Browsing by Subject "Women's Health"

Now showing 1 - 5 of 5
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    Assessment of Osteoporosis Risk Factors in the Female Dental Patient: A Demographic Study
    (1996) Becker, Angela R.; Garetto, Lawrence P.; Arbuckle, Gordon R.; Clark, David B.; Roberts, W. Eugene; Shanks, James C.
    Osteoporosis has become a major public health problem as the size of the elderly population has continued to increase. While it is unclear as to the exact relationship between systemic bone disease and the craniofacial skeleton, the dental implications of osteoporosis could include dental implant failure, decreased residual ridge height, and unsuccessful orthodontics or oral surgery procedures. While these concerns remain speculative, it is important for dentists to recognize patients who exhibit high risk for osteoporosis. The purpose of this study was to evaluate risk factors for osteoporosis exhibited by female dental patients at Indiana University School of Dentistry and to assess this risk among the various dental specialty subpopulations. Based on general population averages, we hypothesized that approximately 20 percent of the female patients were at high risk for osteoporosis and that differences would be found among the various dental subpopulations. We also hypothesized that the number of teeth present would decrease as the risk for osteoporosis increased. A 12 question survey assessment tool was devised and administered to 220 female dental patients 18 years and older. This survey asked the patient to report selected vital statistics, menstrual status, and other aspects of lifestyle. The average overall age of the patients was 48.2±1.1 years. Of the 220 subjects, 34 percent exhibited serious risk factors for osteoporosis. The orthodontic subpopulation contained the fewest number of patients at high risk for osteoporosis (6 percent). However, they were also the youngest group (33.9±2.0). The complete denture subpopulation had the highest number of patients at high risk for osteoporosis (53 percent) and was the oldest (60.0±2.3). There was a trend for number of teeth to decrease as the risk for osteoporosis and age increased. We also found that in women who had taken hormone replacement therapy for at least five years, there was no association between number of teeth and years postmenopause. However, women who had very little or no hormone replacement therapy, there was a strong correlation for number of teeth retained to decrease as the number of years postmenopause increased (r=0.6). We concluded that there is a difference in dental subpopulations for osteoporosis risk. The clinical implications are that osteoporosis risk is much higher in specific classes of dental patients. Clinicians treating these patients must recognize the need to refer high risk patients for appropriate medical assessment.
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    Confirmatory factor analysis of the Pittsburgh Sleep Quality Index in women with hot flashes
    (Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins, 2015-11) Otte, Julie L.; Rand, Kevin L.; Landis, Carol A.; Paudel, Misti L.; Newton, Katherine M.; Woods, Nancy; Carpenter, Janet S.; IU School of Nursing
    OBJECTIVE: Women, especially those with hot flashes, report poor sleep quality during various stages of the menopausal transition and postmenopause. Sleep measurements vary widely because of the copious instruments available. The Pittsburgh Sleep Quality Index (PSQI) is a frequently used questionnaire that produces a single score for sleep quality. This one-factor structure has not received consistent support in the literature. The goal of this analysis was to determine the best factor structure of the PSQI in women with hot flashes. METHODS: A confirmatory factor analysis was conducted on PSQI baseline data from three randomized controlled clinical trials enrolling perimenopausal and postmenopausal women with hot flashes (N = 849) from the Menopause Strategies: Finding Lasting Answers for Symptoms and Health network. Several a priori factor models were compared. RESULTS: One-factor and two-factor models did not fit the data. A three-factor model comprising sleep efficiency, perceived sleep quality, and daily disturbance showed good fit; however, the sleep medication item was dropped because of poor fit and low rates of sleep medication use. The three-factor model was examined in African-American and white subsamples and was found to be similar in both groups; however, two items showed small group differences in strength as indicators. CONCLUSIONS: Sleep quality in midlife women with hot flashes, as measured by the PSQI, seems to comprise three correlated factors. Minor measurement differences detected between groups are of research interest but do not necessitate different scoring practices. Additional research is needed to further define sleep quality and its associations with health-related outcomes.
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    Exposed: The Hidden History of the Pelvic Exam
    (2024-02-20) Kline, Wendy
    Presentation slides for lecture delivered by Wendy Kline, PhD (Dema G. Seelye Chair in the History of Medicine and Director of Medical Humanities Program, Purdue University) on February 20, 2024. Ever since the introduction of the pelvic exam as a gynecological procedure in the late nineteenth century, consumers and doctors have struggled to define the boundaries between preventive health and sexual impropriety. This talk suggests that the pelvic exam is more than just a medical procedure; it is a window into a deeper, more meaningful set of questions about gender, medicine, and power. From gynecological research on enslaved women’s bodies to practice on anesthetized patients, the pelvic exam as we know it today carries the burden of its history. By looking through that window, we can begin to understand why the pelvic exam remains both mysterious and contentious. Presentation recording available online: https://purl.dlib.indiana.edu/iudl/media/m80h83t87d
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    Impact of Dobbs Decision on Retention of Indiana Medical Students for Residency
    (Elsevier, 2023-10-08) Hulsman, Luci; Bradley, Paige K.; Caldwell, Amy; Christman, Megan; Rusk, Debra; Shanks, Anthony L.
    Background: As medical students consider residency training programs, access to comprehensive training in abortion care and the legal climate influencing abortion care provision are likely to affect their decision process. Objective: This study aimed to determine medical students' desire to stay in a state with an abortion ban for residency. Study design: A cross-sectional survey was distributed to all medical students at a large allopathic medical school. Anonymous survey questions investigated the likelihood of seeking residency training in states with abortion restrictions and the likelihood of considering obstetrics and gynecology as a specialty. Qualitative responses were also captured. Results: The survey was distributed to 1424 students, and 473 responses yielded a 33.2% completion rate; 66.8% of students were less likely to pursue residency training in Indiana following a proposed abortion ban. Moreover, 70.0% of students were less likely to pursue residency in a state with abortion restrictions. Approximately half of respondents (52.2%) were less likely to pursue obstetrics and gynecology as a specialty after proposed abortion restrictions. Qualitative remarks encompassed 6 themes: comprehensive health care access, frustration with the political climate, impact on health care providers, relocation, advocacy, and personal beliefs and ethical considerations. Conclusion: Most medical students expressed decreased likelihood of remaining in Indiana or in states with abortion restrictions for residency training. The field of obstetrics and gynecology has been negatively affected, with medical students indicating lower likelihood to pursue obstetrics and gynecology. Regardless of specialty, the physician shortage may be exacerbated in states with abortion restrictions. The overturn of Roe v Wade has the potential for significant effects on medical student plans for residency training location, thereby shaping the future of the physician workforce.
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