Obgyn Research Papers - Academia.edu

Objective To review the current status of robotic training and the impact of various training platforms on the performance of robotic surgical trainees. Data Sources Literature review of Google Scholar and PubMed. Search terms included a... more

Objective
To review the current status of robotic training and the impact of various training platforms on the performance of robotic surgical trainees.
Data Sources
Literature review of Google Scholar and PubMed. Search terms included a combination of the following: “robotic training”, “simulation”, “robotic curriculum”, “obgyn residency robotic training”, “virtual reality robotic training”, “DaVinci training”, “surgical simulation”, “gyn surgical training”. Sources considered for inclusion included peer reviewed articles, literature reviews, textbook chapters, and statements from various institutions involved in resident training.
Methods of Study Selection
A literature search of Google Scholar and PubMed using terms related to robotic surgery and robotics training, as mentioned above.
Results
Multiple novel platforms that utilize machine learning and real time video feedback to teach and evaluate robotic surgical skills have been developed over recent years. Various training curricula, VR simulators, and other robotic training tools have shown to enhance robotic surgical education and improve surgical skills. Integration of didactic learning, simulation, and intraoperative teaching into more comprehensive training curricula shows positive effects on robotic skills proficiency. Few robotic surgery training curricula have been validated through peer reviewed study, and there is more work to be completed in this area. In addition, there is a lack of information about how skills obtained through robotics curricula and simulation translates into operating room performance and patient outcomes.
Conclusion
Data collected to date shows promising advances in training of robotic surgeons. A diverse array of curricula for training robotic surgeons continues to emerge, and existing teaching modalities are evolving to keep up with the rapid demand for proficient robotic surgeons. Futures areas of growth include establishing competency benchmarks for existing training tools, validating existing curricula, and determining how to translate acquired skills in simulation to performance in the operating room and patient outcomes. Many surgical training platforms are beginning to expand beyond discreet robotic skills training to procedure-specific and team training. There is still a wealth of research to be done to understand how to create an effective training experience for gyn surgical trainees and robotics teams.

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- by Anne M Arnold and +1
  Mireille Truong
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- 4
  Robotic Surgery, Simulation, Surgical Simulation, Obgyn

 Perdarahan yang terjadi setelah Perdarahan yang terjadi setelah kehamilan 22 minggu kehamilan 22 minggu  Kausa: solutio plasenta, plasenta previa, Kausa: solutio plasenta, plasenta previa, vasa previa pecah vasa previa pecah ... more

Dilakukan autoanamnesis tanggal 26 Juli 2014 Pukul 14.30 WIB

Introduction: There is good evidence that vaginal delivery can be associated with damage to the innervations of the pelvic floor as well as direct trauma to levator ani muscle and endo-pelvic fascia. This may result in the development of... more

Introduction: There is good evidence that vaginal delivery can be associated with damage to the innervations of the pelvic floor as well as direct trauma to levator ani muscle and endo-pelvic fascia. This may result in the development of genuine stress incontinence. Postpartum stress incontinence can occur in up to 34% of women. Aim of the study was to assess the effect of postpartum women's training with reinforcement of pelvic floor muscles exercise on reduction and improvement of postpartum stress urinary incontinence. Research design: Quasi-experimental design was utilized in this study. Subjects and methods: A total of 440 postpartum women were recruited for this study according to power analysis, they were divided into two groups. 220 women were allocated for the intervention group and given an instructional schedule for performing kegel's exercise from the first day postpartum up to 3 months , about 10% of participants were lost to follow-up. The control group didn't have any information about kegel's exercise( had the ordinary postpartum instructions). Both groups were followed-up to assess the presence of stress urinary incontinence at the first week, 6-week and 12-week postpartum.
Results: Findings of this study presented that, there were statistically significant differences between both groups regarding the presence of stress urinary incontinence, that is, the group that realized exercises presented less incontinence. The overall prevalence of SUI at the first week postpartum was 21% (42 of 200) and 19.5% (39 out of 200) of the intervention and control groups respectively with no statistical significant difference between groups. Stress urinary incontinence rate at 6-weeks postpartum was 8% and 12.5% of the intervention and control groups respectively with a highly statistical significant difference P=0.002. At 12- weeks postpartum the rate of SUI was (1%) and (9%) of the intervention and control groups with a highly statistical significant difference P=0.0005. Conclusion: Performance of Kegel's exercise seems to reduce the likelihood of stress urinary incontinence.

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- by Eman Rashad
- •
- 3
  Ultrsound Imaging, Obgyn, OBG NURSING

Pegnancy Safer (MPS) sebagai strategi pembangunan kesehatan masyarakat menuju Indonesia sehat 2010. Dalam arti kata luas tujuan Safe Motherhood Indonesia dan Making Pregnancy Safer (MPS) sama, yaitu melindungi hak reproduksi dan hak asasi... more

PENDAHULUAN Perdarahan masih menjadi penyebab utama kematian ibu. Di Amerika serikat 17% dari 4200 kematian ibu yang berhubungan dengan kehamilan disebabkan oleh perdarahan. Di Inggris, juga dilaporkan bahwa perdarahan menjadi fator utama... more

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- by Ruth Dea Sarah Amalia Hutabarat
- •
- Obgyn

Hiperemesis Gravidarum merupakan suatu keadaan (biasanya pada hamil muda) dimana penderita mengalami mual-muntah yang berlebihan, sedemikian rupa sehingga mengganggu aktivitas dan kesehatan penderita secara keseluruhan.

