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  1. Article ; Online: Surgical Outcomes between Routes of Hysterectomy in Patients with a Previous Cesarean Section.

    Kroft, Jamie / McCaffrey, Carmen / Kim, Eliane / Jolliffe, Courtney / Liu, Grace Y / Saskin, Refik / Gatley, Jodi M / Ordon, Michael

    Journal of minimally invasive gynecology

    2023  Volume 30, Issue 4, Page(s) 319–328.e9

    Abstract: Study objective: To determine the difference in surgical complications for patients with a previous cesarean section (CS) undergoing abdominal, vaginal, or laparoscopic hysterectomy.: Design: A population-based retrospective cohort study.: Setting!# ...

    Abstract Study objective: To determine the difference in surgical complications for patients with a previous cesarean section (CS) undergoing abdominal, vaginal, or laparoscopic hysterectomy.
    Design: A population-based retrospective cohort study.
    Setting: Province of Ontario, Canada.
    Patients: 10 300 patients with at least 1 CS between July 1, 1991, and February 17, 2018.
    Interventions: Benign, nongravid hysterectomy between Apr 1, 2002, and March 31, 2018.
    Measurements and main results: The primary outcome was a composite of all surgical complications within 30 days of surgery. Secondary outcomes were rate of genitourinary complications, readmission to hospital, and emergency department visit occurring within 30 days of surgery. Of 10 300 patients who had at least one previous CS, who underwent subsequent hysterectomy for a benign indication, 7370 underwent an abdominal hysterectomy (71.55%), 813 (7.9%) had a vaginal hysterectomy, and 2117 (20.55%) underwent a laparoscopic hysterectomy. The adjusted odds of any surgical complication from hysterectomy was significantly lower when performed by the vaginal approach than the laparoscopic approach (odds ratio, 0.32; 95% confidence interval, 0.20-0.51; p <.0001). There was no difference in the odds of surgical complication between abdominal and laparoscopic approaches (odds ratio, 1.09; 95% confidence interval, 0.87-1.37; p = .45).
    Conclusion: Our retrospective population-based study demonstrates that, after previous CS, patients selected to undergo vaginal hysterectomy experienced lower risk than either abdominal or laparoscopic approaches. This suggests that CS alone should not be a contraindication to vaginal hysterectomy.
    MeSH term(s) Humans ; Pregnancy ; Female ; Retrospective Studies ; Cesarean Section/adverse effects ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Cohort Studies ; Hysterectomy/adverse effects ; Hysterectomy, Vaginal/adverse effects ; Laparoscopy/adverse effects ; Treatment Outcome ; Ontario
    Language English
    Publishing date 2023-01-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2186934-0
    ISSN 1553-4669 ; 1553-4650
    ISSN (online) 1553-4669
    ISSN 1553-4650
    DOI 10.1016/j.jmig.2023.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4205: Show issues Location:
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  2. Article: Hematocolpometra in a 15-year-old female.

    Mills, Kelsey E / Jolliffe, Courtney J / Rosenthal, David M

    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

    2014  Volume 36, Issue 7, Page(s) 569

    MeSH term(s) Adolescent ; Female ; Hematometra/diagnosis ; Humans
    Language French
    Publishing date 2014-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2171082-X
    ISSN 1701-2163
    ISSN 1701-2163
    DOI 10.1016/S1701-2163(15)30528-4
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    Zs.A 6445: Show issues Location:
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  3. Article ; Online: Age-specific lipid and lipoprotein thresholds for adolescents.

    Jolliffe, Courtney J / Janssen, Ian

    The Journal of cardiovascular nursing

    2008  Volume 23, Issue 1, Page(s) 56–60

    Abstract: Plasma lipid and lipoprotein values that are relatively stable in adulthood undergo continuous changes during the developmental years, with most of these changes reflecting natural fluctuations that occur with growth and maturation. Therefore, a clinical ...

    Abstract Plasma lipid and lipoprotein values that are relatively stable in adulthood undergo continuous changes during the developmental years, with most of these changes reflecting natural fluctuations that occur with growth and maturation. Therefore, a clinical classification system appropriate for youth should not consist of uniform lipoprotein thresholds that can be used at all ages to define healthy and increased risk values. This is, however, the approach used in the National Cholesterol Education Program pediatric guidelines. A recent study created the first age-specific lipid and lipoprotein thresholds for adolescents based on a large representative sample of American adolescents aged 12 to 19 years. The adolescent thresholds were linked to the health-based thresholds used in adults using growth curve modeling. Although studies are needed to validate the newly defined adolescent lipid and lipoprotein thresholds, this classification system should provide a more accurate diagnosis of dyslipidemia and associated cardiovascular health risks in adolescents.
    MeSH term(s) Adolescent ; Adolescent Development ; Adult ; Age Factors ; Cardiovascular Diseases/prevention & control ; Child ; Female ; Humans ; Lipids/blood ; Lipoproteins/blood ; Male ; Reference Standards ; Risk Assessment/methods ; Sex Factors
    Chemical Substances Lipids ; Lipoproteins
    Language English
    Publishing date 2008-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639335-4
    ISSN 1550-5049 ; 0889-4655
    ISSN (online) 1550-5049
    ISSN 0889-4655
    DOI 10.1097/01.JCN.0000305051.65753.2f
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2315: Show issues Location:
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  4. Article: Vascular risks and management of obesity in children and adolescents.

