J Reprod Med
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To determine if there were differences in a medical student's subjective grade and obstetric-gynecologic (OB/GYN) test scores based upon the student's site of rotation, hospital type or presence of OB/GYN residents. ⋯ Students trained at a university hospital were less likely to have test scores lower than their subjective grades. Subjective assessments made in the presence of OB/GYN residents reduced the likelihood of a final grade reduction.
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Umbilical cord prolapse is an uncommon obstetric emergency. ⋯ To the authors' knowledge, this case entailed the longest reported interval from diagnosis of umbilical cord prolapse to delivery.
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Randomized Controlled Trial Clinical Trial
Effect of feedback on obstetrics and gynecology residents' teaching performance and attitudes.
To evaluate obstetrics and gynecology residents' teaching performance, perception of the importance of teaching and satisfaction with their evaluations after the institution of an oral or written medical student feedback and award system. ⋯ A feedback and award system can lead to improved resident teaching performance as well as enhanced perception of residents' role as teachers and greater resident satisfaction.
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Randomized Controlled Trial Comparative Study Clinical Trial
Video vs. CD-ROM for teaching pelvic anatomy to third-year medical students. A comparison.
To compare the effectiveness and student acceptance of video and CD-ROM review of pelvic anatomy in third-year obstetrics and gynecology students. ⋯ Use of video review resulted in short-term significantly higher test scores, but students preferred an interactive CD-ROM. This method should be made available to all students during the rotation.
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Recombinant human erythropoietin (r-HuEPO, epoetin alfa) is used for treatment of anemia associated with chemotherapy for non-myeloid malignancies, chronic renal failure and zidovudine treatment in patients infected with the human immunodeficiency virus and for anemic patients undergoing elective, noncardiac, nonvascular surgery. Epoetin alfa has been shown to safely increase preoperative hemoglobin (Hb) levels in anemic patients undergoing elective noncardiac, nonvascular surgery and is more effective than preoperative autologous blood donation in reducing the need for perioperative blood transfusions in orthopedic surgery patients. Epoetin alfa was shown to significantly increase Hb levels and decrease transfusion requirements in gynecologic cancer patients undergoing chemotherapy. ⋯ In addition to decreasing transfusion requirements and increasing Hb, epoetin alfa for relieving anemia-related fatigue and improving quality of life was demonstrated in clinical trials in anemic cancer patients receiving chemotherapy. With regard to quality of life in orthopedic surgery patients, a novel instrument to measure the effect of Hb management on postoperative recuperative power (i.e., vigor, functional ability) has been validated and may prove to be useful in optimizing rehabilitation and discharge planning. Extensive clinical experience with epoetin alfa in anemic patients undergoing major elective orthopedic surgery or those with gynecologic cancer provides a strong basis for its use in gynecologic surgery.