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Paediatric gynecology

Charlotte Gimpel, Fred E Avni, Carsten Bergmann, Metin Cetiner, Sandra Habbig, Dieter Haffner, Jens König, Martin Konrad, Max C Liebau, Lars Pape, Georg Rellensmann, Andrea Titieni, Constantin von Kaisenberg, Stefanie Weber, Paul J D Winyard, Franz Schaefer
Importance: Prenatal and neonatal cystic kidney diseases are a group of rare disorders manifesting as single, multiple unilateral, or bilateral cysts or with increased echogenicity of the renal cortex without macroscopic cysts. They may be accompanied by grossly enlarged kidneys, renal oligohydramnios, pulmonary hypoplasia, extrarenal abnormalities, and neonatal kidney failure. The prognosis is extremely variable from trivial to very severe or even uniformly fatal, which poses significant challenges to prenatal counseling and management...
January 1, 2018: JAMA Pediatrics
A F Leary, M Quinn, K Fujiwara, R L Coleman, E Kohn, T Sugiyama, R Glasspool, I Ray-Coquard, N Colombo, M Bacon, A Zeimet, A Westermann, E Gomez-Garcia, D Provencher, S Welch, W Small, D Millan, A Okamoto, G Stuart, K Ochiai
This manuscript reports the consensus statements on designing clinical trials in rare ovarian tumours reached at the fifth Ovarian Cancer Consensus Conference (OCCC) held in Tokyo, November 2015. Three important questions were identified concerning rare ovarian tumours (rare epithelial ovarian cancers (eOC), sex-cord stromal tumours (SCST) and germ cell tumours (GCT)): (i) What are the research and trial issues that are unique to rare ovarian tumours? There is a lack of randomised phase III data defining standards of care which makes it difficult to define control arms, but identifies unmet needs that merit investigation...
April 1, 2017: Annals of Oncology: Official Journal of the European Society for Medical Oncology
F F Mouafo Tambo, S Dahoun, C Kamadjou, A S Nwaha Makon, G Fossi, O G Andze, M A Sosso, P Y Mure
UNLABELLED: Mixed gonadal dysgenesis is characterised by unilateral chromosomal abnormality, which is probably the result of anaphase lag during mitosis. The 45, XO/46, XY karyotype is the most common form of mosaicism involving the Y chromosome. It is a rare clinical entity with a worldwide incidence of 1.5/10,000 live births. Its epidemiology in Sub-Saharan Africa is not known. This study reports experience in the management of 3 cases at the Yaounde Gynecologic-Obstetric and Paediatric Hospital...
July 2016: African Journal of Paediatric Surgery: AJPS
Bedabrata Mukhopadhyay, Roshni Gavel, Ajay N Gongopadhyay, Pooja Vashistha, Anjali Rani, Surendra Pratap Mishra
INTRODUCTION: Oxidative damage induces alteration in the status of pro-inflammatory markers like IL-6 and TNF-α in meningocele. The study was performed with estimation of the levels of MDA (Malonyldialdehyde), SOD (Superoxide dismutase) taken as oxidative damage markers and IL-6 (interleukin 6) and TNF-α (Tumour necrosis factor alpha) taken as inflammatory markers, in the serum of meningocele patients and age, sex matched normal neonates. Correlation among the different serum levels of MDA, SOD, IL-6 and TNF-α was determined...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
E R Larsen, P Damkier, L H Pedersen, J Fenger-Gron, R L Mikkelsen, R E Nielsen, V J Linde, H E D Knudsen, L Skaarup, P Videbech
OBJECTIVE: To write clinical guidelines for the use of psychotropic drugs during pregnancy and breast-feeding for daily practice in psychiatry, obstetrics and paediatrics. METHOD: As we wanted a guideline with a high degree of consensus among health professionals treating pregnant women with a psychiatric disease, we asked the Danish Psychiatric Society, the Danish Society of Obstetrics and Gynecology, the Danish Paediatric Society and the Danish Society of Clinical Pharmacology to appoint members for the working group...
2015: Acta Psychiatrica Scandinavica. Supplementum
Awad Ali Mohamed Ahmed Alawad, Waleed Shabeer Khan, Yousif Mohammed Abdelrazig, Yamin Ibrahim Elzain, Hassan Osman Khalil, Omer Bakri Elsayed Ahmed, Omeralfaroug Ahmed Ibrahim Adam
INTRODUCTION: Medical students are the source of a country's physicians. Determining how medical students select their areas of specialization is the key to achieve a balanced distribution of doctors among all specialties. The objective is to identify the number of medical students who have decided their postgraduate specialty career, their career specialties preference, and factors that may influence their decision to select a particular specialty. METHODS: A facility based cross-sectional study was conducted in September 2013 at Faculty of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan...
