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Sabrina Luke, Jennifer Hutcheon, Tamil Kendall
OBJECTIVE: This study sought to determine the association between cannabis use in pregnancy and stillbirth, SGA (<10th percentile), and spontaneous preterm birth (<37 weeks). METHODS: The study used abstracted obstetrical and neonatal medical chart records for deliveries in British Columbia from April 1, 2008 to March 31, 2016 that were contained in the Perinatal Data Registry of Perinatal Services British Columbia. Chi-square tests were conducted to compare maternal sociodemographic characteristics by cannabis use...
February 7, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Tina Tellum, Erik Qvigstad, Else Kathrine Skovholt, Marit Lieng
STUDY OBJECTIVE: This study aimed to determine if it is possible and safe to obtain adenomyosis tissue in vivo without removing the uterus, in order to use those for further molecular investigations of adenomyosis, which would allow investigating the pathogenesis of the disease. STUDY DESIGN: Prospective cohort study (Canadian Task Force classification II-2) SETTING: A university hospital PATIENTS: 81 premenopausal women scheduled for a hysterectomy due to various benign indications were included...
February 7, 2019: Journal of Minimally Invasive Gynecology
Erica Elderhorst, Rashid J Ahmed, Eileen K Hutton, Elizabeth K Darling
OBJECTIVE: This study sought to compare clinical outcomes of midwifery clients who had postdates induction of labour with oxytocin under midwifery care with those transferred to obstetrical care. METHODS: This was a retrospective cohort study using 2006-2009 Ontario Midwifery Program data. All low-risk Ontario midwifery clients who had postdates oxytocin induction were included. Groups were established according to the planned care provider at onset of induction...
January 31, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Michelle C Chan, Momoe Hyakutake, Maryna Yaskina, Jane A Schulz
OBJECTIVE: Urinary incontinence and pelvic organ prolapse are highly prevalent in women and have a significant impact on quality of life. Pessaries are devices that are used as a conservative management option. Many women use pessaries, which avoid surgical intervention with its associated morbidity and cost. However, not all women are good candidates for pessary use. The objective of this study was to determine clinical factors leading to persistent pessary use for incontinence or pelvic organ prolapse in a tertiary care centre at 12 months...
January 31, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Yi-Hong Shao, Togas Tulandi
The results of a meta-analysis comparing the efficacy of clomiphene versus letrozole among couples with unexplained infertility in 2014 are in contrast to those of a randomized trial in 2015. This new meta-analysis included randomized studies that were not previously included and found that the efficacy of clomiphene or letrozole in women with unexplained infertility is comparable (Canadian Task Force Classification I).
January 31, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Maryam Kazemi, Roger A Pierson, Marla E Lujan, Philip D Chilibeck, Laura E McBreairty, Julianne J Gordon, Shani B Serrao, Gordon A Zello, Donna R Chizen
OBJECTIVE: This study compared the prevalence of metabolic syndrome (MetS) and characterized type 2 diabetes (DM2) and cardiovascular disease (CVD) risk profiles between Canadian women with polycystic ovary syndrome (PCOS) and healthy women recruited from the general population. Furthermore, within the PCOS cohort, the study contrasted the CVD and DM2 risk profiles of women with or without MetS. METHODS: Measures of MetS (International Diabetes Federation; National Heart, Lung, and Blood Institute; and the American Heart Association definition), DM2 (Diabetes Canada Clinical Guidelines), and CVD risk factors (Androgen Excess and Polycystic Ovary Syndrome Society statement) were evaluated for 237 women with PCOS (Androgen Excess and PCOS Society definitions) and 42 controls (aged 18-36) in a prospective observational study (Canadian Task Force classification II-2)...
January 31, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Shahzia Lambat Emery, Nicola Pluchino, Patrick Petignat, Jean-Christophe Tille, Jean-Claude Pache, Joana Pinto, Diomidis Botsikas, Jean Dubuisson
STUDY OBJECTIVE: leak test of a specially designed endoscopic bag system in women undergoing laparoscopic myomectomy with contained electromechanical morcellation. DESIGN CLASSIFICATION: prospective study/Canadian Task Force classification: II-2 SETTING: electromechanical morcellation was introduced for large specimen extraction during laparoscopic procedures. Complications such as retained/disseminated parasitic tissue are well documented. So far, few reports have investigated the use of endoscopic retrieval bags in the context of laparoscopic myomectomy with electromechanical morcellation...
