Результаты поиска

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,

Совпадение в полном тексте источника
… risk of HPV activation and cervical dysplasia/cancer in women with MS on DMTs that alter immune function and reduce surveillance against HPV, particularly those affecting lymphocyte presence and function, and with longer-term use of DMTs. 32 To achieve this, collaboration between neurologists, gynecologists … Symptoms like abnormal discharge, discomfort, or pruritus should prompt early consult with the patient’s primary care clinician or gynecologist to minimize diagnostic delays and consider interventions targeting the alleviation of dysbiosis and associated symptoms. …

Gynecologic care utilization in asylum-seeking women in New York City.

INTRODUCTION: Over 25,000 individuals are granted asylum status in the United States annually. Gender-based violence (GBV) has historically been supported as a claim for persecution to apply for asylum. In women, GBV is a known risk factor for sexually transmitted infections, poor mental health, and worse perinatal outcomes. Less is known about the links between GBV, asylum seekers, and gynecologic outcomes or care utilization. Reported rates of gynecologic care-seeking are low in asylum-seeking women and women with histories of GBV often experience barriers to care. We hypothesized that asylu

Efficacy of transcranial direct-current stimulation in women with provoked vestibulodynia.

BACKGROUND: Provoked vestibulodynia is a highly prevalent condition characterized by acute recurrent pain located at the vaginal entrance in response to pressure application or attempted vaginal penetration. Despite a wide variety of treatments offered to women with provoked vestibulodynia, a high proportion of women are refractory to conventional treatment. Transcranial direct-current stimulation is a noninvasive brain stimulation technique that has been shown effective for improving various chronic pain conditions. Growing evidence suggests that the central nervous system could play a key ro

[Knowledge of women and men about breast cancer prevention].

OBJECTIVES: To assess the level of knowledge of men and women about the importance of mammography in preventing breast cancer. MATERIAL AND METHODS: The study group comprised 100 men and 100 women of the Provincial Hospital in Biała Podlaska. We used original questionnaires designed by the authors of the present study. RESULTS: Only 14% of women and 20% of men knew that over 4,000 women in Poland die of breast cancer annually. The respondents declared cervical cancer (88% of women and 76% men) and breast cancer (84% of the women and men) to be the major threat and health issue for women. For

Высокоагрессивный множественный склероз релапсируется во время беременности после инфекции SARS-COV-2: Case Report and Licture Review.

Мы сообщаем о сложном случае с 32-летней ранее здоровой беременной женщиной при 17+2-недельной беременности с новым диагнозом исключительно высокоактивного релапсирующего множественного склероза (RRMS), спровоцированного интенсивным острым респираторным синдромом коронавируса 2 (SARS-COV-2). Замечательными клиническими характеристиками были быстрое ухудшение клинического состояния, серьезность и характер симптомов, включая спастическую тетраплегию, диспнею, дисфагию, анартхрию и синдром сильной боли, что привело к необходимости интенсивной терапии и механической вентиляции в течение 24 часов.

Совпадение в полном тексте источника
… All therapeutic decisions were made in consultation with gynecologists who closely cared for the mother and child. This included regular gynecological assessments and weekly sonographic surveillance of the child. … All described therapeutic measures, which were always carried out in consultation with the gynecologists, fortunately, did not result in any harm to the mother or child. …

vNOTES retroperitoneal transient uterine artery occlusion: a new approach to control bleeding during a high-risk evacuation of products of conception.

OBJECTIVE: To describe a retroperitoneal transient occlusion of the uterine or internal iliac artery in conjunction with a high-risk evacuation of products of conception. The procedure was performed vaginally, minimally invasively, via vaginal natural orifice transluminal endoscopic surgery. DESIGN: Description of the surgical technique using original video footage. This study was exempted from requiring hospital institutional review board approval. SETTING: Teaching hospital. PATIENT(S): A 34-year-old woman (G8P3) with a medical history of 2 cesarean sections, 1 partial mole, and a missed

[Laparoscopic sacrocolpopexy for pelvic organ prolapse: guidelines for clinical practice].

