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  1. Article ; Online: Racial differences in hypertensive disorders in pregnancy during the COVID-19 pandemic.

    Lanier, Ariel L / Stump, Hannah M / Daram, Naveena R / Maxwell, Rose A / Dhanraj, David N

    Pregnancy hypertension

    2024  Volume 36, Page(s) 101113

    Abstract: Objective: To compare rates of pregnancy induced hypertensive disorders during the period of the COVID-19 pandemic to prior, baseline years.: Methods: We conducted a retrospective study of 17,742 patients on rates for pregnancy induced hypertensive ... ...

    Abstract Objective: To compare rates of pregnancy induced hypertensive disorders during the period of the COVID-19 pandemic to prior, baseline years.
    Methods: We conducted a retrospective study of 17,742 patients on rates for pregnancy induced hypertensive disorders delivering at 2 local hospitals before (Cohort 1; January 2018 to December 2019; n = 8245) and after (Cohort 2; February 2020 to February 2022; n = 9497) the onset of the COVID-19 pandemic. The primary outcomes were rates of gestational hypertension, pre-eclampsia, and chronic hypertension in patients.Wecompared by year (2018-2022), by patient COVID infection status, and by racial demographics.
    Results: During the pandemic (Cohort 2), there were lower rates of chronic hypertension (7.4 % vs 6.5 %, p =.02), higher rates of gestational hypertension (26.3 % vs 27.8 %, p =.03), and higher rates of preeclampsia (11.3 % vs 13.1 %, p <.001) compared to years prior to the pandemic (Cohort 1). When evaluating by year, rates of chronic hypertension did not statistically change while rates for preeclampsia increased in the first year of the pandemic and remained high, and rates for gestational hypertension did not increase until the second year of the pandemic. When evaluating by COVID infection status, rates for gestational hypertension were significantly higher for individuals with a positive COVID infection status (COVID negative = 27.4 % vs. COVID positive = 32.8 %; p <.004). Rates of preeclampsia did not differ according to COVID infection status (p = 0.15).
    Conclusion: In this study, rates of pregnancy induced hypertensive disorders increased during the COVID pandemic regardless of COVID infection status.
    Language English
    Publishing date 2024-03-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2584464-7
    ISSN 2210-7797 ; 2210-7789
    ISSN (online) 2210-7797
    ISSN 2210-7789
    DOI 10.1016/j.preghy.2024.101113
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  2. Article: Vaginal Calculus Formation on Exposed Midurethral Sling Mesh.

    Langer, Adam J / Saeed, Zenab / Barrett, Elizabeth / Maxwell, Rose A / Dhanraj, David N / Towers, Geoffrey D / Agudu, Eyra A

    Case reports in obstetrics and gynecology

    2024  Volume 2024, Page(s) 8287400

    Abstract: The presence of a vaginal calculus is a rare clinical entity which may develop in the setting of vaginal urinary stagnation. Numerous factors contribute to stone formation, and management can be complicated by variations in size, location of the stone, ... ...

    Abstract The presence of a vaginal calculus is a rare clinical entity which may develop in the setting of vaginal urinary stagnation. Numerous factors contribute to stone formation, and management can be complicated by variations in size, location of the stone, and location of adjacent structures. Generally, once diagnosed, vaginal calculi should be removed and surrounding anatomy should be evaluated thoroughly for secondary fistula, erosion, or presence of an instituting foreign body. This report presents a case of vaginal calculus formation on exposed midurethral sling mesh in an elderly patient with hemorrhagic cystitis. This report emphasizes contributing pathophysiology, diagnostic factors, and treatment.
    Language English
    Publishing date 2024-03-16
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2627654-9
    ISSN 2090-6692 ; 2090-6684
    ISSN (online) 2090-6692
    ISSN 2090-6684
    DOI 10.1155/2024/8287400
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  3. Article ; Online: Learning Pelvic Anatomy and Pathology Through Drawing: An Interactive Session in the Obstetrics and Gynecology Clerkship.

