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  1. Article ; Online: Students See the Elephant.

    Gravel, Joseph W / Rosener, Stephanie E / Barr, Wendy Brooks / Hill, Kelly J

    Family medicine

    2019  Volume 51, Issue 8, Page(s) 638–640

    MeSH term(s) Family Practice ; Humans ; Internship and Residency ; Students
    Language English
    Publishing date 2019-09-15
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 639374-3
    ISSN 1938-3800 ; 0742-3225
    ISSN (online) 1938-3800
    ISSN 0742-3225
    DOI 10.22454/FamMed.2019.280464
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Vaginal speculum examinations without stirrups.

    Barr, Wendy Brooks

    BMJ (Clinical research ed.)

    2006  Volume 333, Issue 7560, Page(s) 158–159

    MeSH term(s) Female ; Gynecology/instrumentation ; Gynecology/methods ; Humans ; Physical Examination/instrumentation ; Surgical Instruments ; United States ; Vaginal Smears/instrumentation
    Language English
    Publishing date 2006-07-22
    Publishing country England
    Document type Comment ; Editorial
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.333.7560.158
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Concerns about differential use of LMP in ultrasound-based EDC estimation.

    Barr, Wendy Brooks

    American journal of obstetrics and gynecology

    2005  Volume 192, Issue 6, Page(s) 2091–2092

    MeSH term(s) Female ; Gestational Age ; Humans ; Menstrual Cycle/physiology ; Pregnancy ; Pregnancy Trimesters ; Randomized Controlled Trials as Topic ; Ultrasonography, Prenatal
    Language English
    Publishing date 2005-06
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2005.02.070
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A Model for Educational Survey Research.

    Paladine, Heather L / Everard, Kelly M / Seehusen, Dean / Burge, Sandra K / Peterson, Lars / Barr, Wendy Brooks / Theobald, Mary / Schneider, F David

    Journal of graduate medical education

    2018  Volume 10, Issue 2, Page(s) 233–234

    MeSH term(s) Internship and Residency ; Surveys and Questionnaires
    Language English
    Publishing date 2018-04-23
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8349
    ISSN (online) 1949-8357
    ISSN 1949-8349
    DOI 10.4300/JGME-D-18-00031.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Interventions to Increase Multivitamin Use Among Women in the Interconception Period: An IMPLICIT Network Study.

    DeMarco, Mario P / Shafqat, Maha / Horst, Michael A / Srinivasan, Sukanya / Frayne, Daniel J / Schlar, Lisa / Barr, Wendy Brooks

    Maternal and child health journal

    2020  Volume 25, Issue 2, Page(s) 207–213

    Abstract: Introduction: Each year, 3% of infants in the Unites States (US) are born with congenital anomalies, including 3000 with neural tube defects. Multivitamins (MVIs) including folic acid reduce the incidence of these birth defects. Most women do not take ... ...

    Abstract Introduction: Each year, 3% of infants in the Unites States (US) are born with congenital anomalies, including 3000 with neural tube defects. Multivitamins (MVIs) including folic acid reduce the incidence of these birth defects. Most women do not take recommended levels of folic acid prior to conception or during the interconception period.
    Methods: The Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) ICC model was implemented to screen mothers who attend well child visits (WCVs) for their children aged 0-24 months. Mothers were queried for maternal behavioral risks known to affect pregnancy including multivitamin use and use of family planning methods to enhance birth spacing. When appropriate, interventions targeted at those at risk behaviors are offered. A mixed effects logistic regression model was used to calculate the odds ratio (OR) of behavior change in MVI use among mothers who reported not using MVIs.
    Results: 37.7% of mothers reported not using MVIs at WCVs. 64.0% of mothers received an intervention to improve MVI use in this model. Mothers who received an intervention were more likely to report taking an MVI at the subsequent WCV if they received advice to take MVIs (OR 1.64) or directly received MVI samples (OR 3.09).
    Conclusions: Dedicated maternal counseling during pediatric WCVs is an opportunity to influence behavioral change in women at risk of becoming pregnant. Direct provision of MVIs increases the odds that women will report taking them at a higher rate than provider advice or no counseling at all.
    MeSH term(s) Adult ; Female ; Folic Acid/administration & dosage ; Humans ; Incidence ; Infant, Low Birth Weight/physiology ; Mothers/psychology ; Mothers/statistics & numerical data ; Neural Tube Defects/prevention & control ; Preconception Care/methods ; Preconception Care/organization & administration ; Premature Birth/prevention & control ; Vitamins/administration & dosage
    Chemical Substances Vitamins ; Folic Acid (935E97BOY8)
    Language English
    Publishing date 2020-11-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1339905-6
    ISSN 1573-6628 ; 1092-7875
    ISSN (online) 1573-6628
    ISSN 1092-7875
    DOI 10.1007/s10995-020-03055-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Why pregnancy care should be an essential part of family medicine training.

