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Vaginitis And Risk Of Sexually Transmitted Infections: Results Of A Multi-Center U.S. Clinical Study Using Sti Nucleic Acid Amplification Testing, Jane R Schwebke, Paul Nyirjesy, Melissa Dsouza, Damon Getman 2024 Thomas Jefferson University

Vaginitis And Risk Of Sexually Transmitted Infections: Results Of A Multi-Center U.S. Clinical Study Using Sti Nucleic Acid Amplification Testing, Jane R Schwebke, Paul Nyirjesy, Melissa Dsouza, Damon Getman

SKMC Student Presentations and Publications

Significant increases in rates of sexually transmitted infections (STIs) caused by Trichomonas vaginalis (TV), Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG) are occurring in the United States. We present results of a U.S. study examining the intersection of STIs and vaginitis. Among 1,051 women with diagnoses for the presence or absence of bacterial vaginosis (BV) and/or symptomatic vulvovaginal candidiasis (VVC), 195 (18.5%) had one or more STIs, including 101 (9.6%) with TV, 24 (2.3%) with CT, 9 (0.8%) with NG, and 93 (8.8%) with MG. STI prevalence in BV-positive women was 26.3% (136/518), significantly higher than STI …


The Status Of Abortion Care Training For Medical Providers Amidst The Current Abortion Access Crisis: A Literature Review, Leah Johnson 2024 Augsburg University

The Status Of Abortion Care Training For Medical Providers Amidst The Current Abortion Access Crisis: A Literature Review, Leah Johnson

Theses and Graduate Projects

Background: While a common, safe, and essential aspect of reproductive healthcare, abortions have been subject to countless legal restrictions and bans in the United States, especially after the overturn of Roe v. Wade. This has also exacerbated the current shortage of abortion providers. Within this crisis of worsening abortion access, it is imperative to appropriately train future clinicians to provide abortion care. Purpose: This literature review will investigate the status of abortion training in medical schooling. It will explore physician-specific education in abortion and look specifically at the impact of recent legal threats on the availability of this training. Finally, …


Maternal Mortality In American Indian And Alaska Native Women: It Is Time To Prevent The Preventable, Brynn Cusack 2024 Augsburg University

Maternal Mortality In American Indian And Alaska Native Women: It Is Time To Prevent The Preventable, Brynn Cusack

Theses and Graduate Projects

Background: A concerning disparity exists between maternal mortality rates of American Indian and Alaska Native (AIAN) women and White women. Contributing factors include historical trauma, systemic inequities, inadequate funding, and deprioritization of the health of AIAN people.

Purpose: This literature review aims to address the research question: “Why were American Indian and Alaska Native women two times more likely to die of pregnancy-related causes than White women in the US during the period of 2017 through 2019?” The review explores historical context, current evidence, potential causes and interventions that can address AIAN maternal mortality.

Methods: A comprehensive literature review was …


Cycle Syncing: Optimizing Women's Quality Of Life, Megan Francois 2024 Augsburg University

Cycle Syncing: Optimizing Women's Quality Of Life, Megan Francois

Theses and Graduate Projects

A woman’s hormones are in constant fluctuation throughout the menstrual cycle. This 28-day, on average, fluctuation can cause major shifts in mood, cognition, exercise tolerance, and nutrition needs. Because of this, there is potential to optimize quality of life if each phase is synced with diet, exercise, and complementary medicine utilizing holistic methods. Implications for further research include a need for additional longitudinal and prospective studies. Factors that need to be addressed include further analysis of the windows of vulnerability over the menstrual cycle according to female hormone fluctuations, effects of hormonal contraceptives, and effects of pathology on the cycle.


The Use Of Near-Infrared Angiography In Evaluating Bowel Anastomosis During A Gynecologic Oncology Surgery, Lea A. Moukarzel, Sarah Andres, Oliver Zivanovic 2024 Jefferson Abington Health

The Use Of Near-Infrared Angiography In Evaluating Bowel Anastomosis During A Gynecologic Oncology Surgery, Lea A. Moukarzel, Sarah Andres, Oliver Zivanovic

Abington Jefferson Health Papers

Reducing anastomotic leak rates after bowel resection is a priority among patients undergoing gynecologic oncology surgery. While near-infrared (NIR) angiography has been investigated in the colorectal literature, more recent work has demonstrated promising results when used in gynecologic cancer surgery. It has been repeatedly shown to be a safe intervention that can offer real time assessment of bowel perfusion, offering the surgeon the opportunity to act on the results in the hopes of decreasing the risk of complications.


