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Prevention Of Ovarian And Endometrial Cancer By Combined Oral Contraceptives: A Demographics Study, Joanna S. Heywood 2017 Claremont McKenna College

Prevention Of Ovarian And Endometrial Cancer By Combined Oral Contraceptives: A Demographics Study, Joanna S. Heywood

CMC Senior Theses

Endometrial cancer is the most common gynecologic cancer with 54,870 cases occurring in the United States in 2015 and causing 10,170 deaths, an 18.5% mortality rate (Elit and Reade, 2015). Ovarian cancer, while less common, is much more fatal. In 2015 in the United States, 21,290 cases occurred and resulted in 14,180 deaths, a 66.6% mortality rate. This mortality rate makes ovarian cancer the fifth most deadly cancer for women in the United States, which is largely explained by ineffective screening strategies and limited treatment possibilities (Cramer, 2012). Thus, developing effective prevention strategies is ...


Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas 2016 University of Massachusetts Medical School

Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas

Tiffany A. Moore Simas

Introduction: Our objective is to assess HPV vaccine series completion rates, whether on-screen Point of Service reminders (POS) make a difference, and missed opportunities for reminders to have an effect.

Methods: Retrospective, claims-based study of females aged 9-26 receiving an initial dose of HPV vaccine during 2 periods: before (period 1) and after (period 2) implementation of a POS reminder system in 1(“Change Group”) of 2 physician groups using EHRs for both periods. Completion rates, and missed opportunities during eligible periods were calculated for those with continuous enrollment in the health plan investigated.

Results: Completion rates within 1 year ...


Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas 2016 University of Massachusetts Medical School

Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas

B. Dale Magee

Introduction: Our objective is to assess HPV vaccine series completion rates, whether on-screen Point of Service reminders (POS) make a difference, and missed opportunities for reminders to have an effect.

Methods: Retrospective, claims-based study of females aged 9-26 receiving an initial dose of HPV vaccine during 2 periods: before (period 1) and after (period 2) implementation of a POS reminder system in 1(“Change Group”) of 2 physician groups using EHRs for both periods. Completion rates, and missed opportunities during eligible periods were calculated for those with continuous enrollment in the health plan investigated.

Results: Completion rates within 1 year ...


Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors., Lorraine Dugoff, Archana Pradhan, Petra Casey, John L. Dalrymple, Jodi F. Abbott, Samantha D. Buery-Joyner, Alice Chuang, Amie J. Cullimore, David A. Forstein, Brittany S== S. Hampton, Joseph M. Kaczmarczyk, Nadine T. Katz, Francis S. Nuthalapaty, Sarah M. Page-Ramsey, Abigail Wolf, Nancy A Hueppchen 2016 University of Pennsylvania

Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors., Lorraine Dugoff, Archana Pradhan, Petra Casey, John L. Dalrymple, Jodi F. Abbott, Samantha D. Buery-Joyner, Alice Chuang, Amie J. Cullimore, David A. Forstein, Brittany S== S. Hampton, Joseph M. Kaczmarczyk, Nadine T. Katz, Francis S. Nuthalapaty, Sarah M. Page-Ramsey, Abigail Wolf, Nancy A Hueppchen

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational ...


Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors, Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M. Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen 2016 Philadelphia College of Osteopathic Medicine

Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors, Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M. Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen

PCOM Scholarly Papers

BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational ...


Delay Discounting Of Pregnancy- And Condom-Protected Sex Among Methadone-Maintained Women, Dennis J. Hand, PhD, Lindsay Reid, Diane J. Abatemarco, MSW, PhD 2016 Thomas Jefferson University

Delay Discounting Of Pregnancy- And Condom-Protected Sex Among Methadone-Maintained Women, Dennis J. Hand, Phd, Lindsay Reid, Diane J. Abatemarco, Msw, Phd

Department of Obstetrics and Gynecology-Faculty, Presentations and Grand Rounds

Introduction

  • Over 80% of pregnancies are unintended among women with opioid use disorder (OUD; Heil et al., 2011).
  • Use of effective contraception is uncommon in this population (Terplan et al., 2015).
  • Initiating and using effective contraception involves delays: to obtain the method from a provider, to become protected after initiating use.
  • Interventions that include delay reductions among other elements have increased contraceptive use (Heil et al., 2016; Secura et al., 2014).
  • Women with OUD have reported greater likelihood of engaging in unprotected sex at shorter delays to acquiring protection from sexually-transmitted infection (STI) than women without OUD (Herrmann et al ...


Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas 2016 University of Massachusetts Medical School

Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas

Obstetrics and Gynecology Publications and Presentations

Introduction: Our objective is to assess HPV vaccine series completion rates, whether on-screen Point of Service reminders (POS) make a difference, and missed opportunities for reminders to have an effect.

Methods: Retrospective, claims-based study of females aged 9-26 receiving an initial dose of HPV vaccine during 2 periods: before (period 1) and after (period 2) implementation of a POS reminder system in 1(“Change Group”) of 2 physician groups using EHRs for both periods. Completion rates, and missed opportunities during eligible periods were calculated for those with continuous enrollment in the health plan investigated.

Results: Completion rates within 1 year ...


Ectopic Ureter In An Adolescent Female With Vaginal Discharge: A Case Report, Avery M. Whitis, Colleen K. Stockdale 2016 University of Iowa Carver College of Medicine, Iowa City, Iowa

Ectopic Ureter In An Adolescent Female With Vaginal Discharge: A Case Report, Avery M. Whitis, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

Background: An ectopic ureter inserts at a site other than the bladder neck, including urethra, vagina, and vestibule in women. These are typically diagnosed in childhood with the onset of continuous urinary incontinence after toilet training. However, they can be difficult to diagnose and rarely present in adults as urinary incontinence refractory to treatment.

Case: A 17-year-old female presented with a five-year history of profuse, watery vaginal discharge and recurrent urinary tract infections, in the setting of normal voiding patterns. Discharge was initially categorized as physiologic. After months without improvement, CT urogram revealed a duplex left sided ureteral system that ...


Intrauterine Fetal Demise With Caudal Regression Syndrome, A Case Report, Devin A. McKissic, Colleen K. Stockdale 2016 University of Iowa Carver College of Medicine, Iowa City, Iowa

Intrauterine Fetal Demise With Caudal Regression Syndrome, A Case Report, Devin A. Mckissic, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

Background: The causes of intrauterine fetal demise are varied and not entirely well-understood. Multiple observational studies have shown that both perinatal and infant mortality rates are increased in children of diabetic mothers when compared to those of nondiabetic mothers.

Case: We present a case involving a 22-year-old G4P0120 with poorly controlled type 1 diabetes mellitus and a complex medical history including two first trimester fetal losses, and second trimester intrauterine fetal demise who presented during the second trimester for care and was found to have a fetus with ultrasound findings consistent with caudal regression syndrome. When she presented in labor ...


Use Of Foley's Catheter Balloon Tamponade To Control Placental Site Bleeding Resulting From Major Placenta Previa During Cesarean Section, Mohammed Khairy Ali, Ahmed M. Abbas, Ahmed Yehia Abdelbadee, Sherif A. Shazly, Ahmed M. AbdelMajeed 2016 Women Health Hospital, Assiut, Egypt

Use Of Foley's Catheter Balloon Tamponade To Control Placental Site Bleeding Resulting From Major Placenta Previa During Cesarean Section, Mohammed Khairy Ali, Ahmed M. Abbas, Ahmed Yehia Abdelbadee, Sherif A. Shazly, Ahmed M. Abdelmajeed

Proceedings in Obstetrics and Gynecology

Aim: To evaluate the effect of 2-way Foley's catheter balloon tamponade on controlling immediate postpartum hemorrhage (PPH) in cases of major placenta previa during cesarean section (CS).

Methods: We evaluated women with placenta previa from May to November 2015. Women with immediate PPH during CS due to major placenta previa were managed by 2-way Foley's catheter balloon tamponade when medical treatment failed, and before any surgical intervention.

Results: Twenty patients, had major placenta previa, were delivered by elective CS and complicated by immediate PPH. Three placenta accreta patients (15%) underwent hysterectomy, 17 (85%) were managed by the 2-way ...


Does Preparation For Childbirth Training Reduce The Cesarean Rate?, Yıldız Arzu Aba, Şirin Özkan, Hacer Ataman, Bulat Aytek Şık, Serkan Kumbasar, Murat Bozkurt, Eray Çalışkan 2016 Faculty of Healty Sciences, Bandırma Onyedi Eylul Unıversity, Balıkesir,Turkey

Does Preparation For Childbirth Training Reduce The Cesarean Rate?, Yıldız Arzu Aba, Şirin Özkan, Hacer Ataman, Bulat Aytek Şık, Serkan Kumbasar, Murat Bozkurt, Eray Çalışkan

Proceedings in Obstetrics and Gynecology

Purpose: This study was conducted as experimental and prospective to determine the effect of birth preparation training on the birth route preparations of pregnant individuals.

