Descriptive Details Research Articles

The Effect of Social Media Influencer Warranting Cues on Intentions to Use Non-Hormonal Contraception

ABSTRACT Young women increasingly get sexual health information from social media influencers, who use persuasive communication and can alter attitudes, intentions, and behaviors. Contraception is a commonly discussed health topic among influencers on social media. Previous research suggests that influencers negatively frame and encourage the discontinuation of hormonal contraception. At the same time, influencers also encourage the uptake of less effective non-hormonal options, such as fertility awareness-based methods. Though descriptive content analysis work details these patterns in influencer contraceptive messaging, there is no experimental research that explains message effects. The purpose of this study was to experimentally test the effect of influencer contraceptive-related messaging on behavioral health intentions. This study introduces warranting theory as a potentially valuable model for explaining online health communication message effects. Specifically, this study tested the effect of influencer messages containing sponsorship and medical disclaimers on intentions to use non-hormonal contraception. U.S. females (n = 296) ranging in age from 18–29 years old participated in a survey. Findings suggest that the interaction led to decreased intentions to use non-hormonal contraception. However, findings did not support a relationship between influencer messaging and impressions, which highlights potential boundary conditions for warranting theory and high-risk health behaviors. Additionally, there was a positive relationship between perceived trustworthiness and expertise of the influencer and intention to use non-hormonal contraception. Future research should test influencer messaging using real social media content and consider the effect of parasocial relationships. Practical implications highlight the need for comprehensive contraceptive counseling.

Patients’ experiences with ‘sludge’ (administrative burden) in the cancer screening process and its relationship with screening completion, experience and health system distrust

Objective‘Sludge’ refers to administrative burdens or frictions that preclude people from getting what they want or need (eg, duplicative forms, complicated instructions, long waiting times). This mixed methods study evaluated...

The Powerful Impact of Positive and Negative Interactions with STEM Faculty on Undergraduates, Especially Underrepresented and Transfer Students

Despite clear links to improving college outcomes, descriptive details about the kinds of student-faculty interactions that are most helpful for STEM students are less well understood. In this qualitative interview study, we investigate what micro-interactions are most helpful – and consequential – for STEM students’ persistence and success, especially transfer students. We found that students who experienced positive, caring interactions with at least one faculty member in their major tended to feel more connected to their discipline, had greater confidence in their abilities in STEM, and often put forth more effort in their studies. Transfer students were especially impacted by the quality of care they received from faculty; those who had negative experiences with faculty were often left feeling less capable and discouraged to continue in their STEM discipline. STEM faculty should show interest in students’ learning and long-term academic and career goals and provide sufficient availability for one-on-one help.

Radiofrequency ablation of the hip: review.

Radiofrequency ablation (RFA) of the articular branches of the femoral and obturator nerves (the innervation of the anterior capsule of the hip) is an emerging treatment for chronic hip pain. Body mass index (BMI) greater than 30, older age, large acetabular/femoral head bone marrow lesions, chronic widespread pain, depression, and female sex increase the risk of developing hip pain. Chronic hip pain is a common condition with a wide range of etiologies, including hip osteoarthritis (OA), labral tears, osteonecrosis, post total hip arthroplasty (THA), post-operative dislocation/fracture, and cancer. The most common and well studied is hip OA. Management of chronic hip pain includes conservative measures (pharmacotherapy and exercise), surgery, and percutaneous procedures such as RFA. While surgery is effective, those whose medical comorbidities preclude surgery, those who do not wish to have surgery, and those whose pain persists after surgery (11-36% of patients) could benefit from RFA. Because of the aforementioned circumstances, hip RFA is often a palliative intervention. Hip RFA is an effective treatment, one recent retrospective study of 138 patients found 69% had >50% pain relief at 6 months. The most frequent adverse event reported for hip RFA is pain from needle placement. No serious bleeding events have been reported, despite the valid concern of the procedure's proximity to vasculature. This descriptive review details the pathophysiology of hip pain, its etiologies, its clinical presentation, conservative management, the anatomy/technique of hip RFA, hip RFA efficacy, and RFA adverse events.

