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Article ; Online: Assessing müllerian anomalies in early pregnancy utilizing advanced 3-dimensional ultrasound technology.

Prasannan, Lakha / Rekawek, Patricia / Kinzler, Wendy L / Richmond, Diana Abenanti / Chavez, Martin R

American journal of obstetrics and gynecology

2024

Language	English
Publishing date	2024-04-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2024.04.023
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Article ; Online: Obstetric-Focused POCUS Training for Medical Students.

Cohen, Koral / Kidd, Jennifer / Schiller, Emily / Kantorowska, Agata / Kinzler, Wendy / Chavez, Martin

POCUS journal

2023 Volume 8, Issue 2, Page(s) 109–112

Abstract: Point of care ultrasound (POCUS) is rapidly expanding throughout the United States. Due to its ability to quickly and accurately diagnose and guide therapy for critical conditions, POCUS is becoming routine in many specialties, with established ... ...

Abstract	Point of care ultrasound (POCUS) is rapidly expanding throughout the United States. Due to its ability to quickly and accurately diagnose and guide therapy for critical conditions, POCUS is becoming routine in many specialties, with established guidelines in fields such as emergency medicine and critical care 1, 2, 3. For example, a study entitled "Ultrasound Integration in Undergraduate Medical Education: Comparison of Ultrasound Proficiency Between Trained and Untrained Medical Students" initiated an Emergency Medicine POCUS curriculum for first-year medical students that showed an increase in ultrasound capability 4. In short, as POCUS becomes more common practice, medical schools are beginning to implement POCUS training into their undergraduate medical education; studies from these institutions demonstrate that implementing a formal ultrasound curriculum into preclinical medical education significantly increases medical students' POCUS capabilities4, 5 and assisted in their understanding and learning of anatomy 6, 7.
Language	English
Publishing date	2023-11-27
Publishing country	Canada
Document type	Journal Article
ISSN	2369-8543
ISSN (online)	2369-8543
DOI	10.24908/pocus.v8i2.16316
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Article ; Online: The value of maternal echocardiography after delivery in patients with severe preeclampsia.

Kantorowska, Agata / Corbo, Anthony Marco / Akerman, Meredith B / Gubernikoff, George / Kinzler, Wendy L / Vintzileos, Anthony M / Rekawek, Patricia

American journal of obstetrics and gynecology

2024

Language	English
Publishing date	2024-03-23
Publishing country	United States
Document type	Letter
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2024.03.021
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Article ; Online: Chat Generative Pre-trained Transformer: why we should embrace this technology.

Chavez, Martin R / Butler, Thomas S / Rekawek, Patricia / Heo, Hye / Kinzler, Wendy L

American journal of obstetrics and gynecology

2023 Volume 228, Issue 6, Page(s) 706–711

Abstract: With the advent of artificial intelligence that not only can learn from us but also can communicate with us in plain language, humans are embarking on a brave new future. The interaction between humans and artificial intelligence has never been so ... ...

Abstract	With the advent of artificial intelligence that not only can learn from us but also can communicate with us in plain language, humans are embarking on a brave new future. The interaction between humans and artificial intelligence has never been so widespread. Chat Generative Pre-trained Transformer is an artificial intelligence resource that has potential uses in the practice of medicine. As clinicians, we have the opportunity to help guide and develop new ways to use this powerful tool. Optimal use of any tool requires a certain level of comfort. This is best achieved by appreciating its power and limitations. Being part of the process is crucial in maximizing its use in our field. This clinical opinion demonstrates the potential uses of Chat Generative Pre-trained Transformer for obstetrician-gynecologists and encourages readers to serve as the driving force behind this resource.
MeSH term(s)	Humans ; Artificial Intelligence ; Technology ; Health Personnel ; Language ; Medicine
Language	English
Publishing date	2023-03-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2023.03.010
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Article ; Online: Correction to: Experiences of early graduate medical students working in New York hospitals during the COVID-19 pandemic: a mixed methods study.

