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https://www.readbyqxmd.com/read/29898708/-doing-hymen-reconstruction-an-analysis-of-perceptions-and-experiences-of-flemish-gynaecologists
#1
Els Leye, Emilomo Ogbe, Maaike Heyerick
BACKGROUND: Hymen reconstruction (HR) involves the restoration of the hymeneal membrane's gross anatomical integrity. Among the medical profession, hymen reconstruction receives particular attention and its necessity is debated because the surgery is not medically indicated, and often reveals conflicting social norms on virginity and marriageability between health professionals and their patients. The focus of this paper is not to address the many open questions that the ethics and politics around HR reveal, but rather aims at contributing to the much-needed empirical evidence...
June 13, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29895995/importance-of-adopting-bmi-classifications-using-public-health-action-points-to-delineate-obstetric-risk-factors-resulting-in-worsening-obstetric-outcomes-among-asian-population
#2
Muniswaran Ganeshan, Mohamad Adam Bujang, Shahrul Aiman Soelar, Shamala Devi Karalasingam, Harris Suharjono, Ravichandran Jeganathan
Aims: The aim of this study is to compare obstetric outcomes between overweight and class 1 obesity among pregnant women in their first pregnancy based on WHO's BMI cut-offs and the potential public health action points identified by WHO expert consultations specific for high-risk population such as Asians. Methods: This is a retrospective cohort review of data obtained from the Malaysian National Obstetrics and Gynaecology Registry between the year 2010 and year 2012...
June 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29869511/-cerebral-venous-thrombosis-during-pregnancy
#3
V Smetanskyi, A Šefčíková, A Dörr
OBJECTIVE: We present a case report of a patient with cerebral venous thrombosis during pregnancy. DESIGN: Case report. SETTING: Department of Gynaecology and Obstetrics at the Silesian Hospital. METHODS: Own observation, review of literature. CONCLUSION: In any tonic-clonic convulsions in pregnancy, we mainly think of an eclamptic attack and pregnancy must be ended. In case of persistent problems in the postpartum period after stabilization of the patients, differential etiology of convulsive states such as epileptic seizure, hypoglycemic spasms, CNS tumor, intracranial bleeding, cerebrovascular accident or cocaine overdose must be considered within the differential diagnosis...
2018: Ceská Gynekologie
https://www.readbyqxmd.com/read/29869508/-elevated-levels-of-tff3-in-endometrial-cancer-patients
#4
D Neubert, D Ondrová, J Hambálek, M Maděrka, K Sobková, D Stejskal, G Krejčí, R Pilka
AIM: Trefoil peptides are a family of small proteins that are expressed in a site-specific fashion by certain epithelial tissues. These peptides might be used as markers for neoplastic uterine disease. DESIGN: Experimental study. SETTING: Department of Obstetrics and Gynaecology, University Hospital, Medical Faculty, Palacký University, Olomouc; Department of Laboratory Biochemistry, Central Moravian Hospital Trust, Member of Agel holding, Prostějov...
2018: Ceská Gynekologie
https://www.readbyqxmd.com/read/29869505/-mri-analysis-of-the-musculo-fascial-component-of-pelvic-floor-in-woman-before-planned-vaginal-reconstruction-procedur-for-symptomatic-pelvic-organ-prolapse
#5
M Němec, L Horčička, M Dibonová, M Krčmář, I Urbánková, L Krofta, J Feyereisl
OBJECTIVE: The aim of the study is to analyse the musculo-fascial component of the pelvic floor in symptomatic group of woman with pelvic organ prolapse before planned vaginal reconstruction using synthetic vaginal mesh. DESIGN: Observational cohort study. SETTING: Department of Obstetrics and Gynaecology, Hospital in Frýdek-Místek; GONA Ltd, Prague; Institute for Care of Mother and Child, Prague; 3rd Faculty of Medicine CHU Prague. METHODOLOGY: The study involved 285 female volunteers (6 nulliparous, all other patients gave birth vaginally at least once) that in the period 2008-2015 before the planned reconstructive vaginal operations have undergone a comprehensive urogynaecology examination supplemented by magnetic resonance imaging (MRI) of the pelvic floor...
2018: Ceská Gynekologie
https://www.readbyqxmd.com/read/29860763/-expression-and-clinical-significance-of-miip-and-pak1-in-endometrial-carcinoma
#6
S Jiang, W Y Tian, Y Yan, F Teng, J P Gao, Y M Wang, F X Xue
Objective: To investigate the expressions of migration and invasion inhibitory protein (MIIP) and p21-activated kinase 1 (PAK1) in endometrial carcinoma (EC) and their correlation with clinicopathological features. Methods: The protein levels of MIIP and PAK1 in 135 paraffin-embedded EC tissues, 55 atypical hyperplasia of endometrium (AHE) and 88 normal endometrium (NE) tissues were quantified by immunohistochemistry, the clincial significance and the relationship of these two proteins were also analyzed. Results: The positive rates of MIIP expression in NE, AHE and EC tissues were 52...
