Pub Date : 2017-08-29DOI: 10.4172/2325-9795.1000279
Donnikov Ae, N. Kuznetsova, I. Bushtyreva, V. Barinova
Purpose: The purpose of the study was to assess the role of genetic risk factors in the development of retrochorial hematoma. Materials and methods: Genotyping of four polymorphisms of the folate cycle (MTHFR C677T, MTHFR A1298C, MTR A2756G, MTRR A66G) and eight polymorphisms of hemostasis system (F2 G20210A, F5 G1691A, F7 G10976A, F13 G103T, FGB G-455A, ITGA2 C807T, ITGB3 T1565S, SERPINE1-675 5G/4G) was performed to identify genetic risk factors of retrochorial hematoma accompanied by bleeding in the I trimester of pregnancy. The study was conducted among 238 pregnant women with retrochorial hematoma and 67 pregnant women without retrochorial hematoma. Results: The risk of retrochorial hematoma increases in the presence of rare alleles of polymorphic loci of proconvertin F7 gene (sensitivity 62,61 (56,12-68,77), specificity 16,42 (8,49-27,48), PPV 72,68 (66,04-78,66)) and fibrin stabilizing factor F13 gene (sensitivity 73,11 (67-78,63), specificity 5,97 (1,65-14,59), PPV 73,42 (67,31-78,93)), while the presence of polymorphic alleles of these genes in homozygous state is the most unfavorable combination. The chance of developing a retrochorial hematoma increases 5.5 times with the combination of F7 G10976A (genotype G/A and A/A) and F 13 G103T (genotype G/T and T/T). Conclusion: Since the genotype G/A or A/A of G10976A F7 gene polymorphism and genotype G/T or T/T of G103T F13 polymorphism are associated with a predisposition to hypocoagulation.
{"title":"Inherited Risk Factors for Hemorrhagic Complications in the 1st Trimester of Pregnancy","authors":"Donnikov Ae, N. Kuznetsova, I. Bushtyreva, V. Barinova","doi":"10.4172/2325-9795.1000279","DOIUrl":"https://doi.org/10.4172/2325-9795.1000279","url":null,"abstract":"Purpose: The purpose of the study was to assess the role of genetic risk factors in the development of retrochorial hematoma. Materials and methods: Genotyping of four polymorphisms of the folate cycle (MTHFR C677T, MTHFR A1298C, MTR A2756G, MTRR A66G) and eight polymorphisms of hemostasis system (F2 G20210A, F5 G1691A, F7 G10976A, F13 G103T, FGB G-455A, ITGA2 C807T, ITGB3 T1565S, SERPINE1-675 5G/4G) was performed to identify genetic risk factors of retrochorial hematoma accompanied by bleeding in the I trimester of pregnancy. The study was conducted among 238 pregnant women with retrochorial hematoma and 67 pregnant women without retrochorial hematoma. Results: The risk of retrochorial hematoma increases in the presence of rare alleles of polymorphic loci of proconvertin F7 gene (sensitivity 62,61 (56,12-68,77), specificity 16,42 (8,49-27,48), PPV 72,68 (66,04-78,66)) and fibrin stabilizing factor F13 gene (sensitivity 73,11 (67-78,63), specificity 5,97 (1,65-14,59), PPV 73,42 (67,31-78,93)), while the presence of polymorphic alleles of these genes in homozygous state is the most unfavorable combination. The chance of developing a retrochorial hematoma increases 5.5 times with the combination of F7 G10976A (genotype G/A and A/A) and F 13 G103T (genotype G/T and T/T). Conclusion: Since the genotype G/A or A/A of G10976A F7 gene polymorphism and genotype G/T or T/T of G103T F13 polymorphism are associated with a predisposition to hypocoagulation.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125854647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2325-9795.1000280
Makaya Bm
Many state laws contain pregnancy exceptions to advanced directives. There is no uniform standard by which states decide when pregnancy should override a patient’s advanced directive. The issue of the pregnancy exception was brought to public attention in the Texas decision in Munoz vs. John Peter Smith Hospital. Munoz focused on the pregnancy exception with respect to a pregnant but brain dead woman. This article addresses Munoz, in part through use of a hypothetical situation, in order to raise the question of whether or not the pregnancy exception might better be addressed through uniform laws that are in line with current abortion law. This article also touches on the impact of the pregnancy exception on pregnant women who are not brain dead but who are incapacitated and the ethical implications of these laws on patients and medical personnel.
