Publications by authors named "Emily Myer"
Nocturnal Urinary Symptoms as Screening Tools for Obstructive Sleep Apnea.
Urogynecology (Phila)
April 2024
Article Synopsis
- Nocturnal lower urinary tract symptoms, like nocturia and nocturnal enuresis, could help screen for obstructive sleep apnea (OSA) in patients at urogynecology clinics.
- The study assessed how effective these symptoms are in identifying OSA, using a retrospective analysis of patients screened through established questionnaires and OSA testing.
- Results showed that nocturia (≥2 episodes per night) has good sensitivity (86.4%) and fair specificity (58.5%) for OSA screening, while nocturnal enuresis showed lower overall effectiveness, indicating that nocturia is more reliable for clinical decision-making regarding OSA referrals.
Article Synopsis
- Women with hereditary disorders of connective tissue (HDCT) are more likely to experience complications after surgeries for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) compared to those without these disorders.
- In a study involving 59 HDCT patients and 118 matched controls, HDCT patients showed a higher overall rate of perioperative complications (46% vs. 22%) and more hospital readmissions (14% vs. 3%).
- Despite the increased complications, there were no significant differences in specific types of complications or in the recurrence rates of POP (10%) and SUI (11%) between the two groups.
Article Synopsis
- The study aimed to evaluate the function and disability levels of women in Rwanda and the Democratic Republic of Congo suffering from fistula, identifying factors linked to higher disability scores.
- Using the WHO Disability Assessment Schedule 2.0, researchers assessed women's disabilities across six areas: cognition, mobility, self-care, social interaction, daily activities, and overall participation.
- Results showed that 83% of the 69 participants experienced high disability, particularly in life activities and societal participation, with different fistula types affecting disability levels uniquely.
Prevalence of Screening High Risk of Obstructive Sleep Apnea Among Urogynecology Patients.
Female Pelvic Med Reconstr Surg
August 2020
Article Synopsis
- * In a sample of 130 patients, 38.5% screened positive for HR-OSA, with significant associations found with conditions like hypertension, diabetes, and obesity, as well as symptoms like nocturia.
- * The research suggests that screening for OSA in urogynecology patients is quick and valuable, particularly for those over 50, obese, or experiencing bladder symptoms, as they often have more severe issues.
Longitudinal changes in pelvic floor muscle strength among parous women.
Am J Obstet Gynecol
November 2018
Article Synopsis
- The study investigates how pelvic floor muscle strength changes over time in women who have given birth, focusing on those who delivered 5-10 years prior.
- It involved measuring muscle strength with a perineometer at two points over approximately four years, evaluating factors like delivery method and maternal characteristics.
- Results showed a small overall increase in muscle strength, but women who had cesarean births had significantly higher initial muscle strength than those who had vaginal deliveries, with a strong correlation between the two measurements taken.
Article Synopsis
- - Sacral neuromodulation is a therapy used to address issues like overactive bladder and fecal incontinence but carries a risk of post-surgical infections that can be costly and complicate recovery.
- - The study aimed to identify risk factors for infections that necessitate the removal (explantation) of sacral neurostimulators, estimate the occurrence rate of such infections, and pinpoint the types of germs involved.
- - This research involved analyzing data from various institutions over a decade, comparing infected patients (who had the device removed) with matched controls (who did not experience infections) based on specific inclusion criteria to determine infection risk factors.
Background The occurrence of hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome before 20 weeks of gestation is rare. HELLP is a possible but rare syndrome in gestational surrogate pregnancies for surrogates with risk factors for development of preeclampsia. Case A 32-year-old patient with chronic hypertension and positive antinuclear antibody presented for prenatal care at 13 weeks and 1 day.
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- - The study aimed to compare obstetric recommendations from ACOG practice bulletins and UpToDate to identify similarities and differences in their guidelines.
- - Researchers analyzed a total of 46 ACOG bulletins and 86 UpToDate chapters and found that UpToDate provided 50% fewer recommendations, with significant differences in the grading levels of those recommendations.
- - The agreement between the two maternal-fetal medicine specialists on the categorization of recommendations was moderate, indicating that differing guidelines may lead to confusion among obstetricians and could impact compliance and patient outcomes.