Background: Magnetic resonance (MR) is a common imaging modality used in obstetrics and gynecology due its decreased radiation risk. MR risks specific to women have been studied, but mostly involve risks to a fetus in imaging done during pregnancy. In non-pregnant women, literature is limited to occupational survey evidence and case reports of abnormal uterine bleeding among female healthcare workers with frequent MR exposure and copper IUD use. Anecdotal reports from an online patient forum suggests a possible link with abnormal uterine bleeding after undergoing MR exposure. To our knowledge no formal research has been done to investigate abnormal uterine bleeding in association with MR exposure. This study aims to describe abnormal uterine bleeding, cramping/pelvic pain, or menstrual clotting after MR exposure in women who otherwise report regular menstrual cycles.​

The greater Sacramento area is host to over 30,000 residents who primarily speak Russian, of whom approximately 55% are not fluent in English (Sacramento County LEP, 2014). Many may find it difficult navigating the Western medical system. Lack of access to healthcare also may put Russian-speaking residents who live in lower socioeconomic areas at higher risk of developing preventable chronic diseases (Ainsworth, Dale, 2012). Thus, Nadezhda Clinic has been established to bring the Russian-speaking community of Sacramento culturally sensitive primary healthcare at no cost to the patient. To determine the effectiveness of this project, patients were administered a modified satisfaction questionnaire (PSQ-18) at their first and each subsequent visit. Here, we present a progress report from August 2019 to January 2020 that investigates trends such as Patient Satisfaction, Patient Adherence to Appointments, Clinic Finances and Adherence to ShortTerm Goals. The long-term goal of this study is to elucidate how Nadezhda Clinic can best target the gaps in healthcare access in the Russian speaking community residing in Sacramento, CA.