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[PMID]:29368825
[Au] Autor:Davisson L
[Ti] Título:USPSTF Breast Cancer Screening Guidelines.
[So] Source:W V Med J;112(6):29-31, 2016 Nov-Dec.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico
Neoplasias da Mama/prevenção & controle
Ginecologia/normas
Mamografia
Obstetrícia/normas
Radiologia/normas
[Mh] Termos MeSH secundário: Adulto
Idoso
Neoplasias da Mama/diagnóstico por imagem
Detecção Precoce de Câncer
Feminino
Ginecologia/estatística & dados numéricos
Seres Humanos
Mamografia/efeitos adversos
Mamografia/métodos
Meia-Idade
Obstetrícia/estatística & dados numéricos
Guias de Prática Clínica como Assunto
Padrões de Prática Médica
Valor Preditivo dos Testes
Radiologia/estatística & dados numéricos
Sensibilidade e Especificidade
Sociedades Médicas/normas
Estados Unidos
West Virginia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


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[PMID]:27776073
[Au] Autor:American College of Obstetricians and Gynecologists' Committee on Adolescent Health Care
[Ti] Título:Committee Opinion No. 678: Comprehensive Sexuality Education.
[So] Source:Obstet Gynecol;128(5):e227-e230, 2016 11.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Current sexuality education programs vary widely in the accuracy of content, emphasis, and effectiveness. Data have shown that not all programs are equally effective for all ages, races and ethnicities, socioeconomic groups, and geographic areas. Studies have demonstrated that comprehensive sexuality education programs reduce the rates of sexual activity, sexual risk behaviors (eg, number of partners and unprotected intercourse), sexually transmitted infections, and adolescent pregnancy. One key component of an effective program is encouraging community-centered efforts. In addition to counseling and service provision to individual adolescent patients, obstetrician-gynecologists can serve parents and communities by supporting and assisting sexuality education. Because of their knowledge, experience, and awareness of a community's unique challenges, obstetrician-gynecologists can be an important resource for sexuality education programs.
[Mh] Termos MeSH primário: Educação Sexual/métodos
[Mh] Termos MeSH secundário: Adolescente
Ginecologia
Seres Humanos
Disseminação de Informação
Obstetrícia
Sistemas On-Line
Papel do Médico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  3 / 11555 MEDLINE  
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[PMID]:27776070
[Ti] Título:Committee Opinion No. 680 Summary: The Use and Development of Checklists in Obstetrics and Gynecology.
[So] Source:Obstet Gynecol;128(5):1200, 2016 11.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Checklists are used in medical and nonmedical settings as cognitive aids to ensure that users complete all the items associated with a particular task. They are ideal for tasks with many steps, for tasks performed under stressful circumstances, or for reminding people to perform tasks that they are not routinely accustomed to doing. In medicine, they are ideal for promoting standardized processes of care in situations in which variation in practice may increase patient risk and the chance of medical errors. Checklists also can be used to enhance teamwork and communication. It is a good idea to include frontline individuals who are involved in completing the procedure in the selection and development of the checklist. To be optimally effective, those who create checklists need to carefully plan for their design, implementation, evaluation, and revision. Checklists are valuable cognitive aids to help health care teams provide complete and timely care to patients, but checklists should be only one tool in the armamentarium to ensure that practitioners do the right thing for the right patient at the right time.
[Mh] Termos MeSH primário: Lista de Checagem
Ginecologia/métodos
Obstetrícia/métodos
[Mh] Termos MeSH secundário: Lista de Checagem/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  4 / 11555 MEDLINE  
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[PMID]:27776075
[Au] Autor:American College of Obstetricians and Gynecologists' Committee on Patient Safety and Quality Improvement
[Ti] Título:Committee Opinion No. 680: The Use and Development of Checklists in Obstetrics and Gynecology.
[So] Source:Obstet Gynecol;128(5):e237-e240, 2016 11.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Checklists are used in medical and nonmedical settings as cognitive aids to ensure that users complete all the items associated with a particular task. They are ideal for tasks with many steps, for tasks performed under stressful circumstances, or for reminding people to perform tasks that they are not routinely accustomed to doing. In medicine, they are ideal for promoting standardized processes of care in situations in which variation in practice may increase patient risk and the chance of medical errors. Checklists also can be used to enhance teamwork and communication. It is a good idea to include frontline individuals who are involved in completing the procedure in the selection and development of the checklist. To be optimally effective, those who create checklists need to carefully plan for their design, implementation, evaluation, and revision. Checklists are valuable cognitive aids to help health care teams provide complete and timely care to patients, but checklists should be only one tool in the armamentarium to ensure that practitioners do the right thing for the right patient at the right time.
[Mh] Termos MeSH primário: Lista de Checagem
Ginecologia/instrumentação
Obstetrícia/instrumentação
[Mh] Termos MeSH secundário: Lista de Checagem/utilização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28743446
[Au] Autor:Vintzileos AM
[Ad] Endereço:Department of Obstetrics and Gynecology, New York University Winthrop Hospital, Mineola, NY. Electronic address: avintzileos@nyuwinthrop.org.
[Ti] Título:Measuring the impact of attending physician teaching in an obstetrics and gynecology residency program.
[So] Source:Am J Obstet Gynecol;217(5):617-618, 2017 Nov.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Docentes de Medicina/estatística & dados numéricos
Ginecologia/educação
Internato e Residência
Relações Interprofissionais
Obstetrícia/educação
Relações Médico-Paciente
Ensino/estatística & dados numéricos
[Mh] Termos MeSH secundário: Docentes de Medicina/psicologia
Seres Humanos
Ensino/psicologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


