Objectives: To assess the effect of local infiltration of anaesthetic to the vaginal vault on post- operative pain after total laparoscopic hysterectomy. Methods: A single centre, randomized trial. Women assigned to laparoscopic hysterectomy were randomly divided into two groups [....] » Read More
The aging of women is associated with postural changes and bone deterioration. These alterations are usually associated and require a broader therapeutic approach, from diagnosis to overall treatment. Densitometric exams allow an evaluation of these alterations, allowing a more e [....] » Read More
Objective: To study the pregnancy and prognosis of patients after microwave ablation (MWA) of uterine fibroids and explore the influence factors on pregnancy. Methods: A prospective study was conducted on patients who were treated by MWA for uterine fibroids and need fertility f [....] » Read More
Brachytherapy plays a significant role in gynecology by delivering high doses of radiation directly to cancerous tumors within the body, while minimizing exposure to surrounding healthy tissues. This approach often results in improved outcomes and reduced side effects compared to [....] » Read More
Radiation physics plays an important role in gynecology, particularly in the diagnosis and treatment of various gynecological cancers. In this presentation, the various applications of radiation physics in gynecology, including imaging techniques like X-rays, CT, MRI, and ultraso [....] » Read More
Pulmonary hypertension is known to complicate pregnancy and historically been associated with unacceptably high maternal mortality. Patients with PH of any cause have been classified at the highest risk level in the Modified World Health Organization Classification of Maternal Ca [....] » Read More
Background: Enhanced Recovery after Surgery (ERAS®), a multidisciplinary approach developed to improve care processes, is utilized by The Medical City, and expanded to include gynecologic cases in 2017. These evidence-based guidelines were disseminated to gynecologists and ut [....] » Read More
The problem of urinary incontinence is one of the leading ones in reducing the quality of life in women during pre- and postmenopausal periods, as well as in women of childbearing age. The issues of urinary incontinence treatment have been relevant for many decades. The prevalenc [....] » Read More
Adaptive learning is an advanced quality improvement process, which entails a multi-level coordinated action. It provides an insight to project implementation activities that guides project actions and also sencourage useful programmatic changes. The process not only involves con [....] » Read More
The growing population is a worldwide problem today – the total earth’s population of 7 billion is expected to rise by approximately two more billions by 2050. Besides population explosion, unintended pregnancies and elective abortions are a major public health issue. [....] » Read More
Background: Pregnancy is involved in different lumbar spine changes including increased ligamentous laxity, increased lumbar lordosis, and increased mechanical stress on the facet joints due to the associated postural changes. By the end of puerperium, these changes are anticipat [....] » Read More
Introduction: Satisfaction about health care services is used as an indicator to measure the quality of care (8-12); which reflect some factors related to compliance, effectiveness, and continuity of care. An increase in patient satisfaction with certain health institutions will [....] » Read More
Uterine leiomyoma or fibroids are the most common benign tumors in reproductive women. Although their negative impact on women’s health, there are few conservative treatment options for women suffering from fibroid symptoms. This study was conducted to investigate dif [....] » Read More
The risk of neonatal tetanus infection will be reduced while the pregnant women took two doses of maternal tetanus toxoid vaccine. However, low levels of immunization coverage, mostly due to missed opportunities, are a concern. This study was conducted among 505 mothers who had g [....] » Read More
A 24 years, P-1, lady underwent dilatation, evacuation and curettage for incomplete abortion for her 2nd pregnancy loss at +10 weeks of gestation in a rural setup. She was given IUCD following the procedure as long acting reversible contraceptive method at the same sitting. Afte [....] » Read More
Background: Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The present study aimed [....] » Read More
Cervical cancer besides being preventable and curable is quite an alarming situation. But unfortunately, measures remain inaccessible to the majority especially in developing countries. This study is to discover role of mass media in cervical cancer and its screening awareness wi [....] » Read More
Magnesium sulfate is the drug of choice in the management of preeclampsia / or eclampsia during pregnancy. Magnesium sulfate (MgSO4) is the drug of choice in the management of preeclampsia / or eclampsia that prevents convulsion and dispenses fetus neuroprotection in preterm labo [....] » Read More
