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Clinical Medicine Insights. Women's Health

Mohamed Khrouf, Soufiene Slimani, Myriam Razgallah Khrouf, Marouen Braham, Maha Bouyahia, Khadija Kacem Berjeb, Hanene Elloumi Chaabane, Ghaya Merdassi, Aida Zahaf Kaffel, Amel Zhioua, Fethi Zhioua
BACKGROUND: In IVF, Luteal phase support is usually performed using vaginal progesterone. A part of patients using this route reports being uncomfortable with this route. We tried to study whether the rectal route could be an effective alternative and associated with less discomfort. PATIENTS AND METHODS: A prospective randomized controlled study. All patient were eligible for IVF treatment for infertility. After oocyte pickup, 186 patients were allocated to one the following protocols for luteal phase support: (i) rectal pessaries group: natural progesterone pessaries administered rectally 200 mg three times a day, (ii) vaginal pessaries group: natural progesterone pessaries administered vaginally 200 mg three times a day), and (iii) vaginal capsules group: natural micronized progesterone capsules administered vaginally 200 mg three times a day...
2016: Clinical Medicine Insights. Women's Health
K Bryant Smalley, Jacob C Warren, Sydney McClendon, Wilburn Peacock, Marisol Caro
Rural and minority women are disproportionately impacted by the obesity epidemic; however, little research has studied the intersection of these disparity groups. The purpose of this study was to examine the influence of racial identity on motivation for weight loss and exercise among rural, African-American women with an obesity-linked chronic disease. A total of 154 African-American women were recruited from the patient population of a Federally Qualified Health Center in the rural South to complete a questionnaire battery including the Multigroup Ethnic Identity Measure and separate assessments of motivation for weight loss and exercise...
2016: Clinical Medicine Insights. Women's Health
NiCole R Keith, Huiping Xu, Mary de Groot, Kimberly Hemmerlein, Daniel O Clark
BACKGROUND: Obese black women enrolled in weight loss interventions experience 50% less weight reduction than obese white women. This suggests that current weight loss strategies may increase health disparities. OBJECTIVE: We evaluated the feasibility of identifying daily contextual factors that may influence obesity. METHODS: In-home interviews with 16 obese (body mass index ≥ 30) black and white urban poor women were performed. For 14 days, ecological momentary assessment (EMA) was used to capture emotion and social interactions every other day, and day reconstruction method surveys were used the following day to reconstruct the context of the prior day's EMA...
2016: Clinical Medicine Insights. Women's Health
Carmen Moyer, Olga Roldan Reoyo, Linda May
Research has continued to demonstrate that exercise during pregnancy is safe. Growing evidence supports that exercise during pregnancy is beneficial for mother and fetus during gestation, with benefits persisting for the child into adulthood. Regardless of income or socioeconomic status, exercise during pregnancy is associated with increased incidence of full-term delivery. Additionally, normalization of birth measures, such as birth weight, occurs when women perform regular exercise throughout gestation. Measures of growth and development further indicate that exercise during pregnancy does not harm and may stimulate healthy growth throughout childhood...
2016: Clinical Medicine Insights. Women's Health
Lyndsey M Hornbuckle, J Derek Kingsley, Michael R Kushnick, Robert J Moffatt, Emily M Haymes, Rebecca Miles, Tonya Toole, Lynn B Panton
This study examined the effects of a 12-month walking intervention in overweight/obese, low socioeconomic women. Forty-six women (48.2 ± 8.0 years) entered the study. Outcomes included weight, waist and hip circumferences, body mass index (BMI), blood pressure, glycosylated hemoglobin, blood lipids, fibrinogen, and high-sensitivity C-reactive protein (hsCRP). Both intention-to-treat analyses in all participants and group analyses in study completers only (3K group = increased steps/day by ≥3,000; No Δ group = did not increase steps/day by ≥3,000) were conducted...
2016: Clinical Medicine Insights. Women's Health
Katherine J Strissel, Dequina A Nicholas, Myriam Castagne-Charlotin, Naomi Ko, Gerald V Denis
[This corrects the article DOI: 10.4137/CMWH.S34698.].