{"title":"Pregnancy and End-of-Life Care: An Example of the Medicolegal Junction Gone Wrong","authors":"Makaya Bm","doi":"10.4172/2325-9795.1000280","DOIUrl":"https://doi.org/10.4172/2325-9795.1000280","url":null,"abstract":"Many state laws contain pregnancy exceptions to advanced directives. There is no uniform standard by which states decide when pregnancy should override a patient’s advanced directive. The issue of the pregnancy exception was brought to public attention in the Texas decision in Munoz vs. John Peter Smith Hospital. Munoz focused on the pregnancy exception with respect to a pregnant but brain dead woman. This article addresses Munoz, in part through use of a hypothetical situation, in order to raise the question of whether or not the pregnancy exception might better be addressed through uniform laws that are in line with current abortion law. This article also touches on the impact of the pregnancy exception on pregnant women who are not brain dead but who are incapacitated and the ethical implications of these laws on patients and medical personnel.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129717931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2325-9795.1000278
K. Kraetschmer
The paper investigates as to whether the assessment of contraceptive efficacy presented by contraceptive technology research can supersede obsolete and inaccurate data disseminated by various widely-used research publications. Its aim is to identify errors in these publications by applying a comparative analysis with an international dimension. It concludes by suggesting refined methodologies for the assessment of contraceptive efficacy.
{"title":"Can Contraceptive Technology Research Rectify Erroneous Data on Contraceptive Efficacy","authors":"K. Kraetschmer","doi":"10.4172/2325-9795.1000278","DOIUrl":"https://doi.org/10.4172/2325-9795.1000278","url":null,"abstract":"The paper investigates as to whether the assessment of contraceptive efficacy presented by contraceptive technology research can supersede obsolete and inaccurate data disseminated by various widely-used research publications. Its aim is to identify errors in these publications by applying a comparative analysis with an international dimension. It concludes by suggesting refined methodologies for the assessment of contraceptive efficacy.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115618660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2325-9795.1000277
Yemsrach Kebede Seyoum, Aliye Kediro, Bisrat Zeleke Shiferaw, R. Fite
Background: Sexual coercion refers to any sexual act or attempt to obtain a sexual act, unwanted sexual comments or advance. Women from all age group are vulnerable. Especially, it is a widely recognized public health problem affecting students from higher educational institution. This study aimed to identify the prevalence of sexual coercion and its predictors among female private university students in Bishoftu town, East Shewa, Ethiopia. Methods: A cross-sectional study design was employed in Adama and Rift valley Universities branches found in Bishoftu town from May 26 to June 12, 2016.A total of 395 students were involved in the study. Simple random sampling method was employed to select the study participants. Bivariate and multivariable logistic regression was conducted. To identify the predictor variables a P-value less than 0.05 were taken as significant association by considering 95% confidence interval. Results: The study revealed that 171(43.3%) of the respondents experienced sexual coercion. Being a social science student (AOR=2.167; 95%CI=1.139,4.122), respondents fathers’ educational status (AOR=0.406; 95% CI=0.200,0.820), Mothers’ educational status (AOR=0.377; 95% CI=0.191,0.744), respondents source of support (AOR=2.511; 95% CI=1.225, 5.147) and drinking alcohol (AOR=0.358; 95% CI=0.177, 0.723) were found to be the predictors of the sexual coercion among the students. Conclusion: More than half of the respondents had experienced sexual coercion. The main experience was unwelcomed touch. Faculty in which the students enrolled, fathers’ educational status, mothers’ educational status, source of support for the students and alcohol drinking habit associated significantly with the sexual coercion experience.
