Publications by authors named "Hillary Hosier"
Objectives/purpose: Evidence-based guidelines recommend against screening for cervical cancer (Pap testing) in average-risk adolescents <21 years old. Despite this, many still undergo unindicated screenings with subsequent detrimental reproductive health and economic consequences. Our aim was to reduce unindicated cervical cancer screening in individuals <21 years old in a large health care system by utilizing an electronic provider notification.
View Article and Find Full Text PDFBackground: The vaginal birth after cesarean delivery calculator by the Maternal-Fetal Medicine Units Network was created to help providers counsel patients on predicted success of trial of labor after cesarean delivery using individualized risk assessment. The inclusion of race and ethnicity as predictors of vaginal birth after cesarean delivery in the 2007 calculator was problematic and potentially exacerbated racial disparities in obstetrics. Thus, a modified calculator without race and ethnicity was published in June 2021.
View Article and Find Full Text PDFBackground: Preeclampsia is a leading cause of maternal morbidity, and dyslipidemia has been associated with preeclampsia in observational studies. We use Mendelian randomization analyses to estimate the association between lipid levels, their pharmacological targets, and the risk of preeclampsia in 4 ancestry groups.
Methods: We extracted uncorrelated (<0.
Background: Despite growing evidence suggesting racial or ethnic disparities in the risk of severe maternal morbidity among live births, there is little research investigating potential differences in severe maternal morbidity risk among stillbirths across race and ethnicity.
Objective: This study aimed to compare the risk of severe maternal morbidity by race and ethnicity among patients with singleton stillbirth pregnancies.
Study Design: We used the California Linked Birth File database to perform a retrospective analysis of singleton stillbirth pregnancies delivered at 20 to 42 weeks' gestation between 2007 and 2011.
Objective: This study was aimed to investigate delivery management of patients with antepartum stillbirth.
Study Design: Using data from fetal death certificates and linked maternal hospital discharge records, we identified a population-based sample of patients with singleton antepartum stillbirth at 20 to 42 weeks of gestation in California in 2007 to 2011. Primary outcomes were intended mode of delivery and actual mode of delivery.
Background: Current consensus recommendations are to not initiate cervical cancer screening for immunocompetent adolescent females before 21 years of age. This is in part because of the very low rate of 0.8 per 100,000 new cervical cancer cases diagnosed among women aged between 20 to 24 years.
View Article and Find Full Text PDFArticle Synopsis
- A 28-year-old pregnant woman with a history of intravenous drug use developed tricuspid valve endocarditis during her pregnancy.
- A collaborative team involving cardiac surgeons, obstetricians, and neonatal specialists was necessary for her management.
- Although she faced serious complications, she underwent a successful cesarean delivery and subsequent heart surgery, with both her and her baby being stable post-treatment.
Article Synopsis
Low-Grade Appendiceal Mucinous Neoplasm Diagnosed during Exploratory Laparoscopy for a Presumed Pelvic Mass.
J Minim Invasive Gynecol
January 2020
Article Synopsis
- The study presents a surgical video demonstrating laparoscopic treatment for an appendiceal mass that was initially misidentified as a pelvic mass in a 53-year-old woman.
- The procedure involved extensive imaging and laparoscopic exploration, eventually revealing the cystic structure to be an appendiceal mass, which was successfully removed without complications.
- The findings suggest that medical professionals should include appendiceal masses in their differential diagnosis when patients present with similar pelvic symptoms.
Article Synopsis
- Acute transverse myelitis (ATM) is a rare neurological complication often arising from bacterial or viral infections, leading to sudden severe paralysis and sensory issues.
- A case of a healthy 28-year-old woman is discussed, who experienced rapid onset of paralysis and was initially misdiagnosed, later found to have Salmonella infection linked to parainfectious ATM.
- This report highlights the need for medical professionals to consider ATM as a potential diagnosis in patients showing sudden paralysis, especially when there may be limited medical history available.
Recent preclinical studies have identified three treatments that are especially promising for reducing acute lesion expansion following traumatic spinal cord injury (SCI): riluzole, systemic hypothermia, and glibenclamide. Each has demonstrated efficacy in multiple studies with independent replication, but there is no way to compare them in terms of efficacy or safety, since different models were used, different laboratories were involved, and different outcomes were evaluated. Here, using a model of lower cervical hemicord contusion, we compared safety and efficacy for the three treatments, administered beginning 4 h after trauma.
View Article and Find Full Text PDFObjective: To compare the cardiometabolic risk (CMR) profile of premenopausal and postmenopausal women with spinal cord injury (SCI).
Method: Post hoc analysis of a multicenter cross-sectional study assessing CMR. Seventeen women with ASIA Impairment Scale (AIS) A or B SCI between C5 and T12 were stratified into 2 groups according to menopausal status (11 premenopausal vs 6 postmenopausal women).