Making a Difference One Night at a Time: An Annual Fundraiser for a Student-Run Free Clinic Raises Over $25,000

Introduction: The Lighthouse Free Medical Clinic (LFMC) is a student-run clinic (SRC) in Buffalo, NY, providing free healthcare to uninsured and underserved patients. The LFMC relies primarily on community fundraising events for financial support, with the Annual Winter Gala serving as its main source of funding. In February 2023, the Gala successfully raised over $25,000.00 in profit, surpassing previous records by adopting several new fundraising strategies. These funds will significantly exceed the clinic's annual operating budget, enabling the expansion of patient services and the continued delivery of high-quality healthcare. Planning & Night of Gala: The student leaders of the LFMC meticulously planned the Gala, which involved soliciting donations from local businesses for basket raffles, organizing entertainment during the cocktail hour, and arranging a live auction featuring items donated by community members. Gala Impact: The 2023 Gala attracted 376 guests and generated a profit of $25,973.40. The event featured 47 basket raffles and 21 live auction donations. The resulting profit will be allocated to various expenses of the LFMC’s operations, including laboratory supplies, outsourced laboratory procedures, provider insurance policies, a food delivery initiative, patient transportation services, miscellaneous costs, and the expansion of future clinic initiatives. Conclusion: This descriptive report details the planning, implementation, and future directions of the Gala fundraising event. It serves as a valuable template for other SRCs across the nation, offering guidance on funding strategies to support their clinic operations.

Artificial Intelligence for safety and reliability: A descriptive, bibliometric and interpretative review on machine learning

This research provides a structured review of studies that utilize Artificial Intelligence for safety and reliability. In particular, it focuses on Machine Learning techniques to perform fault detection and diagnosis, anomaly detection, system prognosis, reliability analysis, and risk assessment of engineering-related systems across the industry. Relevant studies were identified through clear research questions, screened, and assessed for eligibility. Explicit inclusion and exclusion criteria were defined to verify the suitability of the records. The analysis encompasses a descriptive, bibliometric, and interpretative review. The descriptive analysis details how different ML approaches are adapted and implemented across various domains of safety and reliability. The bibliometric analysis provides in-depth and comprehensive statistics, covering aspects such as data types used, preprocessing steps undertaken, and categories of ML algorithms employed. The interpretative analysis offers a critical and forward-looking perspective on the current state of the field. A total of 308 papers were analyzed, mostly adopting supervised learning frameworks (81%) and addressing fault detection and diagnosis (57%) in more than 16 different industrial fields. The outcome of this study reflects the rapid development of this cross-cutting and interdisciplinary research field and highlights the potential for future improvement in the data-driven operational safety of industrial plants. Challenges and limitations have been highlighted and discussed, including data availability and label scarcity, data quality, trust and explainability, and interdisciplinary collaboration. Additionally, suggestions on potential solutions to overcome existing limitations and outline future directions are provided.

Who Participates in Focus Groups? Diagnosing Self-Selection

ABSTRACTFocus groups have become increasingly popular in political science alongside the growth in field experimental and other causal inference-oriented work in comparative politics. Yet, scholars rarely provide details about recruitment processes and descriptive statistics on focus-group participants. This situation is problematic given the likelihood of self-selection and the fact that scholars often use focus groups to pretest or refine experimental treatments or survey questionnaires. By leveraging a series of focus groups that were recruited from a pool of large-N survey respondents, this article demonstrates a method for assessing which variables drive the decision to participate. I recommend that scholars diagnose self-selection into focus groups whenever possible; that they compare participants to relevant baselines when working with samples of convenience; and that they always provide descriptive statistics and details on how focus-group members were recruited.

