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Ajay K Shah

Publications and source records attributed to Ajay K Shah.

2 recordsLinked to original sources

Electronic submission of resident work hours: a convenient way of exchange of information.

The purpose of this protocol is to assess how residents can document their work hours in a convenient and objective way; to find an efficient, secure, quick, and reproducible way of communication between house staff and residency administrators regarding work hours data; and to fulfill the requirements of the Accreditation Council for Graduate Medical Education and other monitoring bodies regarding work hours documentation. This electronic work hours submission protocol is based on the Microsoft Excel system. The data is submitted via e-mail to the residency coordinators. The work hours sheet recognizes the time spent by the residents in various categories such as patient care, off hours, off days, vacations, outpatient clinic time, on-site rest time, and education time. Calculations are done automatically in the work sheet and results are shown graphically. We found electronic submission of work hours as a more convenient, secure, objective, efficient, and reproducible way of communication than the paper submission forms. Each resident can now easily be tracked for the time he/she spends in various categories. The data will be used to assess how more efficiently residents can spend their time. It also fulfills the documentation requirements of different monitoring bodies.

Computer Systems↗

Abdominal wall endometriomas.

BACKGROUND: The diagnosis of abdominal wall endometriomas is often confused with other surgical conditions. METHODS: A retrospective study was made of 12 patients presenting with an abdominal wall mass, which proved to be endometrioma. RESULTS: Of a total of 297 patients of endometriosis treated in our hospital over a 7-year period, 12 (4%) had isolated abdominal wall endometriomas. Their mean age was 29.4 years. The presenting symptoms were abdominal mass (n = 12), cyclical (n = 5) or noncyclic pain (n = 7), dyspareunia and dysmenorrhea (n = 1). All patients had a history of gynecologic operations and presented, after an average of 1.9 years, with a tender mass (average 4 cm) at the previous incision site. Preoperative diagnosis was correct in 4 patients (33%) who presented with a cyclically painful abdominal mass. The others were diagnosed as incisional hernia (n = 4), "abdominal wall tumor" (n = 2), and inguinal hernia (n = 2). All patients underwent wide excision of their endometrioma; 2 required polytetrafluoroethylene patch grafting for the resulting fascial defect. The diagnosis was confirmed at frozen section or conventional histological examination in all patients. At follow-up, ranging from 4 months to 3 years, there was no recurrence of endometrioma. CONCLUSIONS: Scar endometrioma commonly presents as an abdominal mass with noncyclical symptoms. Imaging techniques are nonspecific and needle biopsy may confirm the diagnosis. Wide excision is the treatment of choice for abdominal wall endometrioma as well as for recurrent lesions.

Abdominal Pain↗