Search results for "obstetric"

showing 10 items of 2144 documents

Analysis of T-Lymphocyte Subsets After Phytohemagglutinin Stimulation in Normal and Type 1 Diabetic Mothers and Their Infants

1992

Our aim was to investigate the immunological status of diabetic pregnancy, which is an overlap of diabetic immunity abnormalities and the immunological modifications normally occurring during pregnancy. METHOD: We studied lymphocyte subpopulations and lymphokine production, after 96 h of phytohemagglutinin (PHA) stimulation, from normal and Type I diabetic pregnant women at delivery time and from the respective cord blood. RESULTS: Peripheral blood mononuclear cells (PBMC) from both normal and Type I diabetic mothers showed an increase in CD8+ and a decrease in CD4+ cells compared to the respective cord blood mononuclear cells (CBMC). Moreover, Type I PBMC showed a lower number of “activate…

Adultmedicine.medical_specialtyCellular immunityCD3ImmunologyPregnancy in DiabeticsLymphocyte ActivationPeripheral blood mononuclear cellInterferon-gammaAntigens CDPregnancyT-Lymphocyte SubsetsInternal medicinemedicineHumansImmunology and AllergyIL-2 receptorPhytohemagglutininsCells CulturedImmunity CellularbiologyInterleukin-6Tumor Necrosis Factor-alphabusiness.industryLymphokineObstetrics and GynecologyReceptors Interleukin-2HLA-DR AntigensT lymphocyteFetal BloodFlow CytometryDiabetes Mellitus Type 1EndocrinologyReproductive MedicineCord bloodImmunologybiology.proteinInterleukin-2FemalebusinessCD8Interleukin-1American Journal of Reproductive Immunology
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Quality of Life in Women After Pelvic Exenteration for Gynecological Malignancies: A Multicentric Study

2018

Objectives This retrospective, multicentric study investigates quality-of-life issues and emotional distress in gynecological cancer survivors submitted to pelvic exenteration (PE). Methods The Global Health Status scale of European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30; the EORTC QLQ-CX24 (CX24), and EORTC QLQ-OV28 questionnaires were administered at least 12 months from surgery only in women with no evidence of further recurrence after PE. Statistical analysis was performed by the analysis of variance (for repeated measures. Results Ninety-six subjects affected by gynecological malignancies receiving PE were enrolled in the s…

Adultmedicine.medical_specialtyConstipationGenital Neoplasms Femalemedicine.medical_treatmentHealth StatusUrinary Diversion03 medical and health sciences0302 clinical medicineQuality of lifeSurveys and QuestionnairesmedicineBody ImageHumansAgedRetrospective StudiesGynecology030219 obstetrics & reproductive medicinePelvic exenterationbusiness.industryHazard ratioColostomyRepeated measures designObstetrics and GynecologyRetrospective cohort studyQuality of life Pelvic exenteration Gynecological cancerVulvar cancerMiddle Agedmedicine.diseasePelvic ExenterationOncology030220 oncology & carcinogenesisGynecological cancerQuality of LifeFemalemedicine.symptombusiness
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Menstrual disorders and subfertility in Spanish hairdressers

2009

Abstract Objective Hairdressing is associated with adverse effects on reproductive health. This research investigates whether female hairdressers have increased risks of subfertility and menstrual disorders. Study design Cross sectional study. Participants were all female hairdressers below 50 years of age ( n  = 310) working in registered hairdressing salons in Alicante, Spain and a control group comprising female shop assistants and office workers ( n  =310). Menstrual disorders were defined as any of five menstrual cycle characteristics: short cycles, long cycles, irregular cycles, not experiencing a period for more than 6 weeks (missed period), and bleeding or spotting between periods (…

Adultmedicine.medical_specialtyCross-sectional studyMenstrual disordermedia_common.quotation_subjectBarberingMenstruationOccupational medicineRisk FactorsPrevalencemedicineHumansMenstruation DisturbancesOccupational HealthMenstrual cyclemedia_commonGynecologyPregnancyObstetricsbusiness.industryCase-control studyObstetrics and GynecologyOdds ratiomedicine.diseaseCross-Sectional StudiesLogistic ModelsReproductive MedicineSpainCase-Control StudiesFemalebusinessInfertility FemaleEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
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Prevalence of human papillomavirus types in women screened by cytology in Germany.

