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Effect of Oral Hydration Therapy on Isolated Oligo-Hydroamnios Cases & Perinatal Outcome 口服水化治疗对孤立性羊水过少及围产期结局的影响
Pub Date : 2016-10-19 DOI: 10.4172/2325-9795.1000138
P. Mishra, Shikha Seth, Vaibhav Kanti, S. Shukla
Effect of Oral Hydration Therapy on Isolated Oligo-Hydroamnios Cases & Perinatal Outcome Oligohydroamnios means reduced amount of amniotic fluid and it has been defined as a harbinger of adverse perinatal outcome commonly associated with higher incidence of abnormal labour, intra-partum fetal distress, increased operative deliveries and low Apgar scores. Clinically it is not possible to quantify the amniotic fluid. Best non invasive semi-quantitative & reproducible method of assessment of amniotic fluid volume is Amniotic Fluid Index (AFI) measured by ultrasonographic four quadrant technique.
口服水化治疗对孤立性羊水过少和围产期结局的影响羊水过少意味着羊水量减少,它被定义为不良围产期结局的先兆,通常与异常分娩、产中胎儿窘迫、手术分娩增加和低Apgar评分的发生率相关。临床上不可能量化羊水。超声四象限技术测定羊水指数是评价羊水体积的最佳无创、半定量和可重复性方法。
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引用次数: 3
A Survey of Female Sudanese College Students’ Knowledge and Attitude towards SkinLightening 苏丹女大学生美容美容知识与态度调查
Pub Date : 2016-09-08 DOI: 10.4172/2325-9795.1000237
Anwar E. Ahmed, M. E. Hamid
Context: The use of skin lightening products (SLP) containing harmful chemicals is the largest recent women’s health issue in Sudan. Despite their adverse effects, the current frequency of the use of SLP among young Sudanese women (74.4%) is recognized as high. Objectives: To assess the attitude of Sudanese female college students regarding 1) the use of SLP, and 2) their knowledge of its adverse health effects. Methods: A survey study was conducted on 364 female college students who attended lectures at the University of Gezira between July and September 2015. We asked the study participants to report socio-demographic data, whether SLP can harm a user’s health, and the motives for using SLP. Results: Although the majority of females (320/359) (89.1%) reported that SLP could harm a user’s health, 320/364 (87.9%) reported favorable attitudes toward the use of SLP. The most common motives for using SLP were: to lighten dark spots and remove acne (57.1%); because white skin is more attractive than black skin (34.3%); to attract men (33.8%); to look pretty/fashionable (28.9%); because women with white skin are treated better than women with dark skin (28.2%); and to gain self-confidence (26.9%). The results of the multivariate logistic regression model indicated more favorable attitudes toward the use of SLP in those who had a family member who bleached, and in older students who were aged 20-22 years and ≥ 23 years. Conclusion: Despite the high levels of awareness of the health risks of using SLP among female Sudanese students, they continue to report favorable attitudes toward using these products.
背景:使用含有有害化学物质的美白产品是苏丹妇女最近面临的最大健康问题。尽管有不良影响,但目前苏丹年轻妇女使用SLP的频率(74.4%)被认为是很高的。目的:了解苏丹女大学生对SLP使用的态度,以及对SLP对健康不良影响的认知。方法:对2015年7 - 9月在格齐拉大学听课的364名女大学生进行调查研究。我们要求研究参与者报告社会人口统计数据,SLP是否会损害使用者的健康,以及使用SLP的动机。结果:尽管大多数女性(320/359)(89.1%)认为SLP会损害使用者的健康,但320/364(87.9%)对SLP的使用持赞成态度。使用SLP最常见的动机是:淡化黑斑和祛痘(57.1%);因为白皮肤比黑皮肤更有吸引力(34.3%);吸引男性(33.8%);看起来漂亮/时髦(28.9%);因为皮肤白皙的女性比皮肤黝黑的女性得到更好的治疗(28.2%);获得自信(26.9%)。多因素logistic回归模型结果显示,家庭成员有漂白剂史的学生、年龄在20-22岁和≥23岁的大龄学生更倾向于使用SLP。结论:尽管苏丹女学生对使用SLP的健康风险有很高的认识,但她们继续报告对使用这些产品持积极态度。
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引用次数: 2
Conservative Management Protocol of Acute Hydronephrosis of Pregnancy: Two Centers Experience 妊娠期急性肾积水的保守治疗方案:两个中心的经验
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000201
M. Osman, T. R. Abbas, Abuelfotoh A Abuelfotoh
