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| http://dx.doi.org/10.1503/cmaj.733247 | DOI Listing |
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Report of a Rare Case of Acute Abdominal Pain Post-partum: Spontaneous Ureteral Rupture.
Cureus
December 2024
Radiology, West Suffolk NHS Foundation Trust, Bury St Edmunds, GBR.
Spontaneous ureteral rupture is a rare cause of acute abdominal pain, particularly unusual during pregnancy or the post-partum period. While pregnancy-related changes like ureteral compression and dilation may play a role, no definitive mechanisms have been established. Clinicians should suspect ureteric injury in post-partum patients with free pelvic fluid.
View Article and Find Full Text PDFBest Practices for Storage of Reusable Medical Devices in the Military Health System.
Mil Med
January 2025
Graduate School of Nursing, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Introduction: The storage of reusable medical devices (RMDs) is the final reprocessing phase and the step that directly precedes point-of-care delivery. Reusable medical devices, including surgical tools necessitating sterilization and semicritical devices such as endoscopes, undergo high-level disinfection. The rigorous reprocessing protocols and subsequent storage of RMDs are crucial in preserving their sterility and asepsis.
View Article and Find Full Text PDFDesign and psychometric testing of a moral intelligence instrument for pre-hospital emergency medical services personnel: a sequential-exploratory mixed-method study.
BMC Emerg Med
January 2025
Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, 81936-13119, Iran.
Background: Moral intelligence is a significant and influential factor in the delivery of principled and high-quality care. This is because moral intelligence is the ability to recognize and be sensitive to moral issues, which contributes to the organization of appropriate behavior in the face of moral issues. This is particularly pertinent given that pre-hospital emergency medical services personnel (prehospital EMS personnel) frequently encounter stressful and tension-filled situations.
View Article and Find Full Text PDFEpisiotomies and obstetric anal sphincter injuries following a restrictive episiotomy policy in France: An analysis of the 2010, 2016, and 2021 National Perinatal Surveys.
PLoS Med
January 2025
Université Paris Cité, Center of Research in Epidemiology and StatisticS/CRESS/Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOPé), INSERM, INRAE, Paris, France.
Background: The French guidelines have recommended a restrictive policy of episiotomy since 2005. We aimed to assess variations in the prevalence of both episiotomy and obstetric anal sphincter injury (OASI) from the 2010, 2016, and 2021 National Perinatal Surveys.
Methods And Findings: A total of 29,750 women who had given birth to a live infant by vaginal delivery were included.
Perineal deformation during forceps, vacuum and OdonAssist™ assisted vaginal deliveries: A simulation study based on advanced image processing.
Eur J Obstet Gynecol Reprod Biol
January 2025
Department of Obstetrics and Gynecology, Jean Minjoz Hospital, Besançon University Medical Center - Alexander Fleming Boulevard, 25000 Besançon, France; University of Franche-Comte-SINERGIE Laboratory, 25000 Besancon, France. Electronic address:
Objectives: The aim of this study was to analyse influence of the fetal head position and the type of instrument used (forceps, vacuum, OdonAssist™) on perineal deformation, during simulated vaginal deliveries monitored by stereophotogrammetry.
Methods: An exploratory study was conducted using mannequins simulating vaginal births. Fifty simulated deliveries were performed with different fetal head positions and instruments: Pajot's forceps, Kiwi-vacuum, and OdonAssist™.
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