Dhiru Bista is from a remote village in Nepal, about 600 kilometers from the capital city of Kathmandu. She is only 35, but looks much older. She was married at 15 and got pregnant at 16. She has had 12 pregnancies in hopes of having a son. Her last pregnancy, a year ago, r [....] » Read More
It’s already known that the success of IVF is closely linked to the age of the woman. There is a low chance of success after 40 years and chances become extremely low at 42 years. We discuss on the basis of literature and the statistics of our IVF Center the indication of [....] » Read More
Systemic Lupus erythematous (SLE) has a multisystem effect on patients. Lupus is more prevalent in women of reproductive ages. Pregnant women who have a history of SLE have higher rates of fetal demise, hypertensive disease, thromboembolism, fetal growth restriction (FGR), premat [....] » Read More
Background: Since the first step in meeting the health needs and requirements of primiparous women involves understanding and analyzing their conditions and needs, the present study was designed to investigate the health needs of primiparous women from their own viewpoints. [....] » Read More
Background: Ovarian cancer remains a serious issue in the United States, with ovarian cancer being a leading cause of female cancer-related deaths, thus making it the most lethal female genital tract cancer. However, patients are being diagnosed late and subjected to disease prog [....] » Read More
Background: Ovarian cancer remains a serious issue in the United States, with ovarian cancer being a leading cause of female cancer-related deaths, thus making it the most lethal female genital tract cancer. However, patients are being diagnosed late and subjected to disease prog [....] » Read More
Unmet health and informational needs contribute to impaired health-related quality of life (HR-QoL) identified in people with primary ovarian insufficiency (POI). The process of co-creation engages and empowers patients to produce high-quality materials that respond to patient-id [....] » Read More
Postpartum depression (PPD) affects thousands of women a year. However, there are many cases which go undetected. PPD not only affects the mom but the entire family dynamics. PPD is a serious public health issue and for that reason early identification is crucial for the well-bei [....] » Read More
Statement of the Problem: The cervical dilators available in the industry are essentially metallic or plastic and have encountered several limitations. They require (re) sterilization, they come in increasing sizes and require multiple instrumentation to achieve a desired opening [....] » Read More
Objective: To observe the effects of suspension training therapy combined with biofeedback electrical stimulation on pelvic floor function and urodynamics in patients with postpartum stress urinary incontinence (PSUI). Methods: 96 patients with PSUI who were received i [....] » Read More
The aim of the study was to detect the interlocus interactions of the ESR1 gene associated with preeclampsia (PreE). Material and methods. The sample volume totaled 514 pregnant women, of which 190 had PreE and 324 individuals were with the physiological course of pregnancy. The [....] » Read More
The aim of the study was to analyze the functional effects of the GWAS-significant polymorphic locus rs10830963 of the MTNR1B gene. Materials and methods. To evaluate the functional potential according to the GWAS Catalog, a polymorphic locus was selected that was most significan [....] » Read More
The aim of this work was to study the correlation of the polymorphism FSHB gene (rs555621) with menarche age (AM) and obesity (Ob) in women of the Central Chernozem region of Russia. Material and methods. The sample for the study included 171 women (aged 20-30 years) of Russian n [....] » Read More
Introduction: Preeclampsia (PE) is a life-threatening pregnancy-specific disorder and results in maternal and fetal morbidity and mortality. Numerous epidemiological studies indicate that PE has a significant heritable component (more than 60%). The present study aimed to explore [....] » Read More
The aim of the study was to study the participation of GWAS-significant polymorphic loci of sex hormone genes in the development of mixed proliferative diseases of the uterus in patients with endometriosis. Materials and methods. The sample for the study included 395 women, inclu [....] » Read More
The aim of the study was to detect the interlocus interactions of the MMPs genes associated with breast cancer (BC). Material and methods. The study included 358 patients with breast cancer (68 patients had a burdened family history) and 746 women of the control group. The examin [....] » Read More
The aim of this study: To identify important functional effects of BET1L rs2280543 associated with ULs based on previously published GWAS studies. Materials and Methods: The search for publications was carried out in the electronic databases PubMed in the GWAS catalog for the per [....] » Read More
Milk fistula is an uncommon occurrence, and presents as dripping of milk from a tract that links a lactiferous duct to the breast skin in a lactating woman. Milk fistulae are either a spontaneous event, or a manifestation after a breach in the breast parenchyma, or on its s [....] » Read More
Title : Endometrial polyp, when should we be alarmed?
