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[Clinical analysis of 20 pregnant women with venous thromboembolic disease].

OBJECTIVE: To evaluate the clinical features, diagnostic methods and treatment of venous thromboembolic disease (VTE) during pregnancy. METHODS: From June 2006 to June 2011, a total of 20 pregnant women were diagnosed VTE at the Department of Obstetrics and Gynaecology, Qilu Hospital of Shandong University. Clinical data of these patients were analyzed retrospectively. RESULTS: (1) Characteristics of patients:the symptoms of all the 20 patients commenced in pregnancy. Of these, 6(30%) happened in the first trimester, 7 (35%) in the second trimester, and 7 (35%) in the third trimester. Twelve

Infectious Diseases

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… LR+ LR– History Dysuria 1.5 0.5 Frequency 1.8 0.6 Hematuria 2.0 0.9 Fever 1.6 0.9 Flank pain 1.1 0.8 Lower abdominal pain 1.1 0.9 Vaginal discharge 0.3 3.1 Vaginal irritation 0.2 2.7 Back pain 1.6 0.8 Physical Vaginal discharge 0.7 1.1 CVA tenderness 1.7 0.9 Urine dipstick Leukocyte esterase or nitrite … Treat with oral metronidazole 2 g as a single dose (treatment of sexual partners indicated) BACTERIAL VAGINOSIS —gray, fishy-smelling vaginal discharge. …

Guidelines for the Management of a Pregnant Trauma Patient.

OBJECTIVE: Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the pregnant trauma patient. OUTCOMES: Significant health and economic outcomes considered in comparing alternative practices. EVIDENCE: Published literature was retrieved through searches of Medline, CINAHL, and The Cochrane Library from Octobe

MEDICAL OUTREACH AND IMPROVED ACCESS TO SPECIALIST SERVICES FOR THE RURAL COMMUNITY OF BAUCHI STATE, NIGERIA: THE REQUIREMENTS FOR SUSTAINABILITY.

INTRODUCTION: The West African College of Physicians (Nigeria) conducted its Annual General and Scientific Meeting (AGSM) in Bauchi State, N … cough 53(%), dizziness 53(5%), skin rashes 43 (4%), abdominal pain 159 (15%), diarrhoea 53(5%) and vaginal discharge 127(12%). Regarding medical check-up, 481(45%) of the respondents have never ever had a medical check-up. 44(4%) had a check-up in the last preceding month, 41(4%) had check-up in the last preceding week, 40(4%) had check up in the last 6 months, wh …

Surgery versus primary endocrine therapy for operable primary breast cancer in elderly women (70 years plus).

BACKGROUND: Several studies have evaluated the clinical effectiveness of endocrine therapy alone in women aged 70 years or over with operabl … arison based on only one trial). Tamoxifen-related adverse effects included hot flushes, skin rash, vaginal discharge, indigestion, breast pain, sleepiness, headache, vertigo, itching, hair loss, cystitis, acute thrombophlebitis, nausea, and indigestion. Surgery-related adverse effects included paraesthesia on the ipsilateral arm and lateral thoracic wall in those …

Infectious Diseases

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… | LR+ | LR– History | | Dysuria | 1.5 | 0.5 Frequency | 1.8 | 0.6 Hematuria | 2.0 | 0.9 Fever | 1.6 | 0.9 Flank pain | 1.1 | 0.9 Lower abdominal pain | 1.1 | 0.9 Vaginal discharge | 0.3 | 3.1 Vaginal irritation | 0.2 | 2.7 Back pain | 1.6 | 0.8 Physical | | Vaginal discharge | 0.7 | 1.1 CVA tenderness … Avoid fluoroquinolones Vaginitis CANDIDA —vulvovaginitis with cheesy vaginal discharge, intense itch. Diagnosis by microscopy with 10% KOH showing hyphae and budding yeast, pH 4–4.5 (normal). …

All bereaved parents are entitled to good care after stillbirth: a mixed-methods multicentre study (INSIGHT).