INTRODUCTION: Open sacrocolpopexy have demonstrated its efficiency in surgical treatment of pelvic organ prolapse with an important backward … y workgroup then reread and amended by an also multidisciplinary group of proofreaders (urologists, gynecologists, gastroenterologists and surgeons). The methodology follows at best the recommendations of the HAS with a scientific argument for every question (accompanied with the level of proof, NP) and the recommendations, the officers (In, B, C and agreement …

[Attendance rate in the Polish Cervical Cancer Screening Program in the years 2007-2009].

BACKGROUND: In Poland in 2007, according to the National Cancer Registry 3431 women were diagnosed with cervical cancer and 1907 died. To ch … le country The NHF data base enables identification of women to screen. Pap smears are collected by gynecologists and since 2008 also by midwives trained and certified by the Program National Coordinating Center Pap test results are reported in the Bethesda 2001 system. The Screening Program has its system of quality assurance and control and is supported by a …

The impact of unilateral endometriomas on ovarian response to stimulation: a systematic review and meta-analysis.

STUDY QUESTION: How do unoperated ovarian endometriomas affect ovarian response during ovarian stimulation cycles? SUMMARY ANSWER: Ovaries … utcomes, however, the impact of larger endometriomas remains uncertain. These findings suggest that gynecologists should carefully consider whether to recommend surgery prior to IVF/ICSI, particularly for small endometriomas, which may not adversely impact ovarian stimulation outcomes. FUNDING: No funding was used to conduct this study. DISCLOSURES: D.R.K. re …

The additive role of angiogenic markers for women with confirmed preeclampsia.

BACKGROUND: Hypertension complicates 2% to 8% of all pregnancies and is a leading cause of maternal and perinatal morbidity and mortality gl … , with preeclampsia with severe features being defined by the American College of Obstetricians and Gynecologists (2013 definition). Based on information in obstetrical triage, preeclampsia among triage patients was defined either by: (1) The International Society for the Study of Hypertension in Pregnancy "restrictive" criteria (ie, new-onset hypertension and …

Therapeutic utility of palmitoylethanolamide in the treatment of neuropathic pain associated with various pathological conditions: a case series.

Palmitoylethanolamide (PEA), an endogenous fatty acid amide, has been demonstrated to bind to a receptor in the cell nucleus - the peroxisome proliferator-activated receptor - and performs a great variety of biological functions related to chronic and neuropathic pain and inflammation, as has been demonstrated in clinical trials. These include peripheral neuropathies such as diabetic neuropathy, chemotherapy-induced peripheral neuropathy, carpal tunnel syndrome, sciatic pain, osteoarthritis, low-back pain, failed back surgery syndrome, dental pains, neuropathic pain in stroke and multiple scle

Совпадение в полном тексте источника
… Her family doctor and several gynecologists and dermatologists advised and prescribed petroleum jelly, vitamin E and zinc ointments, triamcinolone acetenoide, several other local corticosteroid ointments, and several local and systemic yeast treatments. … Her gynecologist prescribed a very strong local corticosteroid, clobetasol, after which the pain worsened to 9–10 on the NRS. The patient became desperate and asked for advice in our clinic. She was unable to ride her bicycle and her quality of life was severely compromised. …

Association of group prenatal care with postpartum visit attendance: a secondary analysis of the Centering and Racial Disparities randomized clinical trial.

OBJECTIVE: The American College of Obstetricians and Gynecologists recommends a comprehensive postpartum visit (PPV) within 12 weeks after birth.1 Nationally, an estimated 60% to 65% of patients attend this visit, and attendance is lower among patients with public insurance.2 Group prenatal care (GPNC) has been associated with higher PPV attendance in observational studies that could not account for self-selection.3 We evaluated whether GPNC, compared with individual prenatal care (IPNC), was associated with PPV attendance in a planned secondary analysis of the Centering and Racial Disparities…

Imaging in gynecological disease (31): clinical and ultrasound characteristics of ovarian mature cystic teratomas containing malignancies.

OBJECTIVE: To describe the clinical and ultrasound characteristics of ovarian mature cystic teratoma containing malignancy. METHODS: This was an international, retrospective, observational study. We invited 19 (oncological or non-oncological) gynecological centers to provide clinical and ultrasound information on cases of histologically confirmed ovarian mature cystic teratoma containing malignancy. We reported the description of the tumors by the original ultrasound examiner by extracting information from original ultrasound reports and patient records. In addition, two gynecologists, who we…

Effects of induction of labor prior to post-term in low-risk pregnancies: a systematic review.