  6 / 11555 MEDLINE  
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[PMID]:27770550
[Au] Autor:Sultan AH; Monga A; Lee J; Emmanuel A; Norton C; Santoro G; Hull T; Berghmans B; Brody S; Haylen BT
[Ad] Endereço:Urogynaecologist and Obstetrician, Croydon University Hospital, Croydon, United Kingdom.
[Ti] Título:An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction.
[So] Source:Neurourol Urodyn;36(1):10-34, 2017 01.
[Is] ISSN:1520-6777
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. METHODS: This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal Terminology. Appropriate core clinical categories and sub classifications were developed to give an alphanumeric coding to each definition. An extensive process of twenty rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). RESULTS: A Terminology Report for anorectal dysfunction, encompassing over 130 separate definitions, has been developed. It is clinically based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction. Female-specific anorectal investigations and imaging (ultrasound, radiology and MRI) has been included whilst appropriate figures have been included to supplement and help clarify the text. Interval review (5-10 years) is anticipated to keep the document updated and as widely acceptable as possible. CONCLUSION: A consensus-based Terminology Report for female anorectal dysfunction terminology has been produced aimed at being a significant aid to clinical practice and a stimulus for research. Neurourol. Urodynam. 36:10-34, 2017. © 2016 Wiley Periodicals, Inc., and The International Urogynecological Association.
[Mh] Termos MeSH primário: Canal Anal
Ginecologia/normas
Doenças Retais/classificação
Doenças Retais/fisiopatologia
Terminologia como Assunto
Urologia/normas
[Mh] Termos MeSH secundário: Canal Anal/diagnóstico por imagem
Canal Anal/fisiopatologia
Consenso
Exame Retal Digital
Feminino
Seres Humanos
Doenças Retais/diagnóstico
Doenças Retais/diagnóstico por imagem
Sociedades Médicas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1002/nau.23055


