Significant difference in HEDIS annual chlamydia testing rates between women who had given birth and those who had not among young Medicaid women

Guoyu Tao; Kwame Owusu-Edusei; Eleanor Friedman; Maria Aslam; Abigail H. Viall; Patricia Dietz; Thomas L. Gift

doi:10.1071/sh18003

Corrigendum to: Significant difference in HEDIS annual chlamydia testing rates between women who had given birth and those who had not among young Medicaid women

Sexual Health ◽

10.1071/sh18003_co ◽

2018 ◽

Vol 15 (4) ◽

pp. 379

Author(s):

Guoyu Tao ◽

Kwame Owusu-Edusei ◽

Eleanor Friedman ◽

Maria Aslam ◽

Abigail H. Viall ◽

...

Keyword(s):

Sexually Active ◽

Not Given ◽

Chlamydia Testing ◽

Testing Rate ◽

Significant Difference ◽

Information Set ◽

Effectiveness Data

We used the 2013 Medicaid Analytic eXtract (MAX) database to estimate chlamydia testing rates separately for sexually active women aged 15–25 years who had, or had not, given birth in 2013. Approximately 9.2% of sexually active women aged 15–25 years gave birth in 2013. The Healthcare Effectiveness Data Information Set (HEDIS) annual chlamydia testing rate was significantly higher among women who had given birth than women who had not in 2013 (59.7 vs 29.4%, P

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Large increase in opportunistic testing for chlamydia during a pilot project in a primary health organisation

Journal of Primary Health Care ◽

10.1071/hc13141 ◽

2013 ◽

Vol 5 (2) ◽

pp. 141 ◽

Cited By ~ 5

Author(s):

Sunita Azariah ◽

Stephen McKernon ◽

Suzanne Werder

Keyword(s):

New Zealand ◽

Management System ◽

Pilot Project ◽

Chlamydia Screening ◽

Age Group ◽

Transmitted Infection ◽

Chlamydia Testing ◽

Primary Health ◽

Significant Difference

INTRODUCTION: The Auckland chlamydia pilot project was one of three funded by the Ministry of Health to trial implementation of the 2008 Chlamydia Management Guidelines. Chlamydia is the most commonly notified sexually transmitted infection in New Zealand. AIM: To increase opportunistic testing in under-25-year-olds and to improve documentation of partner notification in primary care. METHODS: A four-month pilot was initiated in Total Healthcare Otara using a nurse-led approach. Laboratory testing data was analysed to assess whether the pilot had any impact on chlamydia testing volumes in the target age-group. Data entered in the practice management system was used to assess follow-up and management of chlamydia cases. RESULTS: During the pilot there was a 300% increase in the number of chlamydia tests in the target age-group from 812 to 2410 and the number of male tests increased by nearly 500%. Twenty-four percent of people tested were positive for chlamydia, with no significant difference in prevalence by ethnicity. The pilot resulted in better documentation of patient follow-up in the patient management system. DISCUSSION: There was a large increase in chlamydia testing during the pilot with a high prevalence found in the population tested. Chlamydia remains an important health problem in New Zealand. The cost benefit of increased chlamydia screening at a population level has yet to be established. KEYWORDS: Chlamydia; notification, partner; pilot project; prevalence; primary health care

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THE PREVALENCE OF Chlamydia trachomatis AMONGST ASYMPTOMATIC PREGNANT WOMEN IN FOUR LOCAL GOVERNMENT AREAS OF DELTA STATE

African Journal of Health, Safety and Environment ◽

10.52417/ajhse.v1i2.80 ◽

2020 ◽

Vol 1 (2) ◽

pp. 13-23

Author(s):

H. T. Bamikole ◽

I. B. Idemudia ◽

E. E. Imariagbe ◽

F. O. Ekhaise

Keyword(s):

Chlamydia Trachomatis ◽

Local Government ◽

Pregnant Women ◽

Age Groups ◽

Sexually Active ◽

Chain Reaction ◽

Men And Women ◽

Primary Health ◽

Significant Difference ◽

Polymerase Chain

The prevalence of Chlamydia trachomatis among asymptomatic pregnant women in four Local Government Areas (LGAs) in Delta State, Nigeria was investigated in this study. The four LGAs were Ethiope West, Sapele, Warri South and Warri North. A total of 200 pregnant women who visited the Primary Health Care Centres for antenatal care aged between 16 and 45 years were sampled across the four LGAs comprising 50 pregnant women from each of the LGAs between October 2017 and February 2018. The women were categorized into six age groups: 16 – 20, 21 – 25, 26 – 30, 31 – 35, 36 – 40 and 41 – 45. Collected urine samples were examined in the laboratory for the presence of C. trachomatis using sedimentation and microscopy. Polymerase Chain Reaction (PCR) was used to identify the DNA of the isolated bacteria specimens. Results from the four LGAs showed that 93 pregnant women (46.5%) tested positive for C. trachomatis. Prevalence was highest in the subjects from Warri North LGA (27/93) (29.03%), while the least prevalent was the subjects from Warri South (19/93) (20.04%). Women aged 26 – 30 had the highest prevalence (38/93) (40.86%), while prevalence was least in women aged 41 – 45 (3/93) (3.23%). There was no significant difference in number of infected pregnant women in the four Local Government Areas (p>0.05). Findings from this study are important, considering the growing concern of cases of infertility and death of newborn. Thus, there is a need for sexually active men and women to embark on routine check up to ascertain their health status.