Denial of prescription pain medication among people who use drugs in Vancouver, Canada

BackgroundPeople who use drugs experience pain at two to three times the rate of the general population and yet continue to face substantial barriers to accessing appropriate and adequate treatment for pain. In light of the overdose crisis and revised opioid prescribing guidelines, we sought to identify factors associated with being denied pain medication and longitudinally investigate denial rates among people who use drugs.MethodsWe used multivariable generalized estimating equations analyses to investigate factors associated with being denied pain medication among people who use drugs reporting pain in three prospective cohort studies in Vancouver, Canada. Analyses were restricted to study periods in which participants requested a prescription for pain from a healthcare provider. Descriptive statistics detail denial rates and actions taken by participants after being denied.ResultsAmong 1168 participants who requested a prescription for pain between December 2012 and March 2020, the median age was 47 years and 63.0% were male. Among 4,179 six-month observation periods, 907 (21.7%) included a report of being denied requested pain medication. In multivariable analyses, age was negatively associated with prescription denial (adjusted odds ratio [AOR] = 0.98, 95% confidence interval [CI]:0.97–0.99), while self-managing pain (AOR = 2.48, 95%CI:2.04–3.00), experiencing a non-fatal overdose (AOR = 1.51, 95%CI:1.22–1.88), engagement in opioid agonist therapy (AOR = 1.32, 95%CI:1.09–1.61), and daily use of heroin or other unregulated opioids (AOR = 1.32, 95%CI:1.05–1.66) were positively associated with being denied. Common actions taken (n = 895) after denial were accessing the unregulated drug supply (53.5%), doing nothing (30.6%), and going to a different doctor/emergency room (6.1%). The period following the introduction of new prescribing guidelines was not associated with a change in denial rates.ConclusionsA substantial proportion of people who use drugs continue to be denied prescriptions for pain, with such denial associated with important substance use-related harms, including non-fatal overdose. Guidelines specific to the pharmaceutical management of pain among people who use drugs are needed.

XRaySwinGen: Automatic medical reporting for X-ray exams with multimodal model

The importance of radiology in modern medicine is acknowledged for its non-invasive diagnostic capabilities, yet the manual formulation of unstructured medical reports poses time constraints and error risks. This study addresses the common limitation of Artificial Intelligence applications in medical image captioning, which typically focus on classification problems, lacking detailed information about the patient's condition. Despite advancements in AI-generated medical reports that incorporate descriptive details from X-ray images, which are essential for comprehensive reports, the challenge persists. The proposed solution involves a multimodal model utilizing Computer Vision for image representation and Natural Language Processing for textual report generation. A notable contribution is the innovative use of the Swin Transformer as the image encoder, enabling hierarchical mapping and enhanced model perception without a surge in parameters or computational costs. The model incorporates GPT-2 as the textual decoder, integrating cross-attention layers and bilingual training with datasets in Portuguese PT-BR and English. Promising results are noted in the proposed database with ROUGE-L 0.748, METEOR 0.741, and NIH CHEST X-ray with ROUGE-L 0.404 and METEOR 0.393.

Case study: Accessioning and describing digital archival acquisitions using encoded archival description crosswalks

In 2021, the University of Southern California (USC) Libraries migrated to a new digital asset management system, Orange DAM, to administer its digital collections. The USC Libraries used this migration as an opportunity to improve its workflows for describing and enabling access to born-digital archival acquisitions. This case study examines the strengths and weaknesses of the USC Libraries’ past and current workflows for accessioning born-digital archival material. The case study focuses on the Libraries’ current workflow, which uses an Orange DAM export feature in conjunction with ArchivesSpace — an archives management application — to create and link the description of born-digital archival collections across USC’s discovery systems. The current workflow, created by the USC Libraries’ accessioning archivist in 2023, involves exporting metadata in an Encoded Archival Description (EAD) format from Orange DAM, editing the EAD using regular expressions, and then importing the description into an ArchivesSpace finding aid. While the current workflow prioritises expedited access over detailed description, it significantly improves the discoverability of new acquisitions of digital archives compared with previous workflows. Despite some duplication issues arising from the lack of built-in system integrations, this workflow strikes a balance between process efficiency and descriptive detail, aligning with the USC Libraries’ current operational limitations for managing digital archives.