  7 / 11555 MEDLINE  
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[PMID]:29266079
[Au] Autor:Committee on Health Care for Underserved Women
[Ti] Título:ACOG Committee Opinion No. 729: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care.
[So] Source:Obstet Gynecol;131(1):e43-e48, 2018 01.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Awareness of the broader contexts that influence health supports respectful, patient-centered care that incorporates lived experiences, optimizes health outcomes, improves communication, and can help reduce health and health care inequities. Although there is little doubt that genetics and lifestyle play an important role in shaping the overall health of individuals, interdisciplinary researchers have demonstrated how the conditions in the environment in which people are born, live, work, and age, play equally as important a role in shaping health outcomes. These factors, referred to as social determinants of health, are shaped by historical, social, political, and economic forces and help explain the relationship between environmental conditions and individual health. Recognizing the importance of social determinants of health can help obstetrician-gynecologists and other health care providers better understand patients, effectively communicate about health-related conditions and behavior, and improve health outcomes.
[Mh] Termos MeSH primário: Conscientização
Guias de Prática Clínica como Assunto
Serviços de Saúde Reprodutiva/normas
Saúde Reprodutiva
Determinantes Sociais da Saúde/ética
[Mh] Termos MeSH secundário: Comitês Consultivos/normas
Competência Cultural
Feminino
Ginecologia/normas
Seres Humanos
Obstetrícia/normas
Assistência Centrada no Paciente
Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002459


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[PMID]:29266077
[Au] Autor:Committee on Gynecologic Practice
[Ti] Título:ACOG Committee Opinion No. 727: Cascade Testing: Testing Women for Known Hereditary Genetic Mutations Associated With Cancer.
[So] Source:Obstet Gynecol;131(1):e31-e34, 2018 01.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:"Cascade testing" refers to the performance of genetic counseling and testing in blood relatives of individuals who have been identified with specific genetic mutations. Testing protocols and other interventions may save lives and improve health and quality of life for these family members. Obstetrician-gynecologists should know who is eligible for cascade testing and should use all available resources to ensure that cascade testing is offered and occurs in a timely manner. Despite the clear health benefits for specific populations and individuals, obstetrician-gynecologists should be aware of the potential barriers to cascade testing and should know which options can help patients overcome those barriers. Such barriers, however, may be overcome with health care provider awareness and participation in local and state initiatives to improve implementation of cascade testing. Resources (available within federal and state agencies, professional societies, and in advocacy and community groups) are critical to the successful implementation of cascade testing. This Committee Opinion focuses specifically on cascade testing and the role of the obstetrician-gynecologist in clinical and public health efforts to increase identification of women with hereditary cancer syndromes.
[Mh] Termos MeSH primário: Aconselhamento Genético
Predisposição Genética para Doença
Síndromes Neoplásicas Hereditárias/genética
Síndromes Neoplásicas Hereditárias/prevenção & controle
Cuidado Pré-Concepcional/métodos
Qualidade de Vida
[Mh] Termos MeSH secundário: Comitês Consultivos/normas
Feminino
Testes Genéticos
Ginecologia/normas
Seres Humanos
Mutação/genética
Obstetrícia/normas
Guias de Prática Clínica como Assunto
Gravidez
Medição de Risco
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002457


