keyword
https://read.qxmd.com/read/38606715/macrophage-polarization-in-adenomyosis-a-review
#1
REVIEW
Yingying Qiu, Jian Cao, Sujuan Li, Yongli Liu, Guiping Wan, Tao Gui
Adenomyosis (AM) is a common gynecological disorder characterized by the presence of endometrial glands and stroma within the uterine myometrium. It is associated with abnormal uterine bleeding (AUB), dysmenorrhea, and infertility. Although several mechanisms have been proposed to elucidate AM, the exact cause and development of the condition remain unclear. Recent studies have highlighted the significance of macrophage polarization in the microenvironment, which plays a crucial role in AM initiation and progression...
April 2024: American Journal of Reproductive Immunology: AJRI
https://read.qxmd.com/read/38487719/analysis-of-clinical-data-of-different-endometrial-pathological-types-in-perimenopausal-women-with-abnormal-uterine-bleeding
#2
JOURNAL ARTICLE
Li Wang, Shimin Quan, E Bai, Xiaofeng Yang
OBJECTIVE: Early detection and diagnosis are important for improving the therapeutic effect and quality of life in patients with endometrial cancer (EC). This study aimed to analyze the clinical data of different endometrial pathological types in perimenopausal women with abnormal uterine bleeding (AUB) in order to provide evidence for the prevention and early diagnosis of EC. METHODS: A total of 462 perimenopausal women with AUB were enrolled in this prospective observational study...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38434135/efficacy-of-levonorgestrel-intrauterine-system-in-the-management-of-abnormal-uterine-bleeding-a-retrospective-analysis-of-a-100-women
#3
JOURNAL ARTICLE
Atul Ganatra, Freni Shah, Keya Ganatra
AIM: Abnormal uterine bleeding (AUB) is a common gynaecological complaint affecting around 10-30% women during reproductive years. It adversely affects a woman's life, leading to psychological, medical, social and sexual problems. We aim to study the efficacy of a levonorgestrel intrauterine system (LNG-IUS) in 100 women suffering from AUB. METHODOLOGY: A retrospective study was carried out at a private nursing home in Mumbai over a period of 4 years. A total of 100 patients aged 30 years to 50 years (average age = 42...
February 2024: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/38372528/covid-19-and-abnormal-uterine-bleeding-potential-associations-and-mechanisms
#4
JOURNAL ARTICLE
Jacqueline A Maybin, Marianne Watters, Bethan Rowley, Catherine A Walker, Gemma C Sharp, Alexandra Alvergne
The impact of COVID-19 on menstruation has received a high level of public and media interest. Despite this, uncertainty exists about the advice that women and people who menstruate should receive in relation to the expected impact of SARS-CoV-2 infection, long COVID or COVID-19 vaccination on menstruation. Furthermore, the mechanisms leading to these reported menstrual changes are poorly understood. This review evaluates the published literature on COVID-19 and its impact on menstrual bleeding, discussing the strengths and limitations of these studies...
February 21, 2024: Clinical Science (1979-)
https://read.qxmd.com/read/38059413/reducing-seclusion-and-restraint-in-an-acute-adolescent-psychiatric-ward-a-feasibility-study
#5
JOURNAL ARTICLE
Angel Lee-Aube, Alexandra Vakili, Ashwini Padhi, Sumithira Joseph, Julie Norcott, Keong Yap
WHAT IS KNOWN ON THE SUBJECT: Restraining and secluding health consumers for safety reasons continue to be used in psychiatric inpatient facilities even though they have no therapeutic value and have negative effects on consumers, families and staff. Six Core Strategies (6CS) for reducing seclusion and restraint have been developed to address this problem but there are very few effectiveness studies in inpatient adolescent psychiatric facilities. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: We used a mixed methods approach to evaluate the implementation of 6CS in an adolescent psychiatric facility...
