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Condition: Pregnancy

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Pregnancy and melanoma
Malignant melanoma is the most common malignancy during pregnancy, and is diagnosed during childbearing age in approximately one-third of women diagnosed with melanoma. The impact of hormonal changes during pregnancy and from iatrogenic hormones on melanoma is controversial. Women undergo immunologic changes during pregnancy that may decrease tumor surveillance. In addition, hormone receptors are found on some melanomas. In spite of these observations, the preponderance of evidence does not support a poorer prognosis for pregnancy-associated melanomas.
Source: Journal of the American Academy of Dermatology - September 19, 2016 Category: Dermatology Authors: Marcia S. Driscoll, Kathryn Martires, Amy Kalowitz Bieber, Miriam Keltz Pomeranz, Jane M. Grant-Kels, Jennifer A. Stein Tags: Continuing medical education Source Type: research

Nevi and pregnancy
Changes in the moles of pregnant women are frequently attributed to pregnancy, but recent studies suggest that pregnancy does not induce significant physiologic changes in nevi. It is common for nevi on the breasts and abdomen to grow with normal skin expansion, but studies that have examined melanocytic nevi on the backs or lower extremities have found no significant changes in size during pregnancy. Several studies have also investigated the belief that moles darken during pregnancy and have found insufficient evidence to support this idea.
Source: Journal of the American Academy of Dermatology - September 19, 2016 Category: Dermatology Authors: Amy Kalowitz Bieber, Kathryn J. Martires, Marcia S. Driscoll, Jane M. Grant-Kels, Miriam Keltz Pomeranz, Jennifer A. Stein Tags: Continuing medical education Source Type: research

Acute liver failure in a pregnant patient
Source: American Journal of Transplantation - November 16, 2017 Category: Transplant Surgery Authors: Denise J. Lo, Rachel J. Friedman ‐Moraco, Benjamin H. Hinrichs, Andrew B. Adams Tags: CONTINUING MEDICAL EDUCATION Source Type: research

Psoriasis: Which therapy for which patient
Despite the availability of several new systemic agents for psoriasis treatment, choosing the right therapy in certain patient populations can be challenging. There are few up-to-date reviews on systemic drugs for moderate to severe psoriasis in pregnant and pediatric patients and in patients with concomitant chronic infections, such as hepatitis, HIV, and latent tuberculosis. These groups are usually excluded from clinical trials, and much of the available evidence is based on anecdotal case reports and case series.
Source: Journal of the American Academy of Dermatology - July 12, 2018 Category: Dermatology Authors: Shivani B. Kaushik, Mark G. Lebwohl Tags: Continuing medical education Source Type: research

Development and acceptability of a video-based vaccine promotion tutorial for obstetric care providers.
Abstract A prenatal care provider's recommendation for maternal vaccines is one of the strongest predictors of vaccine acceptance during pregnancy. Aside from basic talking points, few resources exist to help obstetric care providers effectively navigate conversations with vaccine hesitant patients. This paper describes the development and acceptability of "VaxChat," an hour-long, evidence-based video tutorial aimed at improving obstetric care providers' ability to promote maternal vaccines. Between June and November 2017, 62 obstetric care providers registered to receive continuing medical education credit for vi...
Source: Vaccine - April 4, 2019 Category: Allergy & Immunology Authors: Chamberlain AT, Limaye RJ, O'Leary ST, Frew PM, Brewer SE, Spina CI, Ellingson MK, Dudley MZ, Orenstein WA, Donnelly MA, Riley LE, Ault KA, Salmon DA, Omer SB Tags: Vaccine Source Type: research

U.S. Survey of factors associated with adherence to standard of care in treating pregnant women with opioid use disorder.
Conclusions: Novel interventions are needed to (1) promote office-based treatment for opioid use disorder through continuing medical education, (2) provide physicians with access to recovery-oriented resources and (3) increase patient autonomy in healthcare decision making. These proposed evidence-based interventions will promote best practices for women and their infants and greater accessibility to standard of care. PMID: 31244358 [PubMed - as supplied by publisher]
Source: Journal of Psychosomatic Obstetrics and Gynaecology - June 29, 2019 Category: OBGYN Tags: J Psychosom Obstet Gynaecol Source Type: research

Taskforce work-life balance-concepts instead of slogans.
Abstract After the Young Urologists' Working Group was founded in April 2018, the taskforce "Work-Life-Balance" was set up. The Working Group deals with the following topics.Most recently, a discussion guideline was developed for requests for part-time or parental leave. The guideline recommends to conduct the interview as soon as possible and in a structured manner. The maximum and minimum goal of working hours should be clearly and transparently defined.The inconsistent regulations on the crediting of absences during continuing medical education in the various federal states are also discussed as a further probl...
Source: Der Urologe. Ausg. A - March 2, 2020 Category: Urology & Nephrology Authors: Beck A, Wundrack FM, Mattigk A, Arnold H, Himmler M, Necknig U Tags: Urologe A Source Type: research

Postpartum hemorrhage: a continuing challenge.
Authors: Lockhart E Abstract Obstetric hemorrhage remains a leading cause of maternal morbidity and mortality worldwide. Many postpartum hemorrhages (PPHs) do not have identifiable risk factors; maternity units should therefore have obstetric hemorrhageprotocols in place for all parturients as every pregnancy has the potential to be complicated by hemorrhage. This review will examine the epidemiology of PPH as well as current recommendations for key elements in obstetric hemorrhage protocols. Recent advances in hematologic management of PPH will be also be reviewed, including: (1) recognition of hypofibrinogenemia ...
Source: Hematology ASH Education Program - December 10, 2015 Category: Hematology Tags: Hematology Am Soc Hematol Educ Program Source Type: research