    Jolliffe, Courtney J / Janssen, Ian

    Vascular health and risk management

    2007  Volume 2, Issue 2, Page(s) 171–187

    Abstract: Childhood obesity has reached epidemic proportions in many countries. Pediatric obesity is associated with the development of cardiovascular (CV) risk factors including type 2 diabetes, hypertension, dyslipidemia, and the metabolic syndrome. It is also ... ...

    Abstract Childhood obesity has reached epidemic proportions in many countries. Pediatric obesity is associated with the development of cardiovascular (CV) risk factors including type 2 diabetes, hypertension, dyslipidemia, and the metabolic syndrome. It is also associated with an increased risk of CV disease (CVD) in adulthood. Moreover, obesity and CVD risk factors in obese youth tend to track into adulthood, further increasing the risk of adult CVD. Consequently, the treatment and prevention of childhood overweight and obesity has become a public health priority. Proper nutrition and increased physical activity are the main focus of these efforts; however, few studies have shown positive results. Treatment options for obesity in youth also include pharmacotherapy and surgery. While pharmacotherapy appears promising, additional evidence is needed, especially with respect to the long-term impact, before it becomes a widespread treatment option in the pediatric population.
    MeSH term(s) Abdominal Fat/physiopathology ; Adolescent ; Adolescent Nutritional Physiological Phenomena ; Anthropometry/methods ; Anti-Obesity Agents/therapeutic use ; Body Fat Distribution ; Body Mass Index ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/prevention & control ; Child ; Child Nutritional Physiological Phenomena ; Child, Preschool ; Diabetes Mellitus, Type 2/etiology ; Dyslipidemias/etiology ; Exercise Therapy ; Female ; Humans ; Hypertension/etiology ; Male ; Metabolic Syndrome ; Obesity/complications ; Obesity/diet therapy ; Obesity/drug therapy ; Obesity/physiopathology ; Obesity/surgery ; Obesity/therapy ; Practice Guidelines as Topic ; Prevalence ; Risk Factors ; Severity of Illness Index ; Treatment Outcome
    Chemical Substances Anti-Obesity Agents
    Language English
    Publishing date 2007-02-23
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2186568-1
    ISSN 1178-2048 ; 1176-6344
    ISSN (online) 1178-2048
    ISSN 1176-6344
    DOI 10.2147/vhrm.2006.2.2.171
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    Zs.A 6066: Show issues Location:
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  5. Article ; Online: Development of age-specific adolescent metabolic syndrome criteria that are linked to the Adult Treatment Panel III and International Diabetes Federation criteria.

    Jolliffe, Courtney J / Janssen, Ian

    Journal of the American College of Cardiology

    2007  Volume 49, Issue 8, Page(s) 891–898

    Abstract: Objectives: The study objectives were to develop age-specific adolescent metabolic syndrome (MetS) criteria that were linked to the health-based Adult Treatment Panel III (ATP) and International Diabetes Federation (IDF) adult criteria.: Background: ... ...

    Abstract Objectives: The study objectives were to develop age-specific adolescent metabolic syndrome (MetS) criteria that were linked to the health-based Adult Treatment Panel III (ATP) and International Diabetes Federation (IDF) adult criteria.
    Background: There has been no consistency in the criteria used to diagnose the MetS in adolescents. Studies have either applied adult criteria or arbitrarily chosen adolescent high-risk cut-points.
    Methods: The adolescent (12 to 19 years old) MetS criteria developed in this study were linked to the ATP and IDF adult criteria with LMS growth curve modeling for each MetS component (waist circumference, systolic and diastolic blood pressure, high-density lipoprotein cholesterol, triglycerides, and glucose). Nationally representative data from the National Health and Nutrition Examination Surveys were used to develop the growth curves.
    Results: The growth curves for each MetS component passed through the ATP and IDF cut-points at 20 years of age such that adolescent cut-points were linked to the adult values. Age- and gender-specific cut-points for each MetS component were developed that can be used to define high-risk values in 12- to 19-year-olds. The prevalence of MetS in adolescents nearly doubled over the last decade and was 7.6% on the basis of the newly developed ATP adolescent criteria and 9.6% on the basis of the newly developed IDF adolescent criteria.
    Conclusions: These new criteria should provide improved and age-appropriate approaches for diagnosing MetS among adolescents.
    MeSH term(s) Adolescent ; Adolescent Development ; Adult ; Age Factors ; Blood Glucose/metabolism ; Blood Pressure ; Body Mass Index ; Cholesterol, HDL/blood ; Female ; Humans ; Male ; Metabolic Syndrome/blood ; Metabolic Syndrome/diagnosis ; Metabolic Syndrome/epidemiology ; Practice Guidelines as Topic ; Prevalence ; Reference Values ; Triglycerides/blood ; United States/epidemiology ; Waist-Hip Ratio
    Chemical Substances Blood Glucose ; Cholesterol, HDL ; Triglycerides
    Language English
    Publishing date 2007-02-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605507-2
    ISSN 1558-3597 ; 0735-1097
    ISSN (online) 1558-3597
    ISSN 0735-1097
    DOI 10.1016/j.jacc.2006.08.065
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1846: Show issues Location:
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    Zs.MO 196: Show issues

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  6. Article: Influence of physical activity on mortality in elderly with coronary artery disease.

