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  1. Article ; Online: Novel metrics to measure gender bias in operating room scheduling priority.

    Wright, Kelly / Hamilton, Kacey / Friedman, Joseph

    American journal of obstetrics and gynecology

    2024  

    Language English
    Publishing date 2024-02-01
    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.2024.01.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The future of diagnostic laparoscopy - Cons.

    Simko, Sarah / Wright, Kelly N

    Reproduction & fertility

    2022  Volume 3, Issue 2, Page(s) R91–R95

    Abstract: Endometriosis has a large impact on the lives of patients, affecting nearly 90% of women with chronic pelvic pain and infertility. Unfortunately, diagnosis for this condition is often delayed by an average of 7 years, with adolescent patients ... ...

    Abstract Endometriosis has a large impact on the lives of patients, affecting nearly 90% of women with chronic pelvic pain and infertility. Unfortunately, diagnosis for this condition is often delayed by an average of 7 years, with adolescent patients experiencing disproportionate delays. This is in part due to the use of an invasive procedure for primary diagnosis and limited access to subspecialty care. While laparoscopy serves an important purpose in the diagnosis and management of endometriosis, it has been found to be less cost-effective than empiric medical therapy and puts an emphasis on the lesion as opposed to the patient and the disease process as a whole. As studies emerge, we gain a deeper understanding of the complex nature of this disease. Laparoscopy has been shown to have variable results, with high recurrence rates and varying improvement in symptoms over time. Additionally, studies have shown a poor correlation between patients' pain and the stage and location of lesions, with laparoscopy showing greater benefit for later-stage disease and deep infiltrating endometriosis. This article seeks to evaluate the current standards for the management of endometriosis, discuss the place for diagnostic laparoscopy, and review future directions and alternatives.
    Lay summary: Endometriosis is an inflammatory disorder that occurs when uterine tissue is found outside the uterus. This condition affects women of reproductive age and can have serious impacts on their lives, causing pain and difficulty getting pregnant. The primary method of diagnosis is surgical, which has associated risks and can delay care to patients. As further studies emerge, our understanding of this condition improves, and it is important to evaluate current practices. This article focuses on the pros and cons of using surgical methods to diagnose endometriosis and alternative options that may be safer and provide more timely care to patients.
    MeSH term(s) Adolescent ; Chronic Pain ; Endometriosis ; Female ; Humans ; Laparoscopy ; Pelvic Pain ; Pregnancy ; Uterus
    Language English
    Publishing date 2022-04-20
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2633-8386
    ISSN (online) 2633-8386
    DOI 10.1530/RAF-22-0007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Characterization of Mass Shootings by State, 2014-2022.

    Barnard, Leslie M / Wright-Kelly, Erin / Brooks-Russell, Ashley / Betz, Marian E

    JAMA network open

    2023  Volume 6, Issue 7, Page(s) e2325868

    MeSH term(s) Humans ; Wounds, Gunshot/epidemiology ; Firearms
    Language English
    Publishing date 2023-07-03
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.25868
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  4. Article ; Online: Addressing Sustainability in the Operating Room.

    Melnyk, Alexandra I / Niino, Clarissa / Wright, Kelly N

    Urogynecology (Philadelphia, Pa.)

    2023  Volume 29, Issue 9, Page(s) 719–724

    MeSH term(s) Operating Rooms ; Sustainable Growth
    Language English
    Publishing date 2023-07-13
    Publishing country United States
    Document type Editorial
    ISSN 2771-1897
    ISSN (online) 2771-1897
    DOI 10.1097/SPV.0000000000001395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The cellular uncertainty in thoracic aortic dissections: the roles of METTL3 and NOTCH1 on m6A in human aortic smooth muscle cells.

    Wright, Kelly / Aboughdir, Maryam / Harky, Amer

    Annals of translational medicine

    2023  Volume 11, Issue 4, Page(s) 162

    Language English
    Publishing date 2023-02-09
    Publishing country China
    Document type Editorial
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-23-375
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  6. Article ; Online: Health system decarbonization on obstetric and newborn units.

    Emont, Jordan / Wang, Melissa / Wright, Kelly

    Seminars in perinatology

    2023  Volume 47, Issue 8, Page(s) 151844

    Abstract: The healthcare industry makes up 4.6 % of greenhouse gas (GHS) emissions worldwide. Although it is not known what proportion of GHGs come from obstetric and newborn units, newborns and pregnant individuals are likely to face some of the largest ... ...

    Abstract The healthcare industry makes up 4.6 % of greenhouse gas (GHS) emissions worldwide. Although it is not known what proportion of GHGs come from obstetric and newborn units, newborns and pregnant individuals are likely to face some of the largest consequences from climate change. We review the literature in the areas of decarbonization on labor and delivery (L&D) and neonatal units and describe innovations from the fields of surgery and anesthesia. Best practices for L&D include refining disposable equipment packs, decreasing the use of single-use medical devices, adequately triaging waste, and decreasing the use of potent anesthetic gases such as nitrous oxide and desflurane. In neonatal settings, similarly triaging waste and decreasing the use of plastics containing endocrine disrupting chemicals can lower the carbon and environmental footprint and improve neonatal health. Additionally, avoiding unnecessary cesarean deliveries and increasing breastfeeding practices are also likely to improve the carbon footprint of L&D and neonatal units.
    MeSH term(s) Infant, Newborn ; Humans ; Anesthetics, Inhalation/analysis ; Nitrous Oxide/analysis ; Greenhouse Gases/analysis
    Chemical Substances Anesthetics, Inhalation ; Nitrous Oxide (K50XQU1029) ; Greenhouse Gases
    Language English
    Publishing date 2023-10-10
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 752403-1
    ISSN 1558-075X ; 0146-0005
    ISSN (online) 1558-075X
    ISSN 0146-0005
    DOI 10.1016/j.semperi.2023.151844
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  7. Article ; Online: Surgical Field Separation in Total Laparoscopic Hysterectomy.

