Publications by authors named "G H Hewitt"
Background: Falls are a significant concern for hospitals and patients. The risk of falls is particularly heightened around the period of hospitalization. Physical therapy (PT) is commonly consulted for hospitalized patients at-risk for falls, yet it is unknown how the hospital context influences fall prevention practice among physical therapists.
View Article and Find Full Text PDFObjective: Patients with anorectal malformations (ARMs) may have concurrent gynecologic abnormalities. As patients grow, they typically transition from pediatric subspeciality care and seek adult obstetrics and gynecology (OB/GYN)-related services. We aimed to assess adult OB/GYN physicians' knowledge, competency, and comfort regarding meeting the sexual and reproductive health care needs of patients with ARMs.
View Article and Find Full Text PDFArticle Synopsis
- There is currently no standardized grading system for pediatric female genital trauma (PFGT), leading to potential overuse of medical resources based on injury severity. A high-volume trauma center aimed to address this by analyzing treatment patterns and outcomes and developing a new grading system to improve management decisions.
- A study of 353 female patients under 19 years old with genital trauma revealed that lower-grade injuries (grades 1 and 2) rarely needed surgical repair and primarily utilized local sedation, while higher-grade injuries (grades 5 and 6) typically required more intensive surgical intervention and general anesthesia.
- The proposed management algorithm recommends minimal surgical intervention for lower-grade injuries and encourages surgical consultation for higher-grade
Study Objective: Mullerian duct anomalies are common in females with anorectal malformations (ARMs), although there are no universally recommended screening protocols for identification. Historically, at our institution, we have recommended a screening pelvic ultrasound (PUS) 6 months after thelarche and menarche. We aimed to evaluate outcomes associated with our post-thelarche screening PUS in females with ARMs.
View Article and Find Full Text PDFStudy Objectives: Recommendations from the Children's Oncology Group Long-Term Follow-Up (COG-LTFU) Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancer emphasize the importance of reproductive health care, yet little is known regarding adherence to these recommendations and non-fertility-related sexual and reproductive health (SRH) outcomes.
Methods: Follow-up of outcomes on the basis of the COG-LTFU guidelines was assessed in female patients who underwent fertility preservation consultation before gonadotoxic therapy between 2016 and 2022 at a single institution and were at least 6 months from treatment completion.
Results: We included 140 patients, with a mean time of 2.