    Adkins, Elisabeth N / Barrett, Elizabeth / D'Amato, Josette / Maxwell, Rose A / Kindig, Marilyn

    MedEdPORTAL : the journal of teaching and learning resources

    2023  Volume 19, Page(s) 11363

    Abstract: Introduction: Within undergraduate medical education, there is a gap between students' understanding of anatomy and application of that knowledge within surgical specialties. The integration of drawing, in conjunction with traditional learning, has been ...

    Abstract Introduction: Within undergraduate medical education, there is a gap between students' understanding of anatomy and application of that knowledge within surgical specialties. The integration of drawing, in conjunction with traditional learning, has been shown to increase retention and understanding of information. Currently, no educational curriculum integrates drawing to aid in medical students' understanding of surgical pelvic anatomy. We anticipated that the utilization of drawing anatomy in an OB/GYN clerkship would enhance students' ability to explain surgical pelvic anatomy and pelvic pathology.
    Methods: At the beginning of the OB/GYN clerkship, third-year medical students participated in an interactive, 1.5-hour session requiring them to draw pelvic anatomy, present their work, and explain topics related to pelvic surgery and pathology to the other clerkship students. At the end of their clinical rotation, the students were invited to complete a five-item survey to assess long-term retention and understanding of concepts presented in the session. Frequencies and percentages were calculated for all categorical/ordinal variables to describe survey participants and question responses.
    Results: Thirty-seven of 44 respondents (84%) reported that the anatomy interactive session prepared them for the surgical portion of the OB/GYN clinical rotation. Thirty-five respondents (80%) reported that drawing the pelvic structures helped their understanding of pelvic pathology; 33 respondents (75%) reported they had a thorough understanding of pelvic anatomy after taking the OB/GYN anatomy interactive educational session (
    Discussion: Our session shows that integrating drawing and anatomy increases students' ability to discuss pelvic pathology and surgical anatomy.
    MeSH term(s) Humans ; Gynecology/education ; Obstetrics/education ; Learning ; Curriculum ; Educational Measurement
    Language English
    Publishing date 2023-12-05
    Publishing country United States
    Document type Journal Article
    ISSN 2374-8265
    ISSN (online) 2374-8265
    DOI 10.15766/mep_2374-8265.11363
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  4. Article ; Online: Long-Acting Bupivacaine for Pain Control After Cesarean Birth.

    Peebles, Allison F / Mouch, Alexandra / Maxwell, Rose A / Ruby, Theresa / Kindig, Marilyn J

    Nursing for women's health

    2023  Volume 27, Issue 4, Page(s) 262–269

    Abstract: Objective: To evaluate women's postcesarean pain levels and total opioid use for standard opioid pain management compared with local anesthetic with patient-requested opioids.: Design: Retrospective cohort study.: Setting/local problem: Rural ... ...

    Abstract Objective: To evaluate women's postcesarean pain levels and total opioid use for standard opioid pain management compared with local anesthetic with patient-requested opioids.
    Design: Retrospective cohort study.
    Setting/local problem: Rural southeast Ohio. Ohio had a higher rate of opioid use disorder (1.4%) than both the regional average (0.8%) and the national average (0.7%).
    Participants: We performed a retrospective study of 402 medical records of women who gave birth by cesarean.
    Intervention: Women were provided one of three types of perioperative anesthesia: routine spinal (standard of care group), wound infiltration with liposomal bupivacaine (LB INF), and transversus abdominis plane (TAP) block with liposomal bupivacaine (LB TAP). Data were collected on the amount of opioids taken postoperatively (measured as morphine milligram equivalents [MME]), pain scores, and history of opioid use.
    Results: The LB INF and LB TAP groups had significantly lower total and average MME per day than the standard of care group (p < .001). Pain scores for the LB INF group were lower on postoperative day (POD) 0 and POD1, whereas LB TAP pain scores were lower than standard of care pain scores on POD1 (p < .004). Women with a prior history of substance use disorders reported higher pain scores, took more total opioids. and stayed in the hospital longer regardless of type of anesthesia received (p < .001).
    Conclusion: LB INF and LB TAP were associated with lower amounts of opioids used and with lower postcesarean pain scores compared with the standard of care.
    MeSH term(s) Pregnancy ; Female ; Humans ; Bupivacaine/therapeutic use ; Pain Management ; Analgesics, Opioid/therapeutic use ; Retrospective Studies ; Pain, Postoperative/drug therapy ; Abdominal Muscles
    Chemical Substances Bupivacaine (Y8335394RO) ; Analgesics, Opioid ; MME (78185-58-7)
    Language English
    Publishing date 2023-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2275619-X
    ISSN 1751-486X ; 1751-4851
    ISSN (online) 1751-486X
    ISSN 1751-4851
    DOI 10.1016/j.nwh.2023.03.003
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    Zs.A 4732: Show issues Location:
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  5. Article ; Online: A beginner's guide to avoiding Protected Health Information (PHI) issues in clinical research - With how-to's in REDCap Data Management Software.

