Alabama Children’s Body Mass Index, Nutritional Attitudes, and Food Consumption: An Exploratory Analysis

Objectives: This study had three aims: assess the extent to which middle school children in southern Alabama were classified as overweight or obese; determine the magnitude of the relation between children’s attitudes toward healthy eating and their actual dietary choices; and examine the role of race, sex, and ZIP codes on children’s eating attitudes and behaviors. Methods: Registered dietitians took height and weight measurements of...

Postponing Childbearing and Fertility Preservation in Young Professional Women

Objectives: To evaluate young women’s awareness of ovarian reserve testing and oocyte cryopreservation (OC) and assess how testing ovarian reserve may affect the desire for fertility preservation. Methods: Three questionnaire-based observational studies were conducted among female students/young professionals 20 years of age and older. The third survey was completed after participants were offered anti-Mullerian hormone (AMH) testing. The...

On “Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma”

To the Editor: I recently had an opportunity to read the article ‘‘Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma,’’ by Eniola and Evarts,1 which appeared in the May 2017 issue of the Southern Medical Journal. Having practiced in family medicine for 935 years in rural settings as well as having a full-time practice in child abuse pediatrics for the past 12 years, I would strongly support the information and...

Comparison of Children’s Menu Items at Full- and Quick-Service Restaurants

Objectives: The proportion of food consumed by children from restaurants tripled during the last 4 decades and that coincided with the increased rate of obesity. Despite the presence of data linking quick-service (QS) food consumption to poor diet quality, studies comparing the nutrition content of the children’s menu items at QS restaurants (QSRs) with those at full-service restaurants (FSRs) are limited. The objectives of this study were to...

Risk-Reducing Salpingectomy Versus Standard Tubal Sterilization: Lessons From Offering Women Options for Interval Sterilization

Objectives: In women receiving sterilization, the removal of the entire fallopian tube, a procedure referred to as a risk-reducing salpingectomy (RRS), reduces subsequent ovarian cancer risk compared with standard tubal sterilization procedures. There are limited data on which surgical procedure women will choose when educated about the benefits of an RRS. Our objective was to study the proportion of women desiring sterilization that would...

Delayed Emergence in Pediatric Patients with Neurologic Disease Presenting for Ambulatory Surgery

Objectives: Management of pediatric patients with neurological diagnoses can be challenging for anesthesiologists. We sought to determine whether preexisting neurologic disease could serve as an intrinsic risk factor for prolonged emergence. Methods: Following institutional review board approval, we conducted a database search from 2012 to 2015. Included were patients aged 0 to 18 years undergoing ambulatory procedures, and carrying...

Women’s Health Curriculum for Medical Students

Objectives: Knowledge of women’s health is important for physicians in various specialties, but training often is inadequate. The objective of this project was to develop, implement, and evaluate a women’s health curriculum for medical students at the University of Florida College of Medicine in Gainesville. Methods: After reviewing previous pertinent literature and assessing institutional factors, we developed an interdisciplinary...

Association of the Length of the Third Stage of Labor and Blood Loss Following Vaginal Delivery

Objectives: The length of the third stage of labor is correlated with blood loss following a vaginal delivery. We aimed to accurately measure blood loss following a vaginal delivery and examine the relation between blood loss and length of the third stage of labor. Methods: This was a prospective observational study of singleton pregnancies ≥24 weeks undergoing a vaginal delivery. Blood loss was meticulously measured and the length of the...

Associations of Prepregnancy Morbid Obesity and Prenatal Depression with Gestational Weight Gain

Objectives: Pregnancy outcomes and infant growth and development are influenced by various prenatal and postnatal factors. Gestational weight gain (GWG) is an important indicator of pregnancy management and outcomes. Information about the interaction between prenatal obesity and depression on GWG among low-income women is limited. There also is a lack of information about morbid obesity and GWG. The purpose of this study was to examine the...

Comprehension of Pelvic Organ Prolapse and Urinary Incontinence in Southern Appalachian Women

Objectives: Despite their growing prevalence, pelvic floor disorders (PFDs) remain undertreated and not well understood by patients, with treatment disparities noted in specific subgroups of women. The goal of the present study was to determine the basic understanding of PFDs of women in the southern Appalachian region of the United States, to determine factors that predict knowledge, and to explore the possible disparities in seeking access to...

