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Journal of Women's Health

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https://www.readbyqxmd.com/read/29048983/representation-of-women-and-minorities-in-clinical-trials-for-new-molecular-entities-and-original-therapeutic-biologics-approved-by-fda-cder-from-2013-to-2015
#1
Alice Chen, Hilary Wright, Hawi Itana, Merina Elahi, Ayomide Igun, Guoxing Soon, Anne R Pariser, Emmanuel O Fadiran
BACKGROUND: The U.S. Food and Drug Administration (FDA) has made efforts to encourage adequate assessment of women, racial/ethnic minorities, and geriatric participants in clinical trials through regulations and guidance documents. This study surveyed the demographics of clinical trial participants and the presence of efficacy and safety analyses by sex for new drugs approved between 2013 and 2015 by the FDA Center for Drug Evaluation and Research. METHODS: New drug marketing applications submitted to FDA were surveyed for demographic data (sex, race, ethnicity, and age) and the presence of sex-based analyses for efficacy and safety...
October 19, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29048981/women-and-the-decision-to-leave-linger-or-lean-in-predictors-of-intent-to-leave-and-aspirations-to-leadership-and-advancement-in-academic-medicine
#2
Elizabeth H Ellinas, Nadya Fouad, Angela Byars-Winston
BACKGROUND: The Association of American Medical Colleges reports continued low rates of female faculty as professors and in leadership positions. While attrition and discrimination have both been proposed as explanations, recent literature has suggested that women's professional motivations, ingrained behavior, and perceptions of organizational support may also play a role. METHODS: The authors employed a series of scales informed by the turnover theory (which predicts intent to leave an organization), previously validated and used in business and engineering studies, but rarely used in academic medicine...
October 19, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29040004/building-bridges-a-case-for-community-health-worker-provision-of-misoprostol-only-abortion-in-the-first-trimester
#3
Claire Tebbets, Diana Santana, José Ros Silvestre, Dee Redwine
INTRODUCTION: The consequences of unsafe abortion are devastating to women, their families, and their communities. Medication abortion presents an important alternative to harmful self-induction practices and surgical intervention under questionable circumstances. In settings where mifepristone is unavailable, the use of misoprostol alone is a safe and effective option for terminating an unwanted pregnancy. Studies have demonstrated the safety and efficacy of administration of misoprostol by community health workers (CHW) for indications such as postpartum hemorrhage and treatment of incomplete abortion...
October 17, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29035622/health-insurance-and-the-promise-of-incrementalism
#4
Dharushana Muthulingam
No abstract text is available yet for this article.
October 16, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29028452/atrial-fibrillation-in-women-risks-and-management
#5
Sindhu Prabakaran, Maria Carolina Gongora Nieto, Gina Lundberg
Atrial fibrillation (AF) is one of the most commonly occurring arrhythmias and a major modifiable risk factor for stroke, especially in women. While its prevalence is similar in both men and women, women unfortunately face a greater intrinsic AF-related risk of stroke than men do. This is likely one of the reasons that more women than men die from strokes, in addition to experiencing more new and recurrent strokes. Therefore, in women especially, it is imperative to diagnose and treat AF as early as possible...
October 13, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29023180/trends-in-early-prenatal-care-among-women-with-pre-existing-diabetes-have-income-disparities-changed
#6
Khadijah Breathett, Jessica Filley, Madhaba Pandey, Nayanjot Rai, Pamela N Peterson
BACKGROUND: Women with pre-existing diabetes are at high maternal risk for comorbidities and death, particularly when early prenatal care is not received. Low income is a known barrier to early prenatal care. It is unknown whether recent policies to expand access to prenatal care have reduced income disparities. We hypothesized that income disparities would be minimized and that the odds of receipt of first trimester prenatal care among women with pre-existing diabetes would become similar across income strata over time...
October 12, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28994642/reasons-for-not-treating-women-with-postmenopausal-osteoporosis-with-prescription-medications-physicians-and-patients-perspectives
#7
Jessica Papadopoulos Weaver, Kelly Olsson, Ravi Sadasivan, Ankita Modi, Shuvayu Sen
BACKGROUND: In the United States, between one-third and two thirds of postmenopausal women do not begin treatment with a prescription osteoporosis medication after a diagnosis of osteoporosis. The objective of this study was to understand the reasons for this lack of treatment. MATERIALS AND METHODS: Online physician and patient surveys were administered in 2013. The physician survey included a chart review of untreated postmenopausal women recently diagnosed with osteoporosis and gathered data on physicians' practices regarding the management of osteoporosis in postmenopausal women...