{"title":"Sexual Coercion and Associated Factors among Female Private University Students in Bishoftu Town, East Shewa Ethiopia","authors":"Yemsrach Kebede Seyoum, Aliye Kediro, Bisrat Zeleke Shiferaw, R. Fite","doi":"10.4172/2325-9795.1000277","DOIUrl":"https://doi.org/10.4172/2325-9795.1000277","url":null,"abstract":"Background: Sexual coercion refers to any sexual act or attempt to obtain a sexual act, unwanted sexual comments or advance. Women from all age group are vulnerable. Especially, it is a widely recognized public health problem affecting students from higher educational institution. This study aimed to identify the prevalence of sexual coercion and its predictors among female private university students in Bishoftu town, East Shewa, Ethiopia. Methods: A cross-sectional study design was employed in Adama and Rift valley Universities branches found in Bishoftu town from May 26 to June 12, 2016.A total of 395 students were involved in the study. Simple random sampling method was employed to select the study participants. Bivariate and multivariable logistic regression was conducted. To identify the predictor variables a P-value less than 0.05 were taken as significant association by considering 95% confidence interval. Results: The study revealed that 171(43.3%) of the respondents experienced sexual coercion. Being a social science student (AOR=2.167; 95%CI=1.139,4.122), respondents fathers’ educational status (AOR=0.406; 95% CI=0.200,0.820), Mothers’ educational status (AOR=0.377; 95% CI=0.191,0.744), respondents source of support (AOR=2.511; 95% CI=1.225, 5.147) and drinking alcohol (AOR=0.358; 95% CI=0.177, 0.723) were found to be the predictors of the sexual coercion among the students. Conclusion: More than half of the respondents had experienced sexual coercion. The main experience was unwelcomed touch. Faculty in which the students enrolled, fathers’ educational status, mothers’ educational status, source of support for the students and alcohol drinking habit associated significantly with the sexual coercion experience.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123212470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2325-9795.1000281
Simi A. Khan, K. Saraswathy, M. Sachdeva, S. Thakur
Introduction: Menopause may affect certain physiological events of the female and further lead to many complex disorders. The present study attempts to understand the association between menopause and cardio vascular adversities among the Gaddi tribe. Methodology: This is a cross sectional household study on 363 ever married females of Gaddi tribe aged 25-70 years. The current study deals with the effect of menopause on cardiovascular risk factors among the altitude based tribal population. Results: The mean age at menopause is found to be 42.98 years. A higher percentage of women fall under premenopausal category (55.37%) followed by natural menopause (36.36%) and hysterectomy (8.2%). Almost all the lipid parameters showed significantly increased levels in postmenopausal women. Women with natural menopause were observed to have a 1-fold risk of succumbing to central obesity (WC and WHR) and hypertension. Women with hysterectomy were at a 1 fold significant risk for hyperglycemia. Post-menopausal women (both with natural menopause and hysterectomy) were at 1 fold significant risk for succumbing to metabolic syndrome. Conclusion: It can be assumed though not confirmed, that higher altitude Gaddi women are prone to an early age risk for cardio vascular adversities owing to their menopausal age which is indicative of development of certain screening strategies for the post-menopausal women for their early protection.
{"title":"Menopause as an Indicator for Determining Cardiovascular Risk Factors: A Cross Sectional Study among Gaddi Tribe of Himachal Pradesh, India","authors":"Simi A. Khan, K. Saraswathy, M. Sachdeva, S. Thakur","doi":"10.4172/2325-9795.1000281","DOIUrl":"https://doi.org/10.4172/2325-9795.1000281","url":null,"abstract":"Introduction: Menopause may affect certain physiological events of the female and further lead to many complex disorders. The present study attempts to understand the association between menopause and cardio vascular adversities among the Gaddi tribe. Methodology: This is a cross sectional household study on 363 ever married females of Gaddi tribe aged 25-70 years. The current study deals with the effect of menopause on cardiovascular risk factors among the altitude based tribal population. Results: The mean age at menopause is found to be 42.98 years. A higher percentage of women fall under premenopausal category (55.37%) followed by natural menopause (36.36%) and hysterectomy (8.2%). Almost all the lipid parameters showed significantly increased levels in postmenopausal women. Women with natural menopause were observed to have a 1-fold risk of succumbing to central obesity (WC and WHR) and hypertension. Women with hysterectomy were at a 1 fold significant risk for hyperglycemia. Post-menopausal women (both with natural menopause and hysterectomy) were at 1 fold significant risk for succumbing to metabolic syndrome. Conclusion: It can be assumed though not confirmed, that higher altitude Gaddi women are prone to an early age risk for cardio vascular adversities owing to their menopausal age which is indicative of development of certain screening strategies for the post-menopausal women for their early protection.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127290942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-12DOI: 10.4172/2325-9795.1000272
A. Zsákai, N. Mascie-Taylor, É. Bodzsár
Purpose: The purpose of the research was to study the relationship between menopausal status and bone structure during the menopausal transition.Methods: A random sample of 1932 Hungarian women was enrolled in the study. Bone mass was estimated by the Drinkwater-Ross method. Bone structure parameters were assessed by a quantitative ultrasound (QUS) device. High and very high risk of osteoporosis was identified by using the thresholds of QUS parameters.Results: By considering the changes in QUS parameters and bone mass by age and reproductive age an intensive, menopause-related change from the late 40s and then another significant change from the beginning of the 70s were observed in bone. The bone mass decreased while the porosity of the bone component of the female body decreased by age and by menopausal status. On average 15- 7% of women are at very high risk of developing osteoporosis in the premenopausal status and after the menopausal transition the decreased level of female sex hormone production doubles this risk of osteoporosis from the beginning of the postreproductive period, triples this risk for women in the seventies.Conclusion: The results emphasize the importance of menopausal status assessment in screening for age-related increase risk of osteoporosis.