OBJECTIVE: To understand challenges in care after stillbirth and provide tailored solutions. DESIGN: Multi-centre case study. SETTING: Three maternity hospitals. POPULATION: Parents with a stillborn baby, maternity staff. METHODS: Thematic analysis of parent interviews and staff focus groups and service provision investigation. OUTCOMES: 1 Themes; 2 Triangulation matrix; 3 Recommendations. RESULTS: Twenty-one women, 14 partners, and 22 staff participated. Service Provision: Care for parents after stillbirth varies excessively; there are misconceptions; post-mortem does not delay follow-u

Prophylactic oxytocin for the third stage of labour to prevent postpartum haemorrhage.

BACKGROUND: Active management of the third stage of labour has been shown to reduce the risk of postpartum haemorrhage (PPH) greater than 1000 mL. One aspect of the active management protocol is the administration of prophylactic uterotonics, however, the type of uterotonic, dose, and route of administration vary across the globe and may have an impact on maternal outcomes. OBJECTIVES: To determine the effectiveness of prophylactic oxytocin at any dose to prevent PPH and other adverse maternal outcomes related to the third stage of labour. SEARCH METHODS: We searched the Cochrane Pregnancy a

Соотношение наличия вируса папилломы человека в женской уретре и рецидивирующих уретральных инфекций.

Введение: Рекуррентные инфекции мочевыводящих путей (рИМП) являются высоко распространёнными проблемами здоровья у женщин, значительно влияющими их качество жизни. Болевые ощущения в мочеиспускательном канале или уретрит могут возникать как из инфекционных, так и из неинфекционных причин. Наличие в уретре женщины вируса папилломы человека (ВПЧ) связано с высокорисковыми сексуальными поведением, однако его присутствие в женской уретре без таких поведений не было тщательно исследовано. Цели: Настоящее исследование направлено на определение наличия ВПЧ в уретре у женщин с повторными инфекциями мо

Acute pancreatitis with hypercalcemia caused by primary hyperparathyroidism associated with paraneoplastic syndrome: A case report and review of literature.

BACKGROUND: Although acute pancreatitis associated with hyperparathyroidism has occasionally been reported, acute pancreatitis with metabolic encephalopathy caused by hyperparathyroidism combined with paraneoplastic syndrome is an extremely rare entity and poorly described in the literature. CASE SUMMARY: We present a case of a 56-year-old female with upper abdominal discomfort and intermittent nausea and vomiting for 1 wk, without apparent abdominal pain or bloating, no jaundice and decreased blood pressure at the outset. The patient was ultimately diagnosed with moderately severe acute panc

The Efficacy and Safety of Colpocleisis for Urinary Retention in Elderly Women With Pelvic Organ Prolapse.

Objective This study aimed to evaluate the clinical efficacy and safety of colpocleisis for urinary retention in elderly women with advanced pelvic organ prolapse (POP), with a particular focus on symptom resolution, postoperative voiding function, and perioperative safety. Methods This retrospective study included nine elderly women (median age: 79 years) with POP-associated urinary retention who underwent colpocleisis at our institution between January 2019 and December 2024. Colpocleisis was performed only in patients who were not sexually active and did not desire future sexual activity. U

Drug repurposing for breast cancer therapy: Old weapon for new battle.

Despite tremendous resources being invested in prevention and treatment, breast cancer remains a leading cause of cancer deaths in women globally. The available treatment modalities are very costly and produces severe side effects. Drug repurposing that relate to new uses for old drugs has emerged as a novel approach for drug development. Repositioning of old, clinically approved, off patent non-cancer drugs with known targets, into newer indication is like using old weapons for new battle. The advances in genomics, proteomics and information computational biology has facilitated the process o

гинекологическое здоровье: недостающее звено во всеобъемлющем мониторинге лечения множественных склерозов.

Мониторинг безопасности методов лечения болезней (ДМТ), используемых для лечения множественных склерозов (МС), в значительной степени не учитывает область гинекологического здоровья. Цель этого тематического обзора состоит в том, чтобы предоставить врачам по НР обзор трех категорий осложнений, описанных на сегодняшний день, а также стратегий уменьшения рисков. К ним относятся повышенный риск позитивности вируса папилломы человека (ВПВ) и связанных с ним шейных дисплазий/канцеров; подстрекательский и инфекционный вагинит и подверженность бактериальному вагинозу (ВВ); и герпесвирусные инфекции,

Uterotonics for management of retained placenta.