Methods: The study was conducted in three state hospitals which operate under Kocaeli State Hospitals Community. The study group included 110 pregnant individuals who attended the hospitals’ birth preparation training classes between 1 January – 30 June 2015 and the control group included 90 pregnant individuals from Kocaeli Maternity Hospital. The chi-squared test was used to measure the differences between groups in classified variables, and the t-test was used for parametric variables. P <0.05 was considered to be significant

A survey form ...


Preterm Birth : Can We Do Better?, Scott A. Sullivan, Matt Hoffman, John Elliott 2016 Division of Maternal-Fetal Medicine of the Department of Obstetrics & Gynecology at the Medical University of South Carolina, Charleston, SC.

Preterm Birth : Can We Do Better?, Scott A. Sullivan, Matt Hoffman, John Elliott

Proceedings in Obstetrics and Gynecology

Preterm birth (PTB) remains the most serious complication in obstetrics and a substantial excess burden in US healthcare economics. The etiology of PTB is complex and likely has multiple physiological pathways. Unfortunately, current antenatal care screening methods have not been successful in predicting and, eventually, preventing PTB.

Although treatments such as progesterone, cerclage and pessary are available for patients with historical risk factors and shortened cervix, these treatments are not universally efficacious. Antenatal care is in great need of new prediction and prevention strategies.

The role of more global methods of screening and treatment is still undefined. Most women with ...


Can Evaluation Of The Cervix With Histogram And Bishop Scoring Prior To Birth Induction Forecast The Birth Type For Superannuated Primigravidas?, Aytek Sık, Murat Bozkurt,, Serkan Kumbasar,, Eray Çalıskan 2016 Department Of Obstetrics and Gynecology ,Istanbul Aydin University, Istanbul, Turkey

Can Evaluation Of The Cervix With Histogram And Bishop Scoring Prior To Birth Induction Forecast The Birth Type For Superannuated Primigravidas?, Aytek Sık, Murat Bozkurt,, Serkan Kumbasar,, Eray Çalıskan

POG In Press

Purpose: We conducted this study to research both the forecasting efficiency of the cervical histogram and Bishop scoring for birth type (vaginal birth/cesarean) for the superannuated primigravida prior to birth induction.

Methods: Ninety primigravidas in week 41 and beyond were included in the present study. Exclusions for the study included prior labor, ruptured membranes, any major uterine operations, cephalopelvic discord, fetal malpresentations, fetal anomalies, multiple pregnancy, placenta previa, vaginal bleeding, a high sensitivity for oxytocin usage, and an estimated fetal weight greater than 4000 g. Histogram hyperechogenic focus and hypoechogenic focus measurements are conducted in normal spontaneous birth (NSD ...


Dexamethasone For The Prevention Of Neonatal Respiratory Morbidity Before Elective Cesarean Section At Term, Mohammed N. Salem, Ahmed M. Abbas, Mostafa Ashry 2016 Department of Obstetrics and Gynecology, Faculty of Medicine; Sohag University, Sohag, Egypt

Dexamethasone For The Prevention Of Neonatal Respiratory Morbidity Before Elective Cesarean Section At Term, Mohammed N. Salem, Ahmed M. Abbas, Mostafa Ashry

Proceedings in Obstetrics and Gynecology

Background: Respiratory distress syndrome (RDS) is the principal cause of early neonatal morbidity and mortality.

Objective: The current study aims to evaluate the effect of dexamethasone administration 48 hours before elective cesarean section (CS) at term on neonatal respiratory morbidity.

Methods: The current study was a case-control study conducted between June 2015 and November 2015. Women who attended the labor ward in Sohag University Hospital, Egypt, after 37 weeks of gestation for elective CS were approached for participation. The patients received 2 intramuscular doses of 12 mg dexamethasone 12 hours apart in the 48 hours before CS (N=246). The ...


Experimental Pain Sensitivity In Women With Vestibulodynia: A Pilot Study, Laura A. Frey Law, Avery M. Whitis, Colleen K. Stockdale 2016 Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, Iowa

Experimental Pain Sensitivity In Women With Vestibulodynia: A Pilot Study, Laura A. Frey Law, Avery M. Whitis, Colleen K. Stockdale

POG In Press

Objective: Investigate pain sensitivity in women with vestibulodynia using two experimental pain assessments outside the vulvar region: intramuscular infusion of an acidic phosphate buffer and pressure pain thresholds (PPTs) of the lower limb.

Methods: Three women with a history of vestibulodynia (all 24 years) participated after providing written informed consent. PPTs of the lower limb were assessed using a hand-held Somedic digital algometer (30 kilopascal (kPa)/sec) at baseline (pre-infusion) and during the intramuscular infusion. The acidic phosphate buffer (pH 5.2) was infused into the anterior tibialis muscle at a rate of 40 ml/hr for 15 min (10 ...


