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paediatrics, obstetrics and 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
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
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
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
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
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
Tom G Hopkins, Nick J Wood, Robert M West, Jonathan C Darling
AIM: To investigate the willingness of clinicians to recommend human papillomavirus (HPV) vaccination, the strength of support for a national HPV vaccine programme and to determine which factors, if any, affected these. METHODS: An online, invitation-only questionnaire was developed and distributed to three medical professional groups in the West Yorkshire Region, United Kingdom. RESULTS: Two hundred twenty-two responders were included in the final analysis, from the following specialties: general practice (62), paediatrics (103) and obstetrics and gynaecology (57)...
November 2009: Journal of Paediatrics and Child Health
C Chauleur, F Collet, C Furtos, A Nourrissat, P Seffert, F Chauvin
BACKGROUND: In a life-threatening context, the American College of Obstetrics and Gynecology and the Royal College of Obstetrics and Gynaecology recommend a maximum delay of 30 min between the decision to perform an emergency caesarean and the infant's birth. Our objectives were to estimate the rate of prolonged intervals and identify the factors influencing the decision-to-delivery interval. METHODS: All women who had given birth at Saint-Etienne University Hospital by a non-prophylactic caesarean section between September 1 and November 1, 2007 were included in a prospective cohort study...
2009: Gynecologic and Obstetric Investigation
Rosângela C L Domingues, Eliana Amaral, Angélica M B Zeferino
CONTEXT: Single-item global overall ratings are often used as a method of assessing learners' clinical competence at the end of a clerkship. The purpose of this study was to identify which aspects of clinical competence are assessed through these ratings. METHODS: At the end of a clinical clerkship in primary health units, 106 Year 4 students are routinely assessed by faculty staff of three disciplines (obstetrics and gynaecology, internal medicine, paediatrics), using a single global numeric rating (on a scale of 0-10)...
September 2009: Medical Education
I C Anochie, K E O Nkanginieme, N Eke, I Gbogo
BACKGROUND: The use of a structured guideline in medical education to reach a diagnosis provides accurate information which is relatively free from bias. The purpose of this paper is to assess the performance of medical students using unstructured and structured format in case summary. METHODS: One hundred and sixty- nine medical students in Part III MB; BS Programme in the University of Port Harcourt were studied. There were 83 students in Paediatics [SP] and 86 students in Obstetrics and Gynaecology [SOG] postings...
July 2008: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
Andrew N Papanikitas
There are times when inter-departmental politics or indifference may sometimes spill onto service provision and threaten to affect patient care. There can be no doubt that an emergency section cannot be delayed indefinitely. An unstable child who requires NICU or transfer can potentially occupy both Paediatric SHO and Registrar for hours. This article raises some concerns and simple solutions, aiming to decrease the friction between Obstetrician and Paediatrician during this particular type of emergency.
February 2008: International Journal of Surgery
Kavitha Passaperuma, Jennifer Higgins, Stephanie Power, Tamsen Taylor
BACKGROUND: Studies on patient comfort with medical student involvement have been conducted within several specialties and have consistently reported positive results. However, it is unknown whether the intrinsic differences between specialties may influence the degree to which patients are comfortable with student involvement in their care. AIM: This is the first study to investigate whether patient comfort varies across specialties. METHODS: A total of 625 patients were surveyed in teaching clinics in Family Medicine, Obstetrics/Gynaecology, Urology, General Surgery, and Paediatrics...
February 2008: Medical Teacher
G D Taylor, M McKenzie, T Kirkland, M Buchanan-Chell, R Wiens
OBJECTIVE: To assess the impact of the health care restructuring, which occurred in Alberta in 1995, on the occurrence of nosocomial blood stream infection and risk factors for these infections at the University of Alberta Hospital. PATIENTS AND METHODS: Changes in patient population, hospital bed numbers, admissions and hospital days for 1993 and 1994 (1993/94) were compared with those for 1996 and 1997(1996/97). Central venous catheter (CVC) use in intensive care units (ICU), days of total parenteral nutrition (TPN) and hemodialysis were compared for the two time periods...
January 2000: Canadian Journal of Infectious Diseases, Journal Canadien des Maladies Infectieuses
R Douglas Wilson
OBJECTIVE: To provide information regarding the use of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies, so that physicians, midwives, nurses, and other health care workers can assist in the education of women in the pre-conception phase of their health care. OPTION: Supplementation with folic acid and vitamins is problematic, since 50% of pregnancies are unplanned, and women's health status may not be optimal when they conceive...
December 2007: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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