Brucellosis in Adults and Children: A 10-Year Case Series at Two Large Academic Hospitals in Houston, Texas

Objectives: Brucellosis is one of the most common zoonoses worldwide. Most cases in the United States occur among travelers or immigrants from endemic regions, mostly Central America. In this study, we aimed at describing and comparing the epidemiology and clinical presentation of brucellosis in pediatric and adult patients at two large tertiary care centers in Houston, Texas. Methods: We identified patients diagnosed as having brucellosis...

A Look Through Time: Historical Analysis of Obstetrics and Gynecology Texts Highlights Changes in Medicine

Objective: Our objective was to analyze systematically the preface and foreword of each edition of Williams Obstetrics and Te Linde’s Operative Gynecology to gain insight into historical changes in medicine. Methods: The preface and foreword from 24 editions of Williams Obstetrics and 11 editions of Te Linde’s Operative Gynecology were obtained. Documents were assessed for the inclusion of predefined key words or topics, including...

Commentary on “Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky”

The article “Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky”1 in this issue of the Southern Medical Journal describes the disparity in National Cancer Comprehensive Network (NCCN) guideline adherence in the economically depressed region of the United States known as central...

Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky

Objectives: Adherence to National Comprehensive Cancer Network (NCCN) guidelines for ovarian cancer treatment improves patient outcomes. The aim of this study was to assess disparities associated with ovarian cancer treatment in the state of Kentucky and central Appalachia. Methods: Data on patients diagnosed as having ovarian cancer from 2007 through 2011 were extracted from administrative claims-linked Kentucky Cancer Registry data. NCCN...

Contraceptive Practices, Preferences, and Barriers Among Abortion Clients in North Carolina

Objectives: Abortion clinics provide an ideal setting for women to receive contraceptive care because the women served may not have other contacts with the health system and are at risk for unintended pregnancies. The objective of this study was to understand practices, preferences, and barriers to use of contraception for women obtaining abortions at clinics in North Carolina. Methods: We conducted a cross-sectional survey of abortion...

Practice Pattern Variation in Pediatric Eosinophilic Esophagitis in the Carolinas EoE Collaborative: A Research Model in Community and Academic Practices

Objectives: Differences in the initial management of pediatric eosinophilic esophagitis (EoE) by practice setting have not been well characterized. We aimed to characterize these differences for sites in the Carolinas EoE Collaborative (CEoEC), a multicenter network of academic and community practices. Methods: We performed a retrospective cohort study of pediatric EoE patients at five CEoEC sites: University of North Carolina (UNC) Hospital,...

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...