Retail mix instruments influencing customer perceived value and customer engagement: a conceptual framework and research agenda

COVID-19 has transformed customer behavior, notably in FMCG retailers. Although online stores grow, retail mix instruments remain essential for traditional shops, as these affect customer value perceptions and engagement. While previous studies suggest that customer value perceptions and engagement are linked, little is known about the effects of retail mix instruments on customer value perceptions and engagement. This study aims to fill this knowledge gap. In this study, the stimulus-organism-response (S-O-R) framework was used to propose the a priori conceptual framework, which was further employed in investigating the phenomena and the three concepts: the impact of retail mix instruments (S) on consumer value perceptions (O) and customer engagement (R). Interviews were conducted with 40 informants recruited by convenience sampling and snowballing techniques. They were Gen-X and Gen-Y and had experience visiting two FMCG retailers in Thailand. A thematic analysis was undertaken to analyze the obtained data. The a priori conceptual framework had been revised iteratively according to the emerging theme, resulting in a new conceptual framework containing descriptive details in terms of significant themes identified from the field data and potential relationships among the three concepts. Findings revealed 12 retail mix instruments and the effect of COVID-19, which were found to affect six types of customer value perceptions, resulting in four customer engagement behaviors. The proposed conceptual framework, the study’s primary theoretical contribution of the study, is used to guide potential future research agenda. To suggest how FMCG retailers may leverage the proposed conceptual framework to design strategies to promote customer engagement behaviors, an application of sales promotions is illustrated and suggests how to use sales promotion activities to induce customer value perception and their engagements.

On the Specificities of the Arion Mosaic in the Villa del Casale (Piazza Armerina): Contribution to the Study of Arion Representations in Ancient Art

The paper deals with the representation of Arion on the monumental floor mosaic in one of the most representative rooms of the Roman Villa del Casale in Sicily, dating from the beginning of the 4th century (fig. 1, 2). It is special in many respects. It is the most monumental and magnificent representation of Arion in ancient art. Arion is depicted in the central part of а complex mosaic consisting of many scenes, figures and motifs. He is sitting on a dolphin and playing music on his instrument. The dolphin motif in this scene is unique and not examined in the literature, leaving much room for research. To our knowledge, it is a unique example of a dolphin ridden by Arion, shown hunting its prey, which is certainly not a coincidence or a descriptive detail of the artist, but a reflection of his knowledge and the clear intention of the patrons of the mosaic. On the contrary, this detail subtly explains the meaning of the entire mosaic illustrating the story of Arion and the reasons for his appearance. It suggests that the owners of the villa either belonged to the highest Roman aristocracy of their time, or perhaps were even related to the imperial family. By examining the history of the specific dolphin motif it is shown that this detail bears the symbolism of victory, thus, corresponding to the meaning of the Arion mosaic and other mosaics in Villa del Casale.

DSANet: Dynamic and Structure-Aware GCN for Sparse and Incomplete Point Cloud Learning.

Learning 3-D structures from incomplete point clouds with extreme sparsity and random distributions is a challenge since it is difficult to infer topological connectivity and structural details from fragmentary representations. Missing large portions of informative structures further aggravates this problem. To overcome this, a novel graph convolutional network (GCN) called dynamic and structure-aware NETwork (DSANet) is presented in this article. This framework is formulated based on a pyramidic auto-encoder (AE) architecture to address accurate structure reconstruction on the sparse and incomplete point clouds. A PointNet-like neural network is applied as the encoder to efficiently aggregate the global representations of coarse point clouds. On the decoder side, we design a dynamic graph learning module with a structure-aware attention (SAA) to take advantage of the topology relationships maintained in the dynamic latent graph. Relying on gradually unfolding the extracted representation into a sequence of graphs, DSANet is able to reconstruct complicated point clouds with rich and descriptive details. To associate analogous structure awareness with semantic estimation, we further propose a mechanism, called structure similarity assessment (SSA). This method allows our model to surmise semantic homogeneity in an unsupervised manner. Finally, we optimize the proposed model by minimizing a new distortion-aware objective end-to-end. Extensive qualitative and quantitative experiments demonstrate the impressive performance of our model in reconstructing unbroken 3-D shapes from deficient point clouds and preserving semantic relationships among different regional structures.

Determinants of Variable Total Platelet Count in Healthy Plateletpheresis Donor.

