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  1. Article ; Online: Strengthening the Reproductive Endocrinology and Infertility Curriculum Through Three Interactive Cases

    Molly Siegel Kornfield / Elizabeth Rubin / Pamela Parker / Bharti Garg / Amy Stenson / Paula Amato / Sacha Krieg

    MedEdPORTAL, Vol

    2023  Volume 19

    Abstract: Introduction Improved reproductive endocrinology and infertility (REI) curricula are needed to address educational deficiencies both at our institution and on a national level. To improve REI education for OB/GYN residents and medical students, we ... ...

    Abstract Introduction Improved reproductive endocrinology and infertility (REI) curricula are needed to address educational deficiencies both at our institution and on a national level. To improve REI education for OB/GYN residents and medical students, we developed and piloted a curriculum with in-person and virtual flexibility. Methods We developed three clinical vignettes for a facilitator-led case-based discussion among OB/GYN residents: two office cases and one emergency scenario. Cases were evaluated by content experts and tested before implementation. Pre- and postsurveys included both multiple-choice questions on content and a Likert-scale self-assessment of comfort, satisfaction, and knowledge. Postsurveys were administered immediately postintervention and at a delayed interval. Responses were compared using paired t tests and McNemar tests. Results Eighteen learners (16 OB/GYN residents and two medical students) participated, the majority in person, of whom 17 (94%) completed a postsurvey. Self-rated proficiency in evaluating and managing irregular menses, infertility, and amenorrhea all improved significantly immediately following the intervention (p < .05 for all). Learners reported significantly more knowledge and comfort with REI compared to other subspecialties following the intervention (p < .05). More learners responded correctly to knowledge questions postintervention (p < .05 for questions 1 and 2, p = .16 for question 3). All learners were satisfied with and enjoyed the curriculum. Eight learners completed the delayed postsurvey and showed sustained improvements in knowledge and competence with REI content. Discussion Facilitator-guided case-based learning was effective in improving learners’ confidence, comfort, and knowledge in managing REI conditions, and improvements were sustained following a delayed interval.
    Keywords Amenorrhea ; Egg Retrieval ; Fertility ; Infertility ; Reproductive Endocrinology ; Case-Based Learning ; Medicine (General) ; R5-920 ; Education ; L
    Subject code 420
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Association of American Medical Colleges
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Integrating patients with chronic respiratory disease and heart failure into a combined breathlessness rehabilitation programme

    Linzy Houchen-Wolloff / Nikki Gardiner / Sally J Singh / Enya Daynes / Sarah Ward / Emma Chaplin / Claire LA Bourne / Amy Stenson / Amye Watt

    BMJ Open Respiratory Research, Vol 8, Iss

    a service redesign and pilot evaluation

    2021  Volume 1

    Keywords Medicine ; R ; Diseases of the respiratory system ; RC705-779
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: FutureMS cohort profile

    David Hunt / Siddharthan Chandran / Peter Connick / Peter Foley / Patrick K A Kearns / Sergio E Baranzini / Adam D Waldman / Sarah J Martin / Elizabeth Freyer / F J Carod-Artal / Lee Murphy / Amy Stenson / Jessie Chang / Rozanna Meijboom / Elizabeth N York / Yingdi Chen / Christine Weaver / Katarzyna Hafezi / Stacey Thomson /
    Adil Harroud / Margaret McLeod / Jonathon O'Riordan / Niall J J MacDougall

    BMJ Open, Vol 12, Iss

    a Scottish multicentre inception cohort study of relapsing-remitting multiple sclerosis

    2022  Volume 6

    Keywords Medicine ; R
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: The Tibetan Uterotonic Zhi Byed 11

    Rebecca Lynn Coelius / Amy Stenson / Jessica L. Morris / Mingji Cuomu / Carrie Tudor / Suellen Miller

    Evidence-Based Complementary and Alternative Medicine, Vol

    Mechanisms of Action, Efficacy, and Historical Use for Postpartum Hemorrhage

    2012  Volume 2012

    Abstract: Objective. To explore evidence for the traditional Tibetan medicine, Zhi Byed 11 (ZB11), for use as a uterotonic. Methods. The eleven ingredients in ZB11 were chemically analyzed by mass spectroscopy. A review was conducted of Western allopathic ... ...

    Abstract Objective. To explore evidence for the traditional Tibetan medicine, Zhi Byed 11 (ZB11), for use as a uterotonic. Methods. The eleven ingredients in ZB11 were chemically analyzed by mass spectroscopy. A review was conducted of Western allopathic literature for scientific studies on ZB11’s individual components. Literature from Tibetan and other traditional paradigms were reviewed. Results. Potential mechanisms of action for ZB11 as a uterotonic include laxative effects, a dose-dependant increase in smooth muscle tissue peristalsis that may also affect the uterus smooth muscle, and chemical components that are prostaglandin precursors and/or increase prostaglandin synthesis. A recent RCT demonstrated comparable efficacy to misoprostol in reducing severe postpartum hemorrhage (PPH) (>1000 mL) and greater effect than placebo. Historical and anecdotal evidence for ZB11 and its ingredients for childbirth provide further support. Discussion. ZB11 and its ingredients are candidates for potentially effective uterotonics, especially in low-resource settings. Further research is warranted to understand the mechanisms of action and synergy between ingredients.
    Keywords Other systems of medicine ; RZ201-999
    Subject code 610
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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