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Women's Health

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https://www.readbyqxmd.com/read/29772955/current-trends-and-future-perspectives-in-pelvic-reconstructive-surgery
#1
Mélanie Aubé, Le Mai Tu
Pelvic organ prolapse is a prevalent disorder with a high lifetime incidence of surgical repair. Pelvic organ prolapse surgery has greatly evolved over the past years, and pelvic floor reconstructive surgeons are faced with a vast array of treatment options for their patients. Our review article illustrates the current trends and future perspectives for the surgical treatment of pelvic organ prolapse.
January 2018: Women's Health
https://www.readbyqxmd.com/read/29649948/women-s-sexual-dysfunction-associated-with-psychiatric-disorders-and-their-treatment
#2
Rosemary Basson, Thea Gilks
Impairment of mental health is the most important risk factor for female sexual dysfunction. Women living with psychiatric illness, despite their frequent sexual difficulties, consider sexuality to be an important aspect of their quality of life. Antidepressant and antipsychotic medication, the neurobiology and symptoms of the illness, past trauma, difficulties in establishing relationships and stigmatization can all contribute to sexual dysfunction. Low sexual desire is strongly linked to depression. Lack of subjective arousal and pleasure are linked to trait anxiety: the sensations of physical sexual arousal may lead to fear rather than to pleasure...
January 2018: Women's Health
https://www.readbyqxmd.com/read/29623772/screening-management-and-treatment-of-intimate-partner-violence-among-women-in-low-resource-settings
#3
Laura M Schwab-Reese, Lynette M Renner
The prevention of intimate partner violence continues to be a high priority for health practitioners and researchers around the world. Screening practices and intervention efforts utilized within high- and/or middle-income areas may not translate effectively to low-resource areas due to differences in financial, social, and physical context. However, little is known about the evidence-base of intervention efforts in such areas. Using the Arksey and O'Malley framework for scoping reviews, the purpose of this review was to synthesize what is known about intimate partner violence screening, management, and treatment in low-resource areas...
January 2018: Women's Health
https://www.readbyqxmd.com/read/29409399/the-implications-of-women-s-activity-limitations-and-role-disruptions-during-breast-cancer-survivorship
#4
Sharon Keesing, Lorna Rosenwax, Beverley McNamara
Early survivorship is a time of critical transition for women survivors of breast cancer as they attempt to resume functional activities and important life roles. This study aimed to explore the challenges of women and their partners as they attempted to resume activities and roles, identify unmet needs and make recommendations regarding a suitable framework to support women and partners to recommence valued activities and important roles during early survivorship. Qualitative methods utilising in-depth interviews of women (n = 18) and their partners (n = 8), and two focus groups (n = 10) were completed in Perth, Western Australia, between June 2014 and April 2015...
January 2018: Women's Health
https://www.readbyqxmd.com/read/29313444/poly-adp-ribose-polymerase-inhibitors-in-the-management-of-ovarian-cancer
#5
Maurie Markman
There is considerable interest and enthusiasm within the clinical gynecologic oncology community regarding the potential for poly (ADP-ribose) polymerase inhibitors to play a critically relevant role in the management of epithelial ovarian cancer and particularly (although not exclusively) in the setting of known mutations in the BRCA gene. This review will briefly highlight the biological rational for the use of poly (ADP-ribose) polymerase inhibitors in this malignancy, followed by summary of currently available clinical data supporting the delivery of agents approved by the US Food and Drug Administration for non-investigative use...
January 2018: Women's Health
https://www.readbyqxmd.com/read/29105584/is-ulipristal-acetate-the-new-drug-of-choice-for-the-medical-management-of-uterine-fibroids-res-ipsa-loquitur
#6
Funlayo Odejinmi, Reeba Oliver, Rebecca Mallick
Ulipristal acetate (Esmya© ) has been hailed the new wonder drug with regard to the medical management of uterine fibroids, and many postulate that it will remove the need for surgical treatment in the future. While the results from the PEARL studies are certainly promising and its amenorrhoeic rates and reduction in fibroid size are unquestionable, there is still a paucity of data with regard to its long-term effects, the effects on its usage prior to surgery and its variable efficacy in different ethnic populations...
December 2017: Women's Health
https://www.readbyqxmd.com/read/28952428/cancer-screening-in-women-living-with-hiv-infection
#7
David M Aboulafia
The number of women living with HIV continues to increase. Thirty years into the AIDS epidemic, we now expect those with access to highly active antiretroviral to survive into their seventh decade of life or beyond. Increasingly, the focus of HIV care is evolving from preventing opportunistic infections and treating AIDS-defining malignancies to strategies that promote longevity. This holistic approach to care includes detection of malignancies that are associated with certain viral infections, with chronic inflammation, and with lifestyle choices...
