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Clinical Medicine Insights. Women's Health

Oren Gal, Mark Rotshtein, Dan Feldman, Amir Mari, Motti Hallak, Yael Kopelman
Background: Traditionally, intubation of pregnant women has been performed using a rapid sequence induction. This is due to the classical concept that women with more than 18 weeks of pregnancy (mid-second trimester) are always considered to have an increased risk of aspiration due to a number of factors, regardless of the fasting duration. Rapid sequence induction is associated with a higher rate of adverse events. Aims: Our study aimed to illuminate the hypothesis that there is no difference in gastric volume between term-pregnant women and non-pregnant or first-trimester pregnant women who were undergoing minor gynecological surgical procedures...
2019: Clinical Medicine Insights. Women's Health
Riyadh A Alzaheb
Vitamin D deficiency is currently a worldwide epidemic. Middle Eastern countries, including Saudi Arabia, have high vitamin D deficiency prevalence, most prominently among women, despite their plentiful year-round sunshine. Previous research investigating vitamin D status among Saudi women of reproductive age (15-49 years) is scarce, and no study has used a nationally representative sample, so this review quantified overall hypovitaminosis D prevalence among women in Saudi Arabia and explored the associated risk factors...
2018: Clinical Medicine Insights. Women's Health
Rebecca Ashkenazy, Mary Elizabeth Peterson
There are powerful demographic, political, and environmental trends shaping women's health. Increases in life expectancy, literacy, and empowerment are fueling expansions in education and advocacy. Research and development focuses on women's health and fertility across an expanded age spectrum. There is also a cultural emphasis on antiaging and aesthetics. In parallel, the digital revolution is changing how health care is accessed by and delivered to women. A women's journey through menopause is at the crossroads of these transformations...
2018: Clinical Medicine Insights. Women's Health
Miranda A Farage, Tom Cambron, Kan-Zhi Liu
Background: A clinical study was conducted to evaluate the feasibility of using visible and near-infrared (NIR) spectroscopy as a potential noninvasive measure of genital skin health in premenopausal and postmenopausal women. Methods: A total of 45 female subjects (aged 21-70 years), all of whom gave fully informed consent to participate, were enrolled in the study and assigned to 1 of 3 groups: 15 premenopausal (Pre-M), 15 postmenopausal receiving hormone replacement therapy (Post-M HRT), and 15 postmenopausal receiving no form of hormone replacement therapy (Post-M non-HRT)...
2018: Clinical Medicine Insights. Women's Health
Riyadh A Alzaheb, Osama Al-Amer
Background: Prior data on iron deficiency anemia's (IDA) prevalence and associated risk factors among female university students are scarce in the Saudi Arabian context. This study therefore recruited a sample of female students at the University of Tabuk, Saudi Arabia, to investigate IDA prevalence and risk factors and fill the identified research gap. Methods: A cross-sectional study of 200 apparently healthy female students aged between 19 and 25 years was performed between February and June 2016...
2017: Clinical Medicine Insights. Women's Health
Lyndsey M Hornbuckle, Ndidiamaka Amutah-Onukagha, Alicia Bryan, Elizabeth Skidmore Edwards, Takudzwa Madzima, Kelly Massey, Linda May, Leah E Robinson
Clinical Medicine Insights: Women's Health is an international, open-access, peer-reviewed journal which considers manuscripts on all aspects of the diagnosis, management, and prevention of disorders specific to women, in addition to related genetic, pathophysiological, and epidemiological topics. Clinical Medicine Insights: Women's Health aims to provide researchers working in this complex, quickly developing field with online, open access to highly relevant scholarly articles by leading international researchers...
2017: Clinical Medicine Insights. Women's Health
Riyadh A Alzaheb, Osama Al-Amer
BACKGROUND: A high hypovitaminosis D prevalence has repeatedly been reported in Middle Eastern countries. Previous data regarding the vitamin D status of young women in Saudi Arabia and the related hypovitaminosis D risk factors are scarce, so this research assessed hypovitaminosis D prevalence and its risk factors among apparently healthy female university students in Tabuk, Saudi Arabia. METHODS: This cross-sectional research used a convenience sample of healthy female students (n = 180) aged between 19 and 25 years in May 2016...
2017: Clinical Medicine Insights. Women's Health
Edward R Newton, Linda May
Only 50 years ago obstetric care providers and women had many concerns regarding whether exercise during pregnancy created a harmful competition for substrate resources between the fetus and the mother. Animal and human research in the past 50 years, which includes acute and chronic aerobic exercise during pregnancy, has a reassuring margin of safety throughout gestation in women. Maternal physiology adapts to pregnancy changes involving the cardiorespiratory and glucometabolic alterations. Due to these changes, pregnant women have slight differences in response to acute exercise sessions...
2017: 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
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