Syphilitic Gumma Presenting As Squamous Cell Carcinoma Of Vulva: A Case Report, R.M. Nuss, A.J. Lazenby, Holly C. Provost, Tara Castellano 2024 University of Oklahoma at Tulsa

Syphilitic Gumma Presenting As Squamous Cell Carcinoma Of Vulva: A Case Report, R.M. Nuss, A.J. Lazenby, Holly C. Provost, Tara Castellano

School of Medicine Faculty Publications

Introduction: Tertiary syphilis, a late form of the disease with neurologic, cutaneous, and cardiovascular manifestations, is rarely seen in the United States in modern times. Also called the “great imitator,” syphilis tends to mimic other disease processes, which can lead to a delay in proper diagnosis and treatment. Case: We present the case of a 59-year-old woman who presented for evaluation of possible squamous cell carcinoma of the vulva. After multiple inconclusive biopsies and extensive workup with multiple providers, she was instead found to have cutaneous and neurologic tertiary syphilis. A correct diagnosis was delayed in this patient due to …


The Precise-Dyad Neurodevelopmental Substudy Protocol: Neurodevelopmental Risk In Children Of Mothers With Pregnancy Complications, Dorcas Magai, Jaya Chandna, Marie-Laure Volvert, Rachel Craik, Hawanatu Jah, Agnes Msoka, Amina Abubakar, Angela Koech, Grace Mwashigadi, Marleen Temmerman 2024 University of Liverpool, UK

The Precise-Dyad Neurodevelopmental Substudy Protocol: Neurodevelopmental Risk In Children Of Mothers With Pregnancy Complications, Dorcas Magai, Jaya Chandna, Marie-Laure Volvert, Rachel Craik, Hawanatu Jah, Agnes Msoka, Amina Abubakar, Angela Koech, Grace Mwashigadi, Marleen Temmerman

Centre of Excellence in Women and Child Health

Background: Over 250 million children are not reaching their developmental potential globally. The impact of prenatal factors and their interplay with postnatal environmental factors on child neurodevelopment, is still unclear—particularly in low- and middle-income settings. This study aims to understand the impact of pregnancy complications as well as environmental, psychosocial, and biological predictors on neurodevelopmental trajectories. Open Peer Review Approval Status 1 2 version 2 (revision) 05 Aug 2024 view view version 1 09 Nov 2023 view view Kimford Meador, Stanford University School of Medicine, Palo Alto, CA,, USA 1. Page 1 of 21 Wellcome Open Research 2024, 8:508 Last …


Cord Blood Troponin I Levels: Biomarker Evidence Of Fetal Cardiac Injury In Intrahepatic Cholestasis Of Pregnancy, Itamar Futterman, Hitangee Jain, Rodney McLaren, Jonathan Mays 2024 Thomas Jefferson University

Cord Blood Troponin I Levels: Biomarker Evidence Of Fetal Cardiac Injury In Intrahepatic Cholestasis Of Pregnancy, Itamar Futterman, Hitangee Jain, Rodney Mclaren, Jonathan Mays

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Intrahepatic cholestasis of pregnancy has been linked to sudden stillbirth. The suddenness of the stillbirths in these cases have led clinicians to suspect that the pathogenesis of stillbirth in women with intrahepatic cholestasis of pregnancy is not related to asphyxia but rather to an undefined etiology. One leading hypothesis relates certain bile acid metabolites to myocardial injury. OBJECTIVE: The purpose of this study was to determine whether cord blood troponin I levels are increased in fetuses born to mothers with a diagnosis of intrahepatic cholestasis of pregnancy. STUDY DESIGN: A prospective, case-control study was performed at a single institution …


#Hashtagthis – Everything You Need To Know About Launching Your Gynecologic Oncology Social Media Research Career: A Report From Gynecologic Oncology Reports And Society Of Gynecologic Oncology Education Committee, Megan L Hutchcraft, Eric Rios-Doria, Tiffany Y Sia, Eleonora Teplinsky, Shannon N Westin, Gregg Nelson 2024 The Texas Medical Center Library

#Hashtagthis – Everything You Need To Know About Launching Your Gynecologic Oncology Social Media Research Career: A Report From Gynecologic Oncology Reports And Society Of Gynecologic Oncology Education Committee, Megan L Hutchcraft, Eric Rios-Doria, Tiffany Y Sia, Eleonora Teplinsky, Shannon N Westin, Gregg Nelson