{"title":"Ageing of Bone Structure and the Risk of Osteoporosis in the Menopausal Transition","authors":"A. Zsákai, N. Mascie-Taylor, É. Bodzsár","doi":"10.4172/2325-9795.1000272","DOIUrl":"https://doi.org/10.4172/2325-9795.1000272","url":null,"abstract":"Purpose: The purpose of the research was to study the relationship between menopausal status and bone structure during the menopausal transition.Methods: A random sample of 1932 Hungarian women was enrolled in the study. Bone mass was estimated by the Drinkwater-Ross method. Bone structure parameters were assessed by a quantitative ultrasound (QUS) device. High and very high risk of osteoporosis was identified by using the thresholds of QUS parameters.Results: By considering the changes in QUS parameters and bone mass by age and reproductive age an intensive, menopause-related change from the late 40s and then another significant change from the beginning of the 70s were observed in bone. The bone mass decreased while the porosity of the bone component of the female body decreased by age and by menopausal status. On average 15- 7% of women are at very high risk of developing osteoporosis in the premenopausal status and after the menopausal transition the decreased level of female sex hormone production doubles this risk of osteoporosis from the beginning of the postreproductive period, triples this risk for women in the seventies.Conclusion: The results emphasize the importance of menopausal status assessment in screening for age-related increase risk of osteoporosis.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122380340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-12DOI: 10.4172/2325-9795.1000274
G. Subahi, B. Kalo
Background: Postpartum physical and emotional health remains unaddressed by researchers, clinicians and women themselves. An important factor that affects postpartum recovery is the method of delivery. The objectives of this study were to estimate the incidence of postpartum physical health problems and depression in the first three months after delivery and to identify their relationship with mode of delivery along with other factors associated with the incidence of postpartum depression (PPD).Methods: In this prospective cohort study, women were recruited from three public hospitals within 24-48 hours after delivery. Edinburgh postpartum depression scale (EPDS) and structured validated questionnaires were used. Follow-ups were conducted at 1-week and 3-months after delivery.Results: The most prevalent 3-month physical health problems were insomnia (75%), fatigue (70%), and back pain (65%). There was a high incidence of nipple pain (73%) and vaginal itch (25%) in the spontaneous vaginal delivery (SVD) group during the immediate (1-week) postpartum period, whereas wound pain washigher in the cesarean section (CS) group during the immediate (94%) and 3-month follow-up (55%) postpartum period. The incidence of 3-month PPD (EPDS>=12) was 28% in SVD group and 24% in CS group. There was no effect of the delivery mode on EPDS scores (p=0.59). Wanted pregnancy (OR=0.507), higher number of living children (OR=0.631), gravidity (OR=1.36), and income (OR= 0.536) were protective factors for immediate PPD.Conclusions: Postpartum physical health problems and depression are common after delivery. Health care providers should be aware of these to perform early screening and interventions to alleviate them.
