Doctor of Philosophy

dissertationIn multiparous women, history of preterm birth is a risk factor for recurrence. We examined patterns of recurrent preterm birth by clinical presentation and additional risk factors for recurrence among 76,657 women who had their first three singleton live births in Utah, 1989- 2007. We also evaluated the association between gestational weight gain and preterm birth using a bidirectional case-crossover study to control for genetics and other time-invariant characteristics. Unadjusted and multivariable-adjusted logistic regression, multinomial regression, and conditional logistic regression were used to calculate odds ratios (OR). In our study women were likely to experience recurrent preterm birth of the same clinical subtype; however, recurrence of other clinical subtypes was also common. The highest odds of recurrence were in women with two prior preterm births of the same subtype. Additional risk factors for recurrence included a short interpregnancy interval, the presence of a preexisting maternal medical condition, history of a birth at 28-32 weeks gestation, and the presence of a fetal anomaly on the birth record for the current live birth. Risk factors varied depending upon the clinical subtype of the most recent preterm birth. Finally, we found that women who gained more weight than recommended during pregnancy were at risk for indicated preterm birth while those who gained less than recommended were at risk for spontaneous preterm birth

Thrive: Success Strategies for the Modern-Day Faculty Member

The THRIVE collection is intended to help faculty thrive in their roles as educators, scholars, researchers, and clinicians. Each section contains a variety of thought-provoking topics that are designed to be easily digested, guide personal reflection, and put into action. Please use the THRIVE collection to help: Individuals study topics on their own, whenever and wherever they want Peer-mentoring or other learning communities study topics in small groups Leaders and planners strategically insert faculty development into existing meetings Faculty identify campus experts for additional learning, grand rounds, etc. If you have questions or want additional information on a topic, simply contact the article author or email [email protected]://digitalcommons.unmc.edu/facdev_books/1000/thumbnail.jp

Analysis of Outcomes in Ischemic vs Nonischemic Cardiomyopathy in Patients With Atrial Fibrillation A Report From the GARFIELD-AF Registry

IMPORTANCE Congestive heart failure (CHF) is commonly associated with nonvalvular atrial fibrillation (AF), and their combination may affect treatment strategies and outcomes