Pravder, Harrison D / Langdon-Embry, Liana / Hernandez, Rafael J / Berbari, Nicholas / Shelov, Steven P / Kinzler, Wendy L

BMC medical education

2021 Volume 21, Issue 1, Page(s) 160

Language	English
Publishing date	2021-03-17
Publishing country	England
Document type	Published Erratum
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-021-02577-z
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Article ; Online: Experiences of early graduate medical students working in New York hospitals during the COVID-19 pandemic: a mixed methods study.

Pravder, Harrison D / Langdon-Embry, Liana / Hernandez, Rafael J / Berbari, Nicholas / Shelov, Steven P / Kinzler, Wendy L

BMC medical education

2021 Volume 21, Issue 1, Page(s) 118

Abstract: Background: The coronavirus disease 2019 (COVID-19) pandemic presented the world with a sudden need for additional medical professionals. Senior medical students were identified as potential workers and many worldwide graduated early to serve as Junior ... ...

Abstract	Background: The coronavirus disease 2019 (COVID-19) pandemic presented the world with a sudden need for additional medical professionals. Senior medical students were identified as potential workers and many worldwide graduated early to serve as Junior Physicians in hospitals. The authors sought to identify factors that informed the decision to work, describe experiences in this capacity, and elucidate benefits for trainees. Methods: The investigators conducted a mixed-methods observational cohort study of early medical graduates eligible to work as Junior Physicians at two New York medical centers in April/May 2020 during an initial surge in COVID-19 hospitalizations. Graduates were surveyed, and a sample of Junior Physicians participated in a focus group. Survey responses of those who worked were compared to those who did not. Focus group responses were transcribed, coded, and thematically analyzed. Results: Fifty-nine graduates completed the study methods and 39 worked as Junior Physicians. Primary reasons for working included duty to help (39 [100%]), financial incentive (32 [82%]), desire to learn about pandemic response (25 [64%]), and educational incentive (24 [62%]). All had direct contact with COVID-19 patients, believed working was beneficial to their medical training, and were glad they worked. None contracted a symptomatic infection while working. Compared with non-Junior Physicians, Junior Physicians reported increased comfort levels in completing medical intern-level actions like transitions of care functions, such as writing transfer notes (P < 0.01), writing discharge orders (P = 0.01), and providing verbal sign out (P = 0.05), and they reported more comfort in managing COVID-19 patients. Sixteen themes emerged from the focus group and were placed into four categories: development of skills, patient care, safety, and wellness. Conclusions: Senior medical students chose to work as Junior Physicians for both personal and educational reasons. Experiences were beneficial to trainees and can inform future innovations in medical education.
MeSH term(s)	Adult ; COVID-19 ; Cohort Studies ; Delivery of Health Care/organization & administration ; Education, Medical, Graduate ; Female ; Focus Groups ; Humans ; Male ; Medical Staff, Hospital ; New York ; SARS-CoV-2 ; Surveys and Questionnaires
Language	English
Publishing date	2021-02-18
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-021-02543-9
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Article ; Online: The First COVID-19 Pandemic Wave and the Effect on Health Care Trainees: A National Survey Study.

Liu, Helen H / Petrone, Patrizio / Akerman, Meredith / Howell, Raelina S / Morel, Andrew H / Sohail, Amir H / Alsamarraie, Cindy / Brathwaite, Barbara / Kinzler, Wendy / Maurer, James / Brathwaite, Collin E M

The American surgeon

2022 Volume 89, Issue 11, Page(s) 4654–4661

Abstract: Background: This study observes the trends and patterns among trainees during the coronavirus disease 2019 (COVID-19) pandemic and their response to resident education and hospital/program support.: Methods: An anonymous online 31-question survey was ...

Abstract	Background: This study observes the trends and patterns among trainees during the coronavirus disease 2019 (COVID-19) pandemic and their response to resident education and hospital/program support. Methods: An anonymous online 31-question survey was distributed to medical students and postgraduate year residents. Topics included were demographics, clinical responsibilities, educational/curricula changes, and trainee wellness. Descriptive analysis was performed for each set of demographic groupings as well as 2 and 3 group comparisons. Results: Total 1051 surveys collected, 930 used for analysis: 373 (40.1%) male, 434 (46.6%) aged 30-34 years, 588 (63.2%) white, 417 (44.8%) married, 168 (18%) with children, and 323 (34.7%) from the Northeast region. The Northeast experienced difficulty sleeping, feelings of guilt, hopelessness, and changes in appetite ( Conclusion: We aim to provide continued educational support for our trainees' clinical development and well-being during the COVID-19 pandemic.
MeSH term(s)	Child ; Humans ; Male ; Female ; COVID-19/epidemiology ; Pandemics ; Internship and Residency ; Surveys and Questionnaires ; Attitude of Health Personnel
Language	English
Publishing date	2022-09-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
DOI	10.1177/00031348221117028
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Article ; Online: The timing of administration of antenatal corticosteroids in women with indicated preterm birth.

