Medicine and Health Sciences Commons^™

Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman

Pitzer Senior Theses

This thesis investigates the unique interactions between pregnancy, substance involvement, and race as they relate to the War on Drugs and the hyper-incarceration of women. Using ordinary least square regression analyses and data from the Bureau of Justice Statistics’ 2016 Survey of Prison Inmates, I examine if (and how) pregnancy status, drug use, race, and their interactions influence two length of incarceration outcomes: sentence length and amount of time spent in jail between arrest and imprisonment. The results collectively indicate that pregnancy decreases length of incarceration outcomes for those offenders who are not substance-involved but not evenhandedly -- benefitting white …

The Effects Of Psychological Intervention On Pregnant Women With Elevated Cortisol Levels And Adverse Birth Events, Megan Mellon

Capstone Showcase

Elevated levels of stress, anxiety, and depression during pregnancy are thought to influence cortisol levels. Dysregulations in cortisol, as a byproduct of the hypothalamic-pituitary axis, have been associated with preterm birth and adverse birth outcomes. Studies have demonstrated poorer long-term effects of antenatal stress on child neurodevelopment, temperament, and cognition. Psychological interventions of cognitive behavioral therapy (CBT), mindfulness, and gratitude have shown to have a positive effect on psychological wellbeing across various populations. The purpose of this literature review was to analyze a collection of randomized-controlled trials to conclude if psychological interventions during pregnancy for women with elevated levels of …

Efficacy Of Myo-Inositol In The Treatment Of Polycystic Ovarian Syndrome (Pcos), Rachel Mathews

Capstone Showcase

Polycystic ovarian syndrome (PCOS) is a disorder that results from insulin resistance. Symptoms include chronic anovulation, polycystic ovaries, acne, hirsutism, and infertility. Although there is currently no cure for PCOS, treatments such as metformin, clomiphene citrate, and reproductive assistive techniques (IVF) have been used to target specific symptoms. Recent research has suggested that myo-inositol may be beneficial in the treatment of PCOS. Therefore, this review analyzes the addition of myo-inositol (I) in adult patients with PCOS (P) compared to current methods such as metformin, clomiphene citrate, and assisted therapies alone (C) in improving ovulation and fertility (O). A literature search …

Repair Of Vesicouterine Fistula By Not Using Traditional O' Connor Method, Lubna Razzak, Raheela Mohsin Rizvi

Department of Obstetrics & Gynaecology

A 25-year-old female patient visited our clinic with complaint of cyclic haematuria. She had previous two Caesarean Sections at a secondary care hospital. Her complete urinalysis showed abundant red blood cells. Through computed tomography a fistula tract between the posterior wall of the bladder and the anterior wall of the lower uterine segment was diagnosed. The Cystoscopy revealed a fistulous opening with a diameter of nearly 1.5 cm localized between the bladder and uterine cavity. Fistulae was repaired by abdominal approach without transection of bladder. Surgery was performed by mobilization of bladder and wide anterior uterine dissection. A 2cm defect …

Ultrasonography In Early Diagnosis And Follow Up Of Amniotic Fluid Abnormalities For Assessment Of The Fetal Growth And Fetal Well Being, Ali Ismaeal

Al-Azhar International Medical Journal

Background: The US (including Doppler & 4D) is a simple method for early detection of amniotic fluid abnormalities to evaluate the fetal wellbeing and congenital lethal and non lethal anomalies. Our results demonstrate that there are different etiologies causing amniotic fluid abnormalities. Aim of work: The ultrasonographic early diagnosis and follow up of amniotic fluid abnormalities for evaluation the fetal wellbeing, fetal growth and early warning signs of fetal distress to determine the suitable time for delivery. Patient and methods: This study was performed between November 2019 and July 2020 at Obied Hospital-KSA. The study was carried on 80 cases …

Value Of Ipack Block (Interspace Between The Popliteal Artery And The Capsule Of The Posterior Knee) With Adductor Canal Block In Total Knee Arthroplasty, Mohamed Amin, Usama Abotaleb

Al-Azhar International Medical Journal

Background: Acute postoperative pain after total knee arthroplasty (TKA) is so severe to the degree that necessitates proper analgesia which is one of the patients' human rights and prevents the drawbacks of pain on various body systems. Local anesthetic Infiltration between the Popliteal Artery and the Capsule of the Knee (IPACK) can represent a promising technique for management of postoperative pain in combination with adductor canal block (ACB) after TKA. Methods: Patients received an ACB (Group I) or ACB plus IPACK (Group II) as a component of a multimodal analgesic for TKA. Visual analogue scale (VAS) for postoperative pain assessment …