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Risk Factors in Diabetes and Pregnant Women with Urinary Tract Infections Compared to Younger Aged Female.

International Journal of Medical Sciences ◽

10.32441/ijms.v1i3.99 ◽

2018 ◽

Vol 1 (3) ◽

pp. 26-38

Author(s):

Abdulghani Mohamed Alsamarai ◽

Shler Ali Khorshed

Keyword(s):

Risk Factors ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Female Student ◽

Mean Value ◽

Infected Female ◽

Significant Difference ◽

Tract Infections

Background: Urinary tract infection is common with health impact in women and characterised by failure to treatment and recurrent episodes. Aim: This study was conducted to determine the risk factors for the development of urinary tract infection in diabetic and pregnant women in comparison to student female. Materials and methods: A prospective cross-sectional study conducted during the period from 1st of June 2015 to the end of January 2016. The population included in the study are 563 women, of them 425 were outpatients, and 138 were inpatients. Their age range between 18 and 80 years, with a mean age of 33.59±15.29 years. Urine samples collected and cultured on blood agar and MacConkey agar by spread plate technique. Bacterial colonies with different morphology were selected, purified and identified according to their biochemical characteristics using conventional standard methods. Results: In diabetic women, there were no significant difference in mean age and BMI values between culture positive and culture negative groups. However, pus cell mean scale was significantly higher [P=0.000] in women with urinary tract infection [1.76±1.25] than in those with negative culture [0.69±1.00]. In pregnant women, BMI mean value was significantly [P=0.013] lower in pregnant women with UTI [26.14] as compared to those without infection [26.99]. Pus cell scale mean value was significantly [P=0.000] higher in pregnant women with UTI [1.55] than women with negative UTI [0.85]. While there was no significant difference in mean age between UTI positive and negative pregnant women. In female student, there was a significant difference between UTI infected and non-infected in mean age [P=0.041] and pus cell scale [P=0.000]. However, BMI was not significantly different between infected and non-infected female student. Other risk factors association are variables in the 3 groups when analysed using X2, while AUC and OR show different trends of association between risk factors and UTI. Conclusion: BMI, pus cell scale, child number, delivery method, operation history and hospital setting were significantly associated with culture positivity in the 3 studied groups as determined by AUC. While OR confirmed association with pus sale scale in the 3 groups.

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Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/6232 ◽

2020 ◽

Vol 22 (1) ◽

Author(s):

Farokh Saljughi ◽

Mitra Savabi-Esfahani ◽

Shahnaz Kohan ◽

Soheila Ehsanpour

Keyword(s):

Pregnant Women ◽

Maternal Employment ◽

Controlled Trial ◽

Role Play ◽

Intervention Group ◽

Control Group ◽

Maternal Behaviour ◽

Infant Attachment ◽

Significant Difference ◽

History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

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Linkage between H. pylori Infection and TNF-α polymorphism in The Pregnant Women

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v9ispl1.1298 ◽

2018 ◽

Vol 9 (SPL1) ◽

Author(s):

Ghaidaa Raheem Lateef ◽

Azhar Omaran Al-Thahab

Keyword(s):

Pregnant Women ◽

Serum Antibody ◽

Rapid Test ◽

Negative Group ◽

Positive Group ◽

Gynecology And Obstetrics ◽

Tnf Α ◽

Significant Difference ◽

Pcr Products ◽

H Pylori

A study was performed on 100 pregnant women in the outpatient department of gynecology and obstetrics of Maternity and Children Hospital in Al-Diwaniya City during the period between (March to September 2016). One hundred blood samples (50 for patients and 50 for control) were collected under the supervision of the treating gynecologist. The detection of Helicobacter. pylori was done by the use of the serum antibody Rapid test. The results showed that 50 (100%) were positive and 50 (100%) were negative for H. pylori in above method.All blood of patients and control samples were used for the extraction of genomic DNA,where the 107 bp PCR product size. Genotyping of the TNF-α-308 SNP (G/A)was performed by restriction fragment length polymorphism PCR (RFLP-PCR). PCR products were digested with restr NcoI iction enzyme. Individuals with the TNF-α-308(GG) homozygote produced digested DNA bands at 80,and 20 bp bp. A heterozygous genotype ofTNF-α-308 (GA)produced 107 bp,80 bp,and 20 bp bands. Individuals with the TNF-α-308 (AA) homozygote genotype had no amplicon digested and generated only one band of 107 bp. There was a significant difference in the frequency of the TNF-α-308(GG)genotype between H. pylori positive group and H. pylori negative group(72%,78% respectively). Also for GA genotype,there was a significant difference between H. pylori positive group and H. pylori negative group(24%,18% respectively). Concerning the frequency of the TNF-α-308 (AA)genotype between H. pylori positive group and H. pylori negative group,there was no significant difference between the two groups.