Faculty, Staff and Student Publications

On February 6th, 2024, Gynecologic Oncology Reports and the Society of Gynecologic Oncology Education Committee co-hosted a webinar about ways to use social media for career enhancement and for dissemination of research. During the discussion, we reviewed:i.how to identify one's goals, target audience, and select a social media platform.ii.how to navigate the negatives of social media.iii.how to develop one's online academic brand.iv.how to use social media for academic promotion and career advancement.v.how to use social media as a research tool.vi.how to use visual tools to bring attention to one's research.The objective of this report is to review the literature on …


Enriching The Pcos Lifestyle, Callie Coleman 2024 East Tennessee State University

Enriching The Pcos Lifestyle, Callie Coleman

Electronic Theses and Dissertations

Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting approximately 4 – 20% of women worldwide. It is associated with insulin resistance, fertility problems, and an increased susceptibility to chronic conditions through multiple inflammatory pathways. Women with PCOS are also at increased risk for disordered eating. The Mediterranean diet is associated with decreased inflammation and risk of chronic conditions, and intuitive eating principles are associated with decreased disordered eating patterns. The purpose of this study was to determine if a six-week nutrition education workshop incorporating information and skills related to both the Mediterranean lifestyle and intuitive eating principles can improve …


Effect Of Male Partners' Involvement And Support On Reproductive, Maternal And Child Health And Well-Being In East Africa: A Scoping Review, Richard Fletcher, Faye Forbes, Abel Fekadu Dadi, Getachew Mullu Kassa, Casey Regan, Anna Galle, Addisu Beyene, Rebecca Liackman, Marleen Temmerman 2024 University of Newcastle, Australia

Effect Of Male Partners' Involvement And Support On Reproductive, Maternal And Child Health And Well-Being In East Africa: A Scoping Review, Richard Fletcher, Faye Forbes, Abel Fekadu Dadi, Getachew Mullu Kassa, Casey Regan, Anna Galle, Addisu Beyene, Rebecca Liackman, Marleen Temmerman

Centre of Excellence in Women and Child Health

Background and Aims: East African countries have high rates of maternal and childmortality and morbidity. Studies have shown that the involvement of male partners inreproductive health can benefit maternal and child health (MCH). This scoping reviewaims to provide an overview of the evidence across East Africa that describes malepartner involvement and its effect on maternal, reproductive, and child well‐being.

Methods: Ten databases were searched to identify quantitative data on male'sinvolvement in East Africa. Studies reporting qualitative data, “intention to use” dataor only reporting on male partner's education or economic status were excluded.Studies were organized into five a priori categories: antenatal …


Enhancing Vaginal Delivery In Greece Through Educational And Behavioral Interventions Among Maternity Care Providers Regarding Labor Management: The Engage Stepped-Wedge Randomized Prospective Trial Protocol, Nikolaos Vrachnis, Nikolaos Antonakopoulos, Peter Von Dadelszen, Marianne Vidler, Georgios Maroudias, Jeffrey Bone, Ash Sandhu, Nikolaos Loukas, Laura Magee, Marleen Temmerman 2024 St George’s University, UK

Enhancing Vaginal Delivery In Greece Through Educational And Behavioral Interventions Among Maternity Care Providers Regarding Labor Management: The Engage Stepped-Wedge Randomized Prospective Trial Protocol, Nikolaos Vrachnis, Nikolaos Antonakopoulos, Peter Von Dadelszen, Marianne Vidler, Georgios Maroudias, Jeffrey Bone, Ash Sandhu, Nikolaos Loukas, Laura Magee, Marleen Temmerman

Centre of Excellence in Women and Child Health

Background: There is an emerging need to systematically investigate the causes for the increased cesarean section rates in Greece and undertake interventions so as to substantially reduce its rates. To this end, the ability of the participating Greek obstetricians to follow evidence-based guidelines and respond to other educational and behavioral interventions while managing labor will be explored, along with barriers and enablers. Herein discussed is the protocol of a stepped-wedge designed intervention trial in Greek maternity units with the aforementioned goals in mind, named ENGAGE (ENhancinG vAGinal dElivery in Greece).

Methods: Twenty-two selected maternity units in Greece will participate in …


Scaling Up, Sustaining, And Enhancing School-Based Sexuality Education Programs In Resource-Constrained And Conservative Contexts: Replicable Lessons From Positive-Deviant Countries, Chandra Mouli, Michielsen Kristien, Gogoi Aparajita, Nair M, Ziauddin Mohammed, Hadi S, Ijaz A, Rubio Auriolesh, Marleen Temmerman 2024 World Health Organization, Switzerland

Scaling Up, Sustaining, And Enhancing School-Based Sexuality Education Programs In Resource-Constrained And Conservative Contexts: Replicable Lessons From Positive-Deviant Countries, Chandra Mouli, Michielsen Kristien, Gogoi Aparajita, Nair M, Ziauddin Mohammed, Hadi S, Ijaz A, Rubio Auriolesh, Marleen Temmerman