The platelet count in a healthy individual varies between 150 and 450 × 109/L. This study explores the factors affecting this variation in platelet count in healthy blood donors selected for platelet donation. This retrospective study comprises an analysis of platelet donor data between the year 2016-2022. The pre-recorded donor details such as age, gender, blood group, body mass index (BMI), and complete blood counts were collected and analyzed using the software 'R' (version 4.1.0). The statistical analysis consists of a test of normalcy followed by descriptive details and advanced statistics such as correlation and regression analysis to predict the variables affecting platelet count. The p-value of less than 0.05 was taken as significant. The median (IQR) of hemoglobin, platelet count, and total leucocyte count (TLC) was 142(135-150) g/L, 239(204-285) × 109/L, and 7.6(6.4-8.8) × 109/L, respectively. The platelet count was positively correlated with TLC (p = 0.000) and negatively with the age of the platelet donor (p = 0.001). The Kruskal-Wallis test detected significant differences in the platelet count among the ABO blood group (p = 0.008). Further, regression analysis confirms the independent positive association of total platelet count with the total leucocyte count (p = 0.000) and the negative association of platelet count with age (p = 0.004). This study concludes the strong dependency of total platelet count with total leucocyte count, age, and blood group.

Characterizing Legal Stylistics with a TXM textometric tool

Textometry tools can be used to characterize specialized varieties of English, such as Legal English. Our goal is to use the TXM textometry tool (Heiden et al., 2010) on Sales and Purchase Agreements (SPAs) to show agreements are drafted following a rigid structure, either in their form and shape (macrostructure) or their content (microstructure). We assume that the choice of words (Weisberg, 2014), and the construction of sentences or paragraphs [in agreements] shape how agreements are written and comprise the deal, that is, what is being sold. We hypothesize that there exists legal stylistics based on structural features. We built a corpus comprising Sales and Purchase Agreements of different sizes and topics to which the TXM tool was applied: parts of speech tagging help single out structure, linking words, word variety, frequencies, and writing routines. All descriptive details resulting from our implementation build legal stylistics that thus helps legal professionals, translators, teachers or clients better understand and draft agreements.

Reaching out for help

PurposeThe purpose of this paper is to illustrate how often survivors are dismissed and unsupported in response to actively reaching out for help with distress. The author hopes the vignettes written about in this piece will serve to support and contribute to a body of work, which will educate professionals how to better support. The author shares various experiences when opportunities to help were denied and the impact this had on recovery. It is also noted that the responses of some health professionals mirror the original trauma suffered and therefore add to distress unnecessarily.Design/methodology/approachThe author has written about various experiences in different settings in which the support offered fell below professional standards and contributed to further unnecessary distress. The writing is evocative and rich in descriptive detail of the event and then implications of the event on recovery.FindingsThe author concludes that it is helpful to use experiences of being dismissed and unsupported by various professionals to contribute to a body of work, which will hopefully educate and support those in caring professions to support survivors better. The author notes that responses to requests for help can unintentionally and intentionally further exacerbate the distress already experienced by those living with traumatic early life experiences and relational abruptions.Originality/valueThis is the author’s unique and first-hand lived experience of reaching out for help in relation to the distress experienced as a result of early life traumatic and adversarial experiences. The author notes that it is helpful to write about these difficult experiences with the hope that they will inform educational programmes to support health professionals in how they respond to people experiencing trauma. This has helped the author regain a sense of agency in contributing to the prevention of further unhelpful responses from various health professionals to those in distress. The vignettes are rich, deeply evocative and moving. The writing process also helped the author make sense of these further difficulties and how they impacted the recovery process.

