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  • 1
    Online Resource
    Online Resource
    Mucinous Neoplasms of the Ovary: Radiologic-Pathologic Correlation
    Radiological Society of North America (RSNA) ; 2019
    In:  RadioGraphics Vol. 39, No. 4 ( 2019-07), p. 982-997
    Details
    In: RadioGraphics, Radiological Society of North America (RSNA), Vol. 39, No. 4 ( 2019-07), p. 982-997
    Type of Medium: Online Resource
    ISSN: 0271-5333 , 1527-1323
    URL: Article
    DOI: 10.1148/rg.2019180221
    Language: English
    Publisher: Radiological Society of North America (RSNA)
    Publication Date: 2019
    detail.hit.zdb_id: 1480434-7
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  • 2
    Online Resource
    Online Resource
    Clinical trials in menopause
    Ovid Technologies (Wolters Kluwer Health) ; 2018
    In:  Menopause Vol. 25, No. 2 ( 2018-02), p. 217-230
    Details
    In: Menopause, Ovid Technologies (Wolters Kluwer Health), Vol. 25, No. 2 ( 2018-02), p. 217-230
    Abstract: Clinical trials in menopause have undergone much scrutiny over the years. This has led to significant shifts in the treatment of symptomatic menopause and a substantial impact on women. We aim to delineate the key studies contributing to this controversy and highlight new directions specifically related to menopausal hormone therapy (HT) and vascular disease risk. Methods: We performed a search of sentinel studies delineating the risks and benefits of HT in otherwise healthy postmenopausal women. Using PubMed we input the following search terms: hormone replacement therapy, cardiovascular disease, coronary artery disease, coronary atherosclerosis, myocardial infarction, angina, coronary heart calcification, carotid intimal thickness, lipids, and/or lipoproteins. We included studies of menopausal women (surgical or natural) using combined estrogen/progestogen therapy or estrogen-only therapy that looked at cardiovascular disease risk factors or outcomes. Studies were evaluated for inclusion by the authors; however, this is not intended to be a systematic or an exhaustive analysis. Results: In women close to the time of menopause, there is a decreased risk of subclinical and clinical coronary heart disease with menopausal HT. Additionally, HT confers a significant benefit to vasomotor symptoms of menopause, bone health, and colorectal cancer. There is an increased risk of venous thromboembolism with oral formulations that appears mitigated with transdermal estradiol. Mixed data regarding breast cancer risk are available, with some studies suggesting an increased risk of invasive breast cancer with estrogen/progestogen therapy and a null effect with estrogen-only therapy. Other more long-term epidemiologic studies identify a decreased risk. Conclusions: The available literature suggests that HT is a viable option for the primary prevention of cardiovascular disease in postmenopausal women. Newer trials will likely verify this assessment. If this is enough to change clinical practice, however, remains to be seen given the general fear of HT by many with prescriptive authority, and also the women in our care.
    Type of Medium: Online Resource
    ISSN: 1072-3714 , 1530-0374
    URL: Article
    DOI: 10.1097/GME.0000000000000978
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2018
    detail.hit.zdb_id: 2071114-1
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  • 3
    Online Resource
    Online Resource
    Evaluation of Antepartum and Postpartum Remote Blood Pressure Monitoring in Low-Risk Pregnancy [9K]
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Obstetrics & Gynecology Vol. 133, No. 1 ( 2019-05), p. 120S-120S
    Details
    In: Obstetrics & Gynecology, Ovid Technologies (Wolters Kluwer Health), Vol. 133, No. 1 ( 2019-05), p. 120S-120S
    Abstract: Hypertensive disorders in pregnancy are a leading cause of morbidity and mortality. This study examines the feasibility of an integrated technology platform to augment surveillance with remote blood pressure (BP) readings in low-risk pregnant women. METHODS: 2806 low-risk pregnant women in 57 offices were enrolled in an integrated technology platform with a mobile application and connected devices to remotely transmit BP readings (Babyscripts TM (BRx) platform). Antepartum BP recordings were tabulated from 12-36 weeks gestation. Postpartum BP recordings were tabulated from 42-48 weeks gestation. All BP data was analyzed for mean systolic and diastolic BP and average interval between recordings. RESULTS: Antepartum monitoring of 2791 women showed a mean systolic BP of 107.3 (95% CI 102.1-112.5) and a mean diastolic BP of 68.9 (95% CI 61.7-76.1). A total of 38,443 antepartum BP readings were recorded. The average interval between recordings was 7.2 days. Postpartum monitoring of 186 women showed a mean systolic BP of 109.8 (95% CI 104.2-115.4) and a mean diastolic BP of 73.2 (95% CI 66.3-80.1). A total of 485 postpartum BP readings were recorded. The average interval between recordings was 5.1 days. CONCLUSION: Remote monitoring of BP in low-risk pregnant women resulted in frequent recordings during the antepartum and postpartum periods. Notably, the average frequency of postpartum recordings occurred at a shorter interval than typical clinical follow-up. This platform could offer more robust monitoring in low-risk pregnancies and could be extrapolated to high-risk pregnancies in the future.