Neda Zarrin-Khameh, Baylor College of Medicine, United States
Eight-year search of our database disclosed ten patients with a malignancy arising from an endometrial polyp. The patients were between 51 to 79-years-old and presented primarily with post-menopausal bleeding. Seven patients had serous carcinoma, two were diagnosed with endometri [....] » Read More
Title : Breastfeeding in prevention of postpartum Acute Pancreatitis (AP). A sicilian populationbased case-control study
Alberto Maringhini, ARNAS Civico, Italy
Background: Gallstones acute pancreatitis has increased incidence in young women in the 2 years postpartum. Middle aged women with longer period of breastfeeding have less hospitalization for gallbladder disease. Methods: We identified all sicilian women who delivered (2013-2016 [....] » Read More
Title : Complex total laparoscopic hysterectomy ¨severe deep endometriosis¨
Carlos Leal, Autonomous University of Chihuahua, Mexico
Hysterectomy is the most common nonobstetric surgery performed in women, with approximately 600,000 performed annually at a cost of more than $5 billion.1,2 Since the first laparoscopic hysterectomy was performed in 1988 by Harry Reich MD, there has been a 38% decrease in abdomin [....] » Read More
Title : The biochemical etiology of autism
Gary D Steinman, Hebrew University, Israel
As early as 1988, insulin-like growth factor-1 (IGF1) and truncated IGF1 were identified in bovine colostrum. Subsequent studies, to be reviewed here, suggested links between autism arising in young children and deficient IGF1 in their biochemical constitution. With p [....] » Read More
Title : Alternative treatment options for endometriosis patients when traditional pain management is not working
Nadia Fazal, Rowan-Virtua School of Osteopathic Medicine, United States
Purpose Statement: The purpose of this literature review is to examine the current pain management options for endometriosis patients and explore cannabis and acupuncture as alternative options to optimize treatment. Background: Endometriosis is a gynecologic inflammatory disorde [....] » Read More
Title : Laparoscopic removal of a dermoid cyst in one ovary and an endometrioma in the other: A case report and literature review
Nora Shero, Medical University of the Americas, United States
The coexistence of an endometrioma and a dermoid cyst is very uncommon, and there are few case reports of both conditions in the ovaries. A 41-year-old patient presented with left pelvic pain. She was referred with a bilateral pelvic mass. Magnetic resonance imaging (MRI) confirm [....] » Read More
Title : Oral and vaginal probiotic use as adjunctive therapy or preventative measure for vulvovaginal candidiasis: A systematic review
Dana Moskowitz, George Washington University, United States
Background: Vulvovaginal Candidiasis (VVC) affects the majority of people with vaginas at least once in their lifetime. Recurrent VVC (RVVC) is a big concern due to anti-fungal resistance. Alternative or adjunctive treatments need to be assessed. Objectives: The object [....] » Read More
Title : Assessing the incremental health care burden of postpartum depression
Shailja Dixit, Curio Digital Therapeutics, United States
Background: Management and treatment of postpartum depression (PPD) incurs a significant utilization of inadequate health care resources, including costs associated with therapy, medications and both in- and out-patients visits. The availability of large health claims databases a [....] » Read More
Title : Women with disabilities and access to gynaecological services in Poland
Agnieszka Wołowicz, University of Warsaw, Poland
There is little data on the access of binary and non-binary women with disabilities to gynaecological services in Central and Eastern Europe, where the shaping of public policies towards disability has been dominated by medical approaches and has not taken into account the comple [....] » Read More
Title : Glycogenated cells, Forgotten or ignored?