    Barr, Wendy Brooks

    Family medicine

    2005  Volume 37, Issue 5, Page(s) 364–366

    Abstract: Some family medicine educators are arguing to eliminate pregnancy care as a required component of family medicine training since the majority of family physicians no longer perform deliveries, and many programs are having increasing difficulties in ... ...

    Abstract Some family medicine educators are arguing to eliminate pregnancy care as a required component of family medicine training since the majority of family physicians no longer perform deliveries, and many programs are having increasing difficulties in meeting this training requirement. The primary benefit of pregnancy care training is not to produce family physicians who all perform deliveries but to produce family physicians who are competent to provide comprehensive primary care to women and girls, including routine and preventive reproductive care. The training in pregnancy care helps to differentiate family medicine residencies from other primary care training programs by facilitating competency in a wide range of reproductive health care for nonpregnant women and for the primary nonreproductive health care of pregnant and postpartum women. Residencies offering pregnancy care services also enhance their ability to train residents in child care. Family medicine should continue to strive to improve this aspect of residency training instead of abandoning it.
    MeSH term(s) Curriculum ; Education, Medical/organization & administration ; Family Practice/education ; Female ; Humans ; Pregnancy ; Prenatal Care
    Language English
    Publishing date 2005-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639374-3
    ISSN 0742-3225
    ISSN 0742-3225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Age-associated cross-reactive antibody-dependent cellular cytotoxicity toward 2009 pandemic influenza A virus subtype H1N1.

    Jegaskanda, Sinthujan / Laurie, Karen L / Amarasena, Thakshila H / Winnall, Wendy R / Kramski, Marit / De Rose, Robert / Barr, Ian G / Brooks, Andrew G / Reading, Patrick C / Kent, Stephen J

    The Journal of infectious diseases

    2013  Volume 208, Issue 7, Page(s) 1051–1061

    Abstract: Background: During the 2009 pandemic of influenza A virus subtype H1N1 (A[H1N1]pdm09) infection, older individuals were partially protected from severe disease. It is not known whether preexisting antibodies with effector functions such as antibody- ... ...

    Abstract Background: During the 2009 pandemic of influenza A virus subtype H1N1 (A[H1N1]pdm09) infection, older individuals were partially protected from severe disease. It is not known whether preexisting antibodies with effector functions such as antibody-dependent cellular cytotoxicity (ADCC) contributed to the immunity observed.
    Methods: We tested serum specimens obtained from 182 individuals aged 1-72 years that were collected either immediately before or after the A(H1N1)pdm09 pandemic for ADCC antibodies to the A(H1N1)pdm09 hemagglutinin (HA) protein.
    Results: A(H1N1)pdm09 HA-specific ADCC antibodies were detected in almost all individuals aged >45 years (28/31 subjects) before the 2009 A(H1N1) pandemic. Conversely, only approximately half of the individuals aged 1-14 years (11/31) and 15-45 years (17/31) had cross-reactive ADCC antibodies before the 2009 A(H1N1) pandemic. The A(H1N1)pdm09-specific ADCC antibodies were able to efficiently mediate the killing of influenza virus-infected respiratory epithelial cells. Further, subjects >45 years of age had higher ADCC titers to a range of seasonal H1N1 HA proteins, including from the 1918 virus, compared with younger individuals.
    Conclusions: ADCC antibodies may have contributed to the protection exhibited in older individuals during the 2009 A(H1N1) pandemic. This work has significant implications for improved vaccination strategies for future influenza pandemics.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Antibodies, Viral/immunology ; Antibody-Dependent Cell Cytotoxicity/immunology ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Influenza A Virus, H1N1 Subtype/immunology ; Influenza, Human/immunology ; Influenza, Human/virology ; Male ; Middle Aged ; Young Adult
    Chemical Substances Antibodies, Viral
    Language English
    Publishing date 2013-10-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jit294
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Sexual dysfunction is common and overlooked in female patients with hypertension.