October 10, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28982017/incidence-of-subclinical-hypothyroidism-and-hypothyroidism-in-early-pregnancy
#8
Frida Hosseini Akram, Bengt Johansson, Gunnar Möllerström, Britt-Marie Landgren, Anneli Stavreus-Evers, Lottie Skjöldebrand-Sparre
BACKGROUND: Untreated and subclinical hypothyroidism (SCH) has been associated with adverse pregnancy complications such as increased risk of miscarriage, hypertension, preeclampsia, and preterm delivery. However, in Sweden, screening for thyroid dysfunction during pregnancy is only recommended for women with a high risk of thyroid disease. Therefore, the aim of this study was to determine the incidence of clinical and SCH in women in the first trimester of pregnancy. MATERIALS AND METHODS: In this prospective study, 1298 pregnant women were divided into three groups: one unselected general screening group (n = 611), one low-risk group comprising women without risk factors for thyroid disorder (n = 511), and one high-risk group comprising women with an inheritance or suspicion of thyroid disease or undergoing treatment for thyroid disease (n = 88)...
October 5, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28981382/association-between-mental-health-burden-and-coronary-artery-disease-in-u-s-women-veterans-over-45-a-national-cross-sectional-study
#9
Megan R Gerber, Matthew W King, Katherine M Iverson, Suzanne L Pineles, Sally G Haskell
BACKGROUND: The women Veteran population accessing Veterans Health Administration (VA) care has grown rapidly. Women Veterans exhibit high rates of mental health conditions that increase coronary artery disease (CAD) risk; however, the relationship between specific conditions and increasing mental health burden to CAD in this population is unknown. MATERIALS AND METHODS: Using VA National Patient Care Data for 2009, we identified women Veterans over 45 (N = 157,195)...
October 5, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28981379/a-pilot-randomized-controlled-trial-of-a-computer-delivered-brief-intervention-for-substance-use-and-risky-sex-during-pregnancy
#10
Golfo Tzilos Wernette, Melissa Plegue, Christopher W Kahler, Ananda Sen, Caron Zlotnick
BACKGROUND: Sexually transmitted infections (STIs) are an increasingly critical and costly health problem for American childbearing women. Pregnant women who misuse substances are more likely to engage in risky sexual behavior that leads to STIs. Substance use and risky sex during pregnancy are both associated with numerous negative consequences for the woman and the developing fetus. STUDY DESIGN: A two-group, randomized controlled trial. PARTICIPANTS: Recruitment of 50 pregnant women (30% Latina; 24...
October 5, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28976797/temporal-trends-in-the-uptake-and-continuation-of-the-etonogestrel-implant-in-a-large-private-practice-setting
#11
David L Howard, Avery Ford, Sonia Ceballos, K Warren Volker
OBJECTIVE: To assess temporal trends in the uptake and continuation of the etonogestrel subdermal implant in a large private practice setting. METHODS: This was a retrospective cohort study based on billing records from a large multispecialty private practice in Las Vegas, Nevada. We looked at women of all ages seeking long-acting reversible contraception (LARC) between January 1, 2013, and December 31, 2016. The main outcome measure was uptake of the etonogestrel subdermal implant, expressed as a fraction of all insertions of LARC across four calendar years (2013-2016)...
October 4, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28956704/physical-intimate-partner-violence-and-contraceptive-behaviors-among-young-women
#12
Yasamin Kusunoki, Jennifer S Barber, Heather H Gatny, Robert Melendez
BACKGROUND: Understanding the link between physical intimate partner violence (IPV) and contraception is key to preventing unintended pregnancy and sexually transmitted infections. MATERIALS AND METHODS: Data from the Relationship Dynamics and Social Life study, a longitudinal study of a racially and socioeconomically diverse population-representative random sample of 18- to 19-year-old women residing in a Michigan county in 2008-2009 and followed weekly through 2011-2012, were used...
September 28, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28953429/overactive-bladder-symptoms-in-female-health-profession-students-bladder-diary-characteristics-and-impact-of-symptoms-on-health-related-quality-of-life
#13
Rebecca Reisch, Richard Rutt, Mary Dockter, Sheryl Sanders
INTRODUCTION: There is limited information on overactive bladder (OAB) symptoms, their association with bladder irritants, or the effect of OAB on health-related quality of life (HRQoL) in young women. We evaluated these issues in a group of young female health profession students. METHODS: All female students (n = 964) attending a university in the Pacific Northwest were recruited via email or an in-person informational meeting to participate in this descriptive cross-sectional study...
