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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Surveys02:16

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Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
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Stereotypes, Prejudice, and Discrimination02:55

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Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
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Development of the Oral Microbiota01:28

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The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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Regression Toward the Mean01:52

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Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
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Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

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Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
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Related Experiment Video

Updated: Apr 7, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
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External Cephalic Version: Is it an Effective and Safe Procedure?

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Racial/ethnic differences in weekend delivery after induction of labor.

G H Falciglia1,2, W A Grobman2,3, K Murthy1,2

  • 1Division of Neonatology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|July 10, 2015
PubMed
Summary

Induction of labor (IOL) frequency differs by day of the week and maternal race/ethnicity. Weekend IOL was less common overall but showed variations among racial groups, particularly in late preterm gestations.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Health Disparities Research

Background:

  • Induction of labor (IOL) is a common obstetric procedure.
  • Understanding variations in IOL frequency is crucial for optimizing obstetric care.
  • Previous research suggests potential disparities in healthcare delivery based on race/ethnicity and day of the week.

Purpose of the Study:

  • To investigate the association between the day of the week and the frequency of labor induction.
  • To examine how maternal race/ethnicity influences the likelihood of labor induction on weekends.
  • To explore the interaction between gestational age, day of the week, and race/ethnicity in labor induction rates.

Main Methods:

  • Analysis of a large US cohort (2007-2010) of gravid women.
  • Stratification of women by gestational age (<34, 34-36, 37-38, and >=39 weeks).
  • Multivariable regression models to assess the impact of weekend delivery, race/ethnicity, and their interaction on induction rates.

Main Results:

  • Labor induction was less frequent on weekends across all gestational ages (P<0.01).
  • Non-Hispanic white women were more likely to undergo induction compared to black, Hispanic, and 'other' racial/ethnic groups (P<0.01).
  • A significant interaction between race/ethnicity and weekend delivery was observed (P<0.001), with higher weekend IOL rates noted in black women during late preterm gestation (OR, 1.08).

Conclusions:

  • The disparity in labor induction rates by race/ethnicity widens with increasing gestational age.
  • These racial/ethnic differences in induction rates were least pronounced during weekend periods.
  • Findings highlight the complex interplay of timing, race, and gestational age in labor induction practices.