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https://www.readbyqxmd.com/read/28515218/group-b-streptococcus-among-pregnant-women-and-newborns-in-mirzapur-bangladesh-colonization-vertical-transmission-and-serotype-distribution
#1
Samir K Saha, Zabed B Ahmed, Joyanta K Modak, Hakka Naziat, Shampa Saha, Mohammad A Uddin, Maksuda Islam, Abdullah H Baqui, Gary L Darmstadt, Stephanie J Schrag
Group B Streptococcus (GBS) infection is a leading cause of death in newborns in developed countries. Data on burden of GBS in Asian countries is lacking. This study aimed to understand i) rate of maternal recto-vaginal GBS carriage, ii) vertical transmission of GBS as determined by culturing ear, umbilicus and nasal swabs, and iii) distribution of GBS serotypes. This prospective observational study was conducted from September 2012 to November 2013 at Kumudini Hospital, a secondary level hospital, at Mirzapur, Bangladesh...
May 17, 2017: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/28503515/synthetic-versus-biological-mesh-related-erosion-after-laparoscopic-ventral-mesh-rectopexy-a-systematic-review
#2
REVIEW
Andrea Balla, Silvia Quaresima, Sebastian Smolarek, Mostafa Shalaby, Giulia Missori, Pierpaolo Sileri
PURPOSE: This review reports the incidence of mesh-related erosion after ventral mesh rectopexy to determine whether any difference exists in the erosion rate between synthetic and biological mesh. METHODS: A systematic search of the MEDLINE and the Ovid databases was conducted to identify suitable articles published between 2004 and 2015. The search strategy capture terms were laparoscopic ventral mesh rectopexy, laparoscopic anterior rectopexy, robotic ventral rectopexy, and robotic anterior rectopexy...
April 2017: Annals of Coloproctology
https://www.readbyqxmd.com/read/28495443/dose-volume-correlation-of-cumulative-vaginal-doses-and-late-toxicity-after-adjuvant-external-radiation-and-brachytherapy-for-cervical-cancer
#3
Roshni Singh, Supriya Chopra, Reena Engineer, Siji Paul, Sadhana Kannan, Sarthak Mohanty, Jamema Swamidas, Umesh Mahantshetty, Jaya Ghosh, Amita Maheshwari, T Surappa Shylasree, Rajendra Kerkar, Sudeep Gupta, Shyam Shrivastava
PURPOSE: To investigate dose-response relationship between vaginal doses and long-term morbidity. METHODS AND MATERIALS: Patients receiving adjuvant pelvic (chemo) radiation and brachytherapy for cervical cancer from January 2011 to December 2014 were included. Baseline vaginal length was determined clinically and from imaging at BT planning. Dose points were defined along mucosa and at 5 mm depth at 12, 3, 6, and 9 'o' clock positions at every 2 cm from apex to introitus...
May 8, 2017: Brachytherapy
https://www.readbyqxmd.com/read/28420662/outcome-of-a-screening-programme-for-the-prevention-of-neonatal-invasive-early-onset-group-b-streptococcus-infection-in-a-uk-maternity-unit-an-observational-study
#4
G Gopal Rao, G Nartey, T McAree, A O'Reilly, S Hiles, T Lee, S Wallace, R Batura, P Khanna, H Abbas, C Tilsed, R Nicholl, T Lamagni, P Bassett
BACKGROUND: Against a background of failure to prevent neonatal invasive early-onset group B Streptococcus infections (GBS) in our maternity unit using risk-based approach for intrapartum antibiotic prophylaxis, we introduced an antenatal GBS carriage screening programme to identify additional women to target for prophylaxis. OBJECTIVES: To describe the implementation and outcome of an antepartum screening programme for prevention of invasive early-onset GBS infection in a UK maternity unit...
