MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'The Obstetrician' source. Sat, 10 Oct 2009 19:38:10 +0100 http://www.medworm.com/index.php?rid=256308&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.276.27287 The Obstetrician & Gynaecologist 8(4): 276-276 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256308 Wed, 01 Nov 2006 05:03:02 +0100 256308 http://www.medworm.com/index.php?rid=256307&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.274.27286 The Obstetrician & Gynaecologist 8(4): 274-275 In this issue of TOG we review MRCOG Part 2 related websites. Access to online Multiple Choice Questions (MCQs), Extended Matching Questions (EMQs) and essays, along with tutorials, can be a very useful adjunct to the revision process. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256307 Wed, 01 Nov 2006 05:03:02 +0100 256307 http://www.medworm.com/index.php?rid=256306&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.273.27285 The Obstetrician & Gynaecologist 8(4): 273-273 In the United Kingdom the average female life expectancy is 81 years, while the median age at the menopause is about 51 years. Women in the UK are, therefore, expected to live for approximately 30 years after the menopause. There is an increasing need to focus on health issues concerning older women. This compact book, published on behalf of the British Menopause Society, provides a valuable additional source of information on health problems after the menopause, such as dementia, ischaemic stroke, myocardial infarction, osteoporosis, osteoarthritis and urinary incontinence, and the treatment options. Each chapter contains a list of relevant references. This concise text will, indeed, be helpful to gynaecologists, general practitioners, physic... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256306 Wed, 01 Nov 2006 05:03:02 +0100 256306 http://www.medworm.com/index.php?rid=256305&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.273.27284 The Obstetrician & Gynaecologist 8(4): 273-273 The authoritative single author text is an increasingly rare phenomenon in specialist medical literature but this book, by a renowned reproductive surgeon and ART specialist, shows how the limitations of the genre can be overcome through a combination of breadth of coverage and attention to the evidence base. The emphasis throughout is on formulating management plans based on outcomes analysis, taking into account the likelihood of 'success', the cost of treatment for each option and cost-benefit analysis where appropriate. The focus is on treating the woman in her specific clinical situation, rather than managing a 'condition'. The book is particularly strong on diagnostic and surgical techniques for managing congenital abnormalities of the r... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256305 Wed, 01 Nov 2006 05:03:02 +0100 256305 http://www.medworm.com/index.php?rid=256304&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.273.27283 The Obstetrician & Gynaecologist 8(4): 273-273 This is a clearly written introduction to quality and risk management looking specifically at issues faced by IVF laboratories, from authors with many years of experience in the specialty. They have succeeded in producing an account that is not only highly readable but also authoritative and well referenced. The book discusses the total quality management system (QMS) which, aside from being a requirement of regulatory bodies, brings clear benefits to working practice and service delivery as shown in many areas of industry and medical practice. The authors encourage readers to develop a QMS tailored to their needs and they describe practical aspects of implementation by using examples from IVF laboratories. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256304 Wed, 01 Nov 2006 05:03:02 +0100 256304 http://www.medworm.com/index.php?rid=256303&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.272.27282 The Obstetrician & Gynaecologist 8(4): 272-272 This book is aimed at expectant parents and may also be a useful tool for midwives and practitioners providing antenatal care as an inexpensive aid to discussions about fetal development. It illustrates the benefits of scanning in visualising the face and extremities and is interspersed with information on in utero behaviour, linking this to postnatal life. It is simply written, with the fetus often in the first person. Each chapter commences with a description of the main areas of growth and development within each trimester. Detailed images taken from 3-D and 4-D ultrasound scans at weekly intervals throughout pregnancy demonstrate the major milestones of fetal development. There is a good introductory chapter on the obstetric benefits of ul... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256303 Wed, 01 Nov 2006 05:03:02 +0100 256303 http://www.medworm.com/index.php?rid=256302&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.272.27281 The Obstetrician & Gynaecologist 8(4): 272-272 This book deals almost exclusively with genital infection due to Chlamydia trachomatis serovars D to K. The book is divided into easily digestible chapters with a few having a very UK-centric slant. The chapters are well written and address their subject matter thoroughly. Multiple authors who are respected in their field have ensured that the views presented are well researched. However, occasionally their definitions can conflict. More diagrams would improve readability, especially in the chapter on trachoma. In my opinion, there is very little evidence provided in the chapter 'Is there a role for serology?' to back up the author's call for increased use of chlamydia serology. Also, spontaneous clearance of chlamydial infection featured in t... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256302 Wed, 01 Nov 2006 05:03:02 +0100 256302 http://www.medworm.com/index.php?rid=256301&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.272.27280 The Obstetrician & Gynaecologist 8(4): 272-272 The latest edition of this textbook on ultrasound is an up-to-date exposition of general and obstetric ultrasonography. It would equally suit a trainee in radiology or in obstetrics and gynaecology. The first half covers general and vascular ultrasonography. The first chapter is one of the clearest and most practical explanations of the relevant physics I have read and this continues throughout the book. The second half is dedicated to ultrasonography in obstetrics and gynaecology, primarily covering obstetrics and early pregnancy scanning and containing a chapter covering the pelvis and uterus. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256301 Wed, 01 Nov 2006 05:03:02 +0100 256301 http://www.medworm.com/index.php?rid=256300&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.268.27279 The Obstetrician & Gynaecologist 8(4): 268-270 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256300 Wed, 01 Nov 2006 05:03:02 +0100 256300 http://www.medworm.com/index.php?rid=256299&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.263.27278 The Obstetrician & Gynaecologist 8(4): 263-267 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256299 Wed, 01 Nov 2006 05:03:02 +0100 256299 http://www.medworm.com/index.php?rid=256298&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.257.27277 We describe the design and implementation of an assessment centre for selecting doctors into the postgraduate training programme in obstetrics and gynaecology in the South Yorkshire and South Humber Deanery. This is the first time this has been attempted in the UK. Learning objectives: Understand how an assessment centre is developed. Understand the rationale for the use of assessment centres in the selection process. Be in a position to set up an assessment centre for local recruitment. Please cite this article as: Randall R, Stewart P, Farrell K, Patterson F. Using an assessment centre to select doctors for postgraduate training in obstetrics and gynaecology. The Obstetrician & Gynaecologist 2006;8:257-262. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256298 Wed, 01 Nov 2006 05:03:02 +0100 256298 http://www.medworm.com/index.php?rid=256297&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.251.27276 The Obstetrician & Gynaecologist 8(4): 251-255 Key content: A recent RCOG guideline stated that, in a woman who is haemodynamically stable, a laparoscopic approach to the surgical management of tubal ectopic pregnancy is preferable to an open approach. Two national surveys showed that the technique was employed routinely in only 27% and 35% of cases. In surveys, trainees in obstetrics and gynaecology frequently commented that they needed more supervision by consultants when carrying out this procedure. Learning objectives: To learn about why improvements need to be made in training for this procedure. To learn about the opportunities available for training. Please cite this article as: Qureshi NS, Wiener JJ, Weerakkody ANA. Laparoscopic management of tubal ectopic pregnancy: availability o... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256297 Wed, 01 Nov 2006 05:03:02 +0100 256297 http://www.medworm.com/index.php?rid=256296&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.245.27275 The Obstetrician & Gynaecologist 8(4): 245-250 Key content: The Human Fertilisation and Embryology Act 1990 specifies the conditions and ways in which human gametes and embryos may be used or stored in the UK. The HFEA Code of Practice covers issues of consent and quotes the relevant paragraphs of the Act for each section. The cornerstone of the regulation of assisted reproduction in the UK is the formal consent to the use and storage of gametes and embryos. This is recorded on forms HFEA (00)6 (for sperm and embryos) and (00)7 (for eggs and embryos). Learning objectives: To learn about the general principles of consent in assisted conception. To learn about the standard forms in use. To learn about the different types of consent, including that required for treatment, use and storage of g... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256296 Wed, 01 Nov 2006 05:03:02 +0100 256296 http://www.medworm.com/index.php?rid=256295&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.240.27274 The Obstetrician & Gynaecologist 8(4): 240-244 Key content: Patient confidentiality is a key tenet in all areas of medicine. However, circumstances exist where confidentiality must be broken in the patient's or society's best interests. It is permissible to over-rule a patient's desire for anonymity where it could endanger the life of another health care professional or patient. Where a doctor has a serious communicable disease and there is reason to believe they are practising in a way that places patients or others at risk, there is a duty to inform an appropriate person at the doctor's place of work. As a general principle, disclosure without consent should always be discussed with other senior colleagues, the General Medical Council or medical defence agencies and only carried out if t... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256295 Wed, 01 Nov 2006 05:03:02 +0100 256295 http://www.medworm.com/index.php?rid=256294&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.235.27273 The Obstetrician & Gynaecologist 8(4): 235-239 Key content: Under the Sexual Offences Act 2003, sexual intercourse and all forms of sexual touching of a minor are illegal in England and Wales. There is no legal obligation to report underage sex unless exploitation is suspected. Under the Fraser guidelines, a doctor is able to give contraceptive treatment or advice to a person under the age of 16 years, provided certain criteria are met. The duty of confidentiality owed to a person under 16 years of age is the same as that owed to any other person. All staff who deal with minors in a health setting need to be able to weigh up the conflicting priorities of the need for confidentiality and the possibility of sexual exploitation. Learning objectives: To learn about the legal issues concerning ... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256294 Wed, 01 Nov 2006 05:03:02 +0100 256294 http://www.medworm.com/index.php?rid=256293&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.229.27272 The Obstetrician & Gynaecologist 8(4): 229-234 Key content: There has been a continuing drive to develop 'cleaner' and more progesterone receptor-specific progestogens in the hope of enhancing certain qualities and minimising others, such as androgenic properties. In the last five to 10 years several new progestogens have become available, including: dienogest, drospirenone, nomegestrol acetate, nestorone and trimegestone. These new progestogens do offer more therapeutic choice but the real way forward appears to lie in the development and incorporation of these in novel delivery systems. Learning objectives: To learn about the new progestogens available and how they act. To learn about the uses of the new progestogens in contraception, gynaecological disorders and hormone replacement ther... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256293 Wed, 01 Nov 2006 05:03:02 +0100 256293 http://www.medworm.com/index.php?rid=256292&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.222.27271 The Obstetrician & Gynaecologist 8(4): 222-227 Key content: Although the general perception is that ultrasound imaging has no adverse effects on the mother or the fetus, evidence collated from laboratory studies has shown effects of potential clinical significance. Potential bioeffects of ultrasound can be either thermal or mechanical. The two safety indices most commonly used are the thermal index (TI) and the mechanical index (MI). Learning objectives: To learn about: The current thoughts on the bioeffects of ultrasound Types of safety indices Safety guidelines issued by recognised bodies Evidence of long-term adverse effects Please cite this article as: Joy J, Cooke I, Love M. Is ultrasound safe? The Obstetrician & Gynaecologist 2006;8:222-227 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256292 Wed, 01 Nov 2006 05:03:02 +0100 256292 http://www.medworm.com/index.php?rid=256291&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.215.27270 The Obstetrician & Gynaecologist 8(4): 215-221 Key content: Pregnancy and the puerperium are important risk factors for venous thromboembolism, but the presence of thrombophilia and a history of previous thrombosis are of greater significance. Selective screening in pregnancy of women with a personal or family history of thrombosis or a history of poor pregnancy outcome may be of value, as around 50% of such women will have acquired or inherited thrombophilia. There is a broad international agreement that low molecular weight heparin is the anticoagulant of choice in pregnancy, based on its widespread use over the last 10 years. Learning objectives: To know the risk factors for venous thromboembolism in pregnancy. To be able to ascertain who should be screened during pregnancy. To be able ... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256291 Wed, 01 Nov 2006 05:03:02 +0100 256291 http://www.medworm.com/index.php?rid=256290&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.207.27269 The Obstetrician & Gynaecologist 8(4): 207-213 Key content: In acute colonic pseudo-obstruction (Ogilvie's syndrome) there is an adynamic ileus without mechanical obstruction, characterised by dilatation of the caecum and right colon. In obstetrics it is usually associated with caesarean section. Early diagnosis and appropriate treatment are imperative to avoid caecal rupture, faecal peritonitis and the associated high maternal mortality. Conservative and pharmacological therapies are effective in many women, but surgical intervention may be required. Learning objectives: To learn to recognise the condition. To understand the different management strategies. To manage the condition most appropriately for each individual case. Please cite this article as: Kakarla A, Posnett H, Jain A, Georg... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256290 Wed, 01 Nov 2006 05:03:02 +0100 256290 http://www.medworm.com/index.php?rid=256289&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.4.iii.27268 The Obstetrician & Gynaecologist 8(4): iii-iii (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=256289 Wed, 01 Nov 2006 05:03:02 +0100 256289 http://www.medworm.com/index.php?rid=115899&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.206.27267 The Obstetrician & Gynaecologist 8(3): 206-206 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115899 Thu, 20 Jul 2006 03:25:11 +0100 115899 http://www.medworm.com/index.php?rid=115898&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.204.27266 The Obstetrician & Gynaecologist 8(3): 204-205 This month we have reviewed a selection of websites that are useful for clinicians with an interest in medical education. The importance of this area of medicine has grown in the last few years and it is, therefore, timely to review the resources available online. The websites included are generic sites aimed across specialties and include both postgraduate and undergraduate education. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115898 Thu, 20 Jul 2006 03:25:11 +0100 115898 http://www.medworm.com/index.php?rid=115897&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.202.27265 The Obstetrician & Gynaecologist 8(3): 202-202 As its title states, this is a 'self-assessment guide', requiring prior knowledge of the syllabus, rather than a learning text. There are 240 MCQs with the same structure as the MRCOG. Unlike the exam, the second half consists of the answers with explanations. The questions are a continuous text without subdivision into specific subjects. This encourages you to focus on the whole curriculum rather than your favourite topics, which is a common mistake during revision. The CD ROM provides a light and tasty alternative to the book and contains the MCQs in a random order. It tests your knowledge under timed conditions to mimic the exam and provides explanations for incorrect answers. Overall, this is an up-to-date MCQ book with a range of question... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115897 Thu, 20 Jul 2006 03:25:11 +0100 115897 http://www.medworm.com/index.php?rid=115896&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.202.27264 The Obstetrician & Gynaecologist 8(3): 202-202 This book is written by eminent psychotherapist, Dr Christie-Brown. It explores the origins of difficulties within partnerships and, in particular, sexual relationships. There is an interesting section on the impact of fertility and infertility on relationships, which may provide a useful insight for fertility specialists, nurses and counsellors. I was a little disappointed that only one chapter was devoted to treating sexual disharmony, the aetiology of which had been explored in detail. A single method of management was described, which I have no doubt would be very valuable for treating some patients, but not for many others. The book is a valuable addition to the literature in this somewhat neglected field. It will be of interest to GPs, g... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115896 Thu, 20 Jul 2006 03:25:11 +0100 115896 http://www.medworm.com/index.php?rid=115895&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.202.27263 The Obstetrician & Gynaecologist 8(3): 202-202 This large reference textbook, with over 700 pages, appendices and an index, is in its fifth edition and is a major revamp of the third edition. The book is in four sections: general considerations, organisms and two 'problem areas', i.e. obstetrics and gynaecology. While there are some exceptionally well referenced, up-to-date chapters such as that on immunological defence mechanisms of the female genital tract, in the bibliographies the references are not cited but listed as selected reading. The book has the feel of being experience based, not evidence based, and I do not have a problem with that. Evidence-based medicine is needed for the daily management of common problems, but experience-based medicine for less common occurrences. The boo... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115895 Thu, 20 Jul 2006 03:25:11 +0100 115895 http://www.medworm.com/index.php?rid=115894&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.201.27262 The Obstetrician & Gynaecologist 8(3): 201-201 This edition provides a comprehensive overview of reproductive pathophysiology and disorders - from pregnancy and birth to reproductive aging. Reflecting the advances in this field, 13 new chapters have been added, in addition to significant updates. The text is well illustrated and each chapter provides the relevant key references. The first chapter alone cites 667 references, illustrating the depth of knowledge presented. The book is divided into three parts. Part I covers the endocrinology of reproduction. Part II, covering pathophysiology and therapy, describes the underlying causes and management of a broad range of reproductive related disorders. Part III, covering reproductive technologies, illustrates the contemporary nature of this bo... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115894 Thu, 20 Jul 2006 03:25:11 +0100 115894 http://www.medworm.com/index.php?rid=115893&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.201.27261 The Obstetrician & Gynaecologist 8(3): 201-201 This book sets out to demonstrate all aspects of laboratory work that pertain to pregnancy, providing useful background detail for clinicians. Each chapter is written by an author with a particular interest in the subject and is thorough and well referenced. All the authors are North American and the emphasis is, understandably, on clinical practice in that part of the world. The majority of the information is easily transferable to our practice, although the different methods of expressing results may be a nuisance (for example, glucose levels expressed as mg/dl, rather than mmol/l). The CD-ROM included with the book is a useful and user friendly innovation. The CD can only be registered once and to one computer, which is a limitation for dep... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115893 Thu, 20 Jul 2006 03:25:11 +0100 115893 http://www.medworm.com/index.php?rid=115892&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.201.27260 The Obstetrician & Gynaecologist 8(3): 201-201 Written by a radiographer, this excellent new book is a study guide and self-assessment tool for trainees in the field of obstetric and gynaecological ultrasound. It will also be of interest to those wishing to keep up to date. The book is divided into three sections: questions, answers and an appendix with further information. In section one each set of questions begins with clearly laid out learning objectives and a short introduction, followed by a comprehensive range of short questions. Good quality line diagrams and high-resolution ultrasound images are used throughout to illustrate many of the questions. This should be essential reading for trainee obstetric and gynaecological sonographers, whether they are radiographers or radiology or ... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115892 Thu, 20 Jul 2006 03:25:11 +0100 115892 http://www.medworm.com/index.php?rid=115891&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.199.27260 The Obstetrician & Gynaecologist 8(3): 199-199 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115891 Thu, 20 Jul 2006 03:25:11 +0100 115891 http://www.medworm.com/index.php?rid=115890&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.199.27259 The Obstetrician & Gynaecologist 8(3): 199-199 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115890 Thu, 20 Jul 2006 03:25:11 +0100 115890 http://www.medworm.com/index.php?rid=115889&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.196.27258 The Obstetrician & Gynaecologist 8(3): 196-198 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115889 Thu, 20 Jul 2006 03:25:11 +0100 115889 http://www.medworm.com/index.php?rid=115888&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.190.27257 The Obstetrician & Gynaecologist 8(3): 190-195 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115888 Thu, 20 Jul 2006 03:25:11 +0100 115888 http://www.medworm.com/index.php?rid=115887&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.186.27256 The Obstetrician & Gynaecologist 8(3): 186-189 In addition to enabling members to keep abreast of the current medical literature, a journal club is an important forum for teaching research methodology, clinical epidemiology and statistics, as well as providing opportunities for training in clinical decision making and gaining critical appraisal skills. It can be used to facilitate an evidence based approach to problem solving, as a tool for informing guideline development and to enable an exchange of insights regarding clinical problems. It also provides an opportunity for social interaction. In this paper we discuss the advantages and disadvantages of different types of journal clubs. We conclude that they are an important part of continuing medical education and that they can form the ba... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115887 Thu, 20 Jul 2006 03:25:11 +0100 115887 http://www.medworm.com/index.php?rid=115886&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.181.27255 This article describes the background to the decision to introduce Extended Matching Questions into the Part 2 MRCOG written examination. It outlines the customary structure of Extended Matching Questions, using two examples, and describes how they are written. The aims of the paper are to explain the educational and evaluative benefits of adding these questions to the range of examination formats, and to provide some tips to candidates on how to prepare for and successfully attempt them. Please cite this article as: Duthie S, Hodges P, Ramsay I, Reid W. EMQs: a new component of the MRCOG Part 2 exam. The Obstetrician & Gynaecologist 2006;8:181-185. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115886 Thu, 20 Jul 2006 03:25:11 +0100 115886 http://www.medworm.com/index.php?rid=115885&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.177.27254 This article discusses the mechanism of action, potential indications for use, preoperative management and side effects. The techniques used are also described. Botulinum toxin type A injection has an excellent safety and tolerability profile across a wide range of urological uses, but there is a need for further evaluation with randomised, placebo-controlled trials. Please cite this article as: Sinha D, Arunkalaivanan AS. Botulinum toxin type A: applications in urogynaecology. The Obstetrician & Gynaecologist 2006;8:177-180. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115885 Thu, 20 Jul 2006 03:25:11 +0100 115885 http://www.medworm.com/index.php?rid=115884&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.171.27253 The Obstetrician & Gynaecologist 8(3): 171-176 Results from the culture and full karyotyping of prenatal samples typically take at least 14 days to obtain. In contrast, results from the latest molecular cytogenetic techniques for the most common aneuplodies are available within 24-48 hours of receipt. A recent interim recommendation by the UK National Screening Committee was that new screening programmes for Down syndrome need not include follow-up karyotyping. In this article, the advantages and disadvantages of these tests are discussed. Evidence is available to support that they are accurate and efficient enough to be used as stand-alone tests, provided that a policy is implemented to ensure full karyotyping of all samples where fetal anomalies have been detected on ultrasound. Please c... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115884 Thu, 20 Jul 2006 03:25:11 +0100 115884 http://www.medworm.com/index.php?rid=115883&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.165.27252 This article aims to show the significance of the consent process. It provides guidance on consent in gynaecological surgery and the areas that must be covered. The content of the preoperative discussion and the means of conveying information, including the risks of complications and unexpected surgical procedures, are considered. The competencies of doctors to provide information are discussed, as well as where to find sources of information. We conclude that the education and training requirements of doctors and medical students need to be addressed in relation to the information needs of women. In particular, doctors and medical students should be aware of consent law, recent case law and the necessity for effective communication skills, as well as having the necessary knowledge and ski... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115883 Thu, 20 Jul 2006 03:25:11 +0100 115883 http://www.medworm.com/index.php?rid=115882&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.159.27251 This article looks at ways in which the risk of infection can be reduced, both by good clinical technique and by using antibiotic prophylaxis. Please cite this article as: Sowerby E, Parsons J. IVF: how can we reduce the risks of infection? The Obstetrician & Gynaecologist 2006;8:159-163. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115882 Thu, 20 Jul 2006 03:25:11 +0100 115882 http://www.medworm.com/index.php?rid=115881&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.153.27250 This article describes recent developments and discusses the controversies surrounding its treatment. With an improved knowledge of the condition and incorporation of the recommendations in this article it is hoped that healthcare professionals will be able to reduce the severity of the symptoms in those women affected. Please cite this article as: Jain S, Eedarapalli P, Jamjute P, Sawdy R. Symphysis pubis dysfunction: a practical approach to management. The Obstetrician & Gynaecologist 2006;8:153-158. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115881 Thu, 20 Jul 2006 03:25:11 +0100 115881 http://www.medworm.com/index.php?rid=115880&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.147.27249 The Obstetrician & Gynaecologist 8(3): 147-152 Primary cancer of the fallopian tube is a rare malignancy of the female genital tract. The majority are papillary serous adenocarcinomas. Malignant epithelial lesions of the fallopian tube behave in a similar way to malignant epithelial ovarian tumours. Diagnosis of primary fallopian tube malignancies is difficult, especially in the earlier stages. Careful surgical and pathological staging is important. The management of fallopian tube cancer is similar to that of ovarian cancer. Although the overall survival at five years of women with epithelial tubal cancer is higher than for those with ovarian cancer, when compared stage for stage, women with early fallopian tube cancer may have a poorer prognosis. Further clinical research is needed to de... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115880 Thu, 20 Jul 2006 03:25:11 +0100 115880 http://www.medworm.com/index.php?rid=115879&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.141.27248 The Obstetrician & Gynaecologist 8(3): 141-146 Changes in metabolism, hormone profile and blood circulation that normally occur during pregnancy can affect functioning of the mother's eyes. Visual changes in pregnancy are common and many are specifically associated with pregnancy itself. Knowledge of these ocular changes can help to differentiate the physiological changes from ocular manifestation of systemic disease and diseases pertaining to the eye in a pregnant woman. The effects of pregnancy on the eye are reviewed in this article. Please cite this article as: Sharma S, Wuntakal R, Anand A, Sharma TK, Downey G. Pregnancy and the eye. The Obstetrician & Gynaecologist 2006;8:141-146. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115879 Thu, 20 Jul 2006 03:25:11 +0100 115879 http://www.medworm.com/index.php?rid=115878&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.3.iii.27247 The Obstetrician & Gynaecologist 8(3): iii-iii (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=115878 Thu, 20 Jul 2006 03:25:11 +0100 115878 http://www.medworm.com/index.php?rid=92010&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.140.27246 The Obstetrician & Gynaecologist 8(2): 140-140 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92010 Sat, 08 Jul 2006 06:00:00 +0100 92010 http://www.medworm.com/index.php?rid=92009&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.138.27245 The Obstetrician & Gynaecologist 8(2): 138-139 In this issue of TOG we examine five websites related to the menopause. We are all aware of the publicity hormone replacement therapy (HRT) receives in magazines and newspapers but menopause is not just about HRT. Women face a variety of problems during the menopause and not all of them are dealt with by secondary care. Good quality information should be available to patients and the Internet can be very useful at providing it. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92009 Sat, 08 Jul 2006 06:00:00 +0100 92009 http://www.medworm.com/index.php?rid=92008&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.137.27243 The Obstetrician & Gynaecologist 8(2): 137-137 This DVD and book combination is an excellent and innovative help for MRCOG oral examination candidates. The six interactive stations involving role players are particularly realistic and give a good feel for how these stations should (and should not) be conducted. There is a useful voice-over commentary and the related book chapters add more specific details of the appropriate or inappropriate vocabulary and body language used. I found the DVD scene and related book chapter entitled 'How to maximise your communication skills' both interesting and instructive. This is a marvellous tool, which will be welcomed by anxious oral examination candidates and their trainers. The DVD format makes it particularly easy to use. Much care, skill and hard w... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92008 Sat, 08 Jul 2006 06:00:00 +0100 92008 http://www.medworm.com/index.php?rid=92007&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.137.27242 The Obstetrician & Gynaecologist 8(2): 137-137 The fifth edition of this book is a comprehensive text spanning the basic science, clinical presentation and management of pregnancy complications. While it would help enormously in acquiring knowledge for examinations, it is not ideal for a quick read or 'recap'. The first part of the book covers the basic biology and physiology of pregnancy (maternal and fetal), parturition and the puerperium. The second section covers fetal disorders. Maternal complications are comprehensively covered in the third section. The last section has a fairly detailed chapter on the high-risk neonate, including the identification and management of associated problems. While the book could perhaps have been more readable (for example, there could have been more tab... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92007 Sat, 08 Jul 2006 06:00:00 +0100 92007 http://www.medworm.com/index.php?rid=92006&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.137.27244 The Obstetrician & Gynaecologist 8(2): 137-137 Although this would probably be the last book that most doctors would think of reading, let alone buying, such is its scope and comprehensiveness that even a cursory glance at the table of contents will reveal that there is much in it that applies to medical practice and to the safe running of hospitals. The categorisation and subdivision of subjects is logical and clearly set out. Each fully referenced chapter looks closely at the real business of risk management, not just from a theoretical point of view - important for understanding the 'why' of accidents of all sorts - but also the practical one: setting up a system, investigating mishaps properly, drawing the right conclusions and, most importantly, explaining how to learn from them. If y... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92006 Sat, 08 Jul 2006 06:00:00 +0100 92006 http://www.medworm.com/index.php?rid=92005&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.136.27239 The Obstetrician & Gynaecologist 8(2): 136-136 This book consists of 120 pages of personal monologue concerning all aspects of hysteroscopy, followed by a series of five chapters by different authors on complementary fertility investigations, imaging and pathology. The monologue is up to date, readable and well illustrated. This is not a book for those seeking information on the evidence base for their hysteroscopy practice, but the text is authoritative and obviously based on extensive clinical experience. Parts of the text will be of most relevance to those who wish to use the operating channel of the hysteroscope in the outpatient setting, reflecting the author's Chicago origins and enthusiasm for 'office gynaecology'. Treat this book as a Haynes manual rather than a resource to help yo... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92005 Sat, 08 Jul 2006 06:00:00 +0100 92005 http://www.medworm.com/index.php?rid=92004&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.136.27241 The Obstetrician & Gynaecologist 8(2): 136-136 The book is clear and well written, with high quality gross and microscopic photographs and numerous quality tables throughout. It starts with a very good anatomical and basic developmental description. This is followed by excellent second and third chapters on basic pathways of perinatal and peripartum injury and clinical syndromes and their correlations with placental pathology. These chapters are useful for pathologists, obstetricians and neonatologists alike. The book then moves on to discuss the three components of the placenta, followed by inflammation and infection, and circulatory disorders. Other chapters include membranes, the cord, intrauterine fetal death, hydrops, tumours and multiple pregnancies. All chapters follow a standard st... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92004 Sat, 08 Jul 2006 06:00:00 +0100 92004 http://www.medworm.com/index.php?rid=92003&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.136.27240 The Obstetrician & Gynaecologist 8(2): 136-136 The format of this book makes it an ideal resource for trainees revising for the MRCOG examination. It differs from standard textbooks in obstetrics and gynaecology because of its focus on evidence-based material. In most of the chapters the evidence available, or lack of it, needed for the MRCOG examination and, perhaps more importantly, for clinical practice, is provided. Where appropriate, the level of evidence is also given. The end of every chapter contains a box of the key points summarising the text and providing the main evidence-based material. This is a most valuable contribution to the teaching material available in the field. I highly recommend it not only to trainees preparing for the MRCOG examination, but also to practising seni... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92003 Sat, 08 Jul 2006 06:00:00 +0100 92003 http://www.medworm.com/index.php?rid=92002&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.135.27236 The Obstetrician & Gynaecologist 8(2): 135-135 This book is an easy-to-read and comprehensive source of information and ideas. Dedicated to the women and men trapped in abuse, it gently urges us all to do something, however small. The text covers a wide range of behaviours, settings and relationships, the effect on children, legal and multi-agency responses and explains why domestic violence is a health issue but not one that should be 'medicalised'. It also pays tribute to the survivors, especially children. The excellent third chapter deals with the complexity of cultural and religious factors and institutional prejudices. Confidential documentation, empathy, believing women - in particular their assessment of the risks they run - and clear information about safety planning and options a... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92002 Sat, 08 Jul 2006 06:00:00 +0100 92002 http://www.medworm.com/index.php?rid=92001&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.135.27237 The Obstetrician & Gynaecologist 8(2): 135-135 The editors of this book span four continents and represent leaders from all parts of the multi-disciplinary approach that is now the gold standard of gynaecological cancer care. There are 160 contributors, including famous names as well as research associates who may be tomorrow's stars. The references appear reasonably up to date, up to 2001. The style of layout is interesting and user friendly. Each chapter is introduced with a dialogue box that sets out the controversies to be reviewed. On the down side, one or two chapters left me more confused after reading them and perhaps would benefit from rewriting for future editions. I would recommend this book as a 'must-buy' for all cancer centres as part of their library. From the sub-specialty ... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92001 Sat, 08 Jul 2006 06:00:00 +0100 92001 http://www.medworm.com/index.php?rid=92000&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.135.27238 The Obstetrician & Gynaecologist 8(2): 135-135 The publication of this book by four highly regarded researchers in the field is to be greeted with both enthusiasm and relief. Its major strengths are that all of them speak from a platform of wide and long experience in the clinical setting and that the content and layout of their oeuvre is concise. The style is readable and informed and for the most part complemented by graphics and illustrations, which are helpful and clear. The conclusion of each chapter is rounded off with useful summary points and the references are comprehensive and up to date. Practical advice is given on an array of clinical problems. The established link between excess weight and PCOS, and our need to provide effective and evidence based care for individuals with th... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=92000 Sat, 08 Jul 2006 06:00:00 +0100 92000 http://www.medworm.com/index.php?rid=91999&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.132.27251 The Obstetrician & Gynaecologist 8(2): 132-134 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91999 Sat, 08 Jul 2006 06:00:00 +0100 91999 http://www.medworm.com/index.php?rid=91998&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.131.27250 The Obstetrician & Gynaecologist 8(2): 131-132 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91998 Sat, 08 Jul 2006 06:00:00 +0100 91998 http://www.medworm.com/index.php?rid=91997&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.130.27249 The Obstetrician & Gynaecologist 8(2): 130-131 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91997 Sat, 08 Jul 2006 06:00:00 +0100 91997 http://www.medworm.com/index.php?rid=91996&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.130.27248 The Obstetrician & Gynaecologist 8(2): 130-130 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91996 Sat, 08 Jul 2006 06:00:00 +0100 91996 http://www.medworm.com/index.php?rid=91995&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.129.27235 The Obstetrician & Gynaecologist 8(2): 129-129 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91995 Sat, 08 Jul 2006 06:00:00 +0100 91995 http://www.medworm.com/index.php?rid=91994&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.129.27247 The Obstetrician & Gynaecologist 8(2): 129-130 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91994 Sat, 08 Jul 2006 06:00:00 +0100 91994 http://www.medworm.com/index.php?rid=91993&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.126.27234 The Obstetrician & Gynaecologist 8(2): 126-128 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91993 Sat, 08 Jul 2006 06:00:00 +0100 91993 http://www.medworm.com/index.php?rid=91992&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.121.27233 The Obstetrician & Gynaecologist 8(2): 121-125 (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91992 Sat, 08 Jul 2006 06:00:00 +0100 91992 http://www.medworm.com/index.php?rid=91991&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.117.27232 This article is an account of the challenges and rewards of this experience. Please cite this article as: Kirkpatrick A. Experiences as a UK trainee in the developing world. The Obstetrician & Gynaecologist 2006;8:117-120. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91991 Sat, 08 Jul 2006 06:00:00 +0100 91991 http://www.medworm.com/index.php?rid=91990&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.113.27231 The Obstetrician & Gynaecologist 8(2): 113-116 While progress has been slow in the field of therapeutic vaccination, the subject of prophylactic vaccination has hit the headlines and generated much interest. Results from trials of prophylactic vaccination are exciting and demonstrate that virus-like particle vaccines are safe, immunogenic and effective at protecting against persistent human papilloma virus infection and intraepithelial neoplasia. However, a number of important and complex issues need to be addressed for successful implementation, including scientific, economic, epidemiological and psychosocial considerations. Please cite this article as: Fiander A. Update on human papillomavirus vaccines. The Obstetrician & Gynaecologist 2006;8:113-116. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91990 Sat, 08 Jul 2006 06:00:00 +0100 91990 http://www.medworm.com/index.php?rid=91989&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.107.27230 This article describes the current situation in obstetrics and gynaecology and the challenges ahead for the trainers who will be using the tools that are being developed. All doctors involved in obstetrics and gynaecology training need to embrace this important initiative and as a specialty we need to ensure that the tools introduced are reliable, valid and easy to use. Please cite this article as: Bisson DL, Hyde JP, Mears JE. Assessing practical skills in obstetrics and gynaecology: educational issues and practical implications. The Obstetrician & Gynaecologist 2006;8:107-112. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91989 Sat, 08 Jul 2006 06:00:00 +0100 91989 http://www.medworm.com/index.php?rid=91988&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.103.27229 The Obstetrician & Gynaecologist 8(2): 103-106 Hysteroscopic sterilisation performed in the outpatient setting avoids the risks and discomfort associated with the laparoscopic procedure. A variety of techniques has been assessed and discarded, mainly because of poor efficacy. More recently, the EssureR procedure has been shown to be easy to perform, acceptable to women and highly effective at five-year follow-up. However, concerns remain about the absolute irreversibility of this method of sterilisation. Other devices in development may prove to be equally effective but reversible. When introducing any new therapy it is important to ensure that informed consent is taken and outcomes are prospectively audited. Please cite this article as: Baxter AJ. Advances in hysteroscopic sterilisation. ... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91988 Sat, 08 Jul 2006 06:00:00 +0100 91988 http://www.medworm.com/index.php?rid=91987&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.096.27228 The Obstetrician & Gynaecologist 8(2): 96-102 Alternatives to hormone replacement therapy (HRT) for the relief of menopausal symptoms include lifestyle and dietary changes, over-the-counter nutritional supplements and complementary therapies, many of which are considered to be natural. However, there is a lack of evidence to confirm benefits or highlight possible adverse effects. In this article, the effectiveness and safety of these alternative therapies are discussed. Some prescribed medications are also considered. Alternatives are not generally as effective as HRT, but they can help to reduce some symptoms. Please cite this article as: Brockie J. An alternative approach to the menopause. The Obstetrician & Gynaecologist 2006;8:96-102. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91987 Sat, 08 Jul 2006 06:00:00 +0100 91987 http://www.medworm.com/index.php?rid=91986&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.091.27227 The Obstetrician & Gynaecologist 8(2): 91-95 Obtaining fetal material for molecular analysis without the need for invasive procedures has been a goal of fetal medicine for many years. This is becoming a reality now that circulating cell-free fetal nucleic acids can be detected in maternal plasma. Tests are already being used in clinical practice for the management of X-linked conditions through the determination of fetal sex and for red cell alloimmunisation by prediction of fetal rhesus D status. The sensitivity of this technique produces highly accurate results, thereby reducing the number of invasive procedures needed. This approach has also been used in the diagnosis of genetic disorders and in obstetric complications where the level of free fetal DNA may be a marker for placental abno... The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91986 Sat, 08 Jul 2006 06:00:00 +0100 91986 http://www.medworm.com/index.php?rid=91985&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.086.27226 The Obstetrician & Gynaecologist 8(2): 86-90 Urodynamic testing is the accepted method of investigating urinary incontinence. The Royal College of Obstetricians and Gynaecologists recommends urodynamic testing prior to surgery for stress urinary incontinence. However, there are no clear guidelines for its use prior to other forms of gynaecological surgery. This review gives an overview of urodynamics, their role and indications, and discusses the evidence for urodynamic testing in different clinical scenarios. Please cite this article as: Fowler G, Richmond D. Urodynamics: a mandatory preoperative investigation? The Obstetrician & Gynaecologist 2006;8:86-90. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91985 Sat, 08 Jul 2006 06:00:00 +0100 91985 http://www.medworm.com/index.php?rid=91984&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.078.27225 The Obstetrician & Gynaecologist 8(2): 78-85 Cystoscopy is a commonly employed procedure in both urological and gynaecological practice. Unfortunately, the practicalities of when and how to perform cystoscopy are often poorly taught during general gynaecological training. A basic understanding of the equipment as well as a systematic approach to performing cystoscopy is the key to gaining the full benefit of this procedure and ensuring no pathology is missed. The technique and indications for cystoscopy in routine gynaecological practice are discussed. Please cite this article as: Foon R, Elbiss H, Moran PA. Cystoscopy for gynaecologists. The Obstetrician & Gynaecologist 2006;8:78-85. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91984 Sat, 08 Jul 2006 06:00:00 +0100 91984 http://www.medworm.com/index.php?rid=91983&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.071.27224 This article provides the background to the technique and discusses where it is most useful in clinical practice. The final section gives an overview of the future possibilities as experience with the technique increases. Please cite this article as: Whitby EH, Paley MNJ, Griffiths PD. Magnetic resonance imaging of the fetus. The Obstetrician & Gynaecologist 2006;8:71-77. (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91983 Sat, 08 Jul 2006 06:00:00 +0100 91983 http://www.medworm.com/index.php?rid=91982&cid=s_32402_29_f&fid=32402&url=http%3A%2F%2Fwww.atypon-link.com%2FRCOG%2Fdoi%2Fabs%2F10.1576%2Ftoag.8.2.iii.27223 The Obstetrician & Gynaecologist 8(2): iii-iii (Source: The Obstetrician) The Obstetrician journals http://www.medworm.com/rss/comments.php?id=91982 Sat, 01 Apr 2006 07:00:00 +0100 91982