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Articles 1 - 30 of 36
Full-Text Articles in Medicine and Health Sciences
Pilot Data: Association Between Gluteus Medius Weakness And Low Back Pain During Pregnancy, K. Bewyer, D. Bewyer, D. Messenger, Colleen Kennedy
Pilot Data: Association Between Gluteus Medius Weakness And Low Back Pain During Pregnancy, K. Bewyer, D. Bewyer, D. Messenger, Colleen Kennedy
Colleen Kennedy Stockdale
This cross-sectional study examines whether there is an association between gluteus medius weakness in the presence of low back pain in pregnant women at any stage of gestation. Prevalence of low back pain during pregnancy is high, and identifying potential etiologies and targeted interventions is lacking. Thus, identification of an association between specific muscle weakness and pain would have clinical relevance. Initial pilot data suggests that weakness of the gluteus medius is strongly associated with the presence of low back pain during pregnancy.
Intrauterine Growth Restriction: Identification And Management, D. Peleg, Colleen Stockdale, Stephen Hunter
Intrauterine Growth Restriction: Identification And Management, D. Peleg, Colleen Stockdale, Stephen Hunter
Colleen Kennedy Stockdale
Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high risk for growth restriction, although a substantial percentage of cases occur in the general obstetric population. Accurate dating early in pregnancy is essential for a diagnosis of IUGR. Ultrasound biometry is the gold standard for assessment of fetal size and the amount of amniotic fluid. Growth restriction is classified as symmetric and asymmetric. A lag in fundal height of …
Pelvic Floor Symptoms And Lifestyle Factors In Older Women, Catherine Bradley, Colleen Kennedy, I. Nygaard
Pelvic Floor Symptoms And Lifestyle Factors In Older Women, Catherine Bradley, Colleen Kennedy, I. Nygaard
Colleen Kennedy Stockdale
OBJECTIVES: To measure the prevalence of pelvic floor symptoms in noncare-seeking older women and the association between symptoms and lifestyle factors. METHODS: Women enrolled at one site of the Women's Health Initiative Hormone Therapy clinical trial completed a questionnaire, modified from the Pelvic Floor Distress Inventory, on bladder, bowel, and prolapse symptoms. Individual symptoms and symptom groups were examined in a cross-sectional analysis. RESULTS: In the 297 women who participated, mean age was 68.2 years, mean body mass index (BMI) was 30.2 kg/m(2), and median vaginal parity was 3. The median number of symptoms endorsed was 3 (range 0-18). The …
Vulvar Disease: A Pelvic Floor Pain Disorder? Discussion, K. Noller, Colleen Kennedy
Vulvar Disease: A Pelvic Floor Pain Disorder? Discussion, K. Noller, Colleen Kennedy
Colleen Kennedy Stockdale
No abstract provided.
Vulvar Disease: A Pelvic Floor Pain Disorder?, Colleen Kennedy, I. Nygaard, A. Saftlas, T. Burns, J. Torner, R. Galask
Vulvar Disease: A Pelvic Floor Pain Disorder?, Colleen Kennedy, I. Nygaard, A. Saftlas, T. Burns, J. Torner, R. Galask
Colleen Kennedy Stockdale
Objective: The purpose of this study was to compare the rates of painful bladder syndrome and functional bowel disorders in women with vulvar disease and control subjects. Study design: In this cross-sectional survey, a questionnaire that contained validated outcome measures was administered to women who were seeking care in a vulvar disease clinic and in general gynecology clinics. Results: Women who were seen at a vulvar disease clinic were 2.18 (95% CI, 1.19, 3.97) times more likely to have painful bladder syndrome and 2.13 (95% CI, 1.35, 3.35) times more likely to have functional bowel disorders than general gynecology clinic …
Are Bladder And Bowel Symptoms Universal Among Women With Vulvar Disease?, Colleen Kennedy, I. Nygaard, C. Bradley, R. Galask
Are Bladder And Bowel Symptoms Universal Among Women With Vulvar Disease?, Colleen Kennedy, I. Nygaard, C. Bradley, R. Galask
Colleen Kennedy Stockdale
No abstract provided.
Prolonged Vaginal And Oral Metronidazole For Refractory Trichomonas Vaginalis - A Case Report, Sara Wood, Colleen Kennedy, Rudolph Galask
Prolonged Vaginal And Oral Metronidazole For Refractory Trichomonas Vaginalis - A Case Report, Sara Wood, Colleen Kennedy, Rudolph Galask
Colleen Kennedy Stockdale
BACKGROUND: Resistant Trichomonas vaginalis infection is typically treated with increased doses of oral metronidazole. Because of side effects that limit compliance, such treatment may be ineffective. CASE: A young woman had an 8-year history of T vaginalis that was refractory to multiple courses of metronidazole, tinidazole and intravaginal paromomycin. After microscopic examination confirmed trichomonads, she began an extended, 14-day course of combined oral and vaginal metronidazole. Six weeks later her symptoms were unchanged, but microscopy revealed fewer trichomonads. After a 5% acetic acid vaginal wash and dilute silver nitrate bladder instillation, she was given the same treatment for 21 days. …
Association Of Vulvar Symptoms With Pelvic Organ Prolapse And Urinary Incontinence, Susan Wing, Catherine Bradley, Colleen Kennedy
Association Of Vulvar Symptoms With Pelvic Organ Prolapse And Urinary Incontinence, Susan Wing, Catherine Bradley, Colleen Kennedy
Colleen Kennedy Stockdale
No abstract provided.