Women's postpartum sexuality can be influenced by factors related to physical, personal, and relationship transitions after the newborn arrives. Despite this, many experiential and social factors remain unexplored. Aims. This study aims... more

Women's postpartum sexuality can be influenced by factors related to physical, personal, and relationship transitions after the newborn arrives. Despite this, many experiential and social factors remain unexplored. Aims. This study aims to (i) investigate a range of variables thought to influence postpartum sexuality; (ii) expand the focus beyond latency to penis-vagina intercourse; and (iii) assess positive aspects of postpartum sexuality. Methods. Via retrospective reporting on the first 3 months postpartum, 304 women completed an online questionnaire. Main Outcome Measures. The main outcome measures were retrospective reports of sexual desire (Sexual Desire Inventory), latency to resumption of sexual activity, and perceptions of partner's sexual desire. Other measures were birth experience (Questionnaire Measuring Attitudes About Labor and Delivery), breastfeeding status, perceptions of social support (Multidimensional Scale of Perceived Social Support), stress (Perceived Stress Scale), and body image (Body Image Self-Consciousness Scale). Results. Significant differences in time to resumption were found. Women performed oral sex on their partners earlier than engaging in masturbation, which was followed by intercourse and then receiving oral sex. Post hoc analyses identified birth experience, social support, importance of partner's sexual fulfillment, and perception of partner's desire as contributors to this pattern. Women's postpartum sexual desire was influenced by their perceptions of their partner's postpartum sexuality and individual's level of fatigue. Results suggested that postpartum desire was not significantly influenced by breastfeeding status, vaginal issues, or psychosocial variables including stress, body image, or social support. Conclusion. Results suggest that women's perceptions of their partner's sexuality impact postpartum sexuality more than the physical factors most commonly studied (e.g., vaginal trauma and breastfeeding). These results portray postpartum sexuality as a multidimensional phenomenon and highlight the need for further research that addresses its social context. Hipp LE, Kane Low L, and van Anders SM. Exploring women's postpartum sexuality: Social, psychological, relational, and birth-related contextual factors. J Sex Med 2012;9:2330-2341.

BACKGROUND: Down syndrome is a condition of both physical and mental retardation because of an abnormality of a chromosomal development. The cause of Down syndrome are still unknown, but research shown that this event keeps on growing... more

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- by dhika claresta
- •
- 3
  Genetics, Media Studies, Obgyn

Dokter Kandungan Wanita Gresik Surabaya Mojokerto Lamongan Sidoarjo

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- by Ahmad Nashruddin
- •
- 4
  Indonesia, Hospital, Gresik, Obgyn

Women's postpartum sexuality can be influenced by factors related to physical, personal, and relationship transitions after the newborn arrives. Despite this, many experiential and social factors remain unexplored. Aims. This study aims... more

Women's postpartum sexuality can be influenced by factors related to physical, personal, and relationship transitions after the newborn arrives. Despite this, many experiential and social factors remain unexplored. Aims. This study aims to (i) investigate a range of variables thought to influence postpartum sexuality; (ii) expand the focus beyond latency to penis-vagina intercourse; and (iii) assess positive aspects of postpartum sexuality. Methods. Via retrospective reporting on the first 3 months postpartum, 304 women completed an online questionnaire. Main Outcome Measures. The main outcome measures were retrospective reports of sexual desire (Sexual Desire Inventory), latency to resumption of sexual activity, and perceptions of partner's sexual desire. Other measures were birth experience (Questionnaire Measuring Attitudes About Labor and Delivery), breastfeeding status, perceptions of social support (Multidimensional Scale of Perceived Social Support), stress (Perceived Stress Scale), and body image (Body Image Self-Consciousness Scale). Results. Significant differences in time to resumption were found. Women performed oral sex on their partners earlier than engaging in masturbation, which was followed by intercourse and then receiving oral sex. Post hoc analyses identified birth experience, social support, importance of partner's sexual fulfillment, and perception of partner's desire as contributors to this pattern. Women's postpartum sexual desire was influenced by their perceptions of their partner's postpartum sexuality and individual's level of fatigue. Results suggested that postpartum desire was not significantly influenced by breastfeeding status, vaginal issues, or psychosocial variables including stress, body image, or social support. Conclusion. Results suggest that women's perceptions of their partner's sexuality impact postpartum sexuality more than the physical factors most commonly studied (e.g., vaginal trauma and breastfeeding). These results portray postpartum sexuality as a multidimensional phenomenon and highlight the need for further research that addresses its social context. Hipp LE, Kane Low L, and van Anders SM. Exploring women's postpartum sexuality: Social, psychological, relational, and birth-related contextual factors.

There have been many reports of medical students performing pelvic exams on anaesthetised patients without the necessary consent being provided or even sought. These cases have led to an ongoing discussion regarding the need to ensure... more

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- by Chloe Bell and +1
  Nathan Emmerich
- •
- 8
  Ethics, Medical Education, Medical Ethics, Medical Education & Training

Although an obstetrically related trauma is the most common cause of the injuries to the female genital tract, non obstetric causes also lead to a significant number of vaginal and vulval injuries. We present 2 cases of vaginal injury,... more

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