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Laryngeal fetal atresia as a cause of congenital upper airway obstruction 胎儿喉闭锁是先天性上呼吸道阻塞的原因
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830317
M. Fuentes, Reismar Straker, Susana De Vita, Daniel Márquez
Congenital high airway obstruction syndrome (CHAOS) is total or partial obstruction of the fetal high respiratory tract, the most common cause being laryngeal atresia. It is a rare and fatal condition if perinatal intervention is not performed or if it is unrecognized. Prenatal ultrasound images show typical findings that can help in an early diagnosis, which is important to decide the successful planning of perinatal management or elective termination of pregnancy. A case diagnosed prenatally due to its characteristic ultrasound findings is presented.
先天性高气道阻塞综合征(CHAOS)是胎儿上呼吸道的全部或部分阻塞,最常见的原因是喉闭锁。如果不进行围产期干预或未被识别,这是一种罕见且致命的情况。产前超声图像显示了有助于早期诊断的典型发现,这对决定围产期管理或选择性终止妊娠的成功计划很重要。介绍了一例因其特征性超声检查结果而在产前诊断的病例。
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引用次数: 0
Sexo y género en investigación científica 科学研究中的性别与性别
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830303
Mireya González Blanco
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引用次数: 0
Mental Health, Violence, and Drug Use in Sex Workers During the COVID-19 Pandemic: A Scoping Review COVID-19大流行期间性工作者的精神健康、暴力和药物使用:范围审查
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830313
Joel Figueroa-Quiñones Joel Figueroa-Quiñones, Juan Ipanaque-Neyra Juan Ipanaque-Neyra, Willy Valle-Salvatierra Willy Valle-Salvatierra, Nelly Teresa Cóndor Heredia Nelly Teresa Cóndor Heredia
Objective: To review mental health, violence, and drug use in sex workers during the covid-19 pandemic. Methods: Scoping review in Scopus, PubMed, and SciELO. Studies in English and Spanish published in 2021 to 2022 were included, excluding secondary or pre-pandemic studies. Results: Of the 938 articles found, only 6 were analyzed. Most studies (n=3) were conducted in developed countries with young women and carriers of human immunodeficiency virus infection. Mental health was affected in prevalence from 26% to 82%. Violence was present in 50% and drug use in sex workers was reported from 21% to 75%. Conclusion: There is limited scientific production on mental health, violence and drug use in sex workers during the COVID-19 pandemic. Anxiety, depression, stress and suicidal behaviors reported high prevalence.
目的:回顾新冠肺炎大流行期间性工作者的心理健康、暴力和药物使用情况。方法:Scopus、PubMed和SciELO的Scoping综述。包括2021年至2022年发表的英语和西班牙语研究,不包括二级或疫情前的研究。结果:在发现的938篇文章中,只有6篇进行了分析。大多数研究(n=3)是在发达国家进行的,对象是年轻女性和人类免疫缺陷病毒感染者。心理健康受到影响的患病率从26%到82%。50%的人存在暴力行为,据报道性工作者吸毒的比例从21%到75%不等。结论:在新冠肺炎大流行期间,关于性工作者的心理健康、暴力和药物使用的科学成果有限。据报道,焦虑、抑郁、压力和自杀行为的发生率很高。
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引用次数: 0
Primary low-grade extrauterine stromal sarcoma 原发性低级别子宫外基质肉瘤
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830314
Eduardo Reyna-Villasmil, Martha Rondón-Tapia, Duly Torres-Cepeda
Endometriosis is a common benign lesion whose importance lies in the associated symptomatology and the possibility of malignant transformation. Endometrial stromal sarcoma is a rare tumor, accounting for only 0.2% of all female genital tract tumors. Primary extrauterine endometrial stromal sarcomas are even rarer, are frequently associated with endometriosis, and have been reported in the ovaries, fallopian tubes, pelvic cavity, abdominal cavity, and retroperitoneum in the absence of uterine pathology. We describe a case of a female patient who consulted for dysmenorrhea, dysuria, and dyschezia. Pelvic magnetic resonance showed a heterogeneous tumor in the left adnexa compatible with endometrioma. Histopathological findings and immunohistochemical staining were consistent with the diagnosis of primary low-grade extrauterine endometrial stromal sarcoma. The patient underwent total hysterectomy, bilateral oophorosalpingectomy, total omentectomy, and pelvic and para-aortic lymph node resection.