Randomized Controlled Trial Assessing The Effect Of Vitamin A Supplementation On Maternal Morbidity During Pregnancy And Postpartum Among Hiv-Infected Women, Colleen Kennedy, A. Coutsoudis, L. Kuhn, K. Pillay, A. Mburu, Z. Stein, H. Coovadia
Randomized Controlled Trial Assessing The Effect Of Vitamin A Supplementation On Maternal Morbidity During Pregnancy And Postpartum Among Hiv-Infected Women, Colleen Kennedy, A. Coutsoudis, L. Kuhn, K. Pillay, A. Mburu, Z. Stein, H. Coovadia
Colleen Kennedy Stockdale
Objective: To determine whether low-cost treatment of HIV using vitamin A would be beneficial, we examined the effect of vitamin A supplementation on morbidity of HIV-1 infected women. Methods: We conducted a randomized, double blind placebo-controlled trial at King Edward VIII Hospital, in Durban, South Africa. In total, 312 HIV-seropositive pregnant women between 28 and 32 weeks' gestation were recruited into this trial. Patients were randomized to receive placebo or 5000 IU retinyl palmitate and 30 mg beta-carotene daily. At delivery of their children, patients received placebo or 200,000 IU retinyl palmitate. The main outcome measures were pre- and postnatal …
Prolapsing Vaginal Cyst - A Case Report, Jessica Kresowik, Colleen Kennedy, Susan Wing, Rudolph Galask
Prolapsing Vaginal Cyst - A Case Report, Jessica Kresowik, Colleen Kennedy, Susan Wing, Rudolph Galask
Colleen Kennedy Stockdale
BACKGROUND: Mullerian duct cysts are remnants Of the embryologic paramesonephric ducts. When remnants persist in the vagina, the patient may present with a cyst, which is usually asymptomatic and < 2.0 cm in diameter. CASE: A 33-year-old woman with a 4-year history of a cystic vaginal mass presented after the cyst rapidly enlarged and protruded. She reported discomfort with walking and increased vaginal pressure. The pedunculated, 8-cm cyst was surgically removed. Pathology revealed mullerian duct origin. CONCLUSION: Although mullerian duct cysts are commonly described as small and located in the anterolateral vaginal wall, they should be included in the differential diagnosis …
Constipation In Pregnancy: Prevalence, Symptoms, And Risk Factors, Catherine Bradley, Colleen Kennedy, A. Turcea, S. Rao, I. Nygaard
Constipation In Pregnancy: Prevalence, Symptoms, And Risk Factors, Catherine Bradley, Colleen Kennedy, A. Turcea, S. Rao, I. Nygaard
Colleen Kennedy Stockdale
OBJECTIVE: To prospectively estimate constipation prevalence and risk factors in pregnancy. METHODS: We enrolled healthy pregnant women in this longitudinal study during the first trimester. At each trimester and 3 months postpartum, participants completed a self-administered bowel symptom questionnaire, physical activity and dietary fiber intake measures, and a prospective 7-day stool diary. Constipation was defined using the Rome II criteria (presence of at least two of the following symptoms for at least one quarter of defecations: straining, lumpy or hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction, manual maneuvers to facilitate defecation, and fewer than three defecations per …
Sexual Pain, Lori Boardman, Colleen Stockdale
Sexual Pain, Lori Boardman, Colleen Stockdale
Colleen Kennedy Stockdale
No abstract provided.
Antenatal Diagnosis Of Vesicouterine Fistula, Colleen Kennedy, D. Peleg, Craig Syrop, I. Nygaard
Antenatal Diagnosis Of Vesicouterine Fistula, Colleen Kennedy, D. Peleg, Craig Syrop, I. Nygaard
Colleen Kennedy Stockdale
Background: In pregnancy, vesicouterine fistulas usually are diagnosed postpartum after cesarean deliveries. Case: An Ill-year-old woman, gravida 3, para 2,with two prior cesarean deliveries had pain and apparent rupture of membranes at 23 weeks' gestation. At 26 weeks' gestation, she developed increasing suprapubic pain and irregular contractions. Ultrasonographic findings included a small uterine defect and possible ballooning of membranes into her bladder. Cytoscopy showed ballooning of amnion into the bladder dome. A viable 900-g female infant was delivered by classic cesarean, the fistulous tract was excised, and the rupture sites were repaired. Conclusion: Vesicouterine fistulas might be diagnosed antenatally. With …
Hpv: The Vaccine And Barriers To Vaccination, Colleen Kennedy
Hpv: The Vaccine And Barriers To Vaccination, Colleen Kennedy
Colleen Kennedy Stockdale
No abstract provided.
Understanding A Sticky Situation - A Retrospective Case Review Of Labial Adhesions, Stephanie Girton, Colleen Kennedy, Rudolph Galask
Understanding A Sticky Situation - A Retrospective Case Review Of Labial Adhesions, Stephanie Girton, Colleen Kennedy, Rudolph Galask
Colleen Kennedy Stockdale
No abstract provided.
New Approaches To External Genital Warts And Vulvar Intraepithelial Neoplasia, Colleen Kennedy, Lori Boardman
New Approaches To External Genital Warts And Vulvar Intraepithelial Neoplasia, Colleen Kennedy, Lori Boardman
Colleen Kennedy Stockdale
Human papillomavirus is the most common sexually transmitted disease in the United States. For the majority of affected individuals, the virus remains subclinical. However, human papillomavirus infection may result in a broad spectrum of vulvar disease including genital warts, dysplasia, and invasive carcinoma. We review the evaluation and currently available therapies to assist in patient management.
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 …