May 23, 2018: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/29808045/risk-factors-and-clinical-follow-up-of-patients-with-preterm-births-in-a-tertiary-referral-maternity-unit-in-bucharest-romania
#7
Cristian Viorel Poalelungi, Liana Ples, Decebal Hudita, Iuliana Ceausu
OBJECTIVE: To analyse the historical risk factors associated with preterm birth, and the potential benefit of correct prenatal care for prevention. METHODS: This prospective study was performed in 2011-12 at the Department of Obstetrics and Gynaecology, Dr. I. Cantacuzino Hospital, Bucharest, Romania, and comprised women who gave birth at the hospital during the study period. The pregnancy was considered clinically cared if a pregnant woman underwent the following exams: first trimester ultrasound, maternal serum tests, screening tests, second trimester ultrasound, and amniocentesis if deemed necessary...
April 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29806585/effectiveness-of-low-level-laser-therapy-for-treating-male-infertility
#8
Sergey Vladimirovich Moskvin, Oleg Ivanovich Apolikhin
In half of the cases, the infertility of the couple is due to the disorder of the male fertility. The leading factors that cause male infertility are urogenital infections, disorders of the immune system, testicular and prostate pathology, as well as endocrine disorders. Low level laser therapy (LLLT) is a very effective physical therapy method, used in many areas of medicine, including obstetrics and gynaecology, andrology and urology; and it is recommended as an integral part of the complex treatment of infertility...
June 2018: BioMedicine
https://www.readbyqxmd.com/read/29790484/the-predictive-value-of-the-clinical-sign-of-limited-hip-abduction-for-developmental-dysplasia-of-the-hip-ddh
#9
Svemir Čustović, Sahmir Šadić, Aleksandar Vujadinović, Asmir Hrustić, Mahir Jašarević, Amer Čustović, Ferid Krupić
Aim To assess the relationship between the clinical sign of limited hip abduction and developmental dysplasia of the hip (DDH). Methods A research was conducted on 450 newborns at the Neonatal Unit at the Clinic of Gynaecology and Obstetrics and the Orthopaedics and Traumatology Clinic of the University Clinical Centre, Tuzla, between 30th August 2011 and 30th April 2012. Clinical (degree of hip abduction) and ultrasound examination of all newborns' hips were performed using the Graf method on their first day of life...
August 1, 2018: Medicinski Glasnik
https://www.readbyqxmd.com/read/29789905/pre-operative-mri-staging-of-endometrial-cancer-in-a-multicentre-cancer-network-can-we-match-single-centre-study-results
#10
N D Soneji, N Bharwani, A Ferri, V Stewart, A Rockall
OBJECTIVES: To evaluate the staging accuracy of magnetic resonance imaging (MRI) for endometrial cancer in daily practice over a 3-year period at a tertiary referral centre receiving scans from a large number of hospitals with varying protocols. To compare these daily practice results to published data from single-centre studies. METHODS: After ethical approval, MRI staging records for 270 studies from nine network and three centre hospitals were retrospectively collected and compared with final operative histopathology...
May 22, 2018: European Radiology
https://www.readbyqxmd.com/read/29777898/a-survey-of-health-professionals-views-on-acceptable-gestational-age-and-termination-of-pregnancy-for-fetal-anomaly
#11
Lisa Crowe, Ruth H Graham, Stephen C Robson, Judith Rankin
Termination of pregnancy for fetal anomaly is legal in the UK with no upper limit, if two doctors, in good faith, agree "there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped". This is Clause E of the Human Fertlisation and Embryology Act. The most commonly sighted Clause is C, which states "the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman"...
May 16, 2018: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/29771998/risk-factors-for-inappropriate-blood-requisition-among-hospitals-in-tanzania
#12
Wilhellmuss I Mauka, Tara B Mtuy, Michael J Mahande, Sia E Msuya, Innocent B Mboya, Abdul Juma, Rune N Philemon
BACKGROUND: Blood is a critical aspect of treatment in life saving situations, increasing demand. Blood requisition practices greatly effect sufficient supply in blood banks. This study aimed to determine the risk factors for inappropriate blood requisition in Tanzania. METHODS: This was a cross sectional study using secondary data of 14,460 patients' blood requests from 42 transfusion hospitals. Primary data were obtained by using cluster-sampling design. Data were analysed using a two-level mixed-effects Poisson regression to determine fixed-effects of individual-level factors and hospital level factors associated with inappropriate blood requests...