{"title":"Maternal 3-Month Postpartum Physical Health Problems, Depression, and their Relations to the Mode of Delivery: A Cohort Study in Jeddah","authors":"G. Subahi, B. Kalo","doi":"10.4172/2325-9795.1000274","DOIUrl":"https://doi.org/10.4172/2325-9795.1000274","url":null,"abstract":"Background: Postpartum physical and emotional health remains unaddressed by researchers, clinicians and women themselves. An important factor that affects postpartum recovery is the method of delivery. The objectives of this study were to estimate the incidence of postpartum physical health problems and depression in the first three months after delivery and to identify their relationship with mode of delivery along with other factors associated with the incidence of postpartum depression (PPD).Methods: In this prospective cohort study, women were recruited from three public hospitals within 24-48 hours after delivery. Edinburgh postpartum depression scale (EPDS) and structured validated questionnaires were used. Follow-ups were conducted at 1-week and 3-months after delivery.Results: The most prevalent 3-month physical health problems were insomnia (75%), fatigue (70%), and back pain (65%). There was a high incidence of nipple pain (73%) and vaginal itch (25%) in the spontaneous vaginal delivery (SVD) group during the immediate (1-week) postpartum period, whereas wound pain washigher in the cesarean section (CS) group during the immediate (94%) and 3-month follow-up (55%) postpartum period. The incidence of 3-month PPD (EPDS>=12) was 28% in SVD group and 24% in CS group. There was no effect of the delivery mode on EPDS scores (p=0.59). Wanted pregnancy (OR=0.507), higher number of living children (OR=0.631), gravidity (OR=1.36), and income (OR= 0.536) were protective factors for immediate PPD.Conclusions: Postpartum physical health problems and depression are common after delivery. Health care providers should be aware of these to perform early screening and interventions to alleviate them.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129552870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-12DOI: 10.4172/2325-9795.1000269
M. Leite, N. Penha-Silva, C. J. Oliveira, Igor M Mariano, J. S. Giolo, J. G. Costa, G. Puga
Exercise is considered capable of optimizing the immune system and minimizing the side effects of adjuvant and neoadjuvant therapies in cancer (BC) survivors. Despite these findings, the effects of nonlinear resistance training (NLRT) on breast cancer (BC) survivors with lymphedema have not yet been elucidated. Thus, the aim of this study was to evaluate the effects of 12 weeks of NLRT, three times a week, on lipid and hormonal profiles, body composition and anthropometric indices, muscle strength and endurance, aerobic performance, and blood pressure (BP) and mean arterial pressure (MAP) in a BC survivor with lymphedema and hypothyroidism under hormonotherapy. A 43 years old female, diagnosed with an invasive ductal and triple positive (PR+ and RE+) BC three years ago, lymphedema two years ago and hypothyroidism 9 years ago, under use of Tamoxifen (20 mg/day) for 3 years (hormonotherapy) and Euthyrox (25 mg/day) for 9 years, was assessed before and after each resistance training. There was improvement in lipid and hormonal profiles, anthropometric indices, upper and lower limb strength and endurance, and resting BP and MAP. Although there was no difference in physical fitness in a 6-minute walk test, the heart rate decreased during this test. The application of NLRT for 12 weeks was beneficial and safe in a BC survivor undergoing hormonotherapy.
{"title":"Effects of Nonlinear Training with Resistance Exercise on Breast Cancer Survivor with Lymphedema and Hypothyroidism during Adjuvant Hormone Therapy: A Case Study","authors":"M. Leite, N. Penha-Silva, C. J. Oliveira, Igor M Mariano, J. S. Giolo, J. G. Costa, G. Puga","doi":"10.4172/2325-9795.1000269","DOIUrl":"https://doi.org/10.4172/2325-9795.1000269","url":null,"abstract":"Exercise is considered capable of optimizing the immune system and minimizing the side effects of adjuvant and neoadjuvant therapies in cancer (BC) survivors. Despite these findings, the effects of nonlinear resistance training (NLRT) on breast cancer (BC) survivors with lymphedema have not yet been elucidated. Thus, the aim of this study was to evaluate the effects of 12 weeks of NLRT, three times a week, on lipid and hormonal profiles, body composition and anthropometric indices, muscle strength and endurance, aerobic performance, and blood pressure (BP) and mean arterial pressure (MAP) in a BC survivor with lymphedema and hypothyroidism under hormonotherapy. A 43 years old female, diagnosed with an invasive ductal and triple positive (PR+ and RE+) BC three years ago, lymphedema two years ago and hypothyroidism 9 years ago, under use of Tamoxifen (20 mg/day) for 3 years (hormonotherapy) and Euthyrox (25 mg/day) for 9 years, was assessed before and after each resistance training. There was improvement in lipid and hormonal profiles, anthropometric indices, upper and lower limb strength and endurance, and resting BP and MAP. Although there was no difference in physical fitness in a 6-minute walk test, the heart rate decreased during this test. The application of NLRT for 12 weeks was beneficial and safe in a BC survivor undergoing hormonotherapy.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"191 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124233349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-12DOI: 10.4172/2325-9795.1000273
M. Guèye, M. Guèye, M. Mbaye, A. Diouf, Mouhamadou Wade, M. Diallo, O. Gassama, J. Moreau
Extra-uterine leiomyomas are rare, benign, and may arise in any anatomic sites. Extra-uterine leiomyomas are diagnostic challenge due to their rare unusual locations. We present a case of pelvic leiomyoma mimicking ovarian mass in a 34-year-old woman who was suffering for right pelvic pain. Clinical and imaging findings revealed an ovarian leimyoma. A laparotomy using Pfannenstiel incision was performed. Pelvic organs and both ovaries appeared normal. There was a firm mass about 5 cm in size distinct from the left ovary and attached to uterus with some fine adhesions that were cut allowing removal of the mass. Pathologic examination concluded to a benign leiomyoma. The recovery was uneventful and pelvic pain disappeared. Leiomyomas occur infrequently outside the uterus. Although they are histologically benign, extra-uterine leiomyomas may mimic malignant tumours at imaging and may present a diagnostic challenge. Surgical excision is the most common treatment.