December 2017: Women's Health
https://www.readbyqxmd.com/read/28934912/role-of-female-intimate-hygiene-in-vulvovaginal-health-global-hygiene-practices-and-product-usage
#8
Ying Chen, Elizabeth Bruning, Joseph Rubino, Scott E Eder
Women use various feminine hygiene products, often as part of their daily cleansing routine; however, there is a paucity of published medical literature related to the external vulva and how personal hygiene practices can affect it. This review article provides background information on the physiological changes that occur during women's lives and reviews the relevance of transient and resident microbiota as they relate to common vaginal and vulvar disorders. It also discusses the need for female intimate hygiene, common practices of feminine hygiene from a global perspective, and the potential benefits of using suitable external, topical feminine vulvar washes to minimize the risk of vulvovaginal disorders and to improve overall intimate health in women around the world...
December 2017: Women's Health
https://www.readbyqxmd.com/read/28934902/pregnancy-related-outcomes-for-women-with-polycystic-ovary-syndrome
#9
Rose McDonnell, Roger J Hart
The polycystic ovary syndrome is a common endocrine disorder that has profound implications for women throughout their reproductive years. A diagnosis of polycystic ovary syndrome is associated with reproductive challenges including a difficulty in conceiving as well as the pregnancy-related complications of miscarriage, hypertensive disorders, gestational diabetes and prematurity. Consequently, polycystic ovary syndrome has profound implications for women and their offspring with regard to reproductive function in the short term and in the longer term the risk of chronic illness and congenital anomalies, and health care resources should be directed accordingly to mitigate against these risks...
December 2017: Women's Health
https://www.readbyqxmd.com/read/28905688/ehealth-and-behavioral-weight-loss-interventions-for-female-cancer-survivors-a-review
#10
Jean Harvey, Kim Dittus, Elise Mench
Cancer survivors are at increased risk of chronic disease and diminished quality of life. The presence of overweight and obesity can exacerbate these health risks. Fortunately, even small weight losses have been found to produce clinically meaningful health outcomes. However, effective obesity treatment is difficult to access, and recently, efforts have been made to disseminate interventions using eHealth or distantly delivered technology. This review aims to focus on the efficacy and limitations of these technologies for female cancer survivors...
December 2017: Women's Health
https://www.readbyqxmd.com/read/28849728/scaling-up-family-planning-in-sierra-leone-a-prospective-cost-benefit-analysis
#11
Sarah Keen, Hashina Begum, Howard S Friedman, Chris D James
Family planning is commonly regarded as a highly cost-effective health intervention with wider social and economic benefits. Yet use of family planning services in Sierra Leone is currently low and 25.0% of married women have an unmet need for contraception. This study aims to estimate the costs and benefits of scaling up family planning in Sierra Leone. Using the OneHealth Tool, two scenarios of scaling up family planning coverage to currently married women in Sierra Leone over 2013-2035 were assessed and compared to a 'no-change' counterfactual...
December 2017: Women's Health
https://www.readbyqxmd.com/read/28681676/an-update-on-the-risk-factors-for-and-management-of-obstetric-haemorrhage
#12
REVIEW
Mercede Sebghati, Edwin Chandraharan
Obstetric haemorrhage is associated with increased risk of serious maternal morbidity and mortality. Postpartum haemorrhage is the commonest form of obstetric haemorrhage, and worldwide, a woman dies due to massive postpartum haemorrhage approximately every 4 min. In addition, many experience serious morbidity such as multi-organ failure, complications of multiple blood transfusions, peripartum hysterectomy and unintended damage to pelvic organs, loss of fertility and psychological sequelae, including posttraumatic stress disorders...
August 2017: Women's Health
https://www.readbyqxmd.com/read/28660800/hysterectomy-for-benign-conditions-complications-relative-to-surgical-approach-and-other-variables-that-lead-to-post-operative-readmission-within-90-days-of-surgery
#13
Neal M Lonky, Yasmina Mohan, Vicki Y Chiu, Jeanna Park, Seth Kivnick, Christina Hong, Sharon M Hudson
OBJECTIVE: To examine variables associated with hysterectomy-related complications, relative to surgical approach and other variables, that lead to readmission within 90 days of surgery. METHODS: We conducted an observational cohort study for which data were extracted from electronic health records. Data were extracted of all patients (n = 3106) who underwent hysterectomies at 10 Kaiser Permanente Southern California medical centers between June 2010 and September 2011...