Post-Operative Clinical And Radiological Assessment After Submucosal Resection Of Inferior Turbinate And Partial Inferior Turbinectomy, Tarek Mansour, Mahmoud El Bahrawy, Mohamed El-Barody, Ahmed Okasha

Al-Azhar International Medical Journal

ABSTRACT Background: Hypertrophied inferior turbinates, commonly caused by allergic rhinitis, cause nasal obstruction. Aim of this study: This study aimed to evaluate nasal patency following submucosal resection of the inferior turbinate as a mucosa and bone-preserving method for reducing the size of the hypertrophied inferior turbinate, in comparison with the traditional method (partial inferior turbinectomy). Patient and methods: This study was performed on patients with moderate to severe turbinate hypertrophy, selected from our ear, nose, and throat outpatient clinic, during March 2018 to March 2020. Patients were divided into GROUP I (n = 40; 25 males and 15 females), subjected …

Accuracy Of Second Trimester Prediction Of Preterm Preeclampsia By Three Different Screening Algorithms, Mostafa Hegab, Osama Ali, Wael Amin

Al-Azhar International Medical Journal

ABSTRACT Background: Preeclampsia is a condition unique to pregnancy, which can lead to significant maternal and fetal morbidity and death. Early detection of women at greater risk of preeclampsia helps avoid and treat early illness. Aim of the work: current study aimed to compare the performance of the NICE guidelines, the ACOG recommendations and (FMF) algorithm, for the early detection of preeclampsia. Patient & Methods: Current study was a cohort prospective study included 400 women who attended for their routine antenatal care during the second trimester. All demographic and clinical data and follow up cases collected. Result: The incidence of …

Pregnancy Outcomes In Women With Epilepsy And Mthfr Mutations Supplemented With Methylated Folate And Methylcobalamin (Methylated B12)., Emma M Lascar, Nicole M Warner, Michael J Doherty

Articles, Abstracts, and Reports

Antiseizure medications (ASM) may contribute to adverse fetal outcomes in pregnant women with epilepsy (WWE). Folate processing (Methylenetetrahydrofolate reductase, MTHFR) gene abnormalities are common in women with epilepsy and depression. L-methylfolate supplements may bypass MTHFR deficiencies, yet their use in WWE during gestation or on fetal development is not well studied. We examine pregnancy histories of three WWE who supplemented with either folate or L-methylfolate and methylcobalamin (methylated B12) during pregnancies. Their pregnancy outcomes improved with L-methylfolate and methylcobalamin supplementation. L-methylfolate and methylcobalamin supplementation merits further study in WWE who have MTHFR mutations, fertility, recurrent miscarriage and or depression histories.

Perceived Barriers And Facilitators To Cervical Cancer Screening In Asian American Women, Bouathong Thepsombath

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this systematic review is to explore barriers and facilitators of cervical cancer screening in Asian-American women. Articles selected for review were found using a database search method using select predetermined key terms. The clinical question this review sought to answer is: In Asian-American women (21-65 years of age), how does perception of cervical cancer screening impact screening compliance? Nine articles addressing the topic of interest were included in the review. Emerging themes related to answering the question under study included the health literacy of Asian-American women, modesty, acculturation, income comfortability, and self-efficacy. This review found information that …

Is There An Association Between The Vaginal Microbiome And First Trimester Miscarriage? A Prospective Observational Study, Monica Shahid, Julie A. Quinlivan, George Mendz, Michael Peek, Natalia Castaño-Rodríguez

IHR Papers and Journal Articles

Aim

To examine whether there are differences in the vaginal microbiome of women who miscarry compared to those who have normal pregnancy outcomes.

Methods

Prospective observational study conducted at the Canberra Hospital, Australia, with 24 participant women in the first trimester of pregnancy. The vaginal microbiomes of the 24 women were characterized using sequencing analysis of the V4 region of the 16S rRNA gene employing an Illumina MiSeq instrument with QIAGEN reagents. Vaginal microbiome data were correlated with pregnancy clinical metadata.

Results

Ordination plots showed differences in the composition of microbiomes of women who miscarried and controls. In nulliparous women, …