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Journal of Women's Health

Carolyn A Day
No abstract text is available yet for this article.
August 15, 2018: Journal of Women's Health
Margaret Ragland, Katrina F Trivers, C Holly A Andrilla, Barbara Matthews, Jacqueline Miller, Denise Lishner, Barbara Goff, Laura-Mae Baldwin
OBJECTIVE: Routine ovarian cancer screening is ineffective; therefore, no professional organization recommends this screening in asymptomatic patients. However, many physicians have recommended screening, exposing patients to unnecessary risk. Little research exists on how nonprofessional experience with cancer influences physicians' screening practices. This study examines the association between physicians' nonprofessional experience with cancer and reported adherence to ovarian cancer screening guidelines...
August 10, 2018: Journal of Women's Health
Delia Colombo, Carlo Caltagirone, Alessandro Padovani, Sandro Sorbi, Gianfranco Spalletta, Lucia Simoni, Alessandra Ori, Emanuela Zagni
BACKGROUND: Alzheimer's disease (AD) is characterized by progressive cognitive decline, often associated with Behavioral and Psychological Symptoms of Dementia (BPSD). Acetylcholinesterase inhibitors (ChEi) may attenuate cognitive decline and mitigate BPSD. The EVOLUTION group found that the switch from oral ChEi to transdermal rivastigmine patch formulation resulted in improvement/stabilization in the frequency of clinically relevant BPSD, but gender-specific subgroup analyses were not reported...
August 7, 2018: Journal of Women's Health
Matthew R Davis, Ahmed M Soliman, Jane Castelli-Haley, Michael C Snabes, Eric S Surrey
BACKGROUND: Women with uterine fibroids (UF) may undergo less invasive procedures than hysterectomy, including myomectomy, endometrial ablation (EA), and uterine artery embolization (UAE); however, long-term need for reintervention is not well characterized. We estimated reintervention rates for 5 years and identified predictors of reintervention. MATERIALS AND METHODS: A longitudinal retrospective cohort study was conducted in women in MarketScan® Commercial Claims and Encounters (Truven Health Analytics) aged 18-49 years with UF diagnosis before myomectomy, EA, or UAE from 2008 to 2014...
August 7, 2018: Journal of Women's Health
April D Thames, Andrea Hammond, Rodolfo A Nunez, Zanjbeel Mahmood, Felica Jones, Stephanie L Carter, Robert M Bilder, Steven Fisher, Traci Bivens-Davis, Loretta Jones
BACKGROUND: In Los Angeles County, the rates of sexually transmitted infections and diseases among African Americans represent a significant public health disparity. Older African American women are at particular risk as they are more likely to engage in high-risk sexual behaviors and report social isolation and loneliness than their younger counterparts. However, the literature on the relationship between sexual health and mental health in this group is limited. The purpose of this study was to use a community-based participatory research (CBPR) approach to better understand sexual health behaviors and mental health among African American women over 50 years of age who reside in South Los Angeles...
August 2, 2018: Journal of Women's Health
Eric S Surrey, Ahmed M Soliman, Scott J Johnson, Matthew Davis, Jane Castelli-Haley, Michael C Snabes
BACKGROUND: Endometriosis has been associated with higher rates of various chronic conditions, but its epidemiological data are fragmented and dated. We sought to compare the incidence of developing commonly occurring comorbidities among patients with and without endometriosis in a large, contemporary patient cohort that reflects real-world clinical practice. MATERIALS AND METHODS: A cohort of women aged 18-49 with incident endometriosis was extracted from the 2006-2015 de-identified Clinformatics® DataMart commercial insurance claims database (OptumInsight, Eden Prairie, MN)...
August 2, 2018: Journal of Women's Health
Pooja K Mehta, Sarah Rae Easter, Jennifer Potter, Neko Castleberry, Jay Schulkin, Julian N Robinson
BACKGROUND: Deficits in provider training may contribute to disparities impacting lesbian, gay, bisexual, transgender, and gender nonconforming (LGB-TGNC) individuals. METHODS: We sent an anonymous online survey to randomly selected members of the American Congress of Obstetricians and Gynecologists and stratified responses by the history of training. We used logistic regression to predict impact of previous training on provider comfort with LGB-TGNC patients, and secondary outcomes, including provider practices, knowledge, and attitudes...
