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Effect of Laparoscopic and Abdominal Hysterectomy on Urinary Incontinence 腹腔镜和腹式子宫切除术对尿失禁的影响
Pub Date : 2020-07-18 DOI: 10.5005/jp-journals-10032-1182
G. Sukgen, Ünal Turkay
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引用次数: 0
Pessary Expulsion Rate and Risk Factors for Expulsion in Southern Thai Women with Pelvic Organ Prolapse 泰国南部妇女盆腔器官脱垂的子宫内膜排出率和危险因素
Pub Date : 2020-07-18 DOI: 10.5005/jp-journals-10032-1184
Pukavut Withayajiakkhajorn, Wongsakorn Limbutara, Chatchawan Gorsagun
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引用次数: 0
Frozen Section as a Guide in Intraoperative Decision-making in the Management of Adnexal Mass Lesions 冰冻切片对术中附件肿块治疗决策的指导作用
Pub Date : 2020-07-18 DOI: 10.5005/jp-journals-10032-1181
S. Shanmugam, Gopu Govindasamy, S. Susikar, P. Fells
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引用次数: 0
Does Chewing Gum Help Regaining Intestinal Functions after Hysterectomy? A Randomized Control Trial 子宫切除术后,嚼口香糖是否有助于恢复肠道功能?随机对照试验
Pub Date : 2019-06-01 DOI: 10.5005/jp-journals-10032-1163
Ruchika Garg, Saroj Singh, Poonam Yadav, Abhilasha Yadav
Ab s t r Ac t Aim: This study aimed to investigate the effect of chewing gum after hysterectomy on recovery of bowel functions. Design: Randomized control trial. Materials and methods: Women who underwent hysterectomy and fulfilled the inclusion criteria were divided into two groups of 80 each by simple randomization. Study group women chewed sugar free chewing gum for 30 minutes every 4 hours, starting 4 hours after hysterectomy and control group did not chew chewing gum. Both the groups received standard treatment protocol. Bowel sounds were checked every 30 minutes and record of passage of first flatus and the first evacuation time were recorded by inquiring the women. Results: Compared with the control group, women in the chewing gum group experienced a significant reduction i.e., 5.5 hours at the time of first bowel sound (p < 0.05), 5.3 hours in the first passage of flatus (p < 0.05), 10.5 hours at the time of first feeling of hunger (p < 0.05), 5.6 hours at the time of first oral feed (p > 0.05), 13.8 hours at the time of first defecation (p < 0.05) and 12.9 hours at the time of first discharge (p < 0.05).
目的:探讨子宫切除术后嚼口香糖对肠功能恢复的影响。设计:随机对照试验。材料与方法:采用简单随机分组法将符合入选标准的子宫切除术妇女分为两组,每组80例。研究组女性每4小时嚼无糖口香糖30分钟,子宫切除术后4小时开始,对照组不嚼口香糖。两组均采用标准治疗方案。每隔30分钟检查一次肠音,并通过询问记录第一次放屁和第一次排空时间。结果:与对照组相比,女性在口香糖集团经历了一个显著减少即5.5小时的时候第一次肠鸣音(p < 0.05), 5.3小时在第一通道的屁(p < 0.05), 10.5小时的时候第一感觉饥饿(p < 0.05), 5.6小时的时候第一次口头饲料(p > 0.05), 13.8小时第一次排便时(p < 0.05)和12.9小时的时候第一次放电(p < 0.05)。
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引用次数: 0
Perception and Awareness of Menopause among Premenopausal Women of Different Socioeconomic Backgrounds 不同社会经济背景的绝经前妇女对绝经的认知
Pub Date : 2019-06-01 DOI: 10.5005/jp-journals-10032-1162
Ab s t r Ac t Objective: To assess the knowledge of premenopausal women belonging to different socioeconomic backgrounds, about symptoms, treatment, myths, and causes of early or late onset of menopause. Materials and methods: The cross-sectional study was conducted at the Ziauddin University hospital over a period of 8 months. A sample size of 300 was taken. Socioeconomic status was determined by inquiring about income per capita . Knowledge and perception of the premenopausal women were assessed. Data were entered and analyzed using version 20 of SPSS. Results: The upper class seemed to be highly aware of the common menopausal symptoms. Young females from the lower class had least knowledge about menopause, followed by middle class. 55% of women considered menopause to be a natural aging process rest believed that it is a clinical condition. The majority, with a negative perspective, belonged to lower socioeconomic class. Conclusion: About a quarter of Pakistanis are living below the poverty line, and since the study suggests that women from this stratum have poor knowledge about menopause, there is a great need for spreading awareness to this class. This study would help improve the quality of life of women belonging to the lower class and would eventually decrease morbidity and mortality due to the consequences of menopause. There is limited research in Pakistan about the knowledge of women regarding menopause, and the focus is diverted more towards evaluating the experience of menopause rather than perception. Adverse socioeconomic conditions are likely to leave deep imprints on psychological well-being of an individual. Hence it can be a major risk factor for the difference in opinion and perception as well as knowledge.