    Type of Medium: Online Resource
    ISSN: 0029-7844
    URL: Article
    DOI: 10.1097/01.AOG/01.AOG.0000559204.80169.f7
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2012791-1
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  • 4
    Online Resource
    Online Resource
    Adherence to a Vaginal Breech Protocol and Success of Vaginal Breech Delivery [03N]
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Obstetrics & Gynecology Vol. 135, No. 1 ( 2020-05), p. 146S-146S
    Details
    In: Obstetrics & Gynecology, Ovid Technologies (Wolters Kluwer Health), Vol. 135, No. 1 ( 2020-05), p. 146S-146S
    Abstract: At the George Washington University, we have established a Vaginal Breech Initiative (VBI) to increase access to, and training in, vaginal breech delivery as a component of a cesarean prevention strategy. The VBI is a collaborative team consisting of physicians and nurse midwives using strict antepartum and intrapartum guidelines to facilitate safe and successful vaginal breech delivery. The purpose of this study was to examine adherence to our protocol. METHODS: We performed a retrospective chart review of all women undergoing a breech trial of labor between 8/2011 and 6/2019. Our primary outcome measure was adherence to protocol. Women were considered adherent if they had an EFW 2500–3800 g, gestational age of 34–42 weeks, singleton pregnancy, frank or complete breech, and had appropriate breech counseling. Our secondary outcome was successful breech vaginal delivery and adverse maternal/fetal outcomes. RESULTS: Of all women undergoing a breech trial of labor (n=63), 47 adhered to our protocol (74.6%). Of those, 37/47 (78.7%) had a successful breech delivery. Of the patients who underwent a breech trial out-of-protocol (n=16), 12/16 (75%) had a successful breech delivery (P=.74). Overall, we had an 77.8% vaginal breech success rate. When in-protocol women were compared with those out-of-protocol, there were no statistically significant adverse maternal/fetal outcomes. CONCLUSION: While we adhered to our established protocol in 74.6% of women undergoing a breech trial of labor, we found this did not correlate to successful breech delivery. We will continue to examine our protocol and identify which components are most highly correlated with vaginal breech success and safety.
    Type of Medium: Online Resource
    ISSN: 0029-7844
    URL: Article
    DOI: 10.1097/01.AOG.0000665568.41274.ad
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
    detail.hit.zdb_id: 2012791-1
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  • 5
    Online Resource
    Online Resource
    Preventing Excessive Gestational Weight Gain by Using Connected Weight Scales Paired With Mobile Apps [22L]
    Ovid Technologies (Wolters Kluwer Health) ; 2016
    In:  Obstetrics & Gynecology Vol. 127, No. Supplement 1 ( 2016-05), p. 103S-104S
    Details
    In: Obstetrics & Gynecology, Ovid Technologies (Wolters Kluwer Health), Vol. 127, No. Supplement 1 ( 2016-05), p. 103S-104S
    Type of Medium: Online Resource
    ISSN: 0029-7844
    URL: Article
    DOI: 10.1097/01.AOG.0000483431.23644.71
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2016
    detail.hit.zdb_id: 2012791-1
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  • 6
    Online Resource
    Online Resource
    A Systematic Review of Telehealth on Clinical Outcomes in Obstetrics & Gynecology [27E]
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Obstetrics & Gynecology Vol. 133, No. 1 ( 2019-05), p. 58S-58S
    Details
    In: Obstetrics & Gynecology, Ovid Technologies (Wolters Kluwer Health), Vol. 133, No. 1 ( 2019-05), p. 58S-58S
