A5076161730- Reproductive Health and Contraception
- Maternal and fetal healthcare
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Reproductive tract infections research
- Uterine Myomas and Treatments
- Maternal and Perinatal Health Interventions
- Innovations in Medical Education
- Ectopic Pregnancy Diagnosis and Management
- Hormonal and reproductive studies
- Endometriosis Research and Treatment
- Estrogen and related hormone effects
- HIV, Drug Use, Sexual Risk
- Menopause: Health Impacts and Treatments
- Genital Health and Disease
- Occupational Health and Performance
- Birth, Development, and Health
- Air Quality and Health Impacts
- Simulation-Based Education in Healthcare
- Empathy and Medical Education
- Male Reproductive Health Studies
- Surgical Simulation and Training
- Gynecological conditions and treatments
- Sex and Gender in Healthcare
- Health Policy Implementation Science
Uniformed Services University of the Health Sciences
2022-2025
Eunice Kennedy Shriver National Institute of Child Health and Human Development
2022-2025
Walter Reed National Military Medical Center
2005-2025
Henry M. Jackson Foundation
2025
Naval Medical Center Portsmouth
2025
Community Link
2024
National Institutes of Health
2022
National Institute of Allergy and Infectious Diseases
2012
Naval Medical Research Command
2006
In Brief OBJECTIVE: To determine whether simulation training improves resident competency in the management of a simulated vaginal breech delivery. METHODS: Without advance notice or training, residents from 2 obstetrics and gynecology residency programs participated standardized scenario an imminent term The used obstetric birth simulator human actors, with encounters digitally recorded. Residents then received session on proper techniques for Two weeks later they were retested using...
End-user feedback early in product development is important for optimizing multipurpose prevention technologies HIV and pregnancy prevention. We evaluated the acceptability of 90-day dapivirine levonorgestrel ring (DPV-LNG ring) used 14 days compared to a dapivirine-only (DVR-200mg) MTN-030/IPM 041 (n = 23), when 90 cyclically or continuously MTN-044/IPM 053/CCN019 25). enrolled healthy, non-pregnant, HIV-negative women aged 18–45 Pittsburgh, PA Birmingham, AL (MTN-030 only). Self-reports...
Background Vaginal rings formulated to deliver two drugs simultaneously have potential as user-controlled, long-acting methods for dual prevention of HIV and pregnancy. Methods Two phase 1 randomized trials (MTN-030/IPM 041 MTN-044/IPM 053/CCN019) respectively enrolled 24 25 healthy, HIV-negative participants evaluate safety, pharmacokinetics, vaginal bleeding associated with use a ring containing 200mg dapivirine (DPV) 320mg levonorgestrel (LNG) designed 90-day use. MTN-030/IPM compared the...
OPEN ACCESSJanuary 21, 2025Second Trimester Abortion: A Dilation and Evacuation Simulation for Gynecologic Surgery Obstetrics Residents Kiley Hunkler, MD, MSt, MSc1,*, David Boedeker, DO, MHA2, Elizabeth Gill, MD3, Katelyn Simpkins, MD4, Katerina Shvartsman, MD5, Jill Brown, MPH, MHS5, Sara Drayer, MD6 MSc1,* https://orcid.org/0009-0002-6292-712X Fellow, Department of Obstetrics, Walter Reed National Military Medical Center; Reproductive Endocrinology Infertility, Institute Child Health...
INTRODUCTION: Female aviators and aircrew face unique occupational exposures, including noise, whole-body vibrations, toxic chemicals, intermittent hypoxia, high gravitational forces. We evaluated associations between maternal occupations as during pregnancy adverse pediatric health outcomes. METHODS: conducted a retrospective cohort study of children born to female U.S. military officers from October 2002 December 2019. Exposure was defined the mother serving in an aviation or occupation at...
OBJECTIVE: To evaluate female permanent contraception procedure rates in the Military Health System before and after Dobbs v. Jackson Women's Organization decision. METHODS: We performed a repeated monthly cross-sectional study of encounters using data repository. used International Classification Diseases, Tenth Revision, Clinical Modification diagnosis codes Current Procedural Terminology to identify incident beneficiaries aged 21–49 years from January 2018 February 2023. change-point...
The COVID-19 pandemic created unique challenges for clinical medical education, as students and educators had to pivot primarily distance learning. We aimed develop a novel curriculum engage in continued learning maintain readiness. To substitute in-person Obstetrics Gynecology (OBGYN) clerkship teaching during the pandemic, we structured, multi-media virtual course utilizing reading materials, podcasts, videos self-paced, student-controlled supplemented by group discussions with faculty....
In Brief OBJECTIVE: To review the U.S. Food and Drug Administration (FDA) Manufacturer User Facility Device Experience database for reports describing serious adverse events use outside of manufacturers' labeled instructions five FDA-approved minimally invasive endometrial ablation devices. METHODS: We queried device malfunction, patient injury, or death reported each from January 1, 2005 to December 31, 2011. reviewed individually annotations injury tabulated by type device. identified nine...
ABSTRACT Introduction Congenital syphilis (CS) case rates have increased significantly in the United States over past 20 years, accelerating during COVID-19 pandemic. Increasing may relate to access care but not been evaluated a fully-insured population, such as Military Health System. Materials and Methods We performed repeated monthly cross-sectional study of CS cases total encounters (care rates) using queried System database. defined by International Classifications Diseases 10th...
The menopause transition represents a significant life phase for people assigned female at birth marked by various physical and psychological changes. For military service members veterans, this can be even more complex because of unique factors related to service. A tradition excluding women from before reaching the age has left Military Health System unprepared address specific health needs population. lack attention is evidenced absence menopause-related research in active-duty population...
With high concurrent global rates of HIV incidence and unintended pregnancy, there is a need to provide options beyond condoms enable users simultaneously prevent acquisition pregnancy. Multiple vaginal rings are in development as "MPTs" (multipurpose prevention technologies) they shown several co-occurring benefits such discretion, convenience, reversibility user control.In this Phase 1 trial 3-month MPT ring the U.S., 25 participants (low-risk for pregnancy) were randomized use study 90...
Abstract Male contraceptive development has included use of testosterone (T) with or without a progestin the single molecule such as progestogenic androgens (PA) for suppression testicular T production. Expanding upon vast amount data accumulated from nortestosterone (NT), NT analogs, and their prodrugs, new series PA, C7 methyl, ethyl α-substituted analogs 7α-Methyltestosterone (7α-MT) 7α-Ethyltestosterone (7α-ET), respectively, were hypothesized designed to have superior androgenic...
ABSTRACT Introduction Sexually transmitted infections (STIs) are commonly reported in military populations. Point-of-care tests (POCTs) commercially available, but their use is variable the civilian sector. Their among providers has not been evaluated. We sought to identify pattern of and barriers using STI POCTs for obstetrician/gynecologists (OBGYNs). Materials Methods adapted a survey OBGYNs on patterns OBGYNs. sent an online questionnaire 479 via Army, Air Force, Navy specialty leaders...
INTRODUCTION: Military aviation poses unique occupational risks, including exposures to intermittent hypoxia, high gravitational force, and toxic materials, in addition circadian disruption, cosmic radiation, ergonomic stressors also present commercial flight. We sought investigate whether a military officer’s career is associated with adverse maternal or fetal health outcomes. METHODS: conducted retrospective cohort study of female nonaviation officers the Health System from October 2002...