    Bowman, Marjorie A / Maxwell, Rose A

    Journal of biomedical informatics

    2018  Volume 85, Page(s) 49–55

    Abstract: Protecting personally identifiable information is important in clinical research. The authors, two faculty members involved in developing and implementing research infrastructure for a medical school, observed challenges novice researchers encountered in ...

    Abstract Protecting personally identifiable information is important in clinical research. The authors, two faculty members involved in developing and implementing research infrastructure for a medical school, observed challenges novice researchers encountered in recognizing, collecting, and managing Protected Health Information (PHI) for clinical research. However, we had difficulty finding resources that provide practical strategies for novice clinical researchers for this topic. Common issues for beginners were: 1. Recognition of PHI, e.g. lack of recognition of 'indirect' PHI, i.e., that the combination of two or more non-PHI data types or other specific information could result in identifiable data requiring protection; 2. Collection of PHI, e.g., proposed collection of data not necessary for fulfillment of the project's objectives or potential inadvertent collection of PHI in free text response items; and 3. Management of PHI, e.g., proposed use of coding systems that directly included PHI, or proposed data collection techniques, electronic data storage, or software with inadequate protections. From these observations, the authors provide the following in this paper: 1. A brief review of the elements of PHI, particularly 'indirect' PHI; 2. Sample data management plans for common project types relevant to novice clinical researchers to ensure planning for data security; 3. Basic techniques for avoiding issues related to the collection of PHI, securing and limiting access to collected PHI, and management of released PHI; and 4. Methods for implementing these techniques in the Research Electronic Data Capture (REDCap) system, a commonly used and readily available research data management software system.
    MeSH term(s) Clinical Protocols ; Computational Biology/education ; Computer Security/statistics & numerical data ; Curriculum ; Database Management Systems ; Education, Medical ; Health Information Management/education ; Health Information Management/statistics & numerical data ; Health Insurance Portability and Accountability Act ; Humans ; Software ; United States
    Language English
    Publishing date 2018-07-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2057141-0
    ISSN 1532-0480 ; 1532-0464
    ISSN (online) 1532-0480
    ISSN 1532-0464
    DOI 10.1016/j.jbi.2018.07.008
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  6. Article ; Online: Perceived quality of sleep across the menopausal transition: A retrospective cohort study.

    Maxwell, Rose A / Reisinger-Kindle, Keith M / Rackett, Traci M / Yaklic, Jerome L / Czerwinski, Stefan A / Lee, Miryoung

    Health science reports

    2023  Volume 6, Issue 6, Page(s) e1250

    Abstract: Background and aims: To compare sleep quality among naturally and surgically post-menopausal women, and to identify lifestyle factors that predict sleep quality in pre, peri, and postmenopausal women.: Methods: This is a retrospective cohort study of ...