Adams, Tracy M / Kinzler, Wendy L / Chavez, Martin R / Vintzileos, Anthony M

American journal of obstetrics and gynecology

2015 Volume 212, Issue 5, Page(s) 645.e1–4

Abstract: Objective: We sought to determine the timing of administration of antenatal corticosteroids (AS) for indicated preterm births and to identify which indications are associated with the most optimal timing of administration.: Study design: This was a ... ...

Abstract	Objective: We sought to determine the timing of administration of antenatal corticosteroids (AS) for indicated preterm births and to identify which indications are associated with the most optimal timing of administration. Study design: This was a retrospective cohort of patients who received AS in anticipation of indicated preterm birth from 2009 through 2012 at Winthrop University Hospital, Mineola, NY. Medical records of patients who received AS, as identified through the hospital pharmacy database, were reviewed. Patients were included if they had a singleton or twin gestation and they received AS for maternal or fetal indications. Women were excluded if they received AS for spontaneous preterm labor or preterm rupture of membranes. Maternal demographic and obstetrical characteristics were compared between those who received AS≤7 days vs >7 days from delivery using parametric and nonparametric tests with relative risks and 95% confidence intervals. P<.05 was considered significant. Results: In all, 193 patients were included in this study. Median latency from AS administration to delivery was 9 days (range, 0-83); 93 patients (48%) received AS within 7 days of delivery. There were no significant differences between the 2 groups with regards to baseline maternal characteristics. Those delivering within 7 days of AS administration were more likely to have maternal vs fetal indications (84% vs 16%). Conclusion: Only 48% of patients with an indication for preterm birth received AS within 7 days of its administration. AS appear to be more optimally timed in the presence of maternal rather than fetal indications.
MeSH term(s)	Adrenal Cortex Hormones/administration & dosage ; Adult ; Cohort Studies ; Delivery, Obstetric/methods ; Drug Administration Schedule ; Female ; Humans ; Perinatal Care/methods ; Pregnancy ; Premature Birth ; Retrospective Studies ; Time Factors
Chemical Substances	Adrenal Cortex Hormones
Language	English
Publishing date	2015-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2014.11.021
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Article ; Online: Use of cervical elastography at 18 to 22 weeks' gestation in the prediction of spontaneous preterm birth.

Patberg, Elizabeth T / Wells, Matthew / Vahanian, Sevan A / Zavala, Jose / Bhattacharya, Sarmistha / Richmond, Diana / Akerman, Meredith / Demishev, Michael / Kinzler, Wendy L / Chavez, Martin R / Vintzileos, Anthony M

American journal of obstetrics and gynecology

2021 Volume 225, Issue 5, Page(s) 525.e1–525.e9

Abstract: Background: Accurate identification of the women who will have spontaneous preterm birth continues to be a great challenge. The use of cervical elastography for prediction of preterm birth is promising, but several limitations exist. Newer cervical ... ...