  9 / 11555 MEDLINE  
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[PMID]:29215508
[Au] Autor:Madsen AM; Stark LM; Has P; Emerson JB; Schulkin J; Matteson KA
[Ad] Endereço:Department of Obstetrics and Gynecology, Women & Infants' Hospital and Warren Alpert Medical School of Brown University, Providence, Rhode Island; and the Research Department of the American College of Obstetricians and Gynecologists, Washington, DC.
[Ti] Título:Opioid Knowledge and Prescribing Practices Among Obstetrician-Gynecologists.
[So] Source:Obstet Gynecol;131(1):150-157, 2018 Jan.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe obstetrician-gynecologists' (ob-gyns) knowledge and prescribing practices regarding opioid analgesics. METHODS: We conducted a cross-sectional survey of a national sample of American College of Obstetricians and Gynecologists Fellows and Junior Fellows who are part of the Collaborative Ambulatory Research Network. We used a sequential mixed-method approach. We collected data on opioid knowledge and typical prescribing practices, including number, type, and indication for prescriptions. We determined adherence to four recommended practices: 1) screening for dependence, 2) prescribing the smallest amount required, 3) tailoring prescriptions, and 4) counseling on proper disposal. We also explored variables associated with prescribing practices. RESULTS: Sixty percent (179/300) of sampled members responded. Respondents reported prescribing a median of 26 (5-80) pills per patient across all indications combined. Ninety-eight percent prescribed opioids after surgery and a smaller proportion for nonsurgical indications: vaginal birth (22%), ovarian cysts (30%), endometriosis (24%), and chronic pelvic pain of unknown cause (18%). The number prescribed varied only by indication for the prescription. Nineteen percent reported adherence to three or more (of four) recommended practices. There was no significant difference in the median number of pills prescribed between those who reported adherence to at least one compared with those who did not adhere to any recommended practices (25 [interquartile range 25-30] vs 28 [interquartile range 20-30], P=.58). Regarding knowledge, 81% incorrectly identified the main source of misused opioids, which is through diversion from a friend or family member, and 44% did not know how to properly dispose of unused prescription opioids. CONCLUSION: Obstetrician-gynecologists reported prescribing a median of 26 opioid pills across all indications combined. Amount prescribed varied widely by indication but not by reported adherence to recommended prescribing practices. This study highlights an urgent need for increased efforts to improve ob-gyns' knowledge of opioid use, misuse, disposal, and best prescribing practices.
[Mh] Termos MeSH primário: Analgésicos Opioides/administração & dosagem
Prescrições de Medicamentos/estatística & dados numéricos
Uso de Medicamentos/estatística & dados numéricos
Transtornos Relacionados ao Uso de Opioides/prevenção & controle
Padrões de Prática Médica/tendências
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Analgésicos Opioides/efeitos adversos
Atitude do Pessoal de Saúde
Estudos Transversais
Uso de Medicamentos/tendências
Feminino
Ginecologia/métodos
Seres Humanos
Masculino
Determinação de Necessidades de Cuidados de Saúde
Obstetrícia/métodos
Transtornos Relacionados ao Uso de Opioides/etiologia
Estatísticas não Paramétricas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002407


  10 / 11555 MEDLINE  
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[PMID]:29187937
[Au] Autor:Akbari N; Malek M; Ebrahimi P; Haghani H; Aazami S
[Ad] Endereço:Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
[Ti] Título:Safety culture in the maternity unit of hospitals in Ilam province, Iran: a census survey using HSOPSC tool.
[So] Source:Pan Afr Med J;27:268, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:Introduction: Improving quality of maternal care as well as patients' safety are two important issues in health-care service. Therefore, this study aimed to assess the culture of patient safety at maternity units. Methods: This cross-sectional study was conducted among staffs working at maternity units in seven hospitals of Ilam city, Iran. The staffs included in this study were gynecologists and midwifes working in different positions including matron, supervisors, head of departments and staffs. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC). Results: This study indicated that 59.1% of participants reported fair level of overall perceptions of safety and 67.1% declared that no event was reported during the past 12 months. The most positively perceived dimension of safety culture was teamwork within departments in view of managers (79.41) and personnel (81.10). However, the least positively perceived dimensions of safety culture was staffing levels. Conclusion: The current study revealed areas of strength (teamwork within departments) and weakness (staffing, punitive responses to error) among managers and personnel. In addition, we found that staffs in Ilam's hospitals accept the patient safety culture in maternity units, but, still are far away from excellent culture of patient safety. Therefore, it is necessary to promote culture of patient's safety among professions working in the maternity units of Ilam's hospitals.
[Mh] Termos MeSH primário: Ginecologia/normas
Serviços de Saúde Materna/normas
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Pesquisas sobre Serviços de Saúde
Unidades Hospitalares
Seres Humanos
Irã (Geográfico)
Masculino
Tocologia/normas
Tocologia/estatística & dados numéricos
Equipe de Assistência ao Paciente/organização & administração
Recursos Humanos em Hospital/normas
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.268.9776



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