April 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28352637/neurostimulation-for-fecal-incontinence-after-correction-of-repair-of-imperforate-anus
#5
Alexandre Bougie, Nathalie McFadden, Sandeep Mayer, Michel Lebel, Ghislain Devroede
We are reporting the case of a 32-year-old female who had suffered from fecal incontinence (FI). She was born with an imperforate anus and a recto-vaginal fistula; she underwent repair at 6 mo of age. At 29 years of age, she was still fecally incontinent despite extensive pelvic floor reeducation. A magnetic resonance imaging and an anal electromyography were performed. Because her symptoms were considered to be probably due to extra-sphincteric implantation of the neo-anus, a redo was performed of the recto-neo-anal intra-sphincteric anastomosis...
March 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/28342392/value-of-the-68-ga-dotatate-pet-ct-in-the-diagnosis-of-endometriosis-a-pilot-study
#6
M Fastrez, C Artigas, N Sirtaine, Z Wimana, M Caillet, S Rozenberg, P Flamen
OBJECTIVE: The non-invasive diagnosis of endometriosis remains challenging. Recent data suggested that somatostatin might be involved in its pathogenesis. High sensitive visualization of somatostatin receptors expression is possible using PET-CT imaging after the administration of a (68)Ga-labeled somatostatin analog (DOTATATE) that will bind to the somatostatin receptor sub-types 2 and 5. The aim of the present study was to assess the usefulness of (68)Ga-DOTATATE PET-CT in the diagnosis of endometriosis...
May 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28342157/recto-vaginal-fistula-after-pessary-therapy
#7
Christl Reisenauer, Markus Huebner
No abstract text is available yet for this article.
May 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28237500/prospects-for-preventing-infant-invasive-gbs-disease-through-maternal-vaccination
#8
Shabir A Madhi, Ziyaad Dangor
Group B streptococcus (GBS) is a leading cause of neonatal sepsis, with the highest incidence (1.3 per 1000 live births) reported from Africa. Although the incidence of invasive GBS disease is reportedly low in South Asia, there is disconnect between prevalence of maternal recto-vaginal colonization and the incidence of early-onset disease (EOD). This is possibly due to case-ascertainment biases that omit investigation of newborns dying on day-0 of life, which accounts for >90% of EOD. Furthermore, GBS is associated with approximately 15% of all infection related stillbirths...
February 22, 2017: Vaccine
https://www.readbyqxmd.com/read/28044959/recto-vaginal-fistula-of-obstetric-origin-a-surgical-solution
#9
Gabriel Statescu, Cristian Negura, Luciana Cretiu
A 26 year-old female patient was admitted for the first time in the surgical, presenting an abnormal connection between the rectum and vagina given a context of an apparently clear period of time following a natural childbirth 1 year and 10 months ago. This is a rare pathological condition with a major physical, mental and sexual impact for a young female. Various surgical treatment solutions are described in the specialized literature. Yet, we have not come across any studies that analyzed the various means of surgical treatment...
November 2016: Chirurgia
https://www.readbyqxmd.com/read/28027278/group-b-streptococcal-colonization-among-pregnant-women-in-delhi-india
#10
Manu Chaudhary, Marcia A Rench, Carol J Baker, Pushpa Singh, Charoo Hans, Morven S Edwards
BACKGROUND: Little is known regarding maternal group B streptococcal (GBS) colonization prevalence and capsular (CPS) serotype distribution among pregnant women in India. The objective of this prospective cohort study was to determine GBS recto-vaginal colonization prevalence in pregnant women at Dr. Ram Manohar Lohia Hospital in Delhi, India. METHODS: Literature review identified reports from India assessing GBS colonization prevalence in pregnant women. Rectal and vaginal swabs were inoculated into Strep B Carrot Broth™ and subcultured onto GBS Detect™ plates...
December 23, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27895681/rectal-separation-using-hydroxypropyl-methylcellulose-in-intracavitary-brachytherapy-of-cervical-cancer-an-innovative-approach
#11
Swapnendu Basu, Kazi Sazzad Manir, Abhishek Basu, Koushik Ghosh
PURPOSE: This study was initiated to prove feasibility of hydrogel application in recto-vaginal space in intracavitary brachytherapy (ICBT) of cervical cancer in order to reduce rectal toxicity. MATERIAL AND METHODS: In a case of stage IIB cervical cancer, after external beam radiotherapy (EBRT), we planned ICBT 7 Gy × 3 fractions. In 1(st) fraction (Plan 1), due to narrow separation between rectum and cervix (0.18 cm), only 5 Gy was delivered at point A (with high-risk clinical target volume [HR-CTV] D90 5...