    Abstract: Telehealth is an emerging trend that has applications for obstetrics, gynecology, and Ob/Gyn specialties. These novel developments warrant robust scientific evaluation and clinical guidance. METHODS: A literature search was conducted by a team of medical librarians. Telehealth interventions included virtual visits with audio/visual, mobile health, wearable devices, and SMS; interventions were excluded if it only involved telephone calls or websites. Outcomes were organized by Low-Risk Obstetrics, High-Risk Obstetrics, Family Planning, and Specialty. The PRISMA method was followed, an evidence distilling system was used which included dual review of studies for quality rating and risk of bias assessment. To quality rate the studies we used the Cochrane Collaboration's tool for assessing the risk of bias for RCTs and the ROBINS-I tool for assessing risk of bias in non-randomized studies. RESULTS: Low-Risk Obstetrics yielded 1781 references, 19 met inclusion. An effect of telehealth intervention was found on smoking cessation, pregnancy wellness, influenza vaccination, and breastfeeding. High-Risk Obstetrics yielded 1271 references, 14 met inclusion. An effect was found on diabetic management, preterm labor, prenatal visit reduction, and asthma control. Family Planning yielded 527 references, 13 met inclusion. An effect was found on contraceptive continuation and on access to medical abortion. Specialty yielded 1387 references, 8 met inclusion. An effect was found on sexually transmitted illness, menopause management, stress urinary incontinence, weight loss, and gynecology post-operative management. CONCLUSION: Telehealth has interventions with effect on clinical outcomes in obstetrics, gynecology, and specialty fields. Women's health providers can gain guidance on these new opportunities through continued research.
    Type of Medium: Online Resource
    ISSN: 0029-7844
    URL: Article
    DOI: 10.1097/01.AOG.0000559019.82693.fa
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2012791-1
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  • 7
    Online Resource
    Online Resource
    Androgen therapy for women after menopause
    Elsevier BV ; 2021
    In:  Best Practice & Research Clinical Endocrinology & Metabolism Vol. 35, No. 6 ( 2021-12), p. 101592-
    Details
    In: Best Practice & Research Clinical Endocrinology & Metabolism, Elsevier BV, Vol. 35, No. 6 ( 2021-12), p. 101592-
    Type of Medium: Online Resource
    ISSN: 1521-690X
    URL: Article
    DOI: 10.1016/j.beem.2021.101592
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2026220-6
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  • 8
    Online Resource
    Online Resource
    Testing the Feasibility of Remote Patient Monitoring in Prenatal Care Using a Mobile App and Connected Devices: A Prospective Observational Trial
    JMIR Publications Inc. ; 2016
    In:  JMIR Research Protocols Vol. 5, No. 4 ( 2016-11-18), p. e200-
    Details
    In: JMIR Research Protocols, JMIR Publications Inc., Vol. 5, No. 4 ( 2016-11-18), p. e200-
    Type of Medium: Online Resource
    ISSN: 1929-0748
    URL: Article
    DOI: 10.2196/resprot.6167
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2016
    detail.hit.zdb_id: 2719222-2
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  • 9
    Online Resource
    Online Resource
    A Resource and Cost Analysis on the Impact of Reduced Visits for Prenatal Care [29F]
    Ovid Technologies (Wolters Kluwer Health) ; 2016
    In:  Obstetrics & Gynecology Vol. 127, No. Supplement 1 ( 2016-05), p. 58S-
    Details
    In: Obstetrics & Gynecology, Ovid Technologies (Wolters Kluwer Health), Vol. 127, No. Supplement 1 ( 2016-05), p. 58S-
    Type of Medium: Online Resource
    ISSN: 0029-7844
    URL: Article
    DOI: 10.1097/01.AOG.0000483884.36730.d5
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2016
    detail.hit.zdb_id: 2012791-1
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  • 10
    Online Resource
    Online Resource
    A Mobile Prenatal Care App to Reduce In-Person Visits: Prospective Controlled Trial
    JMIR Publications Inc. ; 2019
    In:  JMIR mHealth and uHealth Vol. 7, No. 5 ( 2019-05-01), p. e10520-
    Details
    In: JMIR mHealth and uHealth, JMIR Publications Inc., Vol. 7, No. 5 ( 2019-05-01), p. e10520-
    Type of Medium: Online Resource
    ISSN: 2291-5222
    URL: Article
    DOI: 10.2196/10520
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2019
    detail.hit.zdb_id: 2719220-9
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