December 7, 2023: Journal of Psychiatric and Mental Health Nursing
https://read.qxmd.com/read/38054416/levonorgestrel-releasing-intrauterine-device-to-treat-abnormal-uterine-bleeding-not-one-treatment-option-fits-all
#6
JOURNAL ARTICLE
Zeliha Atak, Sakine Rahımlı Ocakoğlu, Gökhan Ocakoğlu
OBJECTIVE: Initially, medical treatment options are preferred in patients with abnormal uterine bleeding (AUB) who are hemodynamically stable. The aim of the present study was to investigate the effectiveness of a levonorgestrel-releasing intrauterine device (LNG-IUD) in reducing bleeding symptoms in patients with AUB stratified by underlying pathology. MATERIAL AND METHODS: In line with the polyp, adenomyosis, leiomyoma, malignancy (and hyperplasia), coagulopathy, ovulatory disorders, endometrial, iatrogenic and not otherwise classified classification system, patients who were administered LNG-IUD due to adenomyosis, endometrial hyperplasia, leiomyoma and AUB due to not otherwise classified causes were included in the study...
December 6, 2023: Journal of the Turkish German Gynecological Association
https://read.qxmd.com/read/38021492/hysteroscopy-as-a-therapeutic-tool-a-vision-to-spare-the-uterus-in-premenopausal-abnormal-uterine-bleeding-aub-heavy-menstrual-bleeding-hmb-an-update
#7
REVIEW
Neema Acharya, Preeti Mishra, Shazia Mohammad, Megha Karnik, Shaikh Muneeba, Rinkle Gemnani, Keyur Saboo, Samarth Shukla, Sourya Acharya
Heavy menstrual bleeding (HMB) or abnormal uterine bleeding (AUB) is a common cause of gynecological complaints in perimenopausal women. The treatment chosen by most of the women having HMB/AUB in the perimenopausal age group when medical therapy fails is hysterectomy, which unfortunately has significant issues related to safety and long-term quality of life apart from being a burden on the health care system and cost to patients. Minimal access surgical techniques like hysteroscopic targeted therapies are available which are conservative and spare the uterus and major surgery and its complications and sequelae...
October 2023: Curēus
https://read.qxmd.com/read/38011538/-body-mass-index-and-triponderal-index-in-abnormal-uterine-bleed
#8
JOURNAL ARTICLE
Sergio Javier Fonseca-Velázquez, Raymundo López-Martínez, Gloria Patricia Sosa-Bustamante, Alma Patricia González, Carlos Paque-Bautista, José Luis Felipe Luna-Anguiano, Catalina Peralta-Cortázar
BACKGROUND: Abnormal uterine bleeding (AUB) is the most common cause of blood loss. Obesity and overweight are risk factors for AUB. OBJECTIVE: To compare the association between body mass index (BMI) and tri-ponderal mass index (TMI) with the presence of acute AUB and chronic AUB. MATERIAL AND METHODS: Observational, cross-sectional and analytical study. Women between 18 and 45 years of age with an alteration in the regular uterine bleeding pattern were included...
September 18, 2023: Revista Médica del Instituto Mexicano del Seguro Social
https://read.qxmd.com/read/37955241/oral-hormonal-therapy-as-treatment-option-for-abnormal-uterine-bleeding
#9
REVIEW
Chiara Selmi, Antonio La Marca
BACKGROUND: abnormal uterine bleeding is a very frequent reason for referral to gynaecologists and can deeply influence the quality of life. Once organic causes requiring surgical treatment are ruled out, clinicians should be able to manage these patients conservatively in the most effective way. MATERIALS AND METHODS: a search in PubMed/MEDLINE database was conducted in order to find relevant and recent meaningful sources for this narrative review. RESULTS: LNG-IUS 52 mg is the first-line treatment for non-organic causes...
December 2023: European Journal of Contraception & Reproductive Health Care
https://read.qxmd.com/read/37832698/abnormal-uterine-bleeding-in-reproductive-age-women-role-of-imaging-in-the-diagnosis-and-management
#10
REVIEW
Sheila Hill, Mahesh K Shetty
Abnormal uterine bleeding (AUB) is defined by the International Federation of Gynecology and Obstetrics as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy. AUB is a common condition that affects about a third of women in their lifetime. Abnormal bleeding in duration, quantity, or timing consists of 2 categories, predictable cyclical heavy menstrual bleeding (HMB) and irregular non-cyclical intermenstrual bleeding (IMB). The most common causes of HMB include fibroids and adenomyosis and IMB is commonly caused by ovulatory dysfunction such as in polycystic ovaries, endometrial polyp, or an IUD...