Conservative Management Protocol of Acute Hydronephrosis of Pregnancy: Two Centers Experience Objectives: This study is aiming to detect the value of conservative management protocol of acute hydronephrosis of pregnancy by facilitating both good hydration and postural drainage of the affected kidney. Patients and Methods: This prospective study was carried out from March 2010– March 2012, in two centers:[Bab Alshaaria University Hospital(Cairo), and Assiut University Hospital (Assiut)]. One thousand two hundred pregnant women managed till full term,86 of them (7.1%) presented with unilateral loin pain and were in the second and third trimesters of pregnancy at presentation ( 9 at 22 weeks, 13 patients at 28 weeks, 30 patients at 30 weeks, and 34 patients at 32 weeks) mean age was 18-39 years. Seventy six patients (88.3%) presented with right-sided loin pain and 10 (11.7%) had pain in the left loin. There was evidence of associated urinary tract infection (UTI) in 12 (13.9%) cases. Ultrasound scan (US) confirmed presence of ipsilateral mild to moderate hydronephrosis with no evidence of renal / ureteric calculus. All were refractory to routine enteral analgesia over 72 hours. They were managed by good i.v fluid hydration and maintaining them in a semiprone lateral position in bed, with the affected side up and elevated head of the bed was kept by 20o during the period of conservative management until term and delivery. Results: Eighty of the 86 women (93%) had symptomatic improvement. None required further regular analgesia and completed pregnancy to term without further invasive interventions (e.g. D.J stenting, Percutaneous Nephrostomy). Follow-up by Ultrasound scan at three months post-partum revealed complete resolution of hydronephrosis. Conclusions: Conservative management of acute symptomatic hydronephrosis of pregnancy is highly effective in the majority of cases (93%), and if used carefully, it will avoid the need for more invasive uro-radiological intervention.
急性妊娠肾积水保守治疗方案:两中心经验目的:本研究旨在通过促进受累肾脏良好的水合作用和体位引流,探讨保守治疗方案在急性妊娠肾积水中的价值。患者和方法:这项前瞻性研究于2010年3月至2012年3月在两个中心进行:[Bab Alshaaria大学医院(开罗)和Assiut大学医院(Assiut)]。1200例足月妊娠妇女,其中86例(7.1%)表现为单侧腰痛,分娩时为妊娠中期和晚期(22周9例,28周13例,30周30例,32周34例),平均年龄为18-39岁。76例(88.3%)患者表现为右侧腰痛,10例(11.7%)患者表现为左侧腰痛。12例(13.9%)合并尿路感染(UTI)。超声扫描(US)证实存在同侧轻度至中度肾积水,无肾/输尿管结石的证据。所有患者对常规肠内镇痛72小时以上均难治。在保守治疗期间,患者给予良好的静脉补液,并保持床侧半俯卧位,患处朝上,抬高床头,直至足月分娩。结果:86例患者中有80例(93%)症状改善。没有人需要进一步的常规镇痛,没有进一步的侵入性干预(如D.J支架置入术,经皮肾造口术)完成妊娠至足月。产后3个月超声随访显示肾积水完全消失。结论:保守治疗妊娠期急性症状性肾积水在大多数情况下(93%)是非常有效的,如果谨慎使用,可以避免更多的侵入性尿路放射干预。
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引用次数: 0
Abortion-Education is Needed: A Markov Decision Process Determination 堕胎教育是必要的:一个马尔可夫决策过程的确定
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000190
S. E. Ogbonmwan, Paul E Ogbonmwan
Abortion-Education is Needed: A Markov Decision Process Determination The aim of this study is to show the reasons why women procure abortion and use Markov decision process analysis and projections to show that ignorance and non-utilization of the available methods of contraception results in high rate of abortion and its complications; that formal and sex education can reduce abortion rate and the associated complications especially in the developing countries.
本研究的目的是显示妇女堕胎的原因,并使用马尔可夫决策过程分析和预测表明,无知和不利用现有的避孕方法导致高流产率及其并发症;正规教育和性教育可以降低堕胎率和相关并发症,特别是在发展中国家。
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引用次数: 0
Maternal and Perinatal Health Situation in Kassala, Eastern Sudan 苏丹东部卡萨拉的孕产妇和围产期保健状况
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000183
A. Ali
Maternal and Perinatal Health Situation in Kassala, Eastern Sudan To improve our understanding of maternal and perinatal health situation in eastern Sudan and to formulate recommendations to improve the maternal and child health. Various cross- sectional and case-control studies were conducted during the last six years (2008-2014) thus it might be of great interest and of high value to summarize the main findings in one paper.
