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Articles 31 - 52 of 52
Full-Text Articles in Medicine and Health Sciences
Abnormal Uterine Bleeding: A Management Algorithm., John Ely, Colleen Stockdale, Elizabeth Clark, Noelle Bowdler
Abnormal Uterine Bleeding: A Management Algorithm., John Ely, Colleen Stockdale, Elizabeth Clark, Noelle Bowdler
Colleen Kennedy Stockdale
Abnormal uterine bleeding is a common problem, and its management can be complex. Because of this complexity, concise guidelines have been difficult to develop. We constructed a concise but comprehensive algorithm for the management of abnormal uterine bleeding between menarche and menopause that was based on a systematic review of the literature as well as the actual management of patients seen in a gynecology clinic. We started by drafting an algorithm that was based on a MEDLINE search for relevant reviews and original research. We compared this algorithm to the actual care provided to a random sample of 100 women …
Urinary Incontinence, Depression And Posttraumatic Stress Disorder In Women Veterans, Catherine Bradley, I. Nygaard, M. Mengeling, J. Torner, Colleen Stockdale, B. Booth, A. Sadler
Urinary Incontinence, Depression And Posttraumatic Stress Disorder In Women Veterans, Catherine Bradley, I. Nygaard, M. Mengeling, J. Torner, Colleen Stockdale, B. Booth, A. Sadler
Colleen Kennedy Stockdale
OBJECTIVE: To study associations between urinary incontinence (UI) symptoms, depression, and posttraumatic stress disorder in women veterans. STUDY DESIGN: This cross-sectional study enrolled women 20 to 52 years of age registered at 2 midwestern US Veterans Affairs Medical Centers or outlying clinics within 5 years preceding study interview. Participants completed a computer-assisted telephone interview assessing urogynecologic, medical, and mental health. Multivariable analyses studied independent associations between stress and urgency UI and depression and posttraumatic stress disorder. RESULTS: Nine hundred sixty-eight women mean aged 38.7 +/- 8.7 years were included. Of these, 191 (19.7%) reported urgency/mixed UI and 183 (18.9%) stress …
Vulvar Cellular Angiofibroma: A Case Report, R. Kerkuta, Colleen Kennedy, J. Benda, R. Galask
Vulvar Cellular Angiofibroma: A Case Report, R. Kerkuta, Colleen Kennedy, J. Benda, R. Galask
Colleen Kennedy Stockdale
Cellular angiofibroma is a benign growth initially described in 1997, with few reports to date. A 31-year-old woman presented with a 3-year history of a small left labial mass, which had recently increased in size to 5 cm, and was clinically thought to be a lipoma. A simple excision was performed. Histologically, the mass was consistent with a cellular angiofibroma. Ten months later, the growth has not recurred. Cellular angiofibroma is a rare, benign mesenchymal lesion typically Occurring on the Vulva, and should be considered in the differential diagnosis of a painless, soft, vulvar mass. (C) 2005 Mosby, Inc. All …
Does Rubella Immunity Predict Measles Immunity? A Serosurvey Of Pregnant Women, Colleen Kennedy, B. Burns, K. Ault
Does Rubella Immunity Predict Measles Immunity? A Serosurvey Of Pregnant Women, Colleen Kennedy, B. Burns, K. Ault
Colleen Kennedy Stockdale
BACKGROUND: This study was undertaken to determine whether rubella immunity infers measles immunity in pregnant women. METHODS: Stored serum samples were obtained from the Iowa State Hygienic Laboratory for evaluation of rubella and measles immunities with IgG enzyme-linked immunosorbent assay. RESULTS: Nine hundred serum samples were obtained for testing. The average age of the women at the time of antepartum serum collection was 28 (range, 14 to 44) years. Measles and rubella immunity were 88% and 98%, respectively; there was no effect of immunity status by age identified. Eighty eight percent of those with rubella immunity were also measles immune. …
Constipation In Pregnancy - Fact Or Myth?, Ann Turcea, Colleen Kennedy, Ingrid Nygaard, Satish Rao, Catherine Bradley
Constipation In Pregnancy - Fact Or Myth?, Ann Turcea, Colleen Kennedy, Ingrid Nygaard, Satish Rao, Catherine Bradley
Colleen Kennedy Stockdale
No abstract provided.