    Meyer, Raanan / Niino, Clarissa / Schneyer, Rebecca / Hamilton, Kacey / Siedhoff, Matthew T / Wright, Kelly N

    Obstetrics and gynecology

    2024  

    Abstract: We aimed to study whether separating the vaginal and abdominal surgical fields during total laparoscopic hysterectomy (TLH) is associated with surgical site infection rates. This was a retrospective cohort study of all patients who underwent TLH and any ... ...

    Abstract We aimed to study whether separating the vaginal and abdominal surgical fields during total laparoscopic hysterectomy (TLH) is associated with surgical site infection rates. This was a retrospective cohort study of all patients who underwent TLH and any concomitant procedures with two minimally invasive gynecologic surgery subspecialists between January 2016 and May 2023. Among 680 included patients, the rate of infection was 0.8% with surgical field separation and 1.3% without (3/377 vs 4/303; odds ratio 0.60, 95% CI, 0.13-2.70). There was no statistical difference between groups; however, the difference in infection rates between groups was extremely small, which led to inadequate power. Our findings suggest that rates of infection after TLH are low, with or without surgical field separation. Treating the vagina, perineum, and abdomen as a single, continuous operative field during TLH may be an acceptable practice.
    Language English
    Publishing date 2024-05-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005596
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Sustainability in Obstetrics and Gynecology.

    Wright, Kelly N / Melnyk, Alexandra I / Emont, Jordan / Van Dis, Jane

    Obstetrics and gynecology

    2023  Volume 142, Issue 6, Page(s) 1341–1346

    Abstract: Current practices in the U.S. health care industry drive climate change. This review summarizes the vast research on the negative health effects of the climate crisis on patients as relevant to obstetrics and gynecology. We further propose solutions to ... ...

    Abstract Current practices in the U.S. health care industry drive climate change. This review summarizes the vast research on the negative health effects of the climate crisis on patients as relevant to obstetrics and gynecology. We further propose solutions to decarbonize operating rooms, labor and delivery units, and nurseries and neonatal intensive care units through evidence-based reduction in our single-use supply, energy, and water, as well as anesthetic gases and appropriate waste sorting.
    MeSH term(s) Female ; Pregnancy ; Infant, Newborn ; Humans ; Gynecology ; Obstetrics ; Labor, Obstetric ; Intensive Care Units, Neonatal ; Anesthetics, Inhalation
    Chemical Substances Anesthetics, Inhalation
    Language English
    Publishing date 2023-11-08
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005435
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Prepared omadacycline for injection: Nine-day stability and sterility in an elastomeric pump.

    Bower, Jason / Wright, Kelly / Burdette, Jason

    SAGE open medicine

    2022  Volume 10, Page(s) 20503121221135568

    Abstract: Objective: To investigate compatibility, stability, and microbiologic risk of omadacycline 1 mg/mL when prepared in an elastomeric infusion pump and stored under refrigeration for 9 days based upon requests for information from healthcare providers.: ... ...

    Abstract Objective: To investigate compatibility, stability, and microbiologic risk of omadacycline 1 mg/mL when prepared in an elastomeric infusion pump and stored under refrigeration for 9 days based upon requests for information from healthcare providers.
    Methods: Omadacycline was reconstituted to 1 mg/mL with sodium chloride 0.9% w/v or dextrose 5% w/v in SMARTeZ
    Results: Appearance, pH, osmolality, percent label claim, and particulate matter results remained essentially unchanged for omadacycline solutions in either diluent over the 9-day study. No > 0.5-log day-to-day increases in the challenge-microorganism populations were measured in diluted omadacycline pumps or positive controls. With omadacycline, no growth was seen for
    Conclusion: After reconstitution, omadacycline for injection was stable and remained within specifications for use for up to 9 days when refrigerated.
    Language English
    Publishing date 2022-11-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2735399-0
    ISSN 2050-3121
    ISSN 2050-3121
    DOI 10.1177/20503121221135568
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  10. Article ; Online: The role of telemedicine in minimally invasive gynecologic surgery.

    Siedhoff, Matthew T / Truong, Mireille D / Wright, Kelly N

    Current opinion in obstetrics & gynecology

    2022  Volume 34, Issue 4, Page(s) 270–274

    Abstract: Purpose of review: Telemedicine has been available for decades but has had minimal use in the USA prior to the COVID-19 pandemic. We aim to educate readers on the benefits of telemedicine and provide insight from our experience to optimize care in this ... ...

    Abstract Purpose of review: Telemedicine has been available for decades but has had minimal use in the USA prior to the COVID-19 pandemic. We aim to educate readers on the benefits of telemedicine and provide insight from our experience to optimize care in this setting.
    Recent findings: The COVID-19 pandemic ushered in a massive increase in use of telemedicine, offering several advantages with comparable clinical outcomes.
    Summary: This review summarizes the recent vast expansion of telemedicine, describes the benefits specific to minimally invasive gynecologic surgery, and offers practical suggestions for maintaining a successful practice that incorporates both in-person and virtual experiences for patients, anticipating continued use of telemedicine beyond the end of the current public health emergency.
    MeSH term(s) COVID-19/epidemiology ; Female ; Gynecologic Surgical Procedures ; Humans ; Pandemics ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2022-06-16
    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.0000000000000790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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