Abstract	Background: Accurate identification of the women who will have spontaneous preterm birth continues to be a great challenge. The use of cervical elastography for prediction of preterm birth is promising, but several limitations exist. Newer cervical elastography technology has been developed that may prove useful in evaluation of risk of preterm birth. Objective: This study aimed to develop standard cervical elastography nomograms for singleton pregnancies at 18 to 22 weeks' gestation using the E-Cervix ultrasound application, assess intraobserver reliability of the E-Cervix elastography parameters, and determine whether these cervical elastography measurements can be used in the prediction of spontaneous preterm birth. Study design: This was a prospective cohort study of pregnant women undergoing cervical length screening assessment via transvaginal ultrasound examination at 18 to 22 weeks' gestation. A semiautomatic, cervical elastography application (E-Cervix) was used during the transvaginal examination to calculate 5 quantitative parameters (internal os stiffness, external os stiffness, internal -to -external os stiffness ratio, hardness ratio, and elasticity contrast index) and create a standard nomogram for each one of them. The intraobserver reliability was calculated using Shrout-Fleiss reliability. Cervical elastography parameters were compared between those who delivered preterm (<37 weeks) spontaneously and those who delivered full term. A multivariable logistic regression model was performed to determine the ability of the cervical elastography parameters to predict spontaneous preterm birth. Results: A total of 742 women were included, of which 49 (6.6%) had a spontaneous preterm delivery. A standard nomogram was created for each of the cervical elastography parameters from those who had a full-term birth in the index pregnancy (n=693). Intraobserver reliability was good or excellent (intraclass correlation, 0.757-0.887) for each of the cervical elastography parameters except external os stiffness which was poor (intraclass correlation, 0.441). In univariate analysis, none of the cervical elastography parameters were associated with a statistically significant increased risk of spontaneous preterm birth. In a multivariable model adjusting for history of preterm birth, gravidity, ethnicity, cervical cerclage, and vaginal progesterone use, increasing elasticity contrast index was significantly associated with an increased risk of spontaneous preterm birth (odds ratio, 1.15; 95% confidence interval, 1.02-1.30; P=.02). Conclusion: Cervical elastography parameters are reliably measured and are stable across 18 to 22 weeks' gestation. Based on our findings, the elasticity contrast index was associated with an increased risk of spontaneous preterm birth and may be a useful parameter for future research.
MeSH term(s)	Adult ; Cervical Length Measurement/methods ; Cervix Uteri/diagnostic imaging ; Cohort Studies ; Elasticity Imaging Techniques ; Female ; Gestational Age ; Humans ; Nomograms ; Pregnancy ; Premature Birth ; Reproducibility of Results ; Risk Assessment/methods
Language	English
Publishing date	2021-05-27
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2021.05.017
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Article: Fetal growth restriction: a modern approach.

Kinzler, Wendy L / Vintzileos, Anthony M

Current opinion in obstetrics & gynecology

2008 Volume 20, Issue 2, Page(s) 125–131

Abstract: Purpose of review: Fetal growth restriction is a complicated perinatal condition, with multiple causes. It shares common pathophysiologies with other important disorders, such as preeclampsia and abruption. As a group, these conditions associated with ... ...

Abstract	Purpose of review: Fetal growth restriction is a complicated perinatal condition, with multiple causes. It shares common pathophysiologies with other important disorders, such as preeclampsia and abruption. As a group, these conditions associated with ischemic placental disease are responsible for a large percentage of indicated preterm births. The ability to accurately predict, diagnose and manage these pregnancies has significant and far-reaching implications, including potential effects on long-term adult health. Recent findings: Placental ischemia is the most common cause of fetal growth restriction. Alterations in placental development are being linked to various angiogenic mediators, which may be of future use in early risk-determination. Until then, the use of ultrasound to accurately diagnose fetal growth restriction and time delivery is the mainstay of management. Research in this area has revealed some commonalities in the deterioration of the growth restricted fetus, but has also indicated that not every affected fetus will follow the same progression in Doppler and other wellbeing parameters. Most importantly, gestational age at delivery is consistently being documented as a critical factor in perinatal morbidity and mortality. Summary: Fetal growth restriction is a late manifestation of early abnormal placental development. Once abnormal Doppler velocimetry is present, surveillance and timing of delivery should be based on the antepartum test results and on the gestational age.
MeSH term(s)	Female ; Fetal Growth Retardation/diagnostic imaging ; Fetal Growth Retardation/etiology ; Fetal Growth Retardation/physiopathology ; Gestational Age ; Humans ; Ischemia ; Neovascularization, Pathologic ; Perinatal Mortality ; Placenta/abnormalities ; Placenta/blood supply ; Pregnancy ; Ultrasonography, Doppler
Language	English
Publishing date	2008-04
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1049382-7
ISSN	1473-656X ; 1040-872X
ISSN (online)	1473-656X
ISSN	1040-872X
DOI	10.1097/GCO.0b013e3282f7320a
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