October 2016: Journal of Contemporary Brachytherapy
https://www.readbyqxmd.com/read/27861568/appropriateness-of-intrapartum-antibiotic-prophylaxis-to-prevent-neonatal-group-b-streptococcus-disease
#12
Aida Bianco, Elisabetta Larosa, Claudia Pileggi, Maria Pavia
The aims of this study were to describe the adherence to CDC guidelines for intrapartum antibiotic prophylaxis (IAP) and to identify possible factors influencing noncompliance with guidelines. We conducted a retrospective study in Italy. Our cohort included women in whom antenatal Group B Streptococcus (GBS) screening was not performed, was performed, but results were not available at the time of labor or delivery and women who were positive for GBS colonization. The indications for complete execution of IAP according to revised CDC guidelines was evaluated...
2016: PloS One
https://www.readbyqxmd.com/read/27801759/endometrial-stromal-sarcoma-arising-in-colorectal-endometriosis
#13
Rania Kilzieh, Natalia Rakislova, Aureli Torné, Rafael Salvador, Alfons Nadal, Jaume Ordi, Adela Saco
The malignant transformation of endometriosis is very uncommon. Whereas 75% of tumors arising from endometriosis arise in the ovary, location in extra-genital organs is rare and mesenchymal neoplasms are exceptional. A 47 year-old woman who underwent hysterectomy with bilateral salpingo-ooforectomy due to endometriosis 13 years before presented with abdominal pain. The magnetic resonance imaging (MRI) showed a 9.7×7.5 cm solid-cystic supravesical mass and a recto-vaginal tumor, as well as endometriotic nodules in the sigma, right parametrium and peritoneum that had significantly increased in size over a six months period...
October 31, 2016: International Journal of Gynecological Pathology
https://www.readbyqxmd.com/read/27679201/uterine-endometriosis-incidence-in-patients-undergoing-laparoscopic-surgery-for-severe-recto-vaginal-endometriosis-a-prospective-cohort-study
#14
F Shakir, H Jan, C Pearson, P Haines, W Rae-Mitchell, A Kent
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678940/diagnostic-accuracy-of-rectal-endoscopic-sonography-in-recto-vaginal-endometrisois
#15
A Nargund, R Penketh, A Griffiths, E Bruen, A Roberts, L Kwasnicka
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27572968/maternal-colonization-with-streptococcus-agalactiae-and-associated-stillbirth-and-neonatal-disease-in-coastal-kenya
#16
Anna C Seale, Angela C Koech, Anna E Sheppard, Hellen C Barsosio, Joyce Langat, Emily Anyango, Stella Mwakio, Salim Mwarumba, Susan C Morpeth, Kirimi Anampiu, Alison Vaughan, Adam Giess, Polycarp Mogeni, Leahbell Walusuna, Hope Mwangudzah, Doris Mwanzui, Mariam Salim, Bryn Kemp, Caroline Jones, Neema Mturi, Benjamin Tsofa, Edward Mumbo, David Mulewa, Victor Bandika, Musimbi Soita, Maureen Owiti, Norris Onzere, A Sarah Walker, Stephanie J Schrag, Stephen H Kennedy, Greg Fegan, Derrick W Crook, James A Berkley
Streptococcus agalactiae (group B streptococcus, GBS) causes neonatal disease and stillbirth, but its burden in sub-Saharan Africa is uncertain. We assessed maternal recto-vaginal GBS colonization (7,967 women), stillbirth and neonatal disease. Whole-genome sequencing was used to determine serotypes, sequence types and phylogeny. We found low maternal GBS colonization prevalence (934/7,967, 12%), but comparatively high incidence of GBS-associated stillbirth and early onset neonatal disease (EOD) in hospital (0...