Dietary and Nutrition Recommendations in Pediatric Primary Care: A Call to Action

Abstract: Rapid increases in childhood obesity reflect widespread changes in diet and physical activity, which are of significant concern because obesity increases a child’s risk for negative health outcomes and frequently creates a pathway to adult obesity. Diet and nutrition play a key role in maintaining energy balance and preventing weight gain; therefore, they are obvious targets for obesity prevention efforts. Primary care providers are...

Variation in Use of Prophylactic Antibiotics in Gynecologic Procedures Before and After an Educational Intervention

Objectives: Guidelines for use of prophylactic antibiotics in gynecologic procedures are outlined by the American Congress of Obstetricians and Gynecologists. There remains, however, a high rate of unindicated administration of antibiotics for surgeries. A retrospective study performed at our institution in 2012–2013 demonstrated that unindicated prophylactic antibiotics were administered over half the time. This study aimed to examine...

Improving Postoperative Efficiency: An Algorithm for Expedited Void Trials After Urogynecologic Surgery

Objectives: To evaluate the relation between voided volume and void trial “success” to create an algorithm that minimizes the need for postvoid residual volume (PVR) assessment in backfill-assisted void trials. Methods: This article is an ancillary analysis of deidentified data from a randomized trial evaluating prophylactic antibiotics after urogynecologic surgery. Void trials were routinely performed after surgery; voided volumes, PVR,...

Commentary on “Improving Postoperative Efficiency: An Algorithm for Expedited Void Trials After Urogynecologic Surgery”

For many reasons, including the general aging of the US female population, women’s awareness of surgical therapies to address pelvic floor dysfunction, and the increasing acceptance of such therapies, the incidence of pelvic floor reconstructive surgery is increasing and likely will continue to...

Trends in Abortion Incidence and Availability in North Carolina, 1980–2013

Objectives: Abortion incidence has declined nationally during the last decade. In recent years, many states, including North Carolina, have passed legislation related to the provision of abortion services. Despite the changing political environment, there is no comprehensive analysis on past and current trends related to unintended pregnancy and abortion in North Carolina. Methods: This study is a secondary analysis of vital registration data...

Chronic Kidney Disease in Pregnancy

With the increasing prevalence of chronic kidney disease (CKD) worldwide, the number of pregnant women with various degrees of renal dysfunction is expected to increase. There is a bidirectional relation between CKD and pregnancy in which renal dysfunction negatively affects pregnancy outcomes, and the pregnancy can have a deleterious impact on various aspects of kidney disease. It has been shown that even mild renal dysfunction can increase...

Management of Intrauterine Contraception in Early Pregnancy

Objectives: Women with rare intrauterine contraception (IUC) failures are advised to have their IUC removed because of the risk of poor obstetric outcomes with a retained IUC. Specifics regarding IUC removal in early pregnancy including techniques for removal, rates of success, and immediate pregnancy outcomes following removal are not well described, however. The objective of this study was to identify women with an IUC in early pregnancy...

Underdiagnosis and Lower Rates of Office Visits for Overweight/Obese Pediatric Patients in Rural Compared with Urban Areas

Objectives: This study compared the number of children enrolled in Medicaid in rural and urban areas of South Carolina with an overweight/obesity diagnosis and the mean rates of office visits with overweight/obesity diagnosed. Methods: Medicaid claims data from 2012 for children in three South Carolina counties, categorized as urban, rural high resource, and rural low resource, were used to identify those who had been diagnosed as being...

Adequately Addressing Pediatric Obesity: Challenges Faced by Primary Care Providers

Objective: To assess the challenges primary care providers encounter when providing counseling for pediatric patients identified as obese. Methods: A survey assessed the current challenges and barriers to the screening and treatment of pediatric obesity for providers in northwest Arkansas who provide care to families. The survey consisted of 15 Likert scale questions and 4 open-ended questions. Results: Time, resources, comfort, and...

Commentary on “Do Mixed-Flora Preoperative Urine Cultures Matter?”

Urogynecologic and urologic surgeons routinely diagnose and treat postoperative urinary tract infections (UTIs) in women. Often already uncomfortable from surgical pain, these patients can be frustrated upon receiving a diagnosis of a UTI. As such, it would be optimal if surgeons could identify those patients at risk for postoperative UTI and offer prophylactic therapy to prevent...