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Thyroid Dysfunction in Pregnant Women with Gestational Diabetes Mellitus

Current Diabetes Reviews ◽

10.2174/1573399816666191223111833 ◽

2020 ◽

Vol 16 (8) ◽

pp. 895-899 ◽

Cited By ~ 1

Author(s):

Shahin Safian ◽

Farzaneh Esna-Ashari ◽

Shiva Borzouei

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Thyroid Dysfunction ◽

Control Group ◽

Thyroid Peroxidase ◽

Free T4 ◽

Significant Difference ◽

Experimental Group

Aims: Investigation thyroid dysfunction and autoimmunity in pregnant women with gestational diabetes mellitus. Background: This article was written to evaluate the thyroid function and anti-thyroid peroxidase (anti- TPO) antibodies in pregnant women with gestational diabetes mellitus (GDM). Method: A total of 252 women with GDM and 252 healthy pregnant women were enrolled. Thyroid tests, including TSH, FreeT3, Free T4, and anti-TPO were performed for all women at 24–28 weeks of gestation. Data analysis was then carried out using SPSS ver. 22. Result: There was a significant difference between the experimental group (38.4%) and the control group (14.06%) in terms of the prevalence of subclinical hypothyroidism (p= 0.016). The frequency of anti-TPO was higher in the experimental group than the control group and positive anti-TPO was observed in 18.6% of women with GDM and 10.3% of healthy pregnant women (P= 0.008). Conclusion: Thyroid disorders are observed in pregnant women with GDM more frequently than healthy individuals and it may be thus reasonable to perform thyroid tests routinely.

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The role of sexual compulsivity in unprotected intercourse among STI patients in Shanghai, China

BMC Public Health ◽

10.1186/s12889-021-10186-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yang Ni ◽

Hengan Liu ◽

Ruijie Gong ◽

Mei Shi ◽

Shuxian Zhang ◽

...

Keyword(s):

Sexual Partner ◽

Skin Diseases ◽

Transmitted Disease ◽

Cross Sectional Study ◽

Sexual Partners ◽

Sexual Compulsivity ◽

Sexually Active ◽

Unprotected Intercourse ◽

Cross Sectional ◽

Significant Difference

Abstract Background Sexual compulsivity (SC) and its relationship with unprotected intercourse (UI) have long been an intriguing topic, but its existential meaning in the management of public health or, more precisely, sexually transmitted infections (STIs) has rarely been studied to date. This study examines whether SC plays a role in UI among sexually active STI patients. Method A cross-sectional study was conducted in two sexual transmitted disease (STD) clinicals of Shanghai Skin Diseases Hospital in Shanghai. Totally 664 sexually active STI patients were included. Results The ages of the 664 participants ranged from 18 to 76 years, with 58.73% between 26 and 40 years old. 449 (191 male and 258 female) reported had UI during the past 6 months. Although the only statistically significant difference (p < 0.01) was in relation to UI with a casual sexual partner, the difference between male/female and regular/casual sexual partners remained evident. Conclusions SC is evidently a potential predictor of UI with a casual sexual partner in male STI patients, while the use of condoms is more likely to be affected by other factors. In addition to general sexual education, counseling interventions should be provided by health institutions, and specific intervention methods targeting gender and sexual partners should be considered.

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Effect of Focusing on Maryam’s Flower During the First Stage of the Labor on the Labor Pain, Labor Duration, and Levels of Comfort and Satisfaction

Clinical Nursing Research ◽

10.1177/1054773820984911 ◽

2020 ◽

pp. 105477382098491

Author(s):

Hülya Türkmen ◽

Serap Çetinkaya ◽

Hafize Kiliç ◽

Emine Apay ◽

Devrim Karamüftüoğlu ◽

...

Keyword(s):

Pregnant Women ◽

Intervention Group ◽

Comfort Level ◽

Labor Pain ◽

Cervical Dilatation ◽

Control Group ◽

Flower Opening ◽

Labor Duration ◽

Significant Difference ◽

Physical Comfort

This randomized controlled experimental study was conducted with an intervention group ( n = 61) and a control group ( n = 63) consisting of primipara pregnant women. The pregnant women in the intervention group were asked to focus their attention on Maryam’s flower opening its leaf buds and imagine the labor’s progress during the course of their labor. The VAS was administered to each group at specific times (at 4–5 cm, 6–7 cm, 8–9 cm cervical dilatation) to determine their level of labor pain. A statistically significant difference was found between the groups’ mean pain scores at 4–5 cm, 6–7 cm, and 8–9 cm cervical dilatation ( p < .05). The labor duration of the pregnant women in the intervention group was significantly shorter than that of the pregnant women in the control group ( p = .017). The physical comfort level of the intervention group was significantly higher than that of the control group at 8–9 cm cervical dilatation ( p = .039).

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