Information From Your Family Doctor. Intrauterine Growth Restriction: When Your Baby Stops Growing Before Birth, D. Peleg, Colleen Stockdale, Stephen Hunter
Information From Your Family Doctor. Intrauterine Growth Restriction: When Your Baby Stops Growing Before Birth, D. Peleg, Colleen Stockdale, Stephen Hunter
Colleen Kennedy Stockdale
No abstract provided.
Erosive Vulvar Lichen Planus - Retrospective Review Of Characteristics And Outcomes In 113 Patients Seen In A Vulvar Specialty Clinic, Colleen Kennedy, Rudolph Galask
Erosive Vulvar Lichen Planus - Retrospective Review Of Characteristics And Outcomes In 113 Patients Seen In A Vulvar Specialty Clinic, Colleen Kennedy, Rudolph Galask
Colleen Kennedy Stockdale
OBJECTIVE: To describe the characteristics of women diagnosed with erosive vulvar lichen planus and the outcome of treatment utilized by a single practitioner. STUDY DESIGN: A retrospective review of 113 women with erosive vulvar lichen planus. Data were abstracted, including demographic information, medical history, vulvar symptom scores and treatments utilized. Dyspareunia and vulvar symptom scores before and following treatment were compared. RESULTS: The mean age at presentation for women with lichen planus was 50 years. Comorbid medical and vulvar conditions were commonly noted. Sexually active women noted an improvement in dyspareunia symptom score and report of pain-free intercourse. Other symptoms …
Clinical Spectrum Of Desquamative Inflammatory Vaginitis., Colleen Stockdale
Clinical Spectrum Of Desquamative Inflammatory Vaginitis., Colleen Stockdale
Colleen Kennedy Stockdale
No abstract provided.
Bladder And Bowel Symptoms Among Women With Vulvar Disease: Are They Universal?, Colleen Kennedy, I. Nygaard, Catherine Bradley, R. Galask
Bladder And Bowel Symptoms Among Women With Vulvar Disease: Are They Universal?, Colleen Kennedy, I. Nygaard, Catherine Bradley, R. Galask
Colleen Kennedy Stockdale
OBJECTIVE: To compare the prevalence of painful bladder syndrome, recurrent urinary tract infections, urinary leakage and irritable bowel syndrome between women with specific vulvar disorders and controls. STUDY DESIGN: Women with a primary diagnosis of vulvar intraepithelial neoplasia (dysplasia), vulvar vestibulitis (vestibulitis), contact vulvitis, atrophic vulvovaginitis, lichen simplex, lichen sclerosus and lichen planus, were compared to women presenting for annual examinations. RESULTS: As compared to controls, painful bladder syndrome was more prevalent among subjects with dysplasia, vestibulitis and contact vulvitis; a history of recurrent urinary tract infection was more prevalent among subjects with contact vulvitis; and urinary incontinence was less …
Prevalence Of Vulvar And Vaginal Symptoms During Pregnancy And The Puerperium, Colleen Kennedy, A. Turcea, Catherine Bradley
Prevalence Of Vulvar And Vaginal Symptoms During Pregnancy And The Puerperium, Colleen Kennedy, A. Turcea, Catherine Bradley
Colleen Kennedy Stockdale
OBJECTIVE: To identify the prevalence of vulvar and vaginal symptoms during pregnancy and at 3 months post partum. METHODS: A prospective, longitudinal, descriptive study of 103 pregnant women was undertaken in which a self-administered questionnaire was completed at each trimester and 3 months post partum. Retrospective data was collected from 122 women, queried using similar tools, who comprised a nonpregnant control group. Descriptive and comparative statistics were employed. RESULTS: The prevalence of vulvar burning, itching, pain, and vaginal discharge generally increased during pregnancy, and improved postpartum. Dyspareunia increased during pregnancy, but remained elevated post partum. Compared with the historical nonpregnant …
Management Of Atypical Squamous Cells, Low-Grade Squamous Intraepithelial Lesions, And Cervical Intraepithelial Neoplasia 1, Lori Boardman, Colleen Kennedy
Management Of Atypical Squamous Cells, Low-Grade Squamous Intraepithelial Lesions, And Cervical Intraepithelial Neoplasia 1, Lori Boardman, Colleen Kennedy
Colleen Kennedy Stockdale
In the American Society for Colposcopy and Cervical Pathology 2006 Consensus Guidelines, several changes in the management of mildly abnormal cervical cytology and histology were made. The most notable changes involve the management of adolescents, pregnant women, and postmenopausal women. For adolescents, management of atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesions is conservative, eliminating the need for immediate colposcopy. For pregnant women, options have been made to allow for deferral of colposcopy until pregnancy completion, whereas for postmenopausal women, the new guidelines call for the option to rely on human papillomavirus DNA testing or repeat cytology …