December 2023: Seminars in Ultrasound, CT, and MR
https://read.qxmd.com/read/37733654/non-gonadal-somatic-pirna-pathways-ensure-sexual-differentiation-larval-growth-and-wing-development-in-silkworms
#11
JOURNAL ARTICLE
Takashi Kiuchi, Keisuke Shoji, Natsuko Izumi, Yukihide Tomari, Susumu Katsuma
PIWI-interacting RNAs (piRNAs) guide PIWI proteins to target transposons in germline cells, thereby suppressing transposon activity to preserve genome integrity in metazoans' gonadal tissues. Piwi, one of three Drosophila PIWI proteins, is expressed in the nucleus and suppresses transposon activity by forming heterochromatin in an RNA cleavage-independent manner. Recently, Piwi was reported to control cell metabolism in Drosophila fat body, providing an example of piRNAs acting in non-gonadal somatic tissues...
September 2023: PLoS Genetics
https://read.qxmd.com/read/37686792/therapeutic-carbohydrate-restriction-as-a-metabolic-modality-for-the-prevention-and-treatment-of-abnormal-uterine-bleeding
#12
JOURNAL ARTICLE
Andrea C Salcedo, Jane Yun, Cody Carter, Elaine Hart
Therapeutic carbohydrate restriction diets have been becoming increasingly popular over the years, resulting in dramatic weight loss and an improvement in metabolic disorders. Obesity, insulin resistance, and diabetes are the risk factors for many gynecologic morbidities such as uterine leiomyoma, endometrial polyps, and polycystic ovarian syndrome. There is evidence suggesting that the pathogenesis of cardiovascular disease is similar to that seen in many causes of abnormal uterine bleeding. We aim to explain how cardiovascular disease risk factor reduction with the use of therapeutic carbohydrate restriction may prevent and potentially treat these gynecologic disorders...
August 28, 2023: Nutrients
https://read.qxmd.com/read/37538019/contemporary-evaluation-of-women-and-girls-with-abnormal-uterine-bleeding-figo-systems-1-and-2
#13
JOURNAL ARTICLE
Varsha Jain, Malcolm G Munro, Hilary O D Critchley
Abnormal uterine bleeding (AUB) is common, often debilitating, and may affect over 50% of reproductive-aged women and girls. Whereas AUB is a collection of symptoms that include intermenstrual bleeding and abnormalities in period duration, cycle length, and regularity, it is heavy menstrual bleeding (HMB) that is most contributory to iron deficiency and related anemia. It is apparent that AUB, in general, and HMB, in particular, remain underrecognized and underreported. FIGO created two systems for assessing and classifying AUB...
August 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/37538018/therapeutic-options-for-the-management-of-abnormal-uterine-bleeding
#14
JOURNAL ARTICLE
Becky MacGregor, Malcolm G Munro, Mary Ann Lumsden
Just as the investigation of abnormal uterine bleeding (AUB) is approached systematically using the two FIGO systems for AUB in the reproductive years, treatment options can be considered similarly. Therapeutic options fall into two categories-medical and surgical-and while medical management is typically regarded as first-line therapy, there are several exceptions defined by the presenting cause or causes, mainly when infertility is a concurrent issue. In the early 1990s, up to 60% of women underwent a hysterectomy for the symptom of heavy menstrual bleeding (HMB), but this figure has decreased...
August 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/37518560/larval-morphology-and-new-records-of-the-iconic-diving-beetle-acilius-sinensis-peschet-1915-coleoptera-dytiscidae-dytiscinae-a-species-well-established-in-western-yunnan-china
#15
JOURNAL ARTICLE
Yves Alarie, Zuqi Mai, Mariano C Michat, Jiří Hájek
Adults and larvae of the very rare Chinese endemic species Acilius sinensis Peschet, 1915 are newly reported from three localities in western Yunnan, which indicates the presence of viable populations in this area. Based on the available data, the rarity of the species in collections is more caused by collecting bias than actual threat of its habitat loss. All larval instars of A. sinensis are for the first time described according to the now generalized larval descriptive format of Dytiscidae, which incorporates detailed chaetotaxic and morphometric analyses...