2007

Incidence and mortality rates of cervical cancer are higher in Germany than in other Western European countries. Type-specific human papillomavirus (HPV) distribution was investigated for the first time in Germany in an epidemiological study including 8,101 women. Women above the age of 30 years, self-referring for cervical cancer screening, were enrolled in two study centers in Hannover (Northern Germany) and Tubingen (Southern Germany). Participants were screened by the Pap smear and the hybrid capture 2 (HC2) test using the high-risk probe. All samples that were positive by the HC2 test were genotyped using the prototype PGMY09/11 PCR line blot assay. Most women in the study population h…

Adultmedicine.medical_specialtyCytodiagnosisUterine Cervical NeoplasmsCervical intraepithelial neoplasiaCohort StudiesSpecies SpecificityRisk FactorsVirologyGermanyEpidemiologymedicinePrevalenceHumansPapillomaviridaePapillomaviridaeGynecologyCervical cancerbiologybusiness.industryObstetricsMortality rateIncidence (epidemiology)Papillomavirus InfectionsMiddle Agedbiology.organism_classificationmedicine.diseaseVirologyVaccinationInfectious DiseasesPopulation studyFemalebusinessCarcinoma in SituJournal of medical virology
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Temporal trends and determinants of peripartum hysterectomy in Lombardy, Northern Italy, 1996-2010.

2013

Purpose: To analyze the temporal trends of peripartum hysterectomy (PH) in the period 1996-2010 in Lombardy, Italy. Methods: Using data from the Regional Database, PH ratios/1,000 deliveries were calculated from 1996 to 2010, in strata of age and mode of delivery among women resident in Lombardy, Italy. PH cases were identified searching the database for the ICD-9 and ICD-10 codes for subtotal and total hysterectomy. PH ratios/1,000 deliveries in strata of age, mode of delivery and calendar year were computed. Poisson's regression analysis was used to test trend over time. Results: A total of 905 PH and 1,289,163 deliveries were recorded between 1996 and 2010. The overall PH ratio was 0.70/…

Adultmedicine.medical_specialtyDatabases Factualmedicine.medical_treatmentPopulationHysterectomyPregnancyOdds RatioMedicineHumansrisk factorsPoisson DistributionRisk factoreducationCesarean section; Hysterectomy; PeripartumPeripartum hysterectomyPregnancyeducation.field_of_studyHysterectomyVaginal deliverybusiness.industryObstetricsCesarean SectionObstetrics and GynecologyGeneral MedicineOdds ratiomedicine.diseaseSettore MED/40 - Ginecologia E OstetriciaPeripartumNorthern italyObstetric Labor ComplicationsItalyRegression AnalysisFemaleRisk factorTemporal trenddeliverybusinessMaternal Agerisk factors; delivery
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About invasive cervical cancer: a French population based study between 1998 and 2010

2015

Abstract Objectives The new French cancer plan provides the implementation of organized screening. To make an assessment of the situation, we aim to describe clinical, tumor and survival characteristics of patients with invasive cervical cancer. Study design Data on women suffering from invasive cervical cancer and diagnosed from 1998 to 2010 were provided by the Cote d’Or breast cancer registry. Survival was described using the Kaplan–Meier method and prognostic factors of survival were estimated in a Cox proportional hazard model. Results On the whole, 1019 cancers have been collected including 311 (30.5%) invasive ones. The peak incidence was between 40 and 49 years, with an average age …

Adultmedicine.medical_specialtyDelayed DiagnosisPopulationUterine Cervical NeoplasmsCervix UteriBreast cancerInternal medicineEpidemiology of cancerHumansMedicineNeoplasm InvasivenessRegistrieseducationSurvival rateEarly Detection of CancerAgedNeoplasm StagingRetrospective StudiesCervical cancerGynecologyeducation.field_of_studybusiness.industryProportional hazards modelIncidenceIncidence (epidemiology)Obstetrics and GynecologyCancerMiddle AgedPrognosismedicine.diseaseSurvival AnalysisReproductive MedicineCarcinoma Squamous CellPatient ComplianceFemaleFrancebusinessFollow-Up StudiesEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
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Role of leuprolide acetate depot in hysteroscopic surgery: a controlled study.

1993

Objective To evaluate leuprolide acetate (LA) depot (Enantone Depot, Takeda, Italy) when administered preoperatively in hysteroscopic surgery. Design Prospective, comparative study. Setting University Clinic of Obstetrics and Gynecology. Patients One hundred ninety-three patients (114 pretreated with LA depot and 79 controls) who underwent hysteroscopic surgery for uterine septa (group A), submucous fibroids (group B), and abnormal uterine bleeding (group C). Results In groups B and C there was a significant reduction in the operating time, bleeding during the operation, and the amount of distention medium required after LA depot administration, but no significant differences in surgical fe…

Adultmedicine.medical_specialtyDepotHysteroscopyHysteroscopic surgeryEndometriumObstetrics and gynaecologymedicineOperating timeHumansProspective StudiesProspective cohort studyPreoperative treatmentGynecologymedicine.diagnostic_testbusiness.industryUterusUterine bleedingObstetrics and GynecologyGeneral MedicineEndoscopySurgeryClinical trialReproductive MedicineHysteroscopyDelayed-Action PreparationsUterine NeoplasmsMyometriumFemaleUterine HemorrhageLeuprolidebusinessAfter treatmentFertility and sterility
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Identifying women with gestational diabetes based on maternal characteristics: an analysis of four Norwegian prospective studies