目的:了解不同社会经济背景的绝经前妇女对早、晚绝经的症状、治疗方法、误区及原因的了解情况。材料和方法:横断面研究在齐亚乌丁大学医院进行,为期8个月。样本大小为300。通过询问人均收入来确定社会经济地位。评估绝经前妇女的知识和知觉。数据输入和分析使用SPSS 20版。结果:上流社会似乎对常见的更年期症状有很高的认识。下层年轻女性对更年期的认识最少,中产阶级次之。55%的女性认为更年期是自然衰老的过程,其余的人认为这是一种临床症状。持消极观点的大多数人属于较低的社会经济阶层。结论:大约四分之一的巴基斯坦人生活在贫困线以下,由于研究表明,这一阶层的妇女对更年期知之甚少,因此非常需要向这一阶层传播认识。这项研究将有助于改善下层妇女的生活质量,并最终减少由于更年期后果造成的发病率和死亡率。巴基斯坦对妇女关于更年期的知识的研究有限,重点更多地转向评价更年期的经验,而不是认识。不利的社会经济条件很可能给个人的心理健康留下深刻的印记。因此,它可能是意见和感知以及知识差异的主要风险因素。
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引用次数: 1
Effectiveness of Colposcopy in the Detection of Cervical Intraepithelial Neoplasias and its Correlation with a Histopathological Examination Report 阴道镜检查宫颈上皮内瘤变的有效性及其与组织病理学检查报告的相关性
Pub Date : 2019-06-01 DOI: 10.5005/jp-journals-10032-1166
Vijayasree Medarametla
Objectives: The objectives of the study were to screen women who have an unhealthy cervix by cytology and correlate the findings with colposcopy, and colposcopic-directed biopsies. Materials and methods: This is a prospective study conducted in the Department of Obstetrics and Gynecology in Mamata Medical College, Khammam, from October 2011 to June 2013. A total of 100 cases who fulfilled the selection criteria were included in the study. All the women enrolled in the study underwent a pap smear, colposcopy, and a colposcopic-directed biopsy. The sensitivity, specificity, positive predictive value, negative predictive value, false-positive rate, false-negative rate, and accuracy were calculated for the Pap smear and colposcopy, with the colpscopic-directed biopsy taken as the gold standard. Results: The sensitivity and specificity of the Pap smear were found to be 54.3% and 96.2%, respectively, and those of the colposcopy were 76.1% and 96.2%, respectively. The colposcopy showed a higher sensitivity than did the Pap smear. The specificity and positive predictive value of the Pap smear and colposcopy was comparable, whereas the accuracy of the colposcopy was higher than that of the Pap smear. Conclusion: Most of the women were in the age group of 31–40 years. The most common symptom was a recurrent white discharge per vagina. Colposcopy was useful in detecting cervical intraepithelial neoplasias. Colposcopy and cytology used together in patients with cervical lesions have a higher chance of detecting squamous intraepithelial lesions/malignancy than when either procedure used alone.