2018: PloS One
https://www.readbyqxmd.com/read/29771224/discipline-specific-competency-based-curricula-for-leadership-learning-in-medical-specialty-training
#13
Sandra Turner, Ming-Ka Chan, Judy McKimm, Graham Dickson, Timothy Shaw
Purpose Doctors play a central role in leading improvements to healthcare systems. Leadership knowledge and skills are not inherent, however, and need to be learned. General frameworks for medical leadership guide curriculum development in this area. Explicit discipline-linked competency sets and programmes provide context for learning and likely enhance specialty trainees' capability for leadership at all levels. The aim of this review was to summarise the scholarly literature available around medical specialty-specific competency-based curricula for leadership in the post-graduate training space...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29769772/oral-hygiene-status-gingival-status-periodontal-status-and-treatment-needs-among-pregnant-and-nonpregnant-women-a-comparative-study
#14
Meena Kashetty, Sagar Kumbhar, Smita Patil, Prashant Patil
Objectives: The gingival and periodontal changes during pregnancy are well known. Gingivitis is the most prevalent oral manifestations associated with pregnancy. The hormonal and vascular changes that accompany pregnancy are known to exaggerate the inflammatory response to the local irritants. Hence, a study was designed to assess oral hygiene status, gingival status, periodontal status, and treatment needs (TNs) among pregnant and nonpregnant women. Materials and Methods: A cross-sectional study was conducted among 120 pregnant and 120 nonpregnant women of 18-44 years age attending the Outpatient Department of Gynaecology and Obstetrics in Government Hospital of Belgaum city, Karnataka, India...
March 2018: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/29765296/peripartum-haemorrhage-haemostatic-aspects-of-the-new-german-pph-guideline
#15
REVIEW
Heiko Lier, Christian von Heymann, Wolfgang Korte, Dietmar Schlembach
Summary Peripartum haemorrhage remains one of the main causes of maternal mortality world-wide. The German, Austrian and Swiss Societies of Gynaecology and Obstetrics have updated the current guidelines for the treatment of peripartum haemorrhage together with the German Society of Anaesthesiology and Intensive Care Medicine and the Society of Thrombosis and Haemostasis Research. The recommendations have been the result of a thorough review of the available scientific literature and a consensus process involving all members of the guideline group...
April 2018: Transfusion Medicine and Hemotherapy
https://www.readbyqxmd.com/read/29764832/large-bowel-obstruction-in-a-27-year-old-woman-caused-by-a-sigmoid-faecal-bolus
#16
Radford Arran James Smith, Muhammad Abdalkoddus, Robert Bethune
A 27-year-old woman presented to the emergency department with a 24-hour history of severe left iliac fossa pain associated with vomiting. She reported a history of ovarian cysts and was provisionally diagnosed with a ruptured ovarian cyst and admitted under the obstetrics and gynaecology team for further investigation. 24 hours later, she became haemodynamically unstable with increasing abdominal distention and developed a metabolic acidosis. A CT scan revealed large bowel obstruction (LBO) secondary to a faecal bolus in the sigmoid colon with appearances suggestive of adult-onset Hirschsprung's disease...
May 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29748194/clare-searle-combines-being-a-gp-with-obstetrics-and-gynaecology
#17
Anne Gulland
No abstract text is available yet for this article.
May 10, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29738988/use-of-mobile-applications-and-blogs-by-pregnant-women-in-turkey-and-the-impact-on-adaptation-to-pregnancy
#18
Sultan Özkan Şat, Şengül Yaman Sözbir
OBJECTIVES: This study aimed to demonstrate how the use of mobile applications and blogs impacts on a woman's pregnancy. DESIGN: This was a descriptive study. A questionnaire and the Prenatal Self Evaluation Questionnaire (PSEQ) were administered to collect the data. The PSEQ was developed to evaluate a woman's adaptation to pregnancy before labour and contained seven subscales: acceptance of pregnancy, identification of a motherhood role, relationship with her mother, relationship with her husband, preparation for labour, prenatal fear of helplessness and loss of control in labour and concern for the well-being of self and baby...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29724142/interobserver-agreement-in-analysis-of-cardiotocograms-recorded-during-trial-of-labor-after-cesarean
#19
M Caning, D L A Thisted, I Amer-Wählin, G H Laier, L Krebs
INTRODUCTION: To examine interobserver agreement in intrapartum cardiotocography (CTG) classification in women undergoing trial of labor after a cesarean section (TOLAC) at term with or without complete uterine rupture. MATERIALS AND METHODS: Nineteen blinded and independent Danish obstetricians assessed CTG tracings from 47 women (174 individual pages) with a complete uterine rupture during TOLAC and 37 women (133 individual pages) with no uterine rupture during TOLAC...
May 3, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29720744/peripartum-haemorrhage-diagnosis-and-therapy-guideline-of-the-dggg-oeggg-and-sggg-s2k-level-awmf-registry-no-015-063-march-2016
#20
Dietmar Schlembach, Hanns Helmer, Wolfgang Henrich, Christian von Heymann, Franz Kainer, Wolfgang Korte, Maritta Kühnert, Heiko Lier, Holger Maul, Werner Rath, Susanne Steppat, Daniel Surbek, Jürgen Wacker
Purpose: This is an official interdisciplinary guideline, published and coordinated by the German Society of Gynaecology and Obstetrics (DGGG), the Austrian Society of Gynaecology and Obstetrics (OEGGG) and the Swiss Society of Gynaecology and Obstetrics (SGGG). The guideline was developed for use in German-speaking countries and is backed by the German Society of Anaesthesiology and Intensive Medicine (DGAI), the Society of Thrombosis and Haemostasis Research (GTH) and the German Association of Midwives...
April 2018: Geburtshilfe und Frauenheilkunde
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