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Chart review of six patients; Small study: glucocorticoids can treat painful fibroids in pregnancy.(Obstetrics)
PHILADELPHIA -- A short course of a glucocorticoid provides rapid and sustained pain relief for painful uterine leiomyomas in pregnancy, according to a chart review of six patients presented in poster form at the annual meeting of the American College of Obstetricians and Gynecologists.
"NSAIDs are most typically given for painful fibroids during pregnancy, but I have not found them to be nearly as effective as prednisone or dexamethasone," said Dr. Stephen Friedman of the department of perinatology at Providence St. Vincent Medical Center, Portland, Ore. Narcotic analgesics such as oxycodone with acetaminophen and codeine are also used for painful fibroids, but they provide only limited symptomatic relief, he added.
"Conventional treatment" for painful fibroids also included bed rest, Dr. Friedman said. Other practitioners have proposed the use of epidural narcotics, open excision, or laparoscopic excision. "In our experience, conventional treatment has provided only limited symptomatic relief," he said.
"Prednisone is preferred over dexamethasone because it doesn't cross the placenta--other steroids will cross and include the ones used to induce fetal lung maturity," he noted during the meeting.
The retrospective chart ...
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...Pharmacists excel at adverse drug detection on chart review But with time constraints auto systems...obvious choice for ADE surveillance, chart review is a resource-intensive process that...allocation of pharmacists' time in chart review can be justified by determining whether...
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- Newspaper article from: The Brown University Geriatric Psychopharmacology Update May 1, 2003 700+ words
A chart review at a psychiatric inpatient unit was conducted in order to assess the efficacy and safety of quetiapine...in an inpatient setting." Sicuro F: Use of higher-dose quetiapine in elderly inpatients: a chart review study.
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...of Family Medicine is changing the way physicians perform chart review as part of their maintenance of certification. Starting...of Medicine. The new process will be similar to the old chart review system. Physicians will still be asked to submit information...
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...ketogenic diet at our center, we conducted a retrospective chart review to examine the linear growth of children placed on the diet...each child's height and weight was collected from the chart review and plotted on the Tanner-Whitehouse growth chart for age...
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...fulltime employees (FTEs) to meet the increased demand for chart review. SOLUTION Our organization began searching for a Web-based...updated online training as needed. RESULTS Using Web-enabled chart review, our review team examined more than 5,000 medical records...
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...indicates that the PAEs were probably related to SSRI therapy. Wilens TW, Biederman J, Kwon A, et al.: A systematic chart review of the nature of psychiatric adverse events in children and adolescents treated with selective serotonin reuptake inhibitors...
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- Magazine article from: OB GYN News Brunk, Doug September 15, 2004 700+ words
...vulvar vestibulitis, results from a small study suggest. Dr. Adam Steinberg and his associates conducted a retrospective chart review of 52 women with a mean age of 31 years who were diagnosed with vulvar vestibulitis and treated with capsaicin. Diagnosis...
- Extend treatment to 6 weeks for urethral prolapse. (Chart Review of 31 Girls).
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...pediatric and adolescent gynecology at the Hospital for Sick Children in Toronto. Dr. Davis described her retrospective chart review of 31 girls with urethral prolapse at the annual meeting of the North American Society for Pediatric and Adolescent Gynecology...
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...James F. Carter reported at the annual meeting of the Society of Gynecologic Surgeons. In a systematic, retrospective chart review of pregnant women undergoing laparotomy or laparoscopy between August 1993 and July 1998, those who had the laparoscopic...
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...conditions, or to evaluate maternal risk factors or maternal or fetal outcomes, the diagnoses should be confirmed with a medical chart review, she said. "It's important to train residents early on to recognize [the ACOG] criteria, to be specific, and to...
Source: HighBeam Research, Chart review of six patients; Small study: glucocorticoids can treat...