2015: Pan African Medical Journal
Charlotte Demoor-Goldschmidt, Sophie Dumoucel, Christine Haie-Meder, Nadège Corradini, Marc-André Mahé, Stéphane Supiot
Rhabdomyosarcoma (RMS) is the most common sarcoma in paediatric patients. A perianal site is unusual and is associated with a low cure rate. The few cases of reported perianal RMS have been associated with sequelae. Here, we report the case of a 29-month-old male child who received sequential treatment by surgery, chemotherapy and radiotherapy inspired by Papillon's irradiation of adult anal/low-rectum cancers (including external beam radiotherapy in the gynecological exam position followed by brachytherapy) and who remains in complete remission 49 months post treatment with no sphincter or other anorectal disorders...
2015: Radiation Oncology
Franca Davanzo, Laura Settimi, Felice Giordano, Maria Luisa Casini, Fernanda Ferrazin
PURPOSE: Methylergometrine maleate is an ergot alkaloid frequently used in obstetrics for prevention and treatment of post partum haemorrhage. Accidental administration of this medicine to newborns can cause severe effects and should be carefully prevented. The present paper is aimed at describing the main characteristics of cases accidentally exposed to this medicine in Italy before and after Novartis, the manufacturer of Methergin®, a widely used methylergometrine maleate-containing gynecological medication, decided to withdraw the drop preparation from the European market...
March 2015: Pharmacoepidemiology and Drug Safety
Xin-Liang Du
Persicae Ramulus decoction, as the first prescription in Treatise on febrile Diseases, has been recommended by physicians of successive generations. It is also the general prescription for harmonizing yingfen and weifen, yin and yang, qi and blood. Although it only consists of five herbal medicines, it has a wider range of application and more categorized formulas than other prescriptions. Though Persicae Ramulus decoction was originally formulated to treat taiyang apoplexy, it has functions beyond the treatment of exopathic diseases...
July 2014: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
M M Hossain, M E Rahman, T H Khan
This study was conducted to determine the association between prolonged smokeless tobacco (ST) use for more than 5 years by mothers and pregnancy outcome. It was a retrospective cohort study done on department of paediatrics and department of gynecology & obstetrics, Dhaka Medical College Hospital, Dhaka from January 2009 to December 2010. A total of 340 mother-neonate pairs were included in the study. A total of 170 mothers using smokeless tobacco for more than 5 years and their recently delivered newborn infants (mother-neonate pair) were enrolled as cases and 170 mother-neonate pairs without history of taking ST as controls...
January 2014: Mymensingh Medical Journal: MMJ
Emile Mboudou, Frederick L I Morfaw, Pascal Foumane, Julius Dohbit Sama, Bernard Armand Enama Mbatsogo, Jacqueline Ze Minkande
This is a retrospective analysis of eight years of gynaecological laparoscopic surgery in a resource-limited setting. All gynaecological patients managed by laparoscopy at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from 1 January 2004 to 30 November 2011 were included. Amongst the 9194 gynaecological surgeries performed during the study period, 6.9% (633) were done by laparoscopy. Most of the women underwent an operative laparoscopy (568/592; 95.9%). The most common indication was infertility (415/592; 70...
April 2014: Tropical Doctor
Dubravko Habek
Ljubica Bosner, MD (2 February 1902 - 21 October 1990) was a distinguished woman surgeon, who worked in Rijeka, and all over Croatia, including the posts in Ogulin, Bjelovar, Petrinja, and VaraŽdin, that are marginally known to wider medical circles and general public from her biography. Archive records point to her beginnings as a surgeon at the regional hospital of Ogulin in the 1930s, and then at the Department of Surgery and Gynaecology of the regional hospital and later state hospital of Bjelovar, where she had operated over the first two years of World War 2...
2013: Acta Medico-historica Adriatica: AMHA
Erin Barlow, Anjali Aggarwal, Joley Johnstone, Lisa Allen, Sari Kives, Melanie Ornstein, Rachel F Spitzer, Nicolette Caccia
OBJECTIVE: Paediatric and adolescent gynecology (PAG) is an evolving subspecialty, with patients often having to travel large distances to access care. The goal of the present study was to assess whether Telehealth (TH) would be appropriate for PAG services in a tertiary care centre and to determine patient/family interest. METHODS: The present study was a prospective observational study of patients who attended PAG clinics over the course of one year. Patient data collected on each visit included postal code, diagnosis, availability of a local hospital with TH, patient appropriateness for TH and patient/family reasons for accepting TH...