August 2017: Women's Health
https://www.readbyqxmd.com/read/28660799/factors-to-consider-in-pregnancy-of-unknown-location
#14
REVIEW
Shabnam Bobdiwala, Maya Al-Memar, Jessica Farren, Tom Bourne
The management of women with a pregnancy of unknown location (PUL) can vary significantly and often lacks a clear evidence base. Intensive follow-up is usually required for women with a final outcome of an ectopic pregnancy. This, however, only accounts for a small proportion of women with a pregnancy of unknown PUL location. There remains a clear clinical need to rationalize the follow-up of PUL so women at high risk of having a final outcome of an ectopic pregnancy are followed up more intensively and those PUL at low risk of having an ectopic pregnancy have their follow-up streamlined...
August 2017: Women's Health
https://www.readbyqxmd.com/read/28480799/the-relationship-between-employment-status-and-depression-symptomatology-among-women-at-risk-for-postpartum-depression
#15
RANDOMIZED CONTROLLED TRIAL
Beth A Lewis, Lauren Billing, Katie Schuver, Dwenda Gjerdingen, Melissa Avery, Bess H Marcus
Approximately 13%-19% of new mothers report depression during the postpartum period. Returning to work after childbirth is associated with depression; however, it is unclear if this finding applies to women who are at high risk for postpartum depression. The purpose of this study was to examine the relationship between employment status and depression symptomatology among women at risk for postpartum depression (defined as personal or maternal history of depression). This study was a post hoc analysis from a previously conducted randomized controlled trial...
April 2017: Women's Health
https://www.readbyqxmd.com/read/28438080/guillain-barr%C3%A3-syndrome-in-pregnancy-a-case-report
#16
Misai Hukuimwe, Tawanda T Matsa, Muchabayiwa F Gidiri
Guillain-Barré syndrome is a rare condition in pregnancy which is characterised by symmetrical progressive ascending polyneuropathy. A case of a 16-year-old nulliparous woman who presented with rapidly progressive limb paralysis following an upper respiratory tract infection a week prior to presentation is discussed. She was intubated as she had developed respiratory failure and managed in the intensive care unit by a multidisciplinary team. Plasma exchange and intravenous immunoglobulin were not readily available so she was managed conservatively...
April 2017: Women's Health
https://www.readbyqxmd.com/read/27864573/multi-level-assessment-to-reach-out-to-rural-breast-cancer-survivors
#17
Silvia Gisiger-Camata, Natasia Adams, Timiya ShaRel Nolan, Karen Meneses
No abstract text is available yet for this article.
November 18, 2016: Women's Health
https://www.readbyqxmd.com/read/27864572/models-of-health-behaviour-predict-intention-to-use-long-acting-reversible-contraception-use
#18
Gareth Roderique-Davies, Christine McKnight, Bev Jonn, Susan Faulkner, Deborah Lancastle
No abstract text is available yet for this article.
November 18, 2016: Women's Health
https://www.readbyqxmd.com/read/29334028/differential-diagnosis-and-management-of-placental-polyp-and-uterine-arteriovenous-malformation-case-reports-and-review-of-the-literature
#19
REVIEW
Tomoko Ishihara, Haruhiko Kanasaki, Aki Oride, Tomomi Hara, Satoru Kyo
Postpartum uterine bleeding is not uncommon and is caused by a variety of obstetrical and gynecological disorders, such as retained placenta, dysfunctional bleeding, and endometrial polyps. Placental polyps and uterine arteriovenous malformation are disorders often encountered in cases of abnormal uterine bleeding in the late puerperal period. These patients may experience life-threatening bleeding and require prompt intervention based on the correct differential diagnosis. The optimal treatments for both diseases differ as follows: intrauterine curettage or transcervical resection are chosen for placental polyps, while total abdominal hysterectomy or uterine artery embolization is preferred for uterine arteriovenous malformation since intrauterine curettage or transcervical resection has the risk of massive bleeding...
November 2016: Women's Health
https://www.readbyqxmd.com/read/29334026/a-guide-to-breast-implants-for-the-non-breast-specialist
#20
REVIEW
Kate L Harvey, Sarah E Clark
Breast augmentation is an increasingly popular cosmetic surgery procedure, and breast implants can also be used in reconstructive surgery following mastectomy. Problematic breast implants can present to any discipline of medicine, most frequently to primary care or acute service such as emergency medicine. This guide aims to inform the non-breast specialist in how to assess and treat common problems and when referral to specialist services is necessary.
November 2016: Women's Health
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