August 1, 2018: Journal of Women's Health
Marlene P Freeman, Hang Lee, Gina M Savella, Alexandra Z Sosinsky, Samantha P Marfurt, Shannon K Murphy, Lee S Cohen
BACKGROUND: Despite high prevalence rates among women of mood disorders and of infertility, there is a paucity of systematic data to inform the treatment of women at risk for psychiatric morbidity in the context of assisted reproductive technologies (ART). The objective was to delineate predictors of depressive relapse in women with histories of mood disorders during ART, including the role of psychotropic medication continuation. METHODS: This was a prospective observational study of women undergoing ART with past diagnoses of major depressive disorder (MDD) or bipolar depression...
August 1, 2018: Journal of Women's Health
Benjamin C Guinhouya, Michelle Bisson, Lise Dubois, Frédéric Sériès, John R Kimoff, William D Fraser, Isabelle Marc
BACKGROUND: To determine the effect of preconception body mass index (BMI) and/or gestational weight gain (GWG) on the occurrence of sleep disorders over the whole pregnancy. METHODS: A sample of 2,366 pregnant women, recruited in their 1st trimester (TM), was evaluated until delivery for their sleeping characteristics, using the Pittsburgh Sleep Quality Index (PSQI). Mixed or multinomial logistic modeling was applied, as appropriate. RESULTS: When compared with TM 1, PSQI score was the lowest at TM 2 (β = -1...
August 1, 2018: Journal of Women's Health
Sushila Arya, Zuber D Mulla, Sanja Kupesic Plavsic
BACKGROUND: The purpose of this study was to evaluate the maternal outcome in women with very advanced maternal age (VAMA) at childbirth (>45 years) compared to advanced maternal age (35-39 and 40-44 years). METHODS: Retrospective cohort study using the Texas Public Use Data File, years 2013-2014. Maternal age was a three-level variable: 35-39 (referent), 40-44, and 45-59 years (VAMA). Adjusted risk ratios (aRRs) for the two older age groups for various obstetrical and nonobstetrical complications were calculated from log-binomial regression models...
July 17, 2018: Journal of Women's Health
Karin H Humphries, Min Gao, May K Lee, Mona Izadnegahdar, Daniel T Holmes, Frank X Scheuermeyer, M D MHSc, Martha Mackay, Andre Mattman, Eric Grafstein
BACKGROUND: Elevated cardiac troponin (cTn), with signs/symptoms of ischemia, is a key element in a diagnosis of myocardial infarction (MI). Underdiagnosis of MI in women has been attributed to atypical symptoms, inconsistent ECG findings, and less diagnostic testing. We sought to determine if there are sex differences in cTn testing following presentation to the emergency department (ED) with a chief complaint of ischemic chest pain (CP) and if presentation affects diagnostic assessment...
July 16, 2018: Journal of Women's Health
Christian T Bautista, Eyako K Wurapa, Jose L Sanchez
BACKGROUND: In the U.S. military, chlamydia and gonorrhea are common sexually transmitted infections, especially among female service members. The aim of this study was to determine whether the number of gonorrhea diagnoses sustained an increased hazard of chlamydia among military women. METHODS: This population-based study involved an analysis of all female gonorrhea cases in the U.S. Army reported in the Defense Medical Surveillance System between 2006 and 2012...
July 16, 2018: Journal of Women's Health
Kathryn E Fay, Lauren A Farina, Heather R Burks, Robert A Wild, Neil J Stone
The obstetrician/gynecologist frequently serves as the primary care physician for women. Specialty-specific guidelines vary in screening recommendations for lipid disorders; women's health practitioners often follow recommendations to screen at age 45 in the absence of other risk factors. However, 2013 American College of Cardiology/American Heart Association cholesterol guidelines recommend screening at age 21 to capture those at risk of cardiovascular disease and allow for early intervention with lifestyle and, in the most severe cases, evidence-based statins...
July 13, 2018: Journal of Women's Health
Monika Budnik, Janusz Kochanowski, Radoslaw Piatkowski, Michal Peller, Karolina Wojtera, Maria Gaska-Dzwonkowska, Paulina Glowacka, Paulina Karolczak, Dorota Ochijewicz, Grzegorz Opolski
BACKGROUND: Takotsubo syndrome (TTS) is a clinical condition that mimics acute myocardial infarction (MI). More than 90% patients are women, mainly postmenopausal. Research suggests that up to 5% of women evaluated for a MI actually have TTS and that diagnose may be underestimated. Patients with TTS are generally able to fully recover within a period of days to weeks. However, serious, potentially fatal, complications may occur. METHODS: In 117 consecutive female patients hospitalized with TTS and 117 consecutive female patients with ST-segment elevation MI, we collected data regarding cardiovascular risk factors, comorbidities, and complications...