January 30, 2019: Journal of Minimally Invasive Gynecology
Prof Renato Seracchioli, Mohamed Mabrouk, Manuela Mastronardi, Diego Raimondo, Alessandro Arena, Simona Del Forno, Giulia Adalgisa Mariani, Prof Anna Maria Billi, Prof Lucia Manzoli, Prof W Michael O'Guin, Prof Nucelio Lemos
STUDY OBJECTIVE: To clarify the relationship of hypogastric nerves (HNs) with several pelvic anatomical landmarks and to assess any anatomical differences between the two sides of the pelvis, both in cadaveric and in vivo dissections. DESIGN: Prospective observational study (Canadian Task Force II-1). SETTING: Anatomical theatre for cadaveric dissections; University Hospital for in vivo laparoscopy. PATIENTS: Five nulliparous female cadavers underwent laparotomic dissection; ten nulliparous patients underwent laparoscopic surgery for rectosigmoid endometriosis without postero-lateral parametrial infiltration...
January 29, 2019: Journal of Minimally Invasive Gynecology
Anthony M Battaglia, Alina Protopopescu, Jenna E Boyd, Chantelle Lloyd, Rakesh Jetly, Charlene O'Connor, Heather K Hood, Anthony Nazarov, Shawn G Rhind, Ruth A Lanius, Margaret C McKinnon
Background : There is increasing evidence that moral injuries (MIs) may affect the mental health of Canadian Armed Forces (CAF) members and veterans. Despite knowledge suggesting that MIs are related to multiple negative mental health outcomes, including the onset of post-traumatic stress disorder (PTSD), it is unknown whether pre-traumatic variables, including the presence of childhood abuse, are related to MIs. Objective : This study seeks to investigate the potential relationship between adverse childhood experiences and later onset MI in military members...
2019: European Journal of Psychotraumatology
Lindsay Shirreff, Heinrich Husslein, Guylaine G Lefebvre, Eliane M Shore
OBJECTIVE: This study sought to determine whether physician-nurse bedside rounds and ward task list improve quality of care as measured by patient satisfaction, earlier discharge, and reduced trainee interruptions. METHODS: This prospective, single-blind, pre- and post-intervention study included patients admitted to the gynaecology ward at St. Michael's Hospital in Toronto, Ontario, involving a 6-week baseline, 6-week intervention, and 2-week second baseline phase...
January 24, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Erin C Kelly, Jennifer Winick-Ng, J Andrew McClure, Teresa Peart, Queena Chou, Barry MacMillan, Yvonne Leong, Angelos Vilos, George Vilos, Blayne Welk, Jacob McGee
OBJECTIVE: As quality-based procedures (QBPs) are being established across the province of Ontario, it is important to identify reliable quality indicators (QIs) to ensure that compensation coincides with quality. Hysterectomy is the most commonly performed gynaecologic procedure and as such is a care process for which a QBP is being developed. The aim of this study was to evaluate the technicity index (TI) as a QI for hysterectomy by defining it in the context of specific surgical outcomes and complications...
January 24, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Indranil Balki, Heet Sheth, Amy Shafey, Cynthia Maxwell, Derek Stephens, Vibhuti Shah
OBJECTIVE: With maternal obesity rates and twin pregnancies on the rise, the aim of this study was to assess the impact of pre-pregnancy or first trimester BMI on short-term neonatal morbidities in twins admitted to a level I unit. METHODS: This retrospective single-centre cohort study was conducted on twins born between January 1, 2010 and December 31, 2013 and admitted to the level I unit at Mount Sinai Hospital in Toronto, Ontario. Twin pairs were categorized according to maternal BMI: underweight (<18...
January 24, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Jesica Goldsmit, Shannon Hope Nudds, D Bruce Stewart, Jeff Wayde Higdon, Charles Gordon Hannah, Kimberly Lynn Howland
Mid-ocean ballast water exchange (BWE) is recommended for international vessels to minimize the transfer of nonindigenous species (NIS). When this cannot be accomplished due to safety concerns, alternate ballast water exchange zones (ABWEZ) may be used. A coupled-ice-ocean model with meteorological forcing and particle tracking was used to evaluate the relative risks from BWE along primary shipping routes into Canada's eastern Arctic. Relative risk to receiving habitats from BWE was calculated from the product of likelihood of exposure, likelihood of establishment, and habitat sensitivity to potential NIS...
February 2019: Marine Pollution Bulletin
Noah B Rindos, Suketu M Mansuria, Amanda M Ecker, Mallory A Stuparich, Cara R King
BACKGROUND: Opioids are effective for the treatment of postoperative pain, but can cause nausea and are associated with dependency with long term use. Non-opioid medications such as acetaminophen offer the promise of decreasing these non desirable effects while still providing patient comfort. OBJECTIVE: To compare intravenous (IV) acetaminophen with placebo and evaluate postoperative pain control and opioid usage after laparoscopic hysterectomy. STUDY DESIGN: Tertiary-care, academic hospitals...