    Abstract Background and aims: To compare sleep quality among naturally and surgically post-menopausal women, and to identify lifestyle factors that predict sleep quality in pre, peri, and postmenopausal women.
    Methods: This is a retrospective cohort study of data collected from 429 women who participated in Fels Longitudinal Study data. Sleep quality, based on the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale, demographics, medical history, depression, quality of life, and physical activity levels were included in the analysis.
    Results: The four study groups did not differ on overall sleep quality with either scale (
    Conclusion: Menopause is associated with sleep disrupting conditions. This study did not find any significant differences in sleep quality among the three reproductive stages or for natural versus surgical menopause. Women may benefit from addressing other lifestyle factors associated with poor sleep quality including mental health factors.
    Language English
    Publishing date 2023-06-04
    Publishing country United States
    Document type Journal Article
    ISSN 2398-8835
    ISSN (online) 2398-8835
    DOI 10.1002/hsr2.1250
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  7. Article ; Online: Quality improvement: patient education for management of hypertension in pregnancy.

    Goel, Kriti M / Maxwell, Rose A / Cooley, Morgan E / Rackett, Traci M / Yaklic, Jerome L

    Hypertension in pregnancy

    2021  Volume 40, Issue 4, Page(s) 271–278

    Abstract: ... ...

    Abstract Objective
    MeSH term(s) Adult ; Female ; Health Knowledge, Attitudes, Practice ; Health Literacy ; Humans ; Hypertension/therapy ; Hypertension, Pregnancy-Induced ; Medical History Taking ; Patient Education as Topic ; Pregnancy ; Pregnant Women ; Quality Improvement ; Surveys and Questionnaires
    Language English
    Publishing date 2021-10-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 1151886-8
    ISSN 1525-6065 ; 1064-1955
    ISSN (online) 1525-6065
    ISSN 1064-1955
    DOI 10.1080/10641955.2021.1981371
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3932: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: A Review of OB/GYN, Internal Medicine, Family Medicine, and Pediatrics Residency Program Websites for Diversity, Equity, and Inclusion Elements.

    Mallicoat, Benjamin C / Herstine, Blake A S / Kelly, Elizabeth M / Koechley, Hannah E / DeSouza, Julie A / Anas, Sydney A / Maxwell, Rose A / Reisinger-Kindle, Keith M

    Journal of graduate medical education

    2023  Volume 15, Issue 3, Page(s) 316–321

    Abstract: Background: Residency program websites have become a central source of information for applicants due to a shift toward virtual interviewing. Applicants, particularly those from diverse backgrounds, place strong value on programs that present ... ...

    Abstract Background: Residency program websites have become a central source of information for applicants due to a shift toward virtual interviewing. Applicants, particularly those from diverse backgrounds, place strong value on programs that present commitments to diversity, equity, and inclusion (DEI). The DEI content of residency program websites for primary care specialties has been largely unexplored.
    Objective: The objective of this study is to review, in an exploratory manner, family medicine, internal medicine, obstetrics and gynecology, and pediatrics residency program websites for number of DEI elements present. By identifying lacking DEI content, we hope to give residency programs that are seeking to increase diversity among applicants some direction for improving their websites.
    Methods: We reviewed all available residency program websites (1814) in the Fellowship and Residency Electronic Interactive Database (FREIDA) from August to December 2021. Each website was evaluated for the presence of 10 DEI elements chosen from previously published website reviews and informal applicant surveys. Some elements included the presence of resident and faculty photos/biographies, patient population descriptions, and dedicated DEI curricula. Program demographic information was collected, and summative statistics were performed.
    Results: The average number of DEI elements displayed per program ranged from 3.5 (internal medicine) to 4.9 (pediatrics). The most common elements were resident and faculty photographs/biographies. Internal medicine programs displayed significantly fewer elements than the other 3 specialties. This difference remained significant after controlling for program size, location, and type.
    Conclusions: This study highlights a lack of DEI elements available for residency program website visitors to review.
    MeSH term(s) Pregnancy ; Female ; Humans ; Child ; Internship and Residency ; Family Practice ; Diversity, Equity, Inclusion ; Obstetrics ; Internal Medicine
    Language English
    Publishing date 2023-06-14
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8357
    ISSN (online) 1949-8357
    ISSN 1949-8357
    DOI 10.4300/JGME-D-22-00329.1
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  9. Article: Do medical student mental stress and burnout vary with virtual versus in-person residency interviews.