Does Age Influence Knowledge And Attitudes About Intrauterine Devices?, Sara Edwards, Lisa Perriera, MD, MPH, Rebecca J. Mercier MD MPH 2016 Thomas Jefferson University

Does Age Influence Knowledge And Attitudes About Intrauterine Devices?, Sara Edwards, Lisa Perriera, Md, Mph, Rebecca J. Mercier Md Mph

CWIC Posters

Primary objectives:

  • Are there differences in attitudes and beliefs about IUDs based on age?
  • We hypothesized that older women may be more familiar with the negative outcomes of earlier models of the IUD and therefore may hold more negative attitudes toward IUDs.


Proceedings Of 2016 Aurora Scientific Day, 2016 Aurora Health Care

Proceedings Of 2016 Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This supplement includes select abstracts presented at the 42nd annual Aurora Scientific Day research symposium, held May 25, 2016, in Milwaukee, Wisconsin. Aurora Scientific Day provides a forum for original research conducted by faculty, fellows, residents, students and other allied health professionals affiliated with Aurora Health Care, a not-for-profit health system comprised of integrated hospitals and clinics across eastern Wisconsin and northeastern Illinois.


Association Between Pregnancy Intention And Maternal Characteristics, Outcomes, And Cost Of Care: A Pilot Study, Kristy M. Kelel, Kiley B. Vander Wyst, Danielle M. Greer, Danish Siddiqui 2016 Department of Obstetrics and Gynecology, Aurora Sinai Medical Center

Association Between Pregnancy Intention And Maternal Characteristics, Outcomes, And Cost Of Care: A Pilot Study, Kristy M. Kelel, Kiley B. Vander Wyst, Danielle M. Greer, Danish Siddiqui

Journal of Patient-Centered Research and Reviews

Background: An estimated 51% of pregnancies in the United States are unintended. In Wisconsin, unplanned pregnancies account for 40% of all pregnancies and cost $148 million in public funds. Unintended pregnancy, which creates increased hardship for mothers and threatened well-being of infants, has been recognized as an important health, social and economic problem.

Purpose: To determine the pregnancy intentions of postpartum women and the maternal characteristics, outcomes and costs of care associated with unintended pregnancies at a large urban hospital in Milwaukee, Wisconsin.

Methods: Postpartum women were surveyed prior to discharge. The 20-item survey included whether or not the woman ...


Mind And Body Training To Improve Functioning And Coping With Chronic Pain: A Pilot Study, Olga Valieva, Leah M. Welsh, Betty Amuzu, Niraj Nijhawan, Jessica J.F. Kram 2016 Department of Obstetrics and Gynecology, Aurora Sinai Medical Center

Mind And Body Training To Improve Functioning And Coping With Chronic Pain: A Pilot Study, Olga Valieva, Leah M. Welsh, Betty Amuzu, Niraj Nijhawan, Jessica J.F. Kram

Journal of Patient-Centered Research and Reviews

Background: Patients with chronic pain are often crippled by psychological distress, depression and fear. These patients also can develop altered pain perception, with enhanced brain activity in pain-responsive regions and those associated with anxiety/depression. Exercise and meditation can impact pain-reducing brain areas and positively influence pain characteristics.

Purpose: To alter pain center activity by reducing the activation of the higher brain and deactivation of the lower brain with somatocognitive and meditative practices, with secondary aim of reducing anxiety/depression and improve overall quality of life.

Methods: We conducted a pilot study on mentally competent adult women with stable chronic ...


Losing Ground: Awareness Of Congenital Cytomegalovirus In The United States, Sara M. Doutre, Tyson S. Barrett, Janelle Greenlee, Karl R. White 2016 Utah State University

Losing Ground: Awareness Of Congenital Cytomegalovirus In The United States, Sara M. Doutre, Tyson S. Barrett, Janelle Greenlee, Karl R. White

Journal of Early Hearing Detection and Intervention

One in 150 infants is born with cytomegalovirus (CMV) and one in 750 will have lifelong disabilities due to CMV. Even though congenital CMV is the leading viral cause of congenital disabilities and the leading non-genetic cause of childhood hearing loss, most adults have never heard of it. Data from the 2015 and 2016 HealthStylesTM surveys were analyzed and compared to data from similar studies and show an awareness rate of 7% for US adults (5% for men and 9% for women), a statistically significant decrease from 2005 and 2010 studies. Predictors of awareness include gender and education level ...


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