2016: Clinical Medicine Insights. Women's Health
Melissa A Simon, Athena T Samaras, Narissa J Nonzee, Nadia Hajjar, Carmi Frankovich, Charito Bularzik, Kara Murphy, Richard Endress, Laura S Tom, XinQi Dong
Patient navigation is an internationally utilized, culturally grounded, and multifaceted strategy to optimize patients' interface with the health-care team and system. The DuPage County Patient Navigation Collaborative (DPNC) is a campus-community partnership designed to improve access to care among uninsured breast and cervical cancer patients in DuPage County, IL. Importantly, the DPNC connects community-based social service delivery with the patient-centered medical home to achieve a community-nested patient-centered medical home model for cancer care...
2016: Clinical Medicine Insights. Women's Health
Leeya F Pinder, Brett D Nelson, Melody Eckardt, Annekathryn Goodman
African-born immigrants comprise one of the fastest growing populations in the U.S., nearly doubling its population size in recent years. However, it is also one of the most underrepresented groups in health-care research, especially research focused on gynecologic and breast malignancies. While the opportunity exists for access to an advanced health-care system, as immigrants migrate to the U.S., they encounter the same health-care inequalities that are faced by the native-born population based on ethnicity and social class, potentiated by limitations of health literacy and lack of familiarity with U...
2016: Clinical Medicine Insights. Women's Health
Karen Paz, Kelly P Massey
Analyzing the Latino community and focusing on the women that make up this fast-growing demographic create a better understanding of the needs and considerations for health-care professionals and social policies. It is important that national health and health-care data on the Latino ethnic group be presented by gender in order to determine areas specific to women. This review focuses on the existing health and health-care data of Latino women (Latinas). The ability to distinguish the health-care experiences of Latinas will increase the understanding of existing barriers to their health care, the initiatives needed to overcome them, and increase the overall quality of health among Latina women...
2016: Clinical Medicine Insights. Women's Health
Patrice L Capers, Amber W Kinsey, Edrika L Miskell, Olivia Affuso
BACKGROUND: Body mass index (BMI) has been used widely among clinicians to assess obesity in their patients due to its ease and availability. However, BMI has some diagnostic limitations and other measures related to health risks; in particular, body shape may be of greater relevance to health outcomes. OBJECTIVE: The objective of this study was to illustrate the importance of body shape assessments above and beyond BMI and its relationship to health risk among a sample of African-American and European American women...
2016: Clinical Medicine Insights. Women's Health
Katherine J Strissel, Dequina A Nicholas, Myriam Castagne-Charlotin, Naomi Ko, Gerald V Denis
African-American women, a historically understudied and underserved group, have increased risk for triple-negative breast cancer and obesity-associated disease. Obesity-associated metabolic diseases share a common link of low grade chronic inflammation, but not all obese women have metabolic disturbances or are inflamed. One goal of our ongoing research is to identify blood biomarkers that can predict increased risk of breast cancer in women who have obesity or metabolic dysfunction. However, vulnerable populations that stand to benefit most from advances in biomedical research are also underrepresented in research studies...
2016: Clinical Medicine Insights. Women's Health
Elizabeth Skidmore Edwards, Sarah Carson Sackett
This article reviews psychosocial influences on women's participation in physical activity as they differ from men and how associated activity differences impact women's risk for a number of chronic diseases. This topic directly aligns with the mission of this special edition related to disparities in women's health as the typically lower level of physical activity in females directly impacts their health. On average, females participate in physical activity at lower rates than their male counterparts. These lower rates of physical activity are directly related to both incidence of and outcomes from cardiovascular disease, type 2 diabetes, and breast and gynecological cancers...
2016: Clinical Medicine Insights. Women's Health
Dana L Carthron, Maria Rivera Busam
PURPOSE: The purpose of this study is to compare the health of primary caregiving African American grandmothers with diabetes with African American women with diabetes who were not primary caregivers. DESIGN: Using a comparative, descriptive, cross-sectional design, 34 African American primary caregiving grandmothers were compared with 34 non-caregiving women with diabetes mellitus; women aged 55-75 years were recruited for this study throughout the central Arkansas...
2016: Clinical Medicine Insights. Women's Health
Jennifer M Jabson, Deborah Bowen, Janice Weinberg, Candyce Kroenke, Juhua Luo, Catherine Messina, Sally Shumaker, Hilary A Tindle
BACKGROUND: Strategies for identifying the most relevant psychosocial predictors in studies of racial/ethnic minority women's health are limited because they largely exclude cultural influences and they assume that psychosocial predictors are independent. This paper proposes and tests an empirical solution. METHODS: Hierarchical cluster analysis, conducted with data from 140,652 Women's Health Initiative participants, identified clusters among individual psychosocial predictors...