September 27, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28953424/severe-maternal-morbidity-at-delivery-and-risk-of-hospital-encounters-within-6-weeks-and-1-year-postpartum
#14
Elizabeth M Harvey, Saifuddin Ahmed, Susan E Manning, Hafsatou Diop, Cynthia Argani, Donna M Strobino
BACKGROUND: Little is known about the impact of severe maternal morbidity (SMM) after delivery. We examined the risk of rehospitalization in the first year postpartum among deliveries to women with and without SMM. MATERIALS AND METHODS: We used the Pregnancy to Early Life Longitudinal data system, in which vital birth/fetal death records were linked with hospital delivery discharge data and subsequent nondelivery hospitalization data, including observational stays (OSs) and in-patient stays (hospital discharge [HD]) for Massachusetts residents during 2002-2011...
September 27, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28945159/a-new-subtype-of-chronic-daily-headache-presenting-in-older-women
#15
Todd D Rozen
OBJECTIVE: To describe a new subtype of chronic daily headache in women of a specific age group. METHODS: Case series. RESULTS: Eight patients were included in the presented case series. The average age of onset of this distinct headache condition is 57 years. All patients were either perimenopausal or in menopause when the headaches started. The syndrome is marked by bilateral head pain that starts daily from onset and is typically at its most severe intensity the first thing in the morning before arising or when in the supine position...
September 25, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28937843/emergency-department-visits-for-postpartum-complications
#16
Erin Christine Brousseau, Valery Danilack, Fei Cai, Kristen A Matteson
INTRODUCTION: Most estimates of the prevalence and types of postpartum complications are based on hospital readmissions. However, using hospital readmissions (which occurs in only 1%-2% of postpartum women) is problematic as it fails to include women with postpartum complications assessed in the office or emergency department (ED). We utilized data from a cohort of women evaluated in an ED setting to better characterize complications experienced by women in the postpartum period. MATERIALS AND METHODS: We performed a retrospective analysis of all postpartum visits to the ED at a tertiary care women's hospital over 6 months...
September 22, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28937842/intimate-partner-violence-smoking-and-pregnancy-what-can-we-do-to-help
#17
Kelly C Young-Wolff, Brigid McCaw, Lyndsay A Avalos
No abstract text is available yet for this article.
September 22, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28937841/implementation-strategies-for-gender-sensitive-public-health-practice-a-european-workshop
#18
Sabine Oertelt-Prigione, Lucie Dalibert, Petra Verdonk, Elisabeth Zemp Stutz, Ineke Klinge
OBJECTIVES: Providing a robust scientific background for the focus on gender-sensitive public health and a systematic approach to its implementation. METHODS: Within the FP7-EUGenMed project ( http://eugenmed.eu ) a workshop on sex and gender in public health was convened on February 2-3, 2015. The experts participated in moderated discussion rounds to (1) assemble available knowledge and (2) identify structural influences on practice implementation. The findings were summarized and analyzed in iterative rounds to define overarching strategies and principles...
September 22, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28933653/patient-navigation-improves-subsequent-breast-cancer-screening-after-a-noncancerous-result-evidence-from-the-patient-navigation-in-medically-underserved-areas-study
#19
Yamile Molina, Sage J Kim, Nerida Berrios, Anne Elizabeth Glassgow, Yazmin San Miguel, Julie S Darnell, Heather Pauls, Ganga Vijayasiri, Richard B Warnecke, Elizabeth A Calhoun
BACKGROUND: Past efforts to assess patient navigation on cancer screening utilization have focused on one-time uptake, which may not be sufficient in the long term. This is partially due to limited resources for in-person, longitudinal patient navigation. We examine the effectiveness of a low-intensity phone- and mail-based navigation on multiple screening episodes with a focus on screening uptake after receiving noncancerous results during a previous screening episode. METHODS: The is a secondary analysis of patients who participated in a randomized controlled patient navigation trial in Chicago...
September 21, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28933640/the-impact-of-antithrombin-deficiency-on-women-s-reproductive-health-experiences-and-healthcare-decision-making
#20
Ariela L Marshall, Juliana Perez Botero, Aneel A Ashrani, Rajiv K Pruthi, John A Heit, Ashish Chintakuntlawar, Jennifer C Guenther, Mrinal M Patnaik
BACKGROUND: Women with inherited antithrombin (AT) deficiency are at high risk for venous thromboembolism (VTE), especially during times of estrogen exposure, but little is known about patient-oriented reproductive decision-making in this population. MATERIALS AND METHODS: Provider-administered survey of women with AT deficiency. Participants were asked to discuss their diagnosis of AT deficiency and questioned about (1) contraception, (2) pregnancies, and (3) menorrhagia, and the impact of their AT deficiency on each reproductive health experience...
September 21, 2017: Journal of Women's Health
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