Vulvar Granuloma Fissuratum: A Description Of Fissuring Of The Posterior Fourchette And The Repair, Colleen Kennedy, S. Dewdney, R. Galask
Vulvar Granuloma Fissuratum: A Description Of Fissuring Of The Posterior Fourchette And The Repair, Colleen Kennedy, S. Dewdney, R. Galask
Colleen Kennedy Stockdale
OBJECTIVE: To describe the characteristics of women who experience chronic fissuring of the posterior fourchette and the outcome of treatment administered. METHODS: We conducted a retrospective review of 42 women with granuloma fissuratum presenting for care between January 1, 1995, and December 31, 2003. Women underwent medical management first, and if improvement was minimal, perineoplasty was recommended. Dyspareunia and vulvar symptom scores, including itching, burning, and pain, before and after treatment were compared. RESULTS: Twenty women were managed nonoperatively, while 22 women underwent perineoplasty. The median age at diagnosis of granuloma fissuraturn was 42.5 years (range 26-78). The fissure resolved …
Vaginal Microbiota Of Women With Frequent Vulvovaginal Candidiasis, X. Zhou, R. Westman, R. Hickey, M. Hansmann, Colleen Kennedy, T. Osborn, L. Forney
Vaginal Microbiota Of Women With Frequent Vulvovaginal Candidiasis, X. Zhou, R. Westman, R. Hickey, M. Hansmann, Colleen Kennedy, T. Osborn, L. Forney
Colleen Kennedy Stockdale
Vulvovaginal candidiasis (VVC) is an insidious infection that afflicts a large proportion of women of all ages, and 5 to 8% of affected women experience recurrent VVC (RVVC). The aim of this study was to explore the possible importance of vaginal bacterial communities in reducing the risk of RVVC. The species composition and diversity of microbial communities were evaluated for 42 women with and without frequent VVC based on profiles of terminal restriction fragment polymorphisms of 16S rRNA genes and phylogenetic analysis of cloned 16S rRNA gene sequences from the numerically dominant microbial populations. The data showed that there were …
Histopathology Of Recurrent Mechanical Fissure Of The Fourchette, Colleen Kennedy, Elizabeth Manion, Rudolph Galask, Jo Benda
Histopathology Of Recurrent Mechanical Fissure Of The Fourchette, Colleen Kennedy, Elizabeth Manion, Rudolph Galask, Jo Benda
Colleen Kennedy Stockdale
No abstract provided.
Meta Analysis: Effects Of Interventions On Premature Infants Feeding, H. Daley, Colleen Kennedy
Meta Analysis: Effects Of Interventions On Premature Infants Feeding, H. Daley, Colleen Kennedy
Colleen Kennedy Stockdale
Nipple feeding of premature infants presents a challenge to neonatal nurses who are trying to prepare the infants for eventual discharge from the hospital. To determine what empirical evidence there was to support interventions that positively influence feeding performance and feeding efficiency a meta-analysis is presented. The effects of NPO, nasogastric tubes, different nipples, breast versus bottle feeding, gestational age, oral support, oral stimulation, and nonnutritive sucking on volume intake are evaluated. The results suggest that nursing care should: (a) consider the infant's gestational age; (b) maturational ability and development; (c) keep track of and attempt to minimize the length …
Risk Factors For Painful Bladder Syndrome In Women Seeking Gynecologic Care, Colleen Kennedy, Catherine Bradley, R. Galask, I. Nygaard
Risk Factors For Painful Bladder Syndrome In Women Seeking Gynecologic Care, Colleen Kennedy, Catherine Bradley, R. Galask, I. Nygaard
Colleen Kennedy Stockdale
The aim of this cross-sectional study was to report risk factors for painful bladder syndrome in women. We surveyed 645 women presenting for care to general gynecology clinics and a vulvar specialty clinic using a standardized questionnaire and validated outcome measures. We used two definitions for painful bladder syndrome, based on the O'Leary-Sant interstitial cystitis symptom and problem indices. Of those women surveyed, 29.5% met broader criteria and 8.5% met more restrictive criteria for painful bladder syndrome. After adjusting for confounders, bladder pain was significantly associated with current smoking, irritable bowel syndrome, and a generalized pain disorder. Tobacco use, the …
Differences In Cervical Cytologic And Histologic Findings Between Women Using Depot-Medroxyprogesterone Acetate And Oral Contraceptives, M. Clark, Colleen Stockdale, Linda Railsback, Sara Nichols
Differences In Cervical Cytologic And Histologic Findings Between Women Using Depot-Medroxyprogesterone Acetate And Oral Contraceptives, M. Clark, Colleen Stockdale, Linda Railsback, Sara Nichols
Colleen Kennedy Stockdale
No abstract provided.