    Janssen, Ian / Jolliffe, Courtney J

    Medicine and science in sports and exercise

    2006  Volume 38, Issue 3, Page(s) 418–417

    Abstract: Purpose: The primary objectives were to 1) examine the dose-response relationship between physical activity and mortality in individuals with CAD, and 2) determine whether the aforementioned relationship is consistent within strata of other personal ... ...

    Abstract Purpose: The primary objectives were to 1) examine the dose-response relationship between physical activity and mortality in individuals with CAD, and 2) determine whether the aforementioned relationship is consistent within strata of other personal characteristics.
    Methods: Subjects included 1045 elderly men and women with CAD from the Cardiovascular Health Study. In the first set of analyses, the dose-response relationship between baseline leisure-time physical activity level and all-cause mortality risk over 9 yr was determined using Cox proportional hazards regression models. Next, the subjects were stratified based on several different characteristics, and the consistency of the relationship between baseline leisure-time physical activity and mortality risk within the various strata was determined.
    Results: Baseline leisure-time physical activity was related to all-cause mortality risk in a curvilinear dose-response manner such that greater differences in mortality risk were seen at the lower end of the energy expenditure scale, with a plateau occurring at approximately 4000 kcal x wk(-1). Within various strata of sex, age, smoking, adiposity, self-perceived health status, number of comorbid conditions, and type of CAD; the relative risks of mortality were lower in active participants (>/=1500 kcal x wk(-1)) in comparison with inactive participants (<1500 kcal x wk(-1)).
    Conclusion: This study highlights the inverse graded relationship between physical activity and all-cause mortality in men and women with CAD. Physical inactivity was a risk factor for mortality regardless of whether the subjects were men or women, old or very old, smokers or nonsmokers, lean or overweight, or otherwise healthy or unhealthy.
    MeSH term(s) Aged ; Aged, 80 and over ; Cause of Death ; Coronary Artery Disease/mortality ; Exercise ; Female ; Follow-Up Studies ; Humans ; Male ; Mortality/trends ; Proportional Hazards Models
    Language English
    Publishing date 2006-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603994-7
    ISSN 1530-0315 ; 0195-9131 ; 0025-7990
    ISSN (online) 1530-0315
    ISSN 0195-9131 ; 0025-7990
    DOI 10.1249/01.mss.0000191185.58467.be
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 869: Show issues Location:
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  7. Article ; Online: Distribution of lipoproteins by age and gender in adolescents.

    Jolliffe, Courtney J / Janssen, Ian

    Circulation

    2006  Volume 114, Issue 10, Page(s) 1056–1062

    Abstract: Background: The current National Cholesterol Education Program lipoprotein classification system for children and adolescents is recommended for use among 2- to 19-year-olds. This classification system does not take into account gender differences or ... ...

    Abstract Background: The current National Cholesterol Education Program lipoprotein classification system for children and adolescents is recommended for use among 2- to 19-year-olds. This classification system does not take into account gender differences or the natural fluctuations in lipoprotein concentrations that occur with growth and maturation.
    Methods and results: Data from the National Health and Nutrition Examination Surveys were used to develop age- and gender-specific thresholds that can be used to denote abnormal levels of total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides. Each curve was linked to the adult National Cholesterol Education Program Adult Treatment Panel III lipoprotein thresholds using LMS (Lambda-Mu-Sigma) growth curve regression methods. A series of growth curves and tables are presented that can be used to diagnose high-risk lipoprotein levels in the clinical and research settings. For example, in 1-year increments for males starting at age 12 and extending to age 19 years, the high-risk thresholds for total cholesterol were 6.03, 5.83, 5.70, 5.70, 5.77, 5.88, 6.02, and 6.16 mmol/L. The corresponding high-risk threshold for adults (> or = 20 years) is 6.22 mmol/L.
    Conclusions: The present study is the first attempt at developing age- and gender-specific lipoprotein threshold concentrations for adolescents. This new classification system should provide a more accurate diagnosis of high-risk lipoprotein levels and associated cardiovascular risks in adolescents.
    MeSH term(s) Adolescent ; Aging/physiology ; Cardiovascular Diseases/blood ; Cardiovascular Diseases/epidemiology ; Cholesterol/blood ; Cholesterol, HDL/blood ; Female ; Humans ; Lipoproteins/blood ; Male ; Sex Characteristics ; Triglycerides/blood
    Chemical Substances Cholesterol, HDL ; Lipoproteins ; Triglycerides ; Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2006-09-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.106.620864
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ui IV Zs.60: Show issues Location:
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