May 23, 2016: Nature Microbiology
https://www.readbyqxmd.com/read/27521899/prevalence-and-risk-factors-for-infections-in-a-pregnant-adolescent-population
#17
Christine C Akoh, Eva K Pressman, Elizabeth Cooper, Ruth Anne Queenan, Julie Pillittere, Kimberly O O'Brien
STUDY OBJECTIVE: Our objective was to identify risk factors associated with maternal infections and placental inflammation in pregnant adolescents attending an urban adolescent maternity clinic. DESIGN: This cross-sectional, descriptive study used survey and medical chart data collected at entry and prospectively across gestation. The prevalence of maternal infections and placental inflammation was determined and potential risk factors were identified. SETTING: Rochester Adolescent Maternal Program (RAMP) in Rochester, NY...
February 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27398230/maternal-colonisation-with-streptococcus-agalactiae-and-associated-stillbirth-and-neonatal-disease-in-coastal-kenya
#18
Anna C Seale, Angela C Koech, Anna E Sheppard, Hellen C Barsosio, Joyce Langat, Emily Anyango, Stella Mwakio, Salim Mwarumba, Susan C Morpeth, Kirimi Anampiu, Alison Vaughan, Adam Giess, Polycarp Mogeni, Leahbell Walusuna, Hope Mwangudzah, Doris Mwanzui, Mariam Salim, Bryn Kemp, Caroline Jones, Neema Mturi, Benjamin Tsofa, Edward Mumbo, David Mulewa, Victor Bandika, Musimbi Soita, Maureen Owiti, Norris Onzere, A Sarah Walker, Stephanie J Schrag, Stephen H Kennedy, Greg Fegan, Derrick W Crook, James A Berkley
Streptococcus agalactiae (Group B Streptococcus, GBS) causes neonatal disease and stillbirth, but its burden in sub-Saharan Africa is uncertain. We assessed maternal recto-vaginal GBS colonisation (7967 women), stillbirth and neonatal disease. Whole genome sequencing was used to determine serotypes, sequence types (ST), and phylogeny. We found low maternal GBS colonisation prevalence (934/7967, 12%), but comparatively high incidence of GBS-associated stillbirth and early onset neonatal disease (EOD) in hospital (0...
July 2016: Nature Microbiology
https://www.readbyqxmd.com/read/27274119/management-of-fourth-degree-obstetric-perineal-tear-without-colostomy-using-non-stimulated-gracilis-our-experience-over-eleven-years
#19
Jiten Kulkarni, Anuradha J Patil, Bhaskar Musande, Abhishek B Bhamare
BACKGROUND: Although gracilis muscle transposition for faecal incontinence has been well-described method, its literature for use in obstetric perineal tear without colostomy is sparse. In this study, we have tried to analyse its use in fourth-degree obstetric perineal tears. PATIENTS AND METHODS: A total of 30 patients with recto-vaginal fistula with faecal incontinence secondary to obstetric perineal tear were retrospectively studied between February 2003 and May 2014...
January 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27267048/vaginal-dose-de-escalation-in-image-guided-adaptive-brachytherapy-for-locally-advanced-cervical-cancer
#20
Sandy Mohamed, Jacob Christian Lindegaard, Astrid A C de Leeuw, Ina Jürgenliemk-Schulz, Kathrin Kirchheiner, Christian Kirisits, Richard Pötter, Kari Tanderup
PURPOSE: Vaginal stenosis is a major problem following radiotherapy in cervical cancer. We investigated a new dose planning strategy for vaginal dose de-escalation (VDD). MATERIALS AND METHODS: Fifty consecutive locally advanced cervical cancer patients without lower or middle vaginal involvement at diagnosis from 3 institutions were analysed. External beam radiotherapy was combined with MRI-guided brachytherapy. VDD was obtained by decreasing dwell times in ovoid/ring and increasing dwell times in tandem/needles...
June 3, 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
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