OBJECTIVE: The objective of this review was to identify, assess and synthesize the best available evidence on the effects of induction prior … om the Royal College of Obstetricians and Gynaecologists, and American College of Obstetricians and Gynecologists, according to the published protocol. In addition, OpenGrey and guidelines from the National Institute for Health and Care Excellence, World Health Organization, and Society of Obstetricians and Gynaecologists of Canada were sought. Included papers …

Successful Pregnancies, Births, and Children Development Following Oocyte Cryostorage in Female Cancer Patients During 25 Years of Fertility Preservation.

The preservation of fertility in cancer patients is a crucial aspect of modern reproductive medicine. Amenorrhea and infertility often occur after cancer therapy, worsening the quality of life. Cryopreservation of oocytes in young cancer patients is a therapeutic option for preserving fertility. A prospective study was conducted on 508 cancer patients who underwent oocyte cryopreservation to preserve fertility between 1996 and 2021 including the COVID-19 pandemic period. Patients underwent ovarian stimulation, followed by egg retrieval, and oocytes were cryopreserved by slow freezing or vitrif

Совпадение в полном тексте источника
… Centers offering a fertility preservation program should ensure close cooperation between reproductive gynecologists and oncologists to take care of the oncology patient as quickly as possible. … Collaboration among reproductive physicians, biologists, endocrinologists, oncologists, surgeons, psychologists, and gynecologists is necessary to ensure the best fertility preservation program for each patient. …

Recommendations on the follow-up of patients with Gaucher disease in Spain: Results from a Delphi survey.

Management of Gaucher disease (GD) is challenging due to its wide genotypic and phenotypic variability and changing clinical manifestations due to effective treatment. Sixteen face-to-face meetings with experts were held in order to discuss daily clinical practice and identify controversies regarding the management of GD. With this information, a questionnaire with 93 recommendations for different clinical scenarios was designed, and a Delphi survey among 86 physicians with experience in GD was conducted. Consensus was reached on 73 out of the 93 items. Recommendations on follow-up of adult an

[Post-partum: Guidelines for clinical practice--Short text].

OBJECTIVE: To determine the post-partum management of women and their newborn whatever the mode of delivery. MATERIAL AND METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted. RESULTS: Because breastfeeding is associated with a decrease in neonatal morbidity (lower frequency of cardiovascular diseases, infectious, atopic or infantile obesity) (EL2) and an improvement in the cognitive development of children (EL2), exclusive and extended breastfeeding is recommended (grade B) between 4 to 6

"Nerve-sparing" laparoscopic treatment of parametrial ectopic pregnancy.

OBJECTIVE: To demonstrate laparoscopic surgical management of parametrial ectopic pregnancy. DESIGN: Video presentation of laparoscopic nerve-sparing treatment of parametrial pregnancy. SETTING: Tertiary university center. PATIENT(S): A 33-year-old patient, nullipara at 8 weeks of gestation, with no comorbidity and no previous surgery, was admitted to a spoke hospital for acute abdominal pain. During hospitalization, a transvaginal gynecologic ultrasound revealed pregnancy with ectopic localization. Free pelvic fluid was detected, and a subsequent diagnostic laparoscopy was performed becaus

Predictive accuracy of ophthalmic artery Doppler for pre-eclampsia: a systematic review.

OBJECTIVES: This systematic review investigated available evidence on the stand-alone and incremental predictive performance of ophthalmic a … 3%) recruited high-risk pregnancies (defined according to the American College of Obstetricians and Gynecologists (ACOG) criteria as one or more of the following: chronic hypertension, personal or family history of pre-eclampsia, early (≤18 years) or late (≥40 years) first pregnancy, primipaternity, chronic kidney disease, increased body mass index >30 kg/m2, p …

Exploring pre-diagnosis hospital contacts in women with endometriosis using ICD-10: a Danish case-control study.

STUDY QUESTION: How does pre-diagnosis use of hospital care differentiate between women later diagnosed with endometriosis and age-matched c … ometriosis since we were not able to include women diagnosed at the general practitioner or private gynecologists. We were not able to make a causal interpretation, as we do not have information on the onset of symptoms of the included diseases. The association may be overestimated due to detection bias. However, a sensitivity analysis only changed the results …