子宫内膜异位症是一种常见的良性病变,其重要性在于相关的症状和恶变的可能性。子宫内膜间质肉瘤是一种罕见的肿瘤,仅占所有女性生殖道肿瘤的0.2%。原发性子宫外子宫内膜间质肉瘤更为罕见,经常与子宫内膜异位症有关,据报道,在没有子宫病理的情况下,卵巢、输卵管、盆腔、腹腔和腹膜后都有这种情况。我们描述了一例女性患者,她因痛经、排尿困难和便便而就诊。盆腔磁共振显示左侧附件有一个与子宫内膜异位瘤相容的异质性肿瘤。组织病理学和免疫组织化学染色与原发性低度恶性子宫内膜间质肉瘤的诊断一致。患者接受了全子宫切除术、双侧卵输卵管切除术、全网膜切除术、盆腔和主动脉旁淋巴结切除术。
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引用次数: 0
Consequences of the type of delivery in pregnant women with previous cesarean section. 既往剖宫产孕妇分娩类型的影响。
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830310
Adriana Rodríguez-Palma, Youssef Fayad-Hanna,, David Hernández-Formica, Rangel Jiménez-Malavé, Santiago Rodríguez-Roque
Objective: To determine the consequences of the type of delivery in pregnant women with previous cesarean section,attended at the Hospital Universitario “Dr. Luis Razetti”, Barcelona, Anzoátegui state, during October 2019. Methods: Retrospective study, with descriptive level, of documentary design and cross-sectional cut, with a sample of 130 pregnant patients with previous cesarean section. A clinical history analysis guide was used as a data collection instrument. Results: Regarding the type of delivery, cesarean section predominated (52.3 versus 47.7%), however, 68.9% of the complications occurred in those with vaginal delivery, the most frequent being vaginal tears (33.3%), retained placenta (8.9%) and uterine hypotonia (8.9%). In contrast, in the group of pregnant women with cesarean section, surgical site infections (17.8%) and anemia (8.9%) were identified as the most frequent complications. Conclusions: The results of this research indicate that both vaginal delivery and cesarean section are safe, but the final decision depends on the individual clinical evaluation of each pregnant woman.
目的:确定2019年10月在安扎特吉州巴塞罗那“Luis Razetti医生”大学医院接受剖宫产的孕妇分娩类型的后果。方法:以130例剖宫产孕妇为样本,采用文献设计和横断面切割的描述性水平进行回顾性研究。临床病史分析指南被用作数据收集工具。结果:就分娩类型而言,剖宫产占主导地位(52.3%对47.7%),但68.9%的并发症发生在阴道分娩中,最常见的是阴道撕裂(33.3%)、胎盘残留(8.9%)和子宫张力低下(8.9%,手术部位感染(17.8%)和贫血(8.9%)是最常见的并发症。结论:这项研究的结果表明,阴道分娩和剖宫产都是安全的,但最终的决定取决于每个孕妇的个人临床评估。
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引用次数: 0
Ectopic ovarian gestation and β subunit of negative chorionic gonadotropin, is it possible? Report a rare case 异位卵巢妊娠和绒毛膜促性腺激素β亚基阴性,有可能吗?报告罕见病例
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830315
Johnny Alexander Padrón Sanabria, Betzabeth Nathali Torrealba Quevedo, Solangel del Carmen Silva Acosta, Meisber Antonel Obispo Calderón
Ovarian ectopic gestation occurs when fetal tissue implants outside the uterine cavity. Implantation is usually tubal; Ovarian localization has an incidence of less than 1%. The diagnosis is confirmed by ultrasonography and the β subunit of chorionic gonadotropin in urine or blood; But its negativity doesn’t rule out the diagnosis. We present the case of a 19-year-old nulliparous patient with pelvic pain, with no significant history. Ultrasound revealed a 65 mm right ovary tumor. The β subunit value of chorionic gonadotropin was 3 mIU/L. The operative findings were: 100 cc hemoperitoneum, ruptured right ovary cyst of 6 x 4 cm ruptured, ectopic pregnancy of 7 weeks of gestation in Douglas sac fundus and phlegmonous appendix. The anatomopathological study reflected: moderate periappendicitis, right ovary with inflammation, neovascularization, vascular congestion, recent hemorrhage and ovarian ectopic pregnancy
当胎儿组织植入子宫腔外时,就会发生卵巢异位妊娠。植入通常是输卵管;卵巢定位的发生率不到1%。通过超声检查和尿液或血液中绒毛膜促性腺激素的β亚基来确认诊断;但它的消极性并不排除诊断的可能性。我们报告了一例19岁的未产妇骨盆疼痛,无明显病史。超声检查发现一个65毫米的右卵巢肿瘤。绒毛膜促性腺激素β亚基值为3mIU/L。手术结果为:腹腔积血100毫升,右侧卵巢囊肿破裂6 x 4厘米,道格拉斯囊底异位妊娠7周,阑尾积水。解剖病理学研究反映:中度阑尾周围炎、右侧卵巢伴炎症、新生血管、血管充血、近期出血和卵巢异位妊娠
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引用次数: 0