2016: Clinical Medicine Insights. Women's Health
Amanda A Price, Melicia C Whitt-Glover, Caroline L Kraus, Michael J McKenzie
Although poor health-related behaviors that impact development of chronic diseases begin much earlier than when actual disease is evident, few studies have examined health behaviors in college students, who may be at an important transitional period where early intervention could prevent development of chronic diseases. The purpose of this study was to examine health-related factors in female college students (N = 61) by race/ethnicity and weight status. We found significant differences in health profiles between non-Hispanic White (White) and African American students, including greater physical fitness and healthier diets among White students...
2016: Clinical Medicine Insights. Women's Health
Nichelle Satterfield, Edward R Newton, Linda E May
Preterm birth remains a leading cause of neonatal morbidity and mortality throughout the world. Numerous risk factors for preterm birth have been identified, including non-Hispanic black race, a variety of social and behavioral factors, infections, and history of a prior preterm delivery. Of these, a history of prior spontaneous preterm birth is one of the strongest risk factors. Traditionally, women with a history of preterm birth or those deemed at high risk for preterm delivery have been placed on bed rest or a reduced activity regimen during their pregnancy...
2016: Clinical Medicine Insights. Women's Health
Hamilton Dos Prazeres Tavares, Suelma Beatriz Marques Prata Tavares, Daniel Pires Capingana, Silvana Granado Nogueira da Gama, Luiz Guilherme Pessoa da Silva
This study aims to establish a profile of teenage pregnancy (<20 years) at a hospital in Huambo, Angola. Subjects were categorized into two age groups, 10-16 and 17-19 years. We interviewed 381 mothers in the postpartum maternity ward of the Central Hospital of Huambo. Statistical analysis then followed two stages, a descriptive analysis of the study population and analysis through a bivariate 2 × 2 table, using a chi-squared test to evaluate the hypothesis of homogeneity of proportions with a significance level of 5%...
2016: Clinical Medicine Insights. Women's Health
Naomi Thelusma, Penny Ralston
Women from diverse ethnic/racial backgrounds have higher chronic disease mortality rates when compared to White non-Hispanic women. Community-based programs, such as beauty salons, have been used to reach diverse ethnic/racial women, yet little is known about diverse ethnic/racial women cosmetologists' involvement in health promotion and their health behaviors, which is the purpose of this review. The growing beauty salon health promotion literature indicates that their roles in these studies have been varied, not only as health promoters but also as recruiters, facilitators, and in general major catalysts for investigator-initiated studies...
2016: Clinical Medicine Insights. Women's Health
Ndidiamaka N Amutah, Jacqueline Gifuni, Yvonne Wesley
The purpose of this qualitative secondary data analysis is to examine the major influencers on mothers with HIV in their childbearing decisions, as well as how those influencers shape conversations with clinicians and health-care providers regarding HIV treatment and prevention. The original study gained insight into the reproductive decision-making of mothers with HIV. By analyzing a subsample of 15 interviews from an original cohort of 25 participants in the earlier study, three major themes were identified as follows: (1) family members, not health-care providers, influence reproductive decisions; (2) negative attitudes toward subsequent pregnancies are mainly due to HIV transmission; and (3) birth control decisions were predominately supported by family members, while health-care providers were not consulted...
2016: Clinical Medicine Insights. Women's Health
Cristina M De la Hera-Lazaro, Jose L Muñoz-González, Reyes Oliver Perez, Rocío Vellido-Cotelo, Alvaro Díez-Álvarez, Leticia Muñoz-Hernando, Carmen Alvarez-Conejo, Jesús S Jiménez-López
OBJECTIVE: The main aim of this study is to determine the improvement in quality of life in patients who have undergone radical surgery because of severe endometriosis. PATIENTS AND METHODS: This nonrandomized interventional study (quasi experimental) was carried out between January 2009 and September 2014. A total of 46 patients with diagnosis of severe endometriosis were included. Radical surgery, including hysterectomy, was performed. Acting as their own control group, the patients were asked to fill in a validated questionnaire of quality of life [Endometriosis Health Profile-5 (EHP-5)] and a visual analog scale of pain at the moment of the preoperative visit (one month prior to surgery) and six months after the surgery...
2016: Clinical Medicine Insights. Women's Health
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