RATIONALE: Retained placenta is a significant cause of maternal death from postpartum haemorrhage. Traditionally, it is managed by manual removal under anaesthesia, which carries risks of haemorrhage, infection, and uterine perforation. Uterotonics may offer an alternative for delivering the retained placenta since they induce uterine contractions. However, evidence regarding uterotonic agents for retained placenta is still limited. OBJECTIVES: To assess the benefits and harms of uterotonics for women with retained placenta after vaginal delivery for preventing postpartum haemorrhage. SEARCH

Uterotonic agents for preventing postpartum haemorrhage: a network meta-analysis.

BACKGROUND: Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide. Prophylactic uterotonic drugs can prevent PPH, and are routinely recommended. There are several uterotonic drugs for preventing PPH but it is still debatable which drug is best. OBJECTIVES: To identify the most effective uterotonic drug(s) to prevent PPH, and generate a ranking according to their effectiveness and side-effect profile. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register (1 June 2015), ClinicalTrials.gov and the World Health Organization (WHO) Internationa

A Rare Case of Severe Pelvic Organ Prolapse with Massive Perineal Hernia in a Nulliparous Woman: A Case Report and Literature Review.

Background and Clinical Significance: Advanced pelvic organ prolapse (POP) associated with perineal herniation of pelvic and abdominal organs is a sporadic occurrence in gynaecological practice. Generally, POP affects up to 50% of multiparous women at some point during their lives. Advanced forms (grade III or IV) represent less than 10% of all cases, with severe grade IV prolapse occurring in fewer than 2% of patients. Case Presentation: We report the case of a 48-year-old nulliparous woman with no prior surgical history and no known medical conditions at presentation. The patient presented w

Pelvic floor muscle training with feedback or biofeedback for urinary incontinence in women.

BACKGROUND: Pelvic floor muscle training (PFMT), compared to no treatment, is effective for treating urinary incontinence (UI) in women. Fee … ofeedback seemed related to using a vaginal or rectal device (e.g. discomfort with device in place, vaginal discharge). The other comparisons had few, small studies, and low- to very low-certainty evidence for all outcomes. None of the studies reported any severe adverse events.

Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception.

BACKGROUND: Long-acting reversible contraception (LARC), including intrauterine devices (IUDs) and contraceptive implants, are highly effective, reversible methods of contraception. Providing LARC methods during the postpartum period is important to support contraceptive choice, and to prevent unintended pregnancy and short interpregnancy intervals. Delaying offering contraception to postpartum people until the first comprehensive postpartum visit, traditionally at around six weeks postpartum, may put some postpartum people at risk of unintended pregnancy, either due to loss to follow-up or be

Trophoblastic microcirculation occlusion as an adjunct to electric vacuum aspiration for the treatment of endogenous cesarean scar pregnancy.

OBJECTIVE: To describe a simple adjunct treatment option, trophoblastic microcirculation occlusion (TMO), which could change subsequent high-risk electric vacuum aspiration in patients with an endogenous cesarean scar pregnancy (CSP) into a routine conventional surgical procedure. Electric vacuum aspiration for the treatment of CSP may be associated with several significant complications, including hemorrhage and tissue remnants. Consequently, a second intervention, such as uterine artery embolization, resectoscopy, or methotrexate, may be required, thus complicating the surgical treatment of

Biology and Diseases of Dogs

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… A vaginal discharge persists during estrus and may remain serosanguinous or become straw-colored. The endocrine feature of estrus is the luteinizing hormone (LH) surge, followed by ovulation within 24–72 hours. Diestrus begins approximately 9 days after the onset of standing heat. … During this time a greenish to red-brown vaginal discharge, or lochia, may be noted. Although lochia is normal, the presence of an odiferous, purulent discharge, accompanied by systemic signs of illness, indicates metritis or pyometra. …