苏丹东部卡萨拉的孕产妇和围产期健康状况提高我们对苏丹东部孕产妇和围产期健康状况的了解,并提出改善孕产妇和儿童健康的建议。在过去六年中(2008-2014年)进行了各种横断面和病例对照研究,因此将主要发现总结在一篇论文中可能非常有趣且具有很高的价值。
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引用次数: 0
A Hybrid Model for Analysis of Policy Making: US Global Sexual and Reproductive Health Issues in Developing Countries Act of 2013 政策制定分析的混合模型:美国2013年全球发展中国家性健康和生殖健康问题法案
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000191
Cecilia Mengo, Small Eusebius
A Hybrid Model for Analysis of Policy Making: US Global Sexual and Reproductive Health Issues in Developing Countries Act of 2013 This paper examines the United States Global and Reproductive Health Act of 2011 by identifying strengths, shortcomings and gaps in the policy and suggests key changes and recommendations. The framework of analysis of the proposed Act is based on its ability to address successful approaches that employ a comprehensive sexual and reproductive health care based on evidence from the field and its focus on reproductive health rights and justice. In doing so, this paper utilizes a hybrid model to describe a practical framework that can be used to analyze the process of policy making and implementation. The hybrid model can be used for policy making analysis with any social phenomena globally context; here it is illustrated for use with global sexual and reproductive health problems in developing countries.
政策制定分析的混合模型:美国2013年全球发展中国家性健康和生殖健康问题法案本文通过确定政策的优势、缺点和差距来研究美国2011年全球和生殖健康法案,并提出关键的变化和建议。对拟议法案的分析框架是基于其处理成功办法的能力,这些办法采用基于实地证据的全面性健康和生殖健康保健,并侧重于生殖健康权利和正义。为此,本文利用一个混合模型来描述一个可用于分析政策制定和实施过程的实用框架。混合模型可用于任何社会现象的全球背景下的政策制定分析;这里说明了它用于解决发展中国家的全球性和生殖健康问题。
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引用次数: 1
Sexual Violence and Substance Use among Female Students of Mizan-Tepi University, Southwest Ethiopia: A Mixed Method Study 埃塞俄比亚西南部Mizan-Tepi大学女学生的性暴力和物质使用:一项混合方法研究
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000194
Andualem Henock, N. Deyessa, A. Abajobir
Sexual Violence and Substance Use among Female Students of Mizan-Tepi University, Southwest Ethiopia: A Mixed Method Study Introduction: Sexual violence is a common and serious public health problem. The most common place and cause for sexual violence is school and substance use respectively. Thus, the main objective of the study was to assess the prevalence of sexual violence and its association with substance use among female students in Mizan-Tepi University.
埃塞俄比亚西南部Mizan-Tepi大学女学生的性暴力和药物使用:一项混合方法研究简介:性暴力是一个普遍而严重的公共卫生问题。性暴力最常见的场所和原因分别是学校和药物使用。因此,本研究的主要目的是评估米赞-特皮大学女学生中性暴力的普遍程度及其与药物使用的关系。
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引用次数: 13
Optimal Characteristics of an Obstetric Anesthesia Paper vs. Electronic Hand-Off Tool 产科麻醉纸与电子交接工具的最佳特性
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000184
E. Becher, Thomas T. Klumpner, F. Peralta, E. Montague, C. Wong, P. Toledo
Optimal Characteristics of an Obstetric Anesthesia Paper vs. Electronic Hand-Off Tool Approximately 61% of vaginal deliveries utilize neuraxial (epidural or spinal) analgesia for labor pain relief. Hand-offs are commonplace in obstetric anesthesia practice. Unfortunately, communication failures are consistently cited as the leading root cause of sentinel events. The purpose of this qualitative study was to explore optimal obstetric anesthesia hand-off characteristics and to evaluate the perceived effectiveness of a paper compared with an electronic hand-off template using face-to-face interviews with anesthesia team members.