Medical Undergraduate Survey on Headache Education in Singapore: Knowledge, Perceptions, and Assessment of Unmet Needs
ConclusionsThe current medical undergraduate curriculum on headache disorders in Singapore may harbor significant unmet needs. A review of the syllabus to increase headache education may be one method to address this gap. Further studies in this area are required.
Source: Headache: The Journal of Head and Face Pain - May 1, 2017 Category: Neurology Authors: Jonathan Jia Yuan Ong, Yee Cheun Chan Tags: Residents and Fellows: Education Research Source Type: research

A165: Implementing a Risk Education Strategy for Adolescent Girls Treated with Teratogenic Medications in the Pediatric Rheumatology Clinic
Conclusion:The initial interventions made through this quality improvement project increased the frequency of teratogenicity education and pregnancy screening during routine follow‐up in the pediatric rheumatology clinic. A clear improvement was made in urine pregnancy screening at clinic visits, revealing the recognition of teratogenic risk in these patients, and the acceptance of patients and families of this new testing process. However, the less robust improvement in consistent education documentation revealed more complex barriers that involve the electronic medical record, roles and responsibility for providing ini...
Source: Arthritis and Rheumatism - March 27, 2014 Category: Rheumatology Authors: Ashley Cooper, Heather Watters, Mara L Becker Tags: Poster Breakout Session I: Quality, Health Services and Education Research Thursday, April 3, 2014; 4:00–4:30 PM Source Type: research

How education changes clinical documentation in early pregnancy.
Authors: Ali F, Higgins MF Abstract The aim of this audit was to record medical history taking in the records of women attending with early pregnancy issues in order to assess the effect of training in this area. The medical education intervention comprised of a 30-min interactive tutorial. Retrospective chart review at three time points: pre education (July 2013, n = 45), immediately post-education (August 2013, n = 45) and longer term post-intervention (October 2013, n = 20). Pre-education, medical history was missing in 77.8% of charts compared to 13.4% immediately post-intervention and 10% long-term...
Source: Journal of Obstetrics and Gynaecology - February 19, 2016 Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

Incorporating Nurse‐Midwifery Students into Graduate Medical Education: Lessons Learned in Interprofessional Education
This article describes the process of including advanced nurse‐midwifery students into 2 classes previously offered solely to medical students: 1) an elective in which students are matched with a pregnant woman to observe care that she receives before, during, and after giving birth; and 2) a required course on basic clinical care across the human lifespan. The development of these interprofessional courses, obstacles to success, feedback from students, and responses to course evaluations are reviewed. Themes identified in student course evaluations included uncertainty about interprofessional roles, disparity in clinica...
Source: Journal of Midwifery and Women's Health - October 1, 2015 Category: Midwifery Authors: Rebekah Kaplan, Jenna Shaw‐Battista, Naomi Ellen Stotland Tags: Original Review Source Type: research

STI Guideline Updates for Pediatric Hospitalists
PHM Session: 2021 Sexually Transmitted Infection (STI) Guideline Updates: What the Pediatric Hospitalist Needs to Know Presenters: Jason Zucker, MD, Columbia University, New York, and Candice McNeil, MD, MPH, Atrium Health Wake Forest Baptist, Winston-Salem, N.C. As the assistant director of the New York City STD/HIV Prevention Training Center and co-medical director of the Southeast STD/HIV Prevention Training Center, Drs. Zucker and McNeil shared their expertise on this ever-evolving topic. As of 2020, there were more than 2 million cases of chlamydia and gonorrhea, about 130,000 cases of syphilis, and a 235% increase in...
Source: The Hospitalist - September 23, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: Adolescent Medicine Clinical Guidelines Diagnostic Education HIV Lifestyle Pediatrics STIs Source Type: research

Cesarean sections. Associated factors and frequency at King Abdulaziz Medical City in the Central Region of the Kingdom of Saudi Arabia.
Conclusion: Cesarean section are very frequent and prevalent in our center, and may be increasing. The frequency of C-sections was significantly higher for women of older maternal age, little education, no personal history of vaginal delivery, undergoing C-sections due to medical indications, and those willing to repeat a C-section in the absence of medical indications. PMID: 30397716 [PubMed - in process]
Source: Saudi Medical Journal - November 8, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Teenage Pregnancy in Kenya: A Crisis of Health, Education and Opportunity
Education CS Amina Mohamed chats with form four candidates of Mama Ngina Secondary School a few minutes before KCSE exams. Credit: StandardBy Siddharth ChatterjeeNAIROBI, Kenya, Nov 19 2018 (IPS)That almost one in five Kenyan teenage girls is a mother represents not only a huge cost to the health sector, but also a betrayal of potential on a shocking scale. November 20, 2018 marks International Children’s Day. Perhaps a day we should use to reflect on a national crisis of underage pregnancies that confronts us.Recent media reports of the high number of girls failing to sit their final secondary school examinations (KSCE)...
Source: IPS Inter Press Service - Health - November 19, 2018 Category: International Medicine & Public Health Authors: Siddharth Chatterjee Tags: Africa Crime & Justice Development & Aid Education Featured Gender Gender Violence Headlines Health Human Rights Labour Poverty & SDGs TerraViva United Nations Women's Health Source Type: news