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Emergency Medicine - ObGyn News & Articles

MDLinx.com is your one stop shop for the latest Emergency Medicine news articles and peer reviewed clinical journal articles categorized daily into various hot topics such as: Trauma, Emergency Medicine Services, Airway/Respiratory management, Toxicology and much more. Not only are we the quickest, writing summaries of every article with 24 hours of publication, but we are also your most efficient resource for up-to-the-minute literature in Emergency Medicine.

As an added feature, on this page you can also view highly recommended articles highlighted by our physician editor D. Scott Cunningham, MD, PhD and clinical pearls from the Internal Medicine Physician Review.

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Articles

Latest Full Text Articles (16)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

1 Systematic review of the effects of maternal hypertension in pregnancy and antihypertensive therapies on child neurocognitive development Reproductive Toxicology, May 22, 2013    Review Article    Clinical Article

2 Risk factors for and management of obstetric anal sphincter injury Obstetrics, Gynaecology and Reproductive Medicine, May 20, 2013    Review Article

3 Vasoactive agents for the prediction of early- and late-onset preeclampsia in a high-risk cohort Full Text BMC Pregnancy and Childbirth, May 14, 2013    Clinical Article

4 Cost and resource implications with serum angiogenic factor estimation in the triage of pre-eclampsia BJOG: An International Journal of Obstetrics and Gynaecology, May 13, 2013    Clinical Article

5 Antenatal perineal massage for reducing perineal trauma Cochrane Reviews, May 10, 2013    Clinical Article

6 Risk of obstetric anal sphincter lacerations among obese women BJOG: An International Journal of Obstetrics and Gynaecology, May 10, 2013    Clinical Article

7 Use of a Prenatal Risk Screen to Predict Maternal Traumatic Pregnancy-Associated Death: Program and Policy Implications Women's Health Issues, May 9, 2013    Review Article

8 Routine use of urinary hCG test in adult burn females to detect “hidden” pregnancies: A review Burns, May 9, 2013    Review Article

9 Vaginal childbirth and pelvic floor disorders Women's Health, May 9, 2013    Review Article

10 Does immediate postpartum curettage of the endometrium accelerate recovery from preeclampsia-eclampsia? A randomized controlled trial Archives of Gynecology and Obstetrics, May 8, 2013    Clinical Article

11 Use of uterine balloon tamponade for control of postpartum hemorrhage by community-based health providers in South Sudan International Journal of Gynecology & Obstetrics, May 6, 2013    Clinical Article

12 A comparative study of psychopathology, symptom severity, and short-term outcome of postpartum and nonpostpartum mania Bipolar Disorders, May 3, 2013    Review Article

13 Routine ultrasound examination by OB/GYN residents increase the accuracy of diagnosis for emergency surgery in gynecology Full Text World Journal of Emergency Surgery, May 1, 2013    Clinical Article

14 sFlt-1/PlGF ratio as a prognostic marker of adverse outcomes in women with early-onset preeclampsia Pregnancy Hypertension, April 30, 2013    Clinical Article

15 Abnormal motor behaviour at 23 weeks in a fetus with Smith-Lemli-Opitz syndrome (SLOS) Prenatal Diagnosis, April 29, 2013

16 Factors affecting the use of emergency obstetric care among pregnant women with antenatal bleeding Midwifery, April 23, 2013    Clinical Article

17 Environmental pesticide exposure modulates cytokines, arginase and ornithine decarboxylase expression in human placenta Reproductive Toxicology, April 23, 2013    Review Article

18 Characteristics of heart, arteries, and veins in low and high cardiac output preeclampsia European Journal of Obstetrics & Gynecology and Reproductive Biology, April 22, 2013    Clinical Article

19 The development and validation of an internet-based training package for the management of perineal trauma following childbirth: MaternityPEARLS Postgraduate Medical Journal, April 19, 2013    Review Article
Exclusive Author Commentary

20 Digoxin immune fab treatment of preeclampsia in women with endogenous digitalis-like factor: a secondary analysis of the deep trial American Journal of Obstetrics and Gynecology, April 17, 2013    Clinical Article

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Clinical Pearls in Emergency Medicine

Highlights in Emergency Medicine

Procalcitonin and CRP predict identify high-risk children with appendicitis

As published in Pediatric Emergency Care, procalcitonin and CRP levels discriminate between children admitted with a diagnosis of acute appendicitis who may require closer monitoring. The study involved 111 children who were divided into 2 groups based on intra-operative diagnoses of appendicitis (n=69) and peritonitis (n=42). Patients with peritonitis, who were more likely to have complications and require intensive care unit admission, had significantly higher procalcitonin (0.15 vs. 4.95 ng/ml) and CRP levels (3 vs. 14.3 mg/dl) on admission than patients with appendicitis. Using a cut-off procalcitonin level of 0.18 ng/ml, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 97%, 80%, 72%, and 89.3%, respectively. Using a cut-off CRP level of 3 mg/dl, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 95%, 74%, 68%, and 96.2%, respectively.

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Vomiting during acute stroke increases mortality

As published in the Emergency Medicine Journal, patients who vomit during acute strokes have an increased risk of mortality (HR=5.06). Of 1968 stroke patients enrolled in the study, 1349 had cerebral infarctions, 459 had cerebral hemorrhages, and 152 had subarachnoid hemorrhages; 14.5% of all stroke patients vomited during the acute stage of the stroke (cerebral infarction, 8.7%; cerebral hemorrhage, 23.7%; and subarachnoid hemorrhage, 36.8%).

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Association between tight glycemic control and hip fracture in diabetics

As published in the Journal of the American Geriatrics Society, patients with T2DM (mean age, 77.3 y; n=932) with a HbA1c < 6% (OR=3.01) or 6.1-7% (OR=2.34) are more likely to sustain a hip fracture than patients with a HbA1c > 8%. All patients had a HbA1c level determined within 3 months preceding the hip fracture. No differences in risk existed between patients treated with oral hypoglycemics or insulin.

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