目的:本研究的目的是通过细胞学筛查宫颈不健康的妇女,并将结果与阴道镜检查和阴道镜指导下的活检相关联。材料与方法:本前瞻性研究于2011年10月至2013年6月在阿曼玛玛塔医学院妇产科进行。总共有100例符合选择标准的病例被纳入研究。所有参与研究的女性都接受了子宫颈抹片检查、阴道镜检查和阴道镜指导下的活检。计算子宫颈抹片检查和阴道镜检查的敏感性、特异性、阳性预测值、阴性预测值、假阳性率、假阴性率和准确性,以阴道镜引导活检为金标准。结果:巴氏涂片的敏感性和特异性分别为54.3%和96.2%,阴道镜检查的敏感性和特异性分别为76.1%和96.2%。阴道镜检查的灵敏度高于巴氏涂片检查。巴氏涂片和阴道镜检查的特异性和阳性预测值具有可比性,而阴道镜检查的准确性高于巴氏涂片检查。结论:患者以31 ~ 40岁年龄组居多。最常见的症状是反复出现阴道白色分泌物。阴道镜检查宫颈上皮内瘤变是有用的。阴道镜检查和细胞学检查在宫颈病变患者中发现鳞状上皮内病变/恶性肿瘤的机会高于单独使用任何一种检查。
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引用次数: 0
Successful Conservative Management of Spontaneous Unilateral Adrenal Hemorrhage in Pregnancy 妊娠期自发性单侧肾上腺出血的成功保守治疗
Pub Date : 2019-06-01 DOI: 10.5005/jp-journals-10032-1169
P. Roy, V. Mishra, R. Aggarwal, S. Choudhary, Preeti A. Goyal
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引用次数: 0
Manual of High-Risk Pregnancy 高危妊娠手册
Pub Date : 2019-06-01 DOI: 10.5005/jsafom-7-1-44
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引用次数: 4
Assessment of Knowledge and Awareness Regarding the Postmenopausal Syndrome in Women Aged above 30 Years in Quetta, Pakistan 巴基斯坦奎达市30岁以上妇女绝经后综合征的知识和意识评估
Pub Date : 2019-06-01 DOI: 10.5005/jp-journals-10032-1164
A. Nasim, N. Haq, S. Riaz, Gul Khanda, M. S. Zarak, M. Tahir, Muhammad Saood, Y. Shah
Ab s t r Ac t Background: More awareness regarding the postmenopausal syndrome (PMS) is needed for women to leading a quality life. Postmenopausal symptoms adversely affect the life expectancy and quality of life (QoL) of women. The aim of this study was to determine the knowledge and awareness regarding the postmenopausal syndrome among women above 30 years in Quetta, Pakistan. This study was to assess the amount of knowledge women have about postmenopause, its causes, symptoms, diagnosis, treatment, and complications. Materials and methods: A cross-sectional, interview-based survey was conducted from January to September 2016. An estimated 447 women (aged above 30 years) were selected. Their knowledge about the postmenopausal syndrome was assessed by a structured questionnaire. A convenient sampling technique was used to collect data. Results: A total of 550 questionnaires were distributed, of which 447 were returned (response rate: 81%). The mean age of the respondents was 38.06 ± 6.194 years. The mean of the total knowledge score was 12.77 ± 3.910. Totally, 53.0% had adequate knowledge regarding the postmenopausal syndrome and 47.0% had a poor knowledge regarding the postmenopausal syndrome.A total of 73.5% of the respondents were aware of the age of menopause. Majority of the respondents know the causes of the postmenopausal syndrome. An estimated 45.3% knew that it can be diagnosed by a blood test. A total of 43.8% did not know about the hormone replacement therapy used for the treatment of the postmenopausal syndrome. Conclusion: The purpose of this study was to assess the knowledge among Quetta women regarding the postmenopausal syndrome, its causes, symptoms, diagnosis, treatment, and complications. This study found that the knowledge among women regarding the postmenopausal syndrome is important for improving their QoL and for managing the symptoms of the postmenopausal syndrome. The study participants showed an adequate level of knowledge about the postmenopausal syndrome; however, there were areas of knowledge that need improvement by health education. Healthcare professionals should give all the necessary information to women about the postmenopausal syndrome. The ratio of poor knowledge can be improved by raising the awareness and increasing the education level of women.