Neda Zarrin-Khameh, Baylor College of Medicine, United States
The Papanicolaou test (Pap test) is the most widely used screening test utilized for evaluation of atypical cells that eventually may cause uterine cervical cancer. The Bethesda criteria were established to assign abnormal cells to various categories, which dictate clinical [....] » Read More
Title : Knowing pelvic architecture without being an architect
Carlos Leal, Autonomous University of Chihuahua, Mexico
Le Corbusier defined architecture as "the masterly, correct, and magnificent interplay of masses brought together in light". If I speak about architecture, I need to mention the greatest architect Leonardo di ser Piero da Vinci (15 April 1452 – 2 May 1519) wa [....] » Read More
Title : Impact of crohn's disease during pregnancy on children with attention deficit hyperactivity disorder: A review
Nora Shero, Medical University of the Americas, United States
Background: Iron deficiency anemia (IDA) is a common complication of inflammatory bowel disease (IBD) in pregnant women. Although studies have shown that certain maternal autoimmune diseases are associated with attention deficit hyperactivity disorder (ADHD) in children, no [....] » Read More
Title : Maternal health improvement among low socioeconomic status women in Addis Ababa, Ethiopia
Meron Tekalign Tilahun, Ghandi Memorial Hospital, Ethiopia
Wellbeingness of mothers & their children are of critical importance, both as a reflection of the current health status of a large segment the world's population and as a predictor & indicator of the health of the next generation. Though the commonest causes of mat [....] » Read More
Title : Targeting microenvironment induced microRNAs to treat ovarian cancer metastasis
Subramanyam Dasari, Indiana University Bloomington, United States
Metastasis and frequent relapse contribute to the high mortality rate of ovarian cancer (OC) patients. However, the mechanisms of regulation of critical steps during metastasis is poorly understood and treatment strategies have not been developed to specifically target them. Usin [....] » Read More
Title : Outpatient, multimodal neuromuscular treatment reduces pelvic pain and improves functionality for women with endometriosis
Allyson Augusta Shrikhande, Pelvic Rehabilitation Medicine, United States
Characterized by abnormal growth of uterine tissue outside the uterine cavity, Endometriosis affects up to 10% of women and girls of reproductive age. Although awareness and access to treatment have improved in recent years, Endometriosis can take months or years to diagnose, and [....] » Read More
Title : Assessing sexual and reproductive health literacy and engagement among refugee and immigrant women in Massachusetts: A qualitative community-based study
Leen Al Kassab, Harvard Medical School, United States
Introduction: Immigrant and refugee women experience disparities in sexual and reproductive health (SRH) outcomes, partially as a result of barriers to SRH literacy and to regular healthcare access and engagement. Despite the existing data highlighting gr [....] » Read More
Title : Simulation training for obstetric emergencies in low and lower-middle income countries: A systematic review
Wing Kiu Chou, Norwich Medical School, United Kingdom
Background: This review aims to systematically evaluate the currently available evidence investigating the effectiveness of simulation-based training (SBT) in emergency obstetrics care (EmOC) in Low- and Lower-Middle Income Countries (LMIC). Furthermore, based on the challen [....] » Read More
Title : To ablate or not to ablate the endometrium in dysfunctional uterine bleeding: That is the question!
Mohamed Hosni, London North West University Hospitals, United Kingdom
Endometrial Ablation (EA) has become one of the most commonly performed gynaecologic procedures in the developed and developing countries. Global Endometrial Ablation (GEA) devices have supplanted resectoscopic ablation, primarily because they have brought with the [....] » Read More
Title : The role of alpha lipoic acid in female and male infertility: A systematic review
Chiara Di Tucci, Sapienza University of Rome, Italy
Objective: Infertility is an increasingly frequent health condition, which may depend on female or male factors. Oxidative stress (OS), resulting from a disrupted balance between reactive oxygen species (ROS) and protective antioxidants, affects the reproductive lifespan of men a [....] » Read More