Pharmacists and transitions of care from emergency department to home.

Objectives: To determine the impact of a pharmacist-led telephone outreach program among patients discharged from the emergency department (ED) to home.

Study Design: We conducted a randomized controlled study from February to November 2019 at a tertiary care academic medical center.

Methods: At ED discharge, participants were randomly assigned to usual care (controls) or usual care plus the pharmacist's review (intervention group).

Trends in Prescribing Opioids, Benzodiazepines, and Both Among Adults with Alcohol Use Disorder in New York State.

Background: Alcohol use disorder (AUD) is a highly prevalent public health problem that contributes to opioid- and benzodiazepine-related morbidity and mortality. Even though co-utilization of these substances is particularly harmful, data are sparse on opioid or benzodiazepine prescribing patterns among individuals with AUD.

Objective: To estimate temporal trends and disparities in opioid, benzodiazepine, and opioid/benzodiazepine co-prescribing among individuals with AUD in New York State (NYS).

Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retrospective Cohort Study.

Background: Proton pump inhibitors (PPIs) have been linked to acute kidney injury (AKI) and chronic kidney disease (CKD); however, current evidence has only been evaluated in a small number of studies with short follow-up periods. This study examined the association between PPI use and risk of incident AKI and CKD in a large population-based health maintenance organization (HMO) cohort.

Methods: Patients aged 18 years or older, without evidence of preexisting renal disease, started on PPI therapy, and those continuously enrolled for at least 12 months between July 1993 and September 2008 were identified in an HMO database.

Are there predictors for failed expectant management of cervical intraepithelial neoplasia 1?

Objective: To identify the short-term natural history of cervical intraepithelial neoplasia (CIN) 1 and the potential risk factors for its progression, regression and persistence and to identify any characteristics of patients who were lost to follow-up.

Study Design: All colposcopic specimens from July 2001 through December 2004 were evaluated for the presence of CIN 1. Adequate follow-up was defined as 24 months of surveillance with Pap smears every 4-6 months.

Absent endocervical cells on Pap smears after loop electrosurgical excision procedure.

Objective: To evaluate the absence of endocervical cells on Pap smear after loop electrosurgical excision procedure (LEEP) as a possible marker for cervical stenosis.

Materials And Methods: All LEEPs performed at a public health teaching hospital caring for the indigent between July 1, 1999, and September 30, 2002, were reviewed; 1,190 eligible charts of patients were reviewed, and extracted data included the following: age, parity, ethnicity, histology obtained during colposcopy, volume of loop specimen taken, and follow-up Pap smear results.

Results: One thousand four hundred twenty-one patients had LEEPs during this period.

A "see and treat" management for high-grade squamous intraepithelial lesion pap smears.

OBJECTIVE.: This study evaluates a "see and treat" intervention for high-grade squamous intraepithelial lesions (HSIL) on Pap smears. This is a case control study comparing cost-effectiveness, patient compliance, and pathology obtained from immediate colposcopy and large loop excision of the transformation zone of the uterine cervix.

Pelvic actinomycosis: a case report.

Background: Pelvic actinomycosis is rare but can manifest with multiple presentations.

Case: A 28-year-old woman, gravida 4, para 2, conceived with a Paraguard intrauterine device (IUD) (FEI Products LLC, North Tonawanda, New York) in place. The IUD had been present for 2 years.

Vaginal hysterectomies performed in a residency program: can we increase the number?

Objective: To evaluate if a concerted effort to increase the number of vaginal hysterectomies performed in a residency program could be accomplished safely when a standard approach vs. a concerted effort was utilized.

Study Design: A retrospective case review was performed for all patients undergoing vaginal hysterectomy at 1 hospital in a residency program.

Papanicolaou screening in an urgent care setting.

Objective: This study was undertaken to determine the efficacy of Papanicolaou (Pap) screening in an urgent care setting, and to compare the rates of cervical intraepithelial neoplasia (CIN), and follow-up in patients with and without established primary care.

Study Design: All patients presenting with a complaint warranting pelvic examination between December 2000 and September 2001 underwent Pap screening. All patients were scheduled an appointment or follow-up visit when an abnormal Pap test was found.

A comparison of outcomes of transurethral versus suprapubic catheterization after Burch cystourethropexy.

The objective of this study was to evaluate the outcomes of patients with transurethral vs suprapubic catheterization after Burch cystourethropexy. This is a retrospective cohort study of patients who had an anti-incontinence procedure primarily including Burch cystourethropexy with hysterectomy or Burch alone between July 1997 and June 2002 and comparing the outcomes of transurethral vs suprapubic catheters. The suprapubic and transurethral catheter placed were both 16-Fr Foley catheters.

Complications of outpatient LLETZ procedures.

Objective: To determine the rates and types of acute complications occurring within 14 days of large loop excision of the transformation zone of the cervix.

Study Design: A retrospective chart review was performed for patients who underwent a loop excision procedure between July 1999 and July 2001. Extracted information included age, parity, ethnicity, indication for the procedure, risk factors for cervical intraepithelial neoplasia, histologic classification of the specimen, and type and incidence of complications.

Increasing recruitment of quality students to obstetrics and gynecology: impact of a structured clerkship.

Objective: To evaluate the satisfaction of the third-year medical students with their basic third-year obstetrics and gynecology rotation before and after a concerted effort was made to improve the rotation with prompt feedback and problem-based case learning.

Methods: At the end of each rotation, third-year medical students were asked to anonymously fill out an "in-house" course evaluation. A 1-5 rating scale to evaluate quality of teaching, instructor's commitment and enthusiasm, and enhancement of professional development was used.

Are in-dwelling catheters necessary for 24 hours after hysterectomy?

Objective: In-dwelling catheters for 24 hours after operation are used routinely in gynecologic surgery. This study assesses whether the immediate removal of an in-dwelling catheter after the operation affects the rate of recatheterization, febrile morbidity, symptomatic urinary tract infections, or subjective pain assessments.

Study Design: This study was a prospective randomized controlled trial comprised of 250 women who underwent hysterectomy and who did not require bladder suspension or strict fluid treatment.

Loop-cone cerclage in pregnancy: a 5-year review.

Objective: The purpose of this study was to evaluate the efficacy and outcomes of patients undergoing conization utilizing a technique of loop-cone cerclage when a diagnostic cone biopsy was required in pregnancy.

Methods: All loop conizations between 1997 and 2001 were reviewed; 15 patients were identified who underwent cone- cerclage with 13 medical records completely available for review. Abstracted data included age, parity, pap smears prior to and during pregnancy, and histology obtained during colposcopy.

Bowel injury occurring during an outpatient LLETZ procedure. A case report.

Background: Large loop excision of the transformation zone (LLETZ) of the cervix has almost entirely replaced cold knife conization for the treatment of dysplasia.

Case: A 17-year-old woman, gravida 0, underwent LLETZ of the cervix for treatment of cervical intraepithelial neoplasia 2. A bowel injury occurred during the procedure.

Analysis of telomerase as a diagnostic biomarker of cervical dysplasia and carcinoma.

Telomerase expression is a potentially important marker of high-grade cervical dysplasia and squamous cell carcinoma (SCC). The routine practice of cervical cytology is limited by problems of false negative diagnoses as well as by poor specificity for clinically significant lesions in patients with low-grade cytologic abnormalities. Telomerase is widely expressed in most SCCs as well as in a high proportion of high-grade squamous intraepithelial lesions.