June 9, 2023: Zootaxa
https://read.qxmd.com/read/37451502/evaluation-of-radiofrequency-endometrial-ablation-a-17-year-canadian-experience
#16
JOURNAL ARTICLE
Ethan Emslie, Justin Mui, M Brad Sullivan, Erwin Karreman, Deanna Buitenhuis, Kasey Berscheid, Darrien Rattray
STUDY OBJECTIVE: The purpose of this study was to better elucidate radiofrequency endometrial ablation (REA) durability by assessing the probability of failure as defined by need for postablation hysterectomy. Age at index REA, duration from REA until hysterectomy, and REA failure (REAF) risk factors were analyzed. DESIGN: A retrospective cohort study was conducted using patient data between April 1, 2002, and March 31, 2019. REAF cases were identified using operative procedure codes...
November 2023: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/37357618/functional-inhibition-of-the-rna-binding-protein-hur-sensitizes-triple-negative-breast-cancer-to-chemotherapy
#17
JOURNAL ARTICLE
Lanjing Wei, Qi Zhang, Cuncong Zhong, Lily He, Yuxia Zhang, Ahlam M Armaly, Jeffrey Aubé, Danny R Welch, Liang Xu, Xiaoqing Wu
Chemotherapy remains the standard treatment for triple-negative breast cancer (TNBC), however, chemoresistance compromises its efficacy. The RNA-binding protein Hu antigen R (HuR) could be a potential therapeutic target to enhance the chemotherapy efficacy. HuR is known to mainly stabilize its target mRNAs, and/or promote the translation of encoded proteins, which are implicated in multiple cancer hallmarks, including chemoresistance. In this study, a docetaxel-resistant cell sub-line (231-TR) was established from the human TNBC cell line MDA-MB-231...
June 26, 2023: Molecular Oncology
https://read.qxmd.com/read/37284410/efficacy-of-mri-over-ultrasound-in-evaluation-of-abnormal-uterine-bleeding-with-histopathological-correlation
#18
JOURNAL ARTICLE
Kalathuru Uhasai, Deepti Naik, Rathnamma P
Introduction Abnormal uterine bleeding (AUB) is one of the most common problems in gynecologic practice. In the peri- and postmenopausal age group, it accounts for more than 70% of all gynecological complaints. The current study's objective was to compare the effectiveness of MRI and ultrasonography (USG) in detecting the cause of abnormal uterine bleeding with pathological correlation. Material and methods We conducted an observational study involving subjects with abnormal uterine bleeding. Patients who presented with abnormal uterine bleeding were referred to the department of radiodiagnosis and underwent USG of the abdomen and pelvis, followed by an MRI of the pelvis...
May 2023: Curēus
https://read.qxmd.com/read/37220431/endometrial-histopathology-in-abnormal-uterine-bleeding-and-its-relation-with-thyroid-profile-and-endometrial-thickness
#19
JOURNAL ARTICLE
Harshita Deep Sahu, Amit V Varma, Srushti Karmarkar, Kamal Malukani, Anushka Khanuja, Pooja Kesharwani
INTRODUCTION: Abnormal uterine bleeding (AUB) is a common complaint in postmenopausal and perimenopausal women, caused by a range of disorders, including structural and systemic diseases. The evaluation of endometrial thickness (ET) via radiological methods, followed by a histopathological examination of the endometrium, is useful for proper diagnosis. Among systemic diseases, thyroid dysfunction, specifically hypothyroidism and hyperthyroidism, contribute significantly to AUB cases. MATERIALS AND METHODS: This descriptive cross-sectional study was conducted at Sri Aurobindo Medical College, Indore, Madhya Pradesh, India, over a period of 16 months, from May 2021 to September 2022...
April 2023: Curēus
https://read.qxmd.com/read/37108180/endometrial-angiogenesis-of-abnormal-uterine-bleeding-and-infertility-in-patients-with-uterine-fibroids-a-systematic-review
#20
REVIEW
Emma E Don, Mei-An Middelkoop, Wouter J K Hehenkamp, Velja Mijatovic, Arjan W Griffioen, Judith A F Huirne
Uterine fibroids are the most common benign tumors in women, with abnormal uterine bleeding (AUB) as the main reported symptom. Additionally, an association between fibroids and infertility has been established, especially if the fibroid protrudes in the uterine cavity. Hormonal therapy is associated with side-effects and as well as hysterectomy, which is incompatible with a desire to conceive. To improve treatment, it is essential to unravel the etiology of fibroid-related symptoms. We aim to evaluate endometrial angiogenesis in women with fibroids, with and without AUB, and the influence of pharmaceutical therapies in these patients...
April 10, 2023: International Journal of Molecular Sciences
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