背景:女性需要对绝经后综合征(PMS)有更多的认识,以过上高质量的生活。绝经后症状对妇女的预期寿命和生活质量(QoL)产生不利影响。本研究的目的是确定巴基斯坦奎达市30岁以上妇女对绝经后综合征的认识和认识。本研究旨在评估女性对绝经后的认知程度、原因、症状、诊断、治疗和并发症。材料与方法:2016年1 - 9月采用横断面访谈法进行调查。估计有447名女性(30岁以上)被选中。她们对绝经后综合症的认识通过结构化问卷进行评估。采用方便的抽样技术收集数据。结果:共发放问卷550份,回收问卷447份,回收率为81%。调查对象平均年龄为38.06±6.194岁。总知识得分的平均值为12.77±3.910。总的来说,53.0%的妇女对绝经后综合征有充分的认识,47.0%的妇女对绝经后综合征的认识不充分。73.5%的被调查者知道绝经年龄。大多数受访者知道绝经后综合症的原因。据估计,45.3%的人知道可以通过验血来诊断。共有43.8%的人不知道用于治疗绝经后综合征的激素替代疗法。结论:本研究的目的是评估奎达妇女对绝经后综合征及其原因、症状、诊断、治疗和并发症的认识。这项研究发现,妇女关于绝经后综合症的知识对改善她们的生活质量和管理绝经后综合症的症状很重要。研究参与者对绝经后综合症有足够的了解;然而,有些知识领域需要通过健康教育加以改进。医疗保健专业人员应该向妇女提供有关绝经后综合症的所有必要信息。知识贫乏的比例可以通过提高认识和提高妇女的教育水平来改善。
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引用次数: 0
Knowledge and Awareness of Cervical Cancer and its Prevention amongst Nursing Staff in a Tertiary Care Hospital 某三级护理医院护理人员对子宫颈癌及其预防的知识和意识
Pub Date : 2019-06-01 DOI: 10.5005/jp-journals-10032-1161
S. Rajaram, N. Goel, B. Gupta, A. Srivastava, Shilpa Singh, Vikas Lakha
Ab s t r Ac t Objective: To study the knowledge, attitude, and practices of nurses at a tertiary center regarding cervical cancer and preventive strategies. Materials and methods: A cross-sectional survey of cervical cancer screening awareness was conducted amongst 200 nurses at a tertiary care hospital in Delhi. A questionnaire was circulated after taking informed consent. The main factors studied included risk factors, sign and symptoms, screening, and prevention strategies. Results: In the present study, 70% of the staff nurses were aware of one or more symptoms of cervical cancer. Sixty percent were aware of HPV as a causative organism and 70% were aware of one or more risk factors. An estimated 76% of respondents were aware of a Pap smear as screening method, but only 11% had a Pap smear ever. Majority of them did not know about visual-inspection screening techniques. Only 58.9% were aware of the availability of a vaccine; of them only 27% knew about the age of administration of the vaccine and 10% were aware of the vaccination schedule. Conclusion: Knowledge of cancer cervix screening and vaccination was low among nursing staff. There is a need for periodic reorientation courses and integration of cervical cancer prevention issues in their existing curriculum.
目的:了解某三级专科医院护士对宫颈癌的知识、态度及护理措施。材料和方法:对德里一家三级医院的200名护士进行了宫颈癌筛查意识的横断面调查。在获得知情同意后分发了一份调查问卷。研究的主要因素包括危险因素、体征和症状、筛查和预防策略。结果:在本研究中,70%的护理人员知道宫颈癌的一种或多种症状。60%的人知道HPV是一种致病生物,70%的人知道一种或多种危险因素。估计76%的受访者知道子宫颈抹片检查是一种筛查方法,但只有11%的人曾经做过子宫颈抹片检查。他们中的大多数不知道视觉检查筛选技术。只有58.9%的人知道疫苗的可用性;其中只有27%的人知道接种疫苗的年龄,10%的人知道接种计划。结论:护理人员对宫颈癌筛查和疫苗接种的了解程度较低。有必要定期进行重新定位课程,并在现有课程中纳入预防宫颈癌的问题。
{"title":"Knowledge and Awareness of Cervical Cancer and its Prevention amongst Nursing Staff in a Tertiary Care Hospital","authors":"S. Rajaram, N. Goel, B. Gupta, A. Srivastava, Shilpa Singh, Vikas Lakha","doi":"10.5005/jp-journals-10032-1161","DOIUrl":"https://doi.org/10.5005/jp-journals-10032-1161","url":null,"abstract":"Ab s t r Ac t Objective: To study the knowledge, attitude, and practices of nurses at a tertiary center regarding cervical cancer and preventive strategies. Materials and methods: A cross-sectional survey of cervical cancer screening awareness was conducted amongst 200 nurses at a tertiary care hospital in Delhi. A questionnaire was circulated after taking informed consent. The main factors studied included risk factors, sign and symptoms, screening, and prevention strategies. Results: In the present study, 70% of the staff nurses were aware of one or more symptoms of cervical cancer. Sixty percent were aware of HPV as a causative organism and 70% were aware of one or more risk factors. An estimated 76% of respondents were aware of a Pap smear as screening method, but only 11% had a Pap smear ever. Majority of them did not know about visual-inspection screening techniques. Only 58.9% were aware of the availability of a vaccine; of them only 27% knew about the age of administration of the vaccine and 10% were aware of the vaccination schedule. Conclusion: Knowledge of cancer cervix screening and vaccination was low among nursing staff. There is a need for periodic reorientation courses and integration of cervical cancer prevention issues in their existing curriculum.","PeriodicalId":338227,"journal":{"name":"Journal of SAFOMS","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128842852","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}
引用次数: 0
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Journal of SAFOMS
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