产科麻醉纸与电子交接工具的最佳特性大约61%的阴道分娩使用神经轴(硬膜外或脊髓)镇痛来缓解分娩疼痛。在产科麻醉实践中,交接是很常见的。不幸的是,通信故障一直被认为是哨兵事件的主要根本原因。本定性研究的目的是探讨最佳的产科麻醉交接特征,并通过与麻醉团队成员的面对面访谈,评估与电子交接模板相比,论文的感知有效性。
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引用次数: 0
Prevalence and Self-Management of Female Sexual Dysfunction among Women inSix Regions of Ghana: A Cross- Sectional Study 加纳六个地区女性性功能障碍的患病率和自我管理:一项横断面研究
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000212
E. P. Imbeah, B. Afrane, Irene A. Kretchy, J. Sarkodie, F. Acheampong, Samuel Oppon, Patrick Amoateng
Background: Female sexual dysfunction (FSD) is widespread and a relevant health condition among women. Few women seek medical care, yet, the patronage of female sex-enhancing agents from the pharmacies, chemical and herbal shops have increased in recent times. The study sought to determine the prevalence and self-management of FSD among Ghanaian women. Methods: A community-based cross-sectional study was conducted using structured questionnaires to elicit descriptive accounts of sexual experiences, help-seeking behaviours and measures taken to manage the sexual problems. Two hundred and seven (207) sexually active women aged 18 years and above were interviewed from six out of the ten regions in Ghana. Results: The majorities of the respondents was married (53.1%), had tertiary education (74.4%) and were within the ages of 18-29 (52.4%). Of all the respondents, 44.3% were not aware of FSD. The overall prevalence of FSD was 45.6%. The most prevalent sexual problems were pain during sex (72.9%), lubrication difficulties (72.3%), arousal disorder (70.3%), desire disorder (54.2%) and sexual dissatisfaction (27.1%). Only 22.5% of the respondents with FSD sought formal medical help. The reasons for not seeking formal help included the perception that FSD was normal (50.0%), personal embarrassment (19.2%) and time constraints (15.4%). About 57% of the respondents had self-managed at least one sexual problem. Counselling (31.2%), use of vaginal lubricants (24.1%), and sex and relationship strategies (23.4%) were the most cited options for managing FSD. Overall, 85.0% of women perceived the management options were effective. Only 1% of the respondents experienced side effects (vaginal itching) when vaginal lubricants and vaginal herbal preparations were employed. Conclusion: Women in Ghana experience female sexual dysfunction making it a health concern requiring recognition and intervention.
背景:女性性功能障碍(FSD)是一种普遍存在的健康问题。很少有妇女寻求医疗保健,然而,近年来,从药店、化学商店和草药商店购买女性性功能增强剂的人数有所增加。该研究旨在确定加纳妇女中FSD的患病率和自我管理。方法:以社区为基础进行横断面研究,采用结构化问卷调查的方式,对性经历、性求助行为和性问题处理措施进行描述性描述。对来自加纳十个地区中的六个地区的207名18岁及以上的性活跃妇女进行了采访。结果:受访者以已婚(53.1%)、大专(74.4%)和18-29岁(52.4%)居多。在所有受访者中,44.3%不知道消防处。FSD的总患病率为45.6%。最常见的性问题是性疼痛(72.9%)、润滑困难(72.3%)、性唤起障碍(70.3%)、性欲障碍(54.2%)和性不满意(27.1%)。在消防处工作的被访者中,只有22.5%曾寻求正式医疗协助。不寻求正式协助的原因包括认为消防处工作正常(50.0%)、个人尴尬(19.2%)及时间有限(15.4%)。约57%的受访者自我管理过至少一个性问题。咨询(31.2%)、使用阴道润滑剂(24.1%)以及性和关系策略(23.4%)是最常被提及的治疗性功能障碍的方法。总体而言,85.0%的女性认为管理方案是有效的。当使用阴道润滑剂和阴道草药制剂时,只有1%的应答者经历了副作用(阴道瘙痒)。结论:加纳妇女经历女性性功能障碍,使其成为需要认识和干预的健康问题。
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引用次数: 8
Maternal and Umbilical Cord Blood Level of Leptin and C-Reactive Protein in Preeclamptic Sudanese Women 苏丹子痫前期妇女母体和脐带血瘦素和c反应蛋白水平
Pub Date : 2016-07-29 DOI: 10.4172/2325-9795.1000186
Manal A Hassan, Siham M Ahmed, E. Elhassan, Leana M. Elbashir, G. I. Gasim, A. Ragab, I. Adam
Maternal and Umbilical Cord Blood Level of Leptin and C-Reactive Protein in Preeclamptic Sudanese Women Objective: To determine maternal and umbilical cord blood levels of leptin and C-reactive protein in healthy pregnant women and preeclamptic patients. Material and methods: Thirty eight healthy pregnant controls, 68 mild and 25 with severe preeclampsia women were involved in this case-control study. Levels of leptin and CRP in maternal and cord blood were determined by ELISA and a sandwich-format immunometric method, respectively.
苏丹子痫前期妇女母脐血瘦素和c反应蛋白水平研究目的:测定健康孕妇和子痫前期患者母脐血瘦素和c反应蛋白水平。材料与方法:本病例-对照研究纳入健康孕妇38例,轻度子痫前期妇女68例,重度子痫前期妇女25例。采用ELISA法和三明治免疫法分别测定母血和脐带血中瘦素和CRP水平。
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引用次数: 1
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Journal of Womens Health, Issues and Care
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