    Zoorob, Dani / Richardson, Kara / Gaishauser, Korina / Hinkel, Benjamin / Moussa, Hind N / Hook, James Van / Maxwell, Rose A

    Future science OA

    2021  Volume 7, Issue 10, Page(s) FSO752

    Abstract: Aim: This study aimed to identify medical student stressors and mitigation methodologies based on interview modality.: Materials & methods: A survey was administered to obstetrics and gynecology applicants in in-person (IP) and virtual (VR) National ... ...

    Abstract Aim: This study aimed to identify medical student stressors and mitigation methodologies based on interview modality.
    Materials & methods: A survey was administered to obstetrics and gynecology applicants in in-person (IP) and virtual (VR) National Resident Matching Program cycles. This included demographics, the Mayo Clinic Medical Students Well-Being Index and stressor questions.
    Results: A total of 137 of 151 surveys were completed (91% response rate). Subjective stress was significant in 76% of IP and 57% of VR applicants (p = 0.07). The objective Mayo Clinic Medical Students Well-Being Index values were higher in the IP (2.47 ± 1.75) compared with the VR group (2.00 ± 1.55; p = 0.10), suggesting lower stress with VR interviews. More IP (53%) compared with VR applicants (44%) were deemed 'at risk' (p < 0.01).
    Conclusion: VR interviews may mitigate select stressors during interviews.
    Language English
    Publishing date 2021-10-22
    Publishing country England
    Document type Journal Article
    ISSN 2056-5623
    ISSN 2056-5623
    DOI 10.2144/fsoa-2021-0046
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  10. Article: Comparison of obstetrician-gynecologists and family physicians regarding weight-related attitudes, communication, and bias.

    Welsh, Stephanie / Salazar-Collier, Cindy / Blakeslee, Benjamin / Kellar, Lisa / Maxwell, Rose A / Whigham, Leah D / Lee, Miryoung / Lindheim, Steven R

    Obesity research & clinical practice

    2021  Volume 15, Issue 4, Page(s) 351–356

    Abstract: Objectives: To assess physician perceptions regarding weight-related communication, quality of care, and bias in obstetrics-gynecology (OBGYN) and family physician (FP) practices.: Methods: A cross-sectional survey study based on a convenient ... ...

    Abstract Objectives: To assess physician perceptions regarding weight-related communication, quality of care, and bias in obstetrics-gynecology (OBGYN) and family physician (FP) practices.
    Methods: A cross-sectional survey study based on a convenient sampling of OBGYN and FP was conducted. Physicians completed a 40-question survey assessing perceived obesity management and weight bias in caring for female patients with body mass index ≥25kg/m
    Results: Reponses from 51 physicians (25 OBGYN and 26 FP) were received. There was no difference between specialties in satisfaction with care or level of confidence in treating patients with obesity. However, OBGYNs reported more negative perceptions of patients with obesity (mean score 19.2±3.3 vs. 15.0±4.0, p<0.001) and greater weight bias (11.8±2.0 vs. 9.7±2.5, p<0.01) compared to FPs. OBGYNs were also more likely to expect less favorable treatment outcomes (13.3±2.5 vs. 15.5±2.8. p<0.01). Physicians between 31-50 years old displayed a significantly higher perception of weight bias in their profession when compared to the reference 21-30year olds, and for each unit increase in self-reported BMI there was a 0.18 average increase in the composite score for perceived weight bias.
    Conclusions: OBGYN physicians reported significantly higher levels of weight bias than FP physicians, indicating a need for improved education in OBGYN training.
    Clinical trial registration: N/A.
    MeSH term(s) Adult ; Attitude ; Attitude of Health Personnel ; Communication ; Cross-Sectional Studies ; Female ; Humans ; Middle Aged ; Physicians, Family ; Practice Patterns, Physicians' ; Pregnancy ; Surveys and Questionnaires
    Language English
    Publishing date 2021-05-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2274031-4
    ISSN 1878-0318 ; 1871-403X
    ISSN (online) 1878-0318
    ISSN 1871-403X
    DOI 10.1016/j.orcp.2021.04.010
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