Good Governance Principles in Buddhism for Business and Politics Administration

The objectives of this research were: 1) to study the principles of good governance in accordance with the rules and regulations of the office of the Thai Prime Minister; 2) to analyze Buddhist teachings related to the principles of good governance; and 3) to analyze the benefits of good governance principles in Buddhism for business and politics administration. This is a qualitative research. The researchers have studied and discovered the principles of good governance from Buddhist texts, books, documents, journals and related researches. The data were analyzed, discussed and presented in descriptive details along with analysis and recommendation per each aspect. The results of the research were found that: 1. The principles of good governance comprised of 6 important components: 1) Rule of law: enacting law, rule and regulation which are update, fair and just to everyone with equal implementation without discrimination. 2) Merit: praising virtue and merit; adhering to the rightness and goodness; and encouraging government officials and people to have honesty, sincerity, diligence, patience, discipline, and perform trustworthy occupations and professions. 3) Transparency: creating trust among each other by improving working mechanism of each person and organization to be transparent by revealing information straightforwardly, and providing ease to people in accessing the information. 4) Participation: Providing opportunities to people to participate, express ideas, set up plan and policy, and make decision on important issues. 5) Accountability: paying attention to public problems; placing importance on right, duty and social responsibility as well as having braveness to accept the results of his or her own conduct. 6) Economy: using limited resources for the great benefits; encouraging people not to spend luxurious life, and knowing to save and use resources worthily. 2. The principles of good governance in Buddhism can be presented as follows: 1) Rule of law: The Buddha enacted discipline with equity and fairness without discrimination; all Buddhist people have to practice in the same rule and discipline equally. 2) Merit: Buddhism praises merit and virtue more than other things. There are many Buddhist teachings related to good governance which can be presented as Dasarajadhamma or the tenfold code of the king or virtues of the ruler. 3) Transparency: Buddhism encourages Buddhist people to practice in the rule and discipline to be transparent by having good conduct in action, good conduct in word, and good conduct in thought. 4) Participation: Buddhism places great importance on participation; this can be seen in Aparihaniyadhamma, which means the principles leading never to decline but only to prosperity. 5) Accountability: Buddhism teaches that everyone is born with duty and responsibility to themselves, to their relatives and society; everyone has to be responsible for his or her own conduct. 6) Economy: Buddhism teaches people to use resources with saving and worthiness such as the principle of moderation (Mattannuta) which suggests people to have moderation, temperance, and sense of proportion in spending resources. 3. Good governance principles in Buddhism have great benefits for business and politics administration as follows: in terms of governance, good governance principles in Buddhism can help to improve the governance to have good discipline and regularity, eliminate misconduct and corruption. In terms of economy, good governance principles in Buddhism can generate fairness and equity in carrying on an occupation, and improve right and freedom in doing business with knowledge and capability. In terms of society, good governance principles in Buddhism can support and encourage the society to live with happiness and peace, create social equity and integrity, improve human right, and build society to have harmony and unity.

KUALITAS AIR SUMUR GALIAN PINGGIR SUNGAI DI KELURAHAN LIDAK KECAMATAN ATAMBUA SELATAN KABUPATEN BELU

This research aims to:1). To determine the water quality of dug wells on the banks of a river used for drinking water needs in the dry season in the Lidak village river Atambua District, Belu Regency. Types of Qualitative Research. Which research focus stems from an inductive mindset, which is based on participatory objective observation of a symptom (phenomena) social. qualitative data in the form of descriptive details. If viewed from problems with the quality of water from dug wells and the distance of wells far from residential areas, then the type of research that leads to the study of physical geography, Data collection (procedure research) 1. Sampling point 2. Collection 3. Documentation. Laboratory test results on the quality of dug well water through 2 samples of dug well water on physical parameters and The bacteriological parameters indicated that the water from the two dug wells, namely well 1 and well 2, passed through physical parameters met the requirements while the bacteriological parameters did not meet the requirements, it was seen The results table shows the bacteriological high in the dug well water sample 1 has a yield of 75 MPN/100 ml in the maximum prescribed concentration (50 MPN/10 ml) in the bacteriological parameter Total coliform while the E coli parameter is 11 MPN/100 m from the specified maximum level (0 MPN/100 m), then 2 dug well water samples indicates a higher bacteriological level where the results of the table show dug well water 2 in bacteriological parameters, the total coliform was 460 MPN/100 ml of the maximum concentration specified. whereas in the bacteriolytic parameters of E coli as much as 60 MPN/100 ml this result showing the number of harmful bacteria present in the dug well water, total bacterology coliform and E coli Total coliform is a group of bacteria used as an indicator presence of dirt pollution. The total coliform in food or drink shows the possibility of harmful enteropathogenic and/or toxigenic microbes for health

Management of large placental chorioangioma: two-port laser approach for fetal intervention.