July 6, 2018: Journal of Women's Health
Carmen Radecki Breitkopf, Karen Patricia Williams, Jennifer L Ridgeway, Monica W Parker, Alice Strong-Simmons, Sharonne N Hayes, Michele Y Halyard
BACKGROUND: Underrepresentation of African American women as research participants contributes to health disparities. Contemporary studies have focused on clinical trial (CT) participation; epidemiologic and genetic studies utilizing medical records and/or biological samples have received less attention. In partnership with The Links, Incorporated (The Links), a national service organization of professional African American women, this study sought to examine attitudes regarding chart review (CR) studies, genetic studies/biobanking (GEN), and CTs; develop; and evaluate an online education-to-action program...
July 5, 2018: Journal of Women's Health
Wieteke M Heidema, Ralph R Scholten, Joris van Drongelen, Marc E A Spaanderman
INTRODUCTION: History of preeclampsia increases the risk of cardiovascular disease in women. Most formerly, preeclamptic women have generally one or even more traditional cardiovascular and/or cardiometabolic risk factors consistent with metabolic syndrome in the first year after delivery. The objective of this study was to analyze the prevalence and persistence of risk factors contributing to metabolic syndrome for the course of years after preeclamptic pregnancy. METHODS: In a longitudinally cohort study, 107 formerly preeclamptic women were assessed for traditional risk factors (insulin resistance, obesity, dyslipidemia, hypertension, and microalbuminuria) of metabolic syndrome (World Health Organization criteria) at two time points: at 3-30 months postpartum (visit 1) and 24-65 months later (visit 2)...
July 3, 2018: Journal of Women's Health
Laurie L Meschke, Clea McNeely, Kathleen C Brown, J Mark Prather
BACKGROUND: The lifetime prevalence of unintentional pregnancy among women enrolled in medically assisted treatment (MAT) for opioid use disorder (OUD) has been reported to exceed 80%. Consistent voluntary contraception use by women enrolled in MAT programs can reduce their risk of unintended pregnancies and increase their opportunity to plan the family size they want, yet little is understood about past and current contraception use or associated barriers and facilitators for this population of women...
July 3, 2018: Journal of Women's Health
Maria Vittoria Dieci, Cristina Ghiotto, Caterina Barbieri, Gaia Griguolo, Carlo Saccardi, Michele Gangemi, Alfonso Pluchinotta, Elisabetta Di Liso, Carlo Alberto Giorgi, Tommaso Giarratano, Giulia Tasca, Grazia Vernaci, Giovanni Faggioni, Pierfranco Conte, Valentina Guarneri
BACKGROUND: In the last decades, long-term outcomes of breast cancer (BC) patients have improved, raising new survivorship issues, including fertility preservation and safety of pregnancy after BC. This study assesses evolution in patterns of fertility discussion/preservation over time and reports pregnancy outcomes in a cohort of young BC patients. METHODS: A retrospective cohort of 590 BC patients aged ≤40 diagnosed between 2000 and 2016 at a large cancer center was identified...
July 2, 2018: Journal of Women's Health
Jennifer Tabler, Rachel M Schmitz, Claudia Geist, Rebecca L Utz, Ken R Smith
BACKGROUND: There is a well-documented link between eating disorders (EDs) and adverse health outcomes, including fertility difficulties. These findings stem largely from clinical data or samples using a clinical measure (e.g., diagnosis) of EDs, which may limit our understanding of how EDs or disordered eating behaviors (DEBs) shape female fertility. METHODS: We compared reproductive outcomes from two longitudinal data sources, clinical and population-based data from the Utah Population Database (UPDB) (N = 6,046), and nonclinical community-based data from the National Longitudinal Study of Adolescent to Young Adult Health (Add Health) (N = 5,951)...
July 2, 2018: Journal of Women's Health
Hack-Lyoung Kim, Myung-A Kim, Sohee Oh, Mina Kim, Hyun Ju Yoon, Seong Mi Park, Mi Seung Shin, Kyung-Soon Hong, Gil Ja Shin, Wan-Joo Shim
BACKGROUND: There have been limited data on sex-specific risk factors for coronary artery disease (CAD) in patients with stable chest pain. This study was performed to investigate whether risk factors for CAD differ by sex in stable symptomatic patients. METHODS: Data were obtained from a nation-wide registry, enrolling 1025 patients (age, 62.0 ± 11.0 years, 587 women) with chest pain who underwent elective invasive coronary angiography under the suspicion of CAD...
June 29, 2018: Journal of Women's Health
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