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  • Mark James
  • BJOG : an international journal of obstetrics and…
  • 2006
OBJECTIVES To determine whether the introduction of Obstetrics Emergency Training in line with the recommendations of the Clinical Negligence Scheme for Trusts (CNST) was associated with a reduction in perinatal asphyxia and neonatal hypoxic-ischaemic encephalopathy (HIE). DESIGN A retrospective cohort observational study. SETTING A tertiary referral(More)
OBJECTIVE To compare the effectiveness of training for eclampsia in local hospitals and a regional simulation center, with and without teamwork theory. METHODS This study is a randomized controlled trial of training in local hospitals and in a simulation center in the United Kingdom. Midwives and obstetricians working at participating hospitals were(More)
The movement of P in the plankton of a humic lake was studied in late July within a 2-m-diameter tube. The tube enclosed water from the surface to below the epilimnion with the steep vertical stratification of the lake undisturbed. [“2P]orthophosphate was mixed into the epilimnion of the enclosure and its fate followed for 2 weeks. In the epilimnion -85% of(More)
OBJECTIVE To determine whether oestrogen replacement will produce an improvement in the quantity, or quality, of pelvic collagen in postmenopausal women. DESIGN A prospective double-blind placebo controlled trial of oestrogen therapy. SETTING Southmead Hospital, Bristol, UK. POPULATION Fifty-five postmenopausal women with a urodynamic diagnosis of(More)
The objectives of this study were to explore current provision of laparoscopic simulation training, and to determine attitudes of trainers and trainees to the role of simulators in surgical training across the UK. An anonymous cross-sectional survey with cluster sampling was developed and circulated. All Royal College of Obstetricians and Gynaecologists(More)
The purpose of this study is to determine if the trans-obturator tape (TOT; Monarc, American Medical Systems (AMS)), which has been claimed to have similar or improved outcomes to retropubic mid-urethral slings, was equivalent (but not inferior) to the trans-vaginal tape (TVT; Gynecare) by using patient-reported outcomes for the treatment of urodynamic(More)
OBJECTIVE To develop content for a basic laparoscopic curriculum in gynaecology. STUDY DESIGN Prospective cross-sectional observational study. Modified Delphi method with three iterations undertaken by an invited group of national experts across the United Kingdom (UK). Two anonymous online surveys and a final physical group meeting were undertaken.(More)
BACKGROUND Patients with antiphospholipid syndrome (APS) have increased risks of developing thromboembolism, and the risk maybe amplified by the hypercoagulable state associated with pregnancy. CASE A patient presented with severe chest pain, mild pyrexia associated with elevated serum transaminases, and marked neutrophilia after vaginal delivery. Liver(More)
OBJECTIVE The objective of the study was to determine the level and pattern of forces applied during simulated shoulder dystocia. STUDY DESIGN One hundred forty staff (95 midwives, 45 obstetricians) were randomized from 6 UK hospitals. Applied delivery force was measured during a standardized simulated shoulder dystocia. Maximum, average, total, and(More)
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