    Barr, Wendy Brooks / Lawrence-Cleary, Kirsten / Gracia, Clarisa R / Quiñones, Joanne N

    Journal of sex & marital therapy

    2003  Volume 29, Issue 4, Page(s) 247–8; author reply 249

    MeSH term(s) Female ; Humans ; Hypertension/complications ; Libido ; Orgasm ; Research Design ; Sexual Dysfunction, Physiological/etiology ; United States ; Women's Health
    Language English
    Publishing date 2003-07
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 752393-2
    ISSN 0092-623X
    ISSN 0092-623X
    DOI 10.1080/0092623039015461
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Improving maternal care with a continuous quality improvement strategy: a report from the Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network.

    Bennett, Ian M / Coco, Andrew / Anderson, Janice / Horst, Michael / Gambler, Angela S / Barr, Wendy Brooks / Ratcliffe, Stephen

    Journal of the American Board of Family Medicine : JABFM

    2009  Volume 22, Issue 4, Page(s) 380–386

    Abstract: Background: Maternal medical care (prenatal and postpartum) involves a set of clinical interventions addressing risk factors associated with important maternal and infant outcomes. Programs to increase the rate of delivery of these interventions in ... ...

    Abstract Background: Maternal medical care (prenatal and postpartum) involves a set of clinical interventions addressing risk factors associated with important maternal and infant outcomes. Programs to increase the rate of delivery of these interventions in clinical practice have not been widely implemented.
    Methods: A practice-based research network focused on developing continuous quality improvement (CQI) processes for maternal care among 10 family medicine residency training sites in the northeastern United States (the IMPLICIT Network) from January 2003 through September 2007. Documented delivery of 5 standard maternal care interventions was assessed before and after initiating a program to increase their frequency. Proportion chart analyses were conducted comparing the period before and after implementation of the CQI interventions.
    Results: Data were available for 3936 pregnancies during the course of the study period. Results varied across the clinical interventions. Significant improvement in care processes was seen for 3 screening activities: (1) prenatal depression symptomatology (by 15 weeks' gestation); (2) screening for smoking at 30 weeks' gestation; (3) and postpartum contraception planning. Screening for smoking by 15 weeks' gestation and testing for asymptomatic bacteriuria were already conducted >90% of the time during the baseline period and did not increase significantly after initiating the CQI program. Screening for postpartum depression symptomatology was recorded in 50% to 60% of women before the CQI program and did not increase significantly.
    Conclusions: A practice-based research network of family medicine residency practices focused on CQI outcomes was successful in increasing the delivery of some maternal care interventions.
    MeSH term(s) Adult ; Family Practice ; Female ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Maternal Health Services/standards ; Medical Audit ; Pregnancy ; Pregnancy Outcome ; Premature Birth/prevention & control ; Total Quality Management/methods ; Young Adult
    Language English
    Publishing date 2009-03-30
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2239939-2
    ISSN 1558-7118 ; 1557-2625
    ISSN (online) 1558-7118
    ISSN 1557-2625
    DOI 10.3122/jabfm.2009.04.090111
    Database MEDical Literature Analysis and Retrieval System OnLINE

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