Practice Patterns of Operators Participating in the Real-World Experience of Catheter Ablation for Treatment of Symptomatic Paroxysmal and Persistent Atrial Fibrillation (REAL-AF) Registry.

Background: The Real-World Experience of Catheter Ablation for Treatment of Symptomatic Paroxysmal and Persistent Atrial Fibrillation (REAL-AF) is a multicenter prospective registry of atrial fibrillation (AF) ablation. We sought to describe the baseline workflows of REAL-AF operators.

Methods: REAL-AF enrolls high volume minimum fluoroscopy radiofrequency ablators.

Primary cesarean delivery among uncomplicated term nulliparous parturients: the influence of group practice within a community hospital.

In a community hospital, the rate of cesarean delivery varied significantly for uncomplicated nulliparous patients managed by four practice groups, although the rate of shoulder dystocia did not. Among four practice groups in a single center, our objective was to discern the rate of cesarean delivery (CD) among uncomplicated, term nulliparous parturients, and the likelihood of shoulder dystocia and admission to the neonatal intensive care unit (NICU). The inclusion criteria for this retrospective study were uncomplicated nullipara > or = 37 weeks.

Diagnosis of postpartum infections: clinical criteria are better than laboratory parameter.

Background: Physiologic increases in the leukocyte count and segmental neutrophil percentage during pregnancy alter the ability of these indices to predict infection.

Methods: Women with cesarean deliveries were assessed by leukocyte counts and segmented neutrophil percentage as well as clinical signs to detect postoperative infection.

Results: In 157 consecutive patients undergoing cesarean deliveries there was a significant physiologic increase between the preoperative and postoperative leukocyte count (12.