Women’s & Children’s Health

Encompasses all aspects of care of the female patient, especially gynecology and obstetrics. Addresses the special and unique care of pediatric patients, including the maternal-fetal period of life, adolescent patients, ethical issues in pediatric medical and surgical care (ie, informed consent), and growth and development in children.

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SMJ Article | Original Article

When the Dog Bites: A 5-Year Retrospective on Canine Bite Encounters

Objectives: This study addresses two objectives: to describe the epidemiology of dog bite-related emergency department (ED) visits and to evaluate changes in the rate of dog bite visits from 2019 to 2023. Methods: Dog bite visit data from the Children's Injury Database were analyzed. Descriptive statistical and epidemiologic analyses were...

SMJ Article | Original Article

Linking Breastfeeding Support Training and Certification to Knowledge, Self-Efficacy, and Attitudes among Alabama Healthcare Professionals

Objectives: This study aimed to determine whether healthcare professionals' breastfeeding-related training and certification are associated with breastfeeding support knowledge, self-efficacy, and attitudes. Methods: An online survey was created by modifying existing in­struments. Items assessed Alabama healthcare professionals' certification in breastfeeding support, breastfeeding support-related training experience, knowledge, self-efficacy, and attitudes. Participants...

Posted in: Obstetrics and Gynecology85

SMJ Article | Original Article

The Evolution of Doula Care in Arkansas

Objective: Arkansas has significant health disparities for maternal and infant outcomes, including high rates of low birth weight, preterm birth, severe maternal morbidity, and both maternal and infant mortality. Multiple studies have identified advantages of including doulas in maternal care teams. The purpose of this article was to describe the...

SMJ Article | Original Article

Could High Game Volume over a Shorter Season Increase Noncontact Knee Injury Risk among Kentucky High School Girls’ Basketball Players?

Objectives: A retrospective review of high school, college, and professional female basketball team game number and season duration comparisons was performed. The objective was to compare group differences with consideration of the possible relationship between game volume per season duration and noncontact anterior cruciate ligament injury risk from accumulated microtrauma....

SMJ Article | Original Article

Decreased Maternal Weight Gain in Pregnancy Is Seen with Buprenorphine Medication-Assisted Treatment

Objectives: Medication-assisted treatment (MAT) is associated with low maternal weight gain, and low maternal weight gain is associated with infant mortality. Many MAT patients also are smokers. This study investigates buprenorphine administration during pregnancy as a possible independent risk factor for low maternal weight gain. To our knowledge, this is...

SMJ Article | Review Article

Antibody-Drug Conjugates in the Management of Breast Cancer

Breast cancer remains a predominant contributor to global cancer-related morbidity and mortality among women, with its incidence steadily rising and presenting complex therapeutic challenges. Conventional treatment modalities, including chemotherapy, endocrine therapy, and molecularly targeted interventions, have demonstrated substantial clinical efficacy. The emergence of therapeutic resistance, systemic cytotoxicity, and metastatic progression...

SMJ Article | Original Article

Sexually Transmitted Infection Screening and Positivity in Pregnant Women Living in Areas with High Social Vulnerability Indices

Objectives: Pregnant women living in rural areas of the United States are not equitably served by healthcare systems and may be disproportionately affected by sexually transmitted infections (STIs). We examined the impact of location of pregnancy care on STI screening and positivity in a statewide health system. Methods: Pregnant women...

Posted in: Sexually Transmitted Diseases & Infections of Reproductive Organs4

SMJ Article | Perspectives

Florida Pediatric Gun Safety: Policy Recommendations and Ways Forward

Children gaining access to unsafely secured firearms is a serious concern. Unintentional injury, including from firearms, is the leading cause of death in children. Firearms-related injuries are the second highest cause of child mortality in the United States, with more than 3100 cases reported in 2016.1 In 2021, two in...

SMJ Article | Original Article

The Artist versus the Machine: Evaluating ChatGPT Efficacy in Antimicrobial Management for Pediatric Traumatic Wounds

Objectives: To evaluate the efficacy of Chat Generative Pre-Trained Transformer (ChatGPT) in generating antimicrobial management recommendations for pediatric patients with contaminated traumatic wounds, particularly in the absence of infectious disease (ID) consultation. Methods: Three pediatric cases involving severely contaminated traumatic injuries were retrospectively presented to ChatGPT-4, including clinical data such...

Posted in: Infectious Disease144

SMJ Article | Original Article

Screening and Counseling for Youth Tobacco Use: A Qualitative Study of Primary Care Providers in Northeast Tennessee

Objectives: In 2021, Tennessee high school youth reported a cigarette smoking rate of 4.9% and an electronic cigarette (e-cigarette) use rate of 19%, surpassing national averages of 2.3% and 11.3%, respectively. In 2019, 15.5% of 8th- and 9th-grade youth in northeast Tennessee reported current e-cigarette use. Primary care providers (PCPs)...

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