2021

Abstract Background There is still no worldwide agreement on the best diagnostic thresholds to define gestational diabetes (GDM) or the optimal approach for identifying women with GDM. Should all pregnant women perform an oral glucose tolerance test (OGTT) or can easily available maternal characteristics, such as age, BMI and ethnicity, indicate which women to test? The aim of this study was to assess the prevalence of GDM by three diagnostic criteria and the predictive accuracy of commonly used risk factors. Methods We merged data from four Norwegian cohorts (2002–2013), encompassing 2981 women with complete results from a universally offered OGTT. Prevalences were estimated based on the f…

Adultmedicine.medical_specialtyDiagnostic criteriaendocrine system diseasesReproductive medicine:Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 [VDP]NorwegianWorld Health OrganizationLogistic regressionGestational diabetes mellitusBody Mass IndexPredictive Value of TestsRisk FactorsPregnancyEthnicityPrevalencemedicineScreening methodHumansProspective StudiesProspective cohort studyPregnancyDiagnostic Tests RoutineNorwayObstetricsbusiness.industryResearchAge FactorsObstetrics and Gynecologynutritional and metabolic diseasesGynecology and obstetricsGlucose Tolerance Testmedicine.diseasePre pregnancy BMIlanguage.human_languagePeer reviewGestational diabetesDiabetes GestationalVDP::Medisinske Fag: 700::Helsefag: 800ScreeningRG1-991languageFemalebusiness
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The accuracy and reproducibility of the endometrial receptivity array is superior to histology as a diagnostic method for endometrial receptivity

2013

Objective To compare the accuracy and reproducibility of the endometrial receptivity array (ERA) versus standard histologic methods. Design A comparative prospective study (May 2008–May 2012). Setting University-affiliated infertility clinic. Patient(s) Eighty-six healthy oocyte donors, regularly cycling, aged 20–34 years with a body mass index (BMI) of 19–25 kg/m 2 . Intervention(s) Endometrial biopsies were collected throughout the menstrual cycle. For the accuracy study, 79 samples were grouped into two cohorts: the training set (n = 79) for ERA machine-learning training and dating, and a dating subset (n = 49) for comparison between histologic and ERA dating. For the reproducibility stu…

Adultmedicine.medical_specialtyDiagnostic methodsBiopsyConcordancemedia_common.quotation_subjectSensitivity and SpecificityEndometriumYoung AdultArtificial IntelligencemedicineHumansDiagnosis Computer-AssistedProspective cohort studyMenstrual cyclemedia_commonGynecologyOvulation DetectionReproducibilitybusiness.industryReproducibility of ResultsObstetrics and GynecologyHistologyReproductive MedicineFemaleEndometrial receptivitybusinessBody mass indexBiomarkersFertility and Sterility
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Surgical outcomes of diaphragmatic resection during cytoreductive surgery for advanced gynecological ovarian neoplasia: A randomized single center cl…

2022

Introduction: Ovarian cancer (OC) represent nearly 4% of gynecologic malignancies and it is often diagnosed at advanced stage. Diaphragmatic surgery, a fundamental step of advanced stage ovarian cancer (ASOC) debulking surgery, is associated with a high post-operative complication incidence, which is supposedly reduced with thoracostomy tube placement. We assessed the role of intra-operative thoracostomy tube placement, as a prevention measure for post-operative complications, after diaphragmatic resection. Methods: This was a single center prospective randomized trial. Ovarian cancer patients, who underwent mono-lateral diaphragmatic resection, were randomized 1:1 into two arms. Arm A incl…

Adultmedicine.medical_specialtyDiaphragmatic surgeryPleural effusionmedicine.medical_treatmentDiaphragmatic resectionDiaphragmDiaphragmatic breathingThoracentesisCarcinoma Ovarian EpithelialThoracostomySingle CenterPostoperative ComplicationsOvarian cancermedicineHumansAgedOvarian NeoplasmsIntraoperative CareCytoreduction Surgical ProcedureThoracostomy tubebusiness.industryOvarian NeoplasmObstetrics and GynecologyPneumothoraxCytoreduction Surgical ProceduresThoracostomy...Middle Agedmedicine.diseaseDebulkingThoracostomySurgeryPleural EffusionSettore MED/40 - GINECOLOGIA E OSTETRICIALogistic ModelsOncologyPneumothoraxChest TubesFemaleComplicationbusinessGynecologic oncology
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