There is a paucity of literature providing evidence-based guidelines for the management of large placental chorioangioma (≥ 4 cm in diameter). The objectives of this study were to compare outcomes between patients managed expectantly and those undergoing in-utero intervention and to describe the different in-utero techniques used for cessation of blood flow to the tumor and the associated outcome. This was a retrospective cohort study of 34 patients referred for the management of large placental chorioangioma in a single center between January 2011 and December 2022, who were managed expectantly or underwent in-utero intervention. In-utero intervention was performed when the fetus developed any signs of impending compromise, including high combined cardiac output (CCO), worsening polyhydramnios or abnormal fetal Doppler velocimetry findings. Interventions included radiofrequency ablation (RFA), interstitial laser ablation (ILA) and single-port or two-port fetoscopic laser photocoagulation (FLP). Treatment selection was dependent on the proximity of the tumor to the umbilical cord insertion (UCI) and placental location. The two-port technique was performed in patients with a chorioangioma with large feeding vessels (≥ 3 mm) located in the posterior placenta, in which one port was used for occlusion using bipolar forceps and the other port was used for laser photocoagulation of the feeding vessels downstream. The single-port technique was used for chorioangioma with small feeding vessels (< 3 mm) located in the posterior placenta. ILA or RFA was performed in cases with an anterior placenta. Supportive treatments, including amnioreduction and intrauterine transfusion (IUT), were performed for worsening polyhydramnios and suspected fetal anemia based on middle cerebral artery Doppler flow studies, respectively. Comparative statistical analysis between cases undergoing expectant management vs in-utero intervention was performed. Descriptive details were provided for patients who underwent in-utero intervention. Thirty-four cases of large chorioangioma were evaluated, of which 25 (73.5%) were managed expectantly and nine (26.5%) underwent intervention. The frequency of polyhydramnios was significantly higher in the intervention group compared with the expectant-management group (66.7% vs 8.0%, P < 0.001). The live-birth rate among expectantly managed cases with large chorioangioma was significantly higher compared with that in cases that underwent in-utero intervention (96.0% vs 62.5%, P = 0.01). In the intervention group, preoperative CCO was elevated in all cases with available information and preoperative hydrops was present in 33.3% (3/9) of cases. One patient experienced fetal demise following IUT prior to planned FLP. Among the remaining eight patients, four underwent two-port FLP, two underwent single-port FLP, one underwent ILA and one underwent both ILA and RFA. All three cases in which hydrops was present at the time of intervention resulted in fetal demise. In-utero interventions aimed at cessation of blood flow in the feeding vessels are a therapeutic option for the management of cases with large chorioangioma. The two-port percutaneous technique appears to improve the efficiency of FLP when a large chorioangioma with large feeding vessels is located in the posterior placenta. We propose that in-utero interventions for large chorioangioma should be initiated prior to the development of fetal hydrops. © 2023 International Society of Ultrasound in Obstetrics and Gynecology.

Utilization of Instagram by Urology Residency Programs for Applicant Recruitment

Purpose: To assess Instagram content and trends by urology residency programs. Materials and Methods: A cross-sectional analysis of urology residency program Instagram accounts was completed after data collection between October 1 and 20, 2022. Included accounts were reviewed and descriptive details were recorded, such as number of followers, those followed, and post content. All posts were then coded on a predetermined list of 7 categories: (1) resident promotion; (2) faculty/departmental promotion; (3) activities outside medicine; (4) research, presentation, or awards; (5) urology match/application-related promotion; (6) “urology in general”; and (7) other. Results: Overall, 66 of 147 (44.9%) programs had an account at the time of analysis. About half (31 of 66, 47%) of accounts were created between June and December 2020. Accounts had a median of 633 followers (IQR: 254,844) and 39 posts (IQR: 18,64). Of the 3236 posts analyzed, the majority featured residents or activities outside medicine; video posts were least used. Posts promoting residents had significantly higher average likes per post compared with all other categories except posts about “urology in general.” Conclusions: To our knowledge, this is the first study analyzing the use of Instagram by urology residency programs for recruitment. Our study describes an increasing number of urology residency program Instagram accounts for showcasing residents and life outside of medicine to engage with followers.