Centre of Excellence in Women and Child Health

Despite considerable efforts, progress in the implementationof sexuality education (SE) has been uneven. This study identi-fied six “positive-deviant” low- and middle-income countries,i.e., countries that had scaled up, sustained and enhancedtheir SE programs when many others—in similar social, cul-tural and economic circumstances—were not able to do so. Inother words, they were significantly and consistently moresuccessful than the norm. Countries were shortlisted using avalidated framework and were analyzed using three other vali-dated frameworks on political priority setting, scaling up, andstakeholder engagement. The study found that India, Pakistan,Nigeria, Senegal, Mexico, and Uruguay had scaled up (eithernationwide or in some states/provinces), sustained andenhanced their …


Comparison Between Uterine Artery Doppler Indices And Placental Volume During Early Pregnancy As Prediction Of Iugr And Preeclampsia In Third Trimester, Mohamed Sayed Shehata, Mofeed Fawzy Mohammed, AlRefaai AbdElfatah Marai 2024 Obstetrics and Gynaecology, Minia General Hospital, Minia, Egypt

Comparison Between Uterine Artery Doppler Indices And Placental Volume During Early Pregnancy As Prediction Of Iugr And Preeclampsia In Third Trimester, Mohamed Sayed Shehata, Mofeed Fawzy Mohammed, Alrefaai Abdelfatah Marai

Al-Azhar International Medical Journal

Background: Intrauterine growth restriction and preeclampsia are significant pregnancy-related outcomes. Noninvasive and early ultrasound diagnosis could aid in the early prevention and management of such cases.

Aim: To determine the role of 3D Power Doppler ultrasonography in uteroplacental circulation in early pregnancy.

Patients and Methods: This prospective clinical research involved 400 pregnant women who were admitted to the antenatal care clinic at El Maadi Military Hospital during the 24-month period from December 2020 to December 2022. All cases underwent ultrasonographic monitoring of the fetus.

Results: The cut-off level was detected depending on the vascular indices and placental volume. The best …


Comparison Of Outcomes Of Different Varicocelectomy Techniques: Open Inguinal, Laparoscopic And Subinguinal Microscopic Varicocelectomy, Abduh El sayed Elbanna, Tarek Zaghoul Mohammed, Abdel Wahab Gamal Eldin Abdel Wahab Gamil 2024 General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Comparison Of Outcomes Of Different Varicocelectomy Techniques: Open Inguinal, Laparoscopic And Subinguinal Microscopic Varicocelectomy, Abduh El Sayed Elbanna, Tarek Zaghoul Mohammed, Abdel Wahab Gamal Eldin Abdel Wahab Gamil

Al-Azhar International Medical Journal

Background: Testicular vein dilation and aberrant tortuosity within the cord of sperm is known as Varicocele. In the average adult population, Varicocele affects about 16% of people.

Aim and objectives: To evaluate and contrast various approaches to treating primary Varicocele by examining each procedure's results Varicocele in terms of the technique's effectiveness and postoperative outcomes.

Patients and methods: In this study, 45 patients with primary Varicocele who were seen at the Al-Hussein and Sayed Galal hospitals of Al-Azhar University were included. They used a computer to classify them randomly. Fifteen patients in Group A undergo open inguinal varicocelectomy, fifteen in …


Evaluation Of Ganglion Cell Layer In Silicone Filled Eyes By Optical Coherence Tomography, Hassan Abdel Wahab Aly, Mostafa Mahmoud Mostafa, Ehab Abdelaziz Mohammed, Tarek Mohamed Ibrahim Elmenofy 2024 Ophthalmology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Evaluation Of Ganglion Cell Layer In Silicone Filled Eyes By Optical Coherence Tomography, Hassan Abdel Wahab Aly, Mostafa Mahmoud Mostafa, Ehab Abdelaziz Mohammed, Tarek Mohamed Ibrahim Elmenofy

Al-Azhar International Medical Journal

Background: The most tolerated temporary endo tamponade material in treating complex forms of retinal detachment is still silicone oil (SiO). Because SiO is poisonous and causes irritation, removing it many months following surgery is advised.

Aim of the work: To use optical coherence tomography (SD-OCT) to investigate variations in the retina layer of ganglion cells during silicone oil prevention and determine when it is best to remove it.

