American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 2003
Randomized Controlled Trial Clinical TrialLocal anesthetic reduces the pain of colposcopic biopsies: a randomized trial.
This study was undertaken to determine whether administration of local anesthetic reduces pain associated with colposcopically directed cervical biopsies. ⋯ This pilot study demonstrates that injection of local anesthetic at the site of colposcopically direct cervical biopsies decreases the pain perceived by patients.
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Am. J. Obstet. Gynecol. · May 2003
The role of covering gowns in reducing rates of bacterial contamination of scrub suits.
This study was undertaken to determine whether covering gowns reduce the rates of contamination of surgical scrubs. ⋯ Wearing covering garments over scrub suits does not reduce rates of contamination.
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Am. J. Obstet. Gynecol. · May 2003
Comparative StudyA comparison of two models of gynecology service consultation to the emergency department in an academic medical center.
This study was undertaken to determine differences in resource use and outcomes when emergency department (ED) physicians consult the gynecology service routinely versus selectively. ⋯ A policy of selective gynecology consultation, compared with routine gynecology consultation in the ED, increases diagnostic study resource use and patient length of stay.
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Am. J. Obstet. Gynecol. · May 2003
Cancer patients' satisfaction with physicians: Princess Margaret Hospital Satisfaction with Doctor Questionnaire results.
The study was performed to examine the satisfaction of a specific population of oncology patients with their physicians and to quantify its association with characteristics of their disease. ⋯ Patients attending this retreat were generally satisfied with their physicians, regardless of treatment intensity. Increasing financial burden may be associated with physician dissatisfaction.
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Am. J. Obstet. Gynecol. · Apr 2003
Cerebral blood flow and metabolism in relation to electrocortical activity with severe umbilical cord occlusion in the near-term ovine fetus.
The purpose of this study was to determine the change in cerebral blood flow and substrate metabolism in relation to electrocortical activity in the near-term ovine fetus with repeated umbilical cord occlusion of a severe degree. ⋯ Severe umbilical cord occlusion in the near-term ovine fetus results in a rapid decrease in the availability of oxygen to the brain. The low PO (2) gradient from blood to tissue rate limits for oxygen consumption by 2 minutes of insult (despite the marked increase in blood flow) and signals the shift to anaerobic metabolism, the suppression in electrocortical activity, and the probable shutdown of other energy-using processes.