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Biomedical subjects

Stephanie B Teal

Publications and source records attributed to Stephanie B Teal.

6 recordsLinked to original sources
PubMed2006

Inadvertent vesicular placement of a vaginal contraceptive ring presenting as persistent cystitis.

BACKGROUND: The NuvaRing is a soft, flexible, ring-shaped vaginal contraceptive device that is placed by the user herself. Incorrect placement has not been described, because any intravaginal position allows appropriate hormonal delivery through the vaginal mucosa. CASE: A 22-year-old otherwise healthy woman presented with 2 months of urinary urgency, frequency, and pelvic pain, which were unresponsive to antibiotic therapy. Her symptoms began immediately after placement of a NuvaRing vaginal contraceptive device, which she was subsequently unable to locate. Thorough evaluation revealed the ring in the urinary bladder. CONCLUSION: Bladder or urethral foreign body should be considered in the evaluation of patients with chronic cystitis, especially if the patient uses vaginal medical devices. Intravesicular placement of a device may occur even without psychiatric or physical comorbidities.

Adult↗
PubMed2005

Resident job satisfaction: one year of duty hours.

OBJECTIVE: This study was undertaken to assess job satisfaction and quality of life aspects among residents in obstetrics/gynecology before and after the implementation of duty-hour requirements. STUDY DESIGN: We administered a survey to residents before and after duty-hour restrictions, addressing satisfaction with residency training, quality of life, and predictions/impressions of the effect of reduced work hours. RESULTS: Satisfaction with overall residency training as a discrete survey item did not change; however, the composite score from all responses to specific items increased. Several specific clinical and academic items garnered higher satisfaction scores in 2004. Residents reported less-than-anticipated increases in healthiness of their lifestyle and a decrease in interest in teaching. CONCLUSION: This is a prospective assessment of the effect of duty-hour requirements, improvements in residents' perception of their time and ability to study and pursue research and in clinical areas are encouraging. The perception that there is less interest in teaching is of concern.

Female↗
PubMed2004

Resident job satisfaction: will 80 hours make a difference?

OBJECTIVE: This study was undertaken to assess job satisfaction and quality of life among obstetrics and gynecology residents before the 80-hour work week. STUDY DESIGN: We administered a job satisfaction survey to residents before July 1, 2003, assessing satisfaction with residency training, indicators of current quality of life, and predictions for the effect of reduced work hours. RESULTS: Residents were satisfied with training, with important outliers, including leisure time, ability to pursue educational reading, and surgical experience. We created job satisfaction facets that were generally reliable constructs and valid predictors for overall residency satisfaction. Residents predict more free time and a healthier lifestyle under the new requirements, but do not anticipate using additional time to study or teach. CONCLUSION: Job satisfaction facets for residents are proposed here and may be refined through further study. Lower scores for surgical experience are of concern in light of decreasing work hours. Educators must monitor self-directed learning efforts under new work hours.

Adult↗
PubMed2003

Controversies in adolescent hormonal contraception.

Unintended pregnancy and abortion rates among US adolescents remain high although hormonal contraception is safe and effective in this population. Controversies affecting the provision of hormonal contraception for adolescents include the side effects of oral contraceptives, the possibility that progestin-only injectables lead to decreased bone health, and debate as to whether emergency contraception should be available to teens without a prescription. Each of these issues is addressed with a review of relevant literature.

Adolescent↗
PubMedDate not supplied

Essure: hysteroscopic sterilization.

Essure, a new female sterilization method approved by the US Food and Drug Administration, offers women a new option for controlling fertility. The technique is done without an incision, is hormone-free, and can be performed on an outpatient basis under local anesthesia. There are few or no side effects. It is important for providers to understand how the device works, appropriate candidates for use, and requirements for preplacement and postplacement management.

Contraceptive Devices, Female↗