February 2012: Paediatrics & Child Health
Gunilla Magnusson, Svetlana Bizjajeva, Birgitte Haargaard, Mats Lundström, Alf Nyström, Kristina Tornqvist
AIM: To study which eye-screening protocol prevails in Swedish maternity/neonatal wards, evaluate efficacy in a prospective study and compare results with earlier Swedish retrospective results. METHODS: Surveys were sent in 2006 to maternity/neonatal and women's health departments regarding screening policy. Response frequency was 96% (122/127). Data were derived from the Paediatric Cataract Register (PECARE), Sweden. All Swedish children diagnosed with congenital cataract and operated on before 1 year of age between January 2007 and December 2009 were included...
March 2013: Acta Paediatrica
J Harvengt, M C Retz, J M Foidart, J P Bourguignon, M C Lebrethon
The gynaecological issues encountered in children and teenagers lay at the intersection of paediatric endocrinology and gynaecology. More than ten years ago, an outpatient clinic in paediatric endocrinology and gynaecology has been created. Here, we review the last 6 years. 214 girls were included, considering only the first visit for each patient. Collected data are initial concern for this consultation, age at first consultation and confirmed or suspected diagnosis. A classification is done according to the initial concern of patients in six categories...
November 2011: Revue Médicale de Liège
Dragan Kravarusic, Emmanuelle Seguier-Lipszyc, Elad Feigin, Revital Nimri, Nessia Nagelberg, Enrique Freud
BACKGROUND: Management of female phenotype XY disorders poses a series of problems for the treating clinician. Even after a series of investigations and imaging modalities, there are lingering doubts about the exact nature of the disease and the correct management option. Optimal timing and necessity for removal of their testes have been a debated issue by physicians. There is a generally accepted opinion among physicians that the risk of malignancy in androgen insensitivity syndrome (AIS) is considerably lower than with other intersex disorders and occurs at a later age...
May 2011: African Journal of Paediatric Surgery: AJPS
Vera Regitz-Zagrosek, Carina Blomstrom Lundqvist, Claudio Borghi, Renata Cifkova, Rafael Ferreira, Jean-Michel Foidart, J Simon R Gibbs, Christa Gohlke-Baerwolf, Bulent Gorenek, Bernard Iung, Mike Kirby, Angela H E M Maas, Joao Morais, Petros Nihoyannopoulos, Petronella G Pieper, Patrizia Presbitero, Jolien W Roos-Hesselink, Maria Schaufelberger, Ute Seeland, Lucia Torracca
No abstract text is available yet for this article.
December 2011: European Heart Journal
C C Ekwempu, A N Ocheke, A A Ocheke, F A Uba
BACKGROUND: Surgeries performed for gynaecological conditions in children and adolescents are not common in our environment. Adequate facilities and the skill to perform the required procedures may also be lacking. We were interested in reviewing the practice of paediatric gynaecological surgery in our facility. PATIENTS AND METHODS: A retrospective study of case files and theatre records of children below the age of 16 years who had surgeries at the Jos University Teaching Hospital over a 10 year period was undertaken...
September 2010: African Journal of Paediatric Surgery: AJPS
Christian De Geyter, Brigitta Boehler, Stella Reiter-Theil
QUESTION UNDER STUDY: Swiss legislation limits the provision of assisted reproductive medicine strictly to those infertile couples, who can guarantee future welfare of their child. Daily practice often makes it difficult to balance between avoiding the discrimination against infertile couples living in a borderline socio-economic or health situation on the one hand, and keeping to the stipulated maximal standards of future child welfare on the other. Obstetricians and neonatologists often criticize prior decisions made by physicians involved in reproductive medicine...
2010: Swiss Medical Weekly
M Al-Tehewy, E Shehad, M Al Gaafary, M Al-Houssiny, D Nabih, B Salem
We measured the rate of inappropriate admissions, and associated factors, in 3 general hospitals in Egypt. A total of 1191 admissions were reviewed using the Appropriateness Evaluation Protocol for adult patients and the Pediatric Appropriateness Evaluation Protocol for paediatric patients. Inappropriate admissions were 66.3% and 78.9% of admissions in the surgery departments of 2 hospitals compared with 1.9% in the 3rd hospital that followed a specific admission protocol for elective surgery. The paediatrics department had the lowest rates of inappropriate admissions in all hospitals (0%, 1...
September 2009: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
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