Douching With Water Works Device for Perceived Vaginal Odor With or Without Complaints of Discharge in Women With No Infectious Cause of Vaginitis: A Pilot Study

Objective. To determine if douching with Water Works device for 1 month can (1) lower or eliminate perceived vaginal odor by subject; (2) have any effects on vaginal ecosystem. Methods. Ten women with perceived vaginal odor with or without discharge, douched every day for 4 weeks in an open-label, nonrandomized pilot study. Primary outcome measures included perceived vaginal odor by subject, lactobacilli score from Nugent slide, and acceptance of the Water Works douching system. Secondary outcome included the safety of using this douching device. Results. At week 4, there was improvement in vaginal odor (P = .0006) and there was no significant change in lactobacilli score. Conclusion. Douching with Water Works device is associated with reduction or elimination of vaginal odor without adversely affecting the vaginal ecosystem

WELL building: Criteria for residential buildings in a developing country

Health, well-being, and productivity are the main notions for WELL buildings. Although the WELL building standard does exist to follow when designing a building, the concepts and elements might differ between developed and developing counties and types of buildings. However, there is a lack of knowledge on WELL building concepts and elements in developing countries and residential buildings. Thus, this study uses Malaysia as a case study to investigate the elements that affect health, well-being, and productivity (i.e., WELL) for residential buildings in a developing country. First, semi-structured interviews with built environment industry professionals and individuals living in multi-story residential buildings were carried out. Then, the interview data were analyzed using the thematic analysis technique to generate concepts and elements of WELL for residential buildings in a developing country. The analysis identified nine WELL concepts for residential buildings: air, water, fire, fitness, comfort, mind, safety & security, community, and maintenance & management. Furthermore, the nine themes consist of 53 building elements. The findings suggest three additional new WELL concepts for residential buildings in a developing country: fire, safety & security, and maintenance & management. This is the first study that evaluates the element of WELL for residential buildings that contribute to the existing WELL building standard within the context of a developing country

WELL Building: Criteria for Residential Buildings in a Developing Country

Health, well-being, and productivity are the main notions for WELL buildings. Although the WELL building standard does exist to follow when designing a building, the concepts and elements might differ between developed and developing counties and types of buildings. However, there is a lack of knowledge on WELL building concepts and elements in developing countries and residential buildings. Thus, this study uses Malaysia as a case study to investigate the elements that affect health, well-being, and productivity (i.e., WELL) for residential buildings in a developing country. First, semi-structured interviews with built environment industry professionals and individuals living in multi-story residential buildings were carried out. Then, the interview data were analyzed using the thematic analysis technique to generate concepts and elements of WELL for residential buildings in a developing country. The analysis identified nine WELL concepts for residential buildings: air, water, fire, fitness, comfort, mind, safety & security, community, and maintenance & management. Furthermore, the nine themes consist of 53 building elements. The findings suggest three additional new WELL concepts for residential buildings in a developing country: fire, safety & security, and maintenance & management. This is the first study that evaluates the element of WELL for residential buildings that contribute to the existing WELL building standard within the context of a developing country

COVID-19 and Pregnancy Outcomes: An Increased Risk of Intrauterine Inflammation/Infection

Objective: The objective of this study is to determine the association between COVID-19 infection and pregnancy outcomes at our institution when universal testing was implemented for all patients admitted to Labor & Delivery. Methods: This was an IRB-exempt, retrospective chart review of all obstetrical patients admitted and evaluated in L&D from March 30th to April 30th. COVID-19 testing was performed on all patients who were admitted and their support person, irrespective of the presence of symptoms. Data analysis was performed with baseline demographics compared. Continuous variables were compared via T-test and categorical values using Chi-square and Fisher exact. Significant values are those considered with p < .05. Results: There were no differences in delivery outcomes between the two groups with regards to mode of delivery, preterm labor, premature rupture of membranes, preeclampsia, placental abruption, or fetal demise. However, there was an increase in intrauterine infection/inflammation among COVID positive patients (8.8% compare to 1.4%, p < .05) ('Tables 1' and '2'). Conclusions: COVID positive patients were noted to have an increase in intrauterine infection/inflammation. Current published data demonstrates that SARS-Cov-2 infection during 3rd trimester of pregnancy is not associated with vertical transmission. “However, the possibility of viral load influencing the transmission risk should be of concern. Published studies have demonstrated a positive relationship between the viral load of some viruses and their ability to spread from mother to child” [1]. Given our findings, the possibility of SARS-CoV-2 infection resulting in intrauterine infection/inflammation should be further evaluated as the pandemic continues

Risk factors for lower urinary tract injury at the time of hysterectomy for benign reasons

None of the authors has any conflicts of interest to report except for Dr. Rebecca G. Rogers, who is DSMB chair for American Medical Systems Transform Trial, UptoDate royalties, ACOG royalties, and is on the executive board of the ACOG. Dr. Gena Dunivan is a member of the AUGS Education Committee

Patient Preferences for Abdominal Incisions Used for Pelvic Organ Prolapse Surgery.

OBJECTIVES: Approaches for performing sacrocolpopexy (laparotomy, laparoscopy, and robotically assisted) differ with regard to length of surgery, postoperative pain, and cosmetic appearance of skin incisions. The aim of our study is to better understand what factors influence patient preferences for surgical approach. METHODS: A cross-sectional study was performed using a survey. Females 18 years or older presenting to gynecologic offices were asked to complete a survey that included photographs of patient incisions 6 weeks postoperatively along with a schematic representation of each incision type (laparotomy with low transverse incision, traditional laparoscopy, and robotically assisted). Patients were first asked to rank each incision based on cosmetic appearance only. They were next given varying clinical scenarios associated with each surgical approach and asked if their preference of incision changed. A sample size of 90 subjects was needed in order to detect a 30% difference in incision preference based on appearance with an α of 0.05 and 80% power. RESULTS: One hundred fifty patients completed the survey. Based on cosmetic appearance alone, 70% chose laparoscopic surgery, 23% chose open, and 7% chose the robotic approach (P \u3c 0.0001). The majority of the subjects would not change their incision preference of laparoscopy based on differing scenarios of postoperative pain (62.6%), length of surgery (65.3%), and length of hospital stay (73.6%). When asked to rank factors important in decision making, complication rate (53.9%) and surgeon experience with the procedure (32.8%) were ranked as most important. CONCLUSIONS: Based on cosmetic appearance, patients prefer the laparoscopic approach for abdominal sacrocolpopexy for pelvic organ prolapse surgery. However, complication rates and surgeon experience with the procedure are important factors in the patient\u27s decision making