia, esophageal perforation, prolonged hospital stay and death.
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The incidence of cervical pregnancy is 1:1,000-95,000 pregnancies and represents < 1% of all ectopic pregnancies. Evacuation of the pregnancy by curettage does not always stop the bleeding because there is little contractile muscle in the cervix. If there is uncontrollable bleeding, hysterectomy is necessary. In selected cases, nonsurgical management offers high success rates. Among medical treatments, the most common is systemic or local administration of methotrexate. ⋯ The use of methotrexate for cervical pregnancy is safe and effective and preserves fertility.
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To describe the patterns of electives in obstetric and gynecology (OB/GYN) residencies. ⋯ The prevalence of electives appears higher than listed in currently available directories, although lower than in other primary care residencies.
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Few data exist on treating spinal cord endometriosis. ⋯ Attempts at total removal of spinal cord endometriosis may be safer after achieving pharmacologic control.