Leiomyosarcoma Of The Vulva - A Case Report, S. Dewdney, Colleen Kennedy, R. Galask
Leiomyosarcoma Of The Vulva - A Case Report, S. Dewdney, Colleen Kennedy, R. Galask
Colleen Kennedy Stockdale
BACKGROUND: Leiomyosarcoma of the vulva is a rare gynecologic malignancy,comprising approximately 1% of vulvar cancers. CASE: A 36-year-old woman was referred for a slowly growing painless vulvar Mass that was initially thought to be a Bartholin's duct cyst but was cancerous upon biopsy. A modified radical vulvectomy was performed, and pathology revealed a grade I leiomyosarcoma. Thirteen months later, the tumor had not recurred. CONCLUSION: Vulvar cancer must be considered in patients with. a suspected Bartholin duct cyst that demonstrates. atypical features. A biopsy should be obtained if the mass appears firm or solid on palpation, is ulcerated or presents …
Risk Of Repetition Of A Severe Perineal Laceration, D. Peleg, Colleen Kennedy, D. Merrill, F. Zlatnik
Risk Of Repetition Of A Severe Perineal Laceration, D. Peleg, Colleen Kennedy, D. Merrill, F. Zlatnik
Colleen Kennedy Stockdale
Objective: To compare the outcome of subsequent delivery in women with a history of a third- or fourth-degree laceration with outcomes in women without such a history. Methods: This retrospective study used a perinatal database and chart review from 1978 to 1995. Only women whose first delivery was at our institution at more than 36 weeks' gestation, vaginal singleton, vertex presentation, and birth weight greater than 2500 g, with a subsequent delivery were included. The women were grouped by presence or absence of a third- or fourth-degree (severe) perineal laceration in their first delivery. The subsequent delivery was analyzed for …
Vaginal Misoprostol Aids In Difficult Intrauterine Contraceptive Removal: A Report Of Three Cases., Whitney Cowman, Jean Hansen, Abbey Hardy-Fairbanks, Colleen Stockdale
Vaginal Misoprostol Aids In Difficult Intrauterine Contraceptive Removal: A Report Of Three Cases., Whitney Cowman, Jean Hansen, Abbey Hardy-Fairbanks, Colleen Stockdale
Colleen Kennedy Stockdale
BACKGROUND: Intrauterine devices are the most used long-acting reversible contraceptive method worldwide. Under normal circumstances, removal of an intrauterine contraceptive (IUC) is an uncomplicated procedure requiring gentle traction on the string. STUDY DESIGN: We report three cases of nonvisible IUC strings where, following use of vaginal misoprostol, the IUC strings were visualized and the IUCs were removed intact with gentle traction. CONCLUSIONS: The uterotonic and uterocontractile effects following vaginal misoprostol facilitated removal in three cases of nonvisible IUC strings. We suggest that clinicians consider including vaginal misoprostol alone or prior to planned repeat office or procedure-clinic interventions for nonvisible IUC …
Recurrent Vulvar Itching, L. Boardman, J. Botte, Colleen Kennedy
Recurrent Vulvar Itching, L. Boardman, J. Botte, Colleen Kennedy
Colleen Kennedy Stockdale
No abstract provided.
2011 Issvd Terminology And Classification Of Vulvar Dermatological Disorders: An Approach To Clinical Diagnosis, Peter Lynch, Micheline Moyal-Barracco, James Scurry, Colleen Stockdale
2011 Issvd Terminology And Classification Of Vulvar Dermatological Disorders: An Approach To Clinical Diagnosis, Peter Lynch, Micheline Moyal-Barracco, James Scurry, Colleen Stockdale
Colleen Kennedy Stockdale
No abstract provided.