January 22, 2019: American Journal of Obstetrics and Gynecology
Brett D Thombs, Sharon E Straus, Ainsley E Moore
No abstract text is available yet for this article.
January 2019: Canadian Family Physician Médecin de Famille Canadien
Simon Francis Shamoun, Danny Rioux, Brenda Callan, Delano James, Richard C Hamelin, Guillaume J Bilodeau, Marianne Elliott, C André Lévesque, Elisa Becker, Dan McKenney, John Pedlar, Karen Bailey, S C Brière, Kurt Niquidet, Eric Allen
International trade and travel are the driving forces behind the spread of invasive plant pathogens around the world, and human-mediated movement of plants and plant products is now generally accepted as the primary mode of their introduction, resulting in huge disturbance to ecosystems and severe socio-economic impact. These problems are exacerbated under the present conditions of rapid climatic change. We report an overview of the Canadian research activities on Phytophthora ramorum. Since the first discovery and subsequent eradication of P...
July 2018: Plant Disease
Gaby N Moawad, Paul Tyan, Jiheum Paek, Erryn E Tappy, Daniel Park, Souzanna Choussein, Serene S Srouji, Antonio Gargiulo
Minimizing the number of port incisions during minimally invasive surgery is associated with improved outcomes and patient satisfaction. We designed this work to study the perioperative outcomes of robotic single-site myomectomy (RSSM) in comparison to robotic multiport myomectomy (RMM) in a certain subset of patients. The design of the study is a multicenter retrospective analysis (Canadian Task Force classification III). The setting was three university hospitals. Eighty patients with symptomatic uterine fibroids undergoing robot-assisted single-site myomectomy were selected for the study...
January 21, 2019: Journal of Robotic Surgery
Mona Hersi, Gregory Traversy, Brett D Thombs, Andrew Beck, Becky Skidmore, Stéphane Groulx, Eddy Lang, Donna L Reynolds, Brenda Wilson, Steven L Bernstein, Peter Selby, Stephanie Johnson-Obaseki, Douglas Manuel, Smita Pakhale, Justin Presseau, Susan Courage, Brian Hutton, Beverley J Shea, Vivian Welch, Matt Morrow, Julian Little, Adrienne Stevens
BACKGROUND: Tobacco smoking is the leading cause of cancer, preventable death, and disability. Smoking cessation can increase life expectancy by nearly a decade if achieved in the third or fourth decades of life. Various stop smoking interventions are available including pharmacotherapies, electronic cigarettes, behavioural support, and alternative therapies. This protocol outlines an evidence review which will evaluate the benefits and harms of stop smoking interventions in adults. METHODS: The evidence review will consist of two stages...
January 19, 2019: Systematic Reviews
Candyce Hamel, Eddy Lang, Kate Morissette, Andrew Beck, Adrienne Stevens, Becky Skidmore, Heather Colquhoun, John LeBlanc, Ainsley Moore, John J Riva, Brett D Thombs, Ian Colman, Sophie Grigoriadis, Stuart Gordon Nicholls, Beth K Potter, Kerri Ritchie, Julie Robert, Priya Vasa, Bianca Lauria-Horner, Scott Patten, Simone N Vigod, Brian Hutton, Beverley J Shea, Shamila Shanmugasegaram, Julian Little, David Moher
BACKGROUND: In 2018, the World Health Organization reported that depression is the most common cause of disability worldwide, with over 300 million people currently living with depression. Depression affects an individual's physical health and well-being, impacts psychosocial functioning, and has specific negative short- and long-term effects on maternal health, child health, developmental trajectories, and family health. The aim of these reviews is to identify evidence on the benefits and harms of screening for depression in the general adult population and in pregnant and postpartum women...
January 19, 2019: Systematic Reviews
Rachel A Gladstone, Jessica Pudwell, Kara A Nerenberg, Steven A Grover, Graeme N Smith
OBJECTIVE: Hypertensive disorders of pregnancy (HDP) comprise an independent, sex-specific risk factor for cardiovascular disease (CVD) in women. This study examined the utility of CVD risk models proposed in the 2016 Canadian Cardiovascular Society (CCS) lipid guidelines to identify women requiring further screening or lipid treatment following HDP. METHODS: Using data collected from the postpartum Maternal Health Clinic (MHC) at Kingston General Hospital in Kingston, Ontario and the Preeclampsia New Emerging Team (PE-NET) cohort study, the study investigators used the models recommended by the CCS guidelines and the cardiometabolic model of life expectancy in each cohort to estimate CVD risk in women after HDP...
January 14, 2019: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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