Patients and methods: This cross-sectional and prospective observational study involves 40 patients at the Memorial Institute of Ophthalmology and Al Azhar University Hospitals who will have pars plana vitrectomy with silicone oil …


Early Outcome Of Aortic Coarctation Repair In Patients With Age Below One Year, Bahaa Abdelgawad Hassan El Khonezy, Mahmoud Abdelhady Elnaggar, Abdulnasser Esmael Sayed 2024 Cardiothoracic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Early Outcome Of Aortic Coarctation Repair In Patients With Age Below One Year, Bahaa Abdelgawad Hassan El Khonezy, Mahmoud Abdelhady Elnaggar, Abdulnasser Esmael Sayed

Al-Azhar International Medical Journal

Background: A common ailment in children is coarctation of the aorta, a narrowing of the aorta most commonly occurring just distal to the origin of the left subclavian artery.

Aim and objectives: To follow up and analyze the early outcome of aortic coarctation repair in studied cases with ages below 1 year and the impact of the procedure on their life.

Patients and methods: This was a retrospective study conducted on forty studied cases with coarctation of the aorta that underwent repair operation and was followed up at Al-Hussien University Hospital and Atfal Misr Hospital.

Results: The mean ICU stay …


Early Outcomes Of Surgical Repair Of Atrial Septal Defect With Right Anterolateral Minithoracotomy Versus Traditional Median Sternotomy, Hisham Wefky Anwar, Haytham Mohamed Abd-Elmoaty, Wael Mohammed Abdelkawy Selim 2024 General Surgery Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Early Outcomes Of Surgical Repair Of Atrial Septal Defect With Right Anterolateral Minithoracotomy Versus Traditional Median Sternotomy, Hisham Wefky Anwar, Haytham Mohamed Abd-Elmoaty, Wael Mohammed Abdelkawy Selim

Al-Azhar International Medical Journal

Background: For decades, traditional methods have been used to repair ASD through sternotomy; with the advancement of expertise, methods have been developed to simplify the repair through limited incision, such as anterolateral-mini-thoracotomy.

Aim of the study: Contrasting early outcomes of median-sternotomy versus anterolateral-thoracotomy technique.

Method: Our study was carried out within the Department of Cardiothoracic-Surgery, Al-Azhar University Hospital, Egypt.

Inclusion Criteria: Patients with ASD who urged surgical ASD repair were included in this study.

Results: Both groups shared comparable demographic and clinical characteristics, especially preoperative and intraoperative ones. However, the female patient count had significantly exceeded the male patient …


Prevalence And Risk Factors Of Acute Brain Injury In Polytrauma Patients, Mohamed Ahmed Elfeky, Abdelwahab Abdelsatar Saleh, Ahmed Talat Ahmed Mohamed Amer 2024 Anesthesia, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Prevalence And Risk Factors Of Acute Brain Injury In Polytrauma Patients, Mohamed Ahmed Elfeky, Abdelwahab Abdelsatar Saleh, Ahmed Talat Ahmed Mohamed Amer

Al-Azhar International Medical Journal

Background: Acute brain injury is a significant source of mortality in polytrauma patients. However, epidemiological data on ABI prevalence in polytrauma is limited.

Aim: To investigate the Prevalence and risk factors of acute brain injury in polytrauma and to uncover the in-hospital mortality rates associated with acute brain injury in this population.

Methods: This prospective cross-sectional study included 80 adult polytrauma patients who presented to the Emergency and Critical Care Department of Sayed Galal Al-Azhar University Hospital. Demographic and clinical data were collected between January 2023 and December 2023.

Results: We enrolled 80 polytrauma patients who is NISS > 18 admitted …


Association Of Hba1c Values With Cardiovascular Complication In Diabetic Patients On Hemodialysis, Atef Abu-Elfetouh, Hani Ismail Hamed, Hala Ibrahim Mohamed, Islam Hamdy Awad Gad El-Demohy 2024 Internal Medicine, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Association Of Hba1c Values With Cardiovascular Complication In Diabetic Patients On Hemodialysis, Atef Abu-Elfetouh, Hani Ismail Hamed, Hala Ibrahim Mohamed, Islam Hamdy Awad Gad El-Demohy

Al-Azhar International Medical Journal

Background: Diabetes is a long-term metabolic disease marked by elevated blood sugar values. People all around the globe suffer from it often, and those who have end-stage renal disease (ESRD) are more likely to have it.

Aim and objectives: To examine the relationship between diabetic dialysis patients' HbA1c levels and cardiovascular events.

Patients and methods: This prospective observational and analytical research was conducted on 60 diabetic patients on hemodialysis at the dialysis Unit of the National Institute of Urology and Nephrology, Egypt.

Results: The mean HBA1C was statistically substantially more significant in the cases with cardiovascular complications as compared to …


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