{"title":"A Rare Case of Extra-Uterine Pelvic Leiomyoma","authors":"M. Guèye, M. Guèye, M. Mbaye, A. Diouf, Mouhamadou Wade, M. Diallo, O. Gassama, J. Moreau","doi":"10.4172/2325-9795.1000273","DOIUrl":"https://doi.org/10.4172/2325-9795.1000273","url":null,"abstract":"Extra-uterine leiomyomas are rare, benign, and may arise in any anatomic sites. Extra-uterine leiomyomas are diagnostic challenge due to their rare unusual locations. We present a case of pelvic leiomyoma mimicking ovarian mass in a 34-year-old woman who was suffering for right pelvic pain. Clinical and imaging findings revealed an ovarian leimyoma. A laparotomy using Pfannenstiel incision was performed. Pelvic organs and both ovaries appeared normal. There was a firm mass about 5 cm in size distinct from the left ovary and attached to uterus with some fine adhesions that were cut allowing removal of the mass. Pathologic examination concluded to a benign leiomyoma. The recovery was uneventful and pelvic pain disappeared. Leiomyomas occur infrequently outside the uterus. Although they are histologically benign, extra-uterine leiomyomas may mimic malignant tumours at imaging and may present a diagnostic challenge. Surgical excision is the most common treatment.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132965241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-12DOI: 10.4172/2325-9795.1000271
Sunitha C. Srinivas
Preventable conditions related to maternal health, such as severe bleeding after childbirth, infections, hypertensive disorders, and unsafe abortions are responsible for roughly 529 000 deaths with the majority occurring in developing countries. It is estimated that 20% of the burden of disease in children below the age of five isalso related to poor maternal health, nutrition and low quality of care received during delivery and the new-born period. Implementation of the millennium development goals 3 and 5 resulted in a 45% decline in maternal mortality and a drop of 6.7million deaths for children under the age of five. With the alarming increases in antimicrobial resistance, there is a great possibility of regression of these achievements due to resistant strains of infections such as Tuberculosis, sexually transmitted infections, and HIV. As gender inequality has a strong influence on the health of women, young girls are vulnerable when trying to protect themselves from HIV and STIs. Health promotion activities that address gender inequality and issues of disempowerment have great potential to improve health, health outcomes, access to and benefits from health services. Such activities should include both females and males, and should remove gender-based constraints from the socialecological environment.
{"title":"Health Literacy for Enhanced Maternal Health","authors":"Sunitha C. Srinivas","doi":"10.4172/2325-9795.1000271","DOIUrl":"https://doi.org/10.4172/2325-9795.1000271","url":null,"abstract":"Preventable conditions related to maternal health, such as severe bleeding after childbirth, infections, hypertensive disorders, and unsafe abortions are responsible for roughly 529 000 deaths with the majority occurring in developing countries. It is estimated that 20% of the burden of disease in children below the age of five isalso related to poor maternal health, nutrition and low quality of care received during delivery and the new-born period. Implementation of the millennium development goals 3 and 5 resulted in a 45% decline in maternal mortality and a drop of 6.7million deaths for children under the age of five. With the alarming increases in antimicrobial resistance, there is a great possibility of regression of these achievements due to resistant strains of infections such as Tuberculosis, sexually transmitted infections, and HIV. As gender inequality has a strong influence on the health of women, young girls are vulnerable when trying to protect themselves from HIV and STIs. Health promotion activities that address gender inequality and issues of disempowerment have great potential to improve health, health outcomes, access to and benefits from health services. Such activities should include both females and males, and should remove gender-based constraints from the socialecological environment.","PeriodicalId":218923,"journal":{"name":"Journal of Womens Health, Issues and Care","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116239147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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