Simulation of apical support when assessing anterior and posterior compartment prolapse 评估前后室脱垂时心尖支撑的模拟
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830307
Lina María Figueira Rodriguez, J. Cordero, María Torres, Gledys Torres, A. Lemmo, Jennifer Visconti
Objective: To evaluate whether simulated correction of apical prolapse determines the reduction or disappearance of anterior and posterior vaginal prolapse, using the Pelvic Organ Prolapse Quantification (POPQ) system. Methods: Cross-sectional study. The population consisted of patients who attended to the Hospital Universitario de Caracas with pelvic organ prolapse stage II or greater and who had involvement of the apical compartment between 2021 and 2022. The selection of the sample was made in a non-probabilistic, sequential way. Each patient underwent POPQ before and after simulation of apical support with the posterior blade of a standard Graves speculum. The Aa Ba Ap and Bp points were evaluated before and after simulation and the proportion of patients in whom the stage of anterior or posterior prolapse changed when simulating apical support was also determined. Results: We included 100 patients, most of them with prolapse stage III and IV. After apical support, the anterior compartment points were corrected to a value between 0 to -2 or -3 in most cases (p< 0.05). The points corresponding to the posterior vaginal wall changed to -3 in most patients (p< 0.05). The prolapse stage of the anterior compartment, changed to stage ≤ II in 99 % of cases (p< 0.05), and in 100% in the posterior compartment (p<0.05). Conclusion: Simulation of apical support during POPQ demonstrated correction of anterior and posterior compartment prolapse in a high percentage of patients.
目的:应用盆腔器官脱垂量化(POPQ)系统,评价模拟根尖脱垂矫正是否能确定阴道前后脱垂的减少或消失。方法:横断面研究。该人群包括在2021年至2022年期间到加拉加斯大学医院就诊的盆腔器官脱垂II期或以上的患者。样本的选择是非概率的、顺序的。每位患者在使用标准Graves镜后叶模拟根尖支持前后均进行了POPQ。评估模拟前后的Aa、Ba、Ap、Bp点,并确定模拟根尖支持时前脱垂或后脱垂阶段发生改变的患者比例。结果:我们纳入了100例患者,其中大多数为脱垂III期和IV期。在根尖支持后,大多数病例的前室点被纠正到0到-2或-3之间(p< 0.05)。多数患者阴道后壁对应点变为-3,差异有统计学意义(p< 0.05)。前腔室脱垂期变为≤II期的占99% (p<0.05),后腔室脱垂期变为100% (p<0.05)。结论:在POPQ过程中模拟根尖支持显示了高百分比的患者前后房室脱垂的矫正。
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引用次数: 0
Father’s perception of his role towards breastfeeding in the region of Ñuble, Chile, 2021 2021年,智利尼乌布勒地区父亲对母乳喂养角色的看法
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830305
Javiera Aguilera-Díaz Javiera Aguilera-Díaz, Isabella Castillo-Oyarzo sabella Castillo-Oyarzo, Caroline García-Yáñez Caroline García-Yáñez, Krishna Garrido-Muñoz Krishna Garrido-Muñoz, Ramon C. Gelabert Ramon C. Gelabert, Bárbara Cerda Aedo Bárbara Cerda Aedo
Objective: To describe the perception of the father regarding the paternal role in exclusive breastfeeding in the region of Ñuble, Chile, during the year 2021 and 2022. Methods: A qualitative study was conducted with a phenomenological design of a non-probabilistic type. 7 parents were selected and a semi-structured interview of 20-35 minutes was conducted with each participant through the Zoom platform. In the analysis, the recordings of the interviews were used for subsequent transcription and coding. Results: 5 relevant classifications were obtained for the interpretation of the answers submitted by the participants. While all parents lived and live the breastfeeding process differently, everyone knows and recognizes the importance of their role in breastfeeding, and they also agree that this milestone generates different feelings and emotions. Conclusion: It is important that male fathers receive extensive information about breastfeeding and what it entails,so that they can be a concrete help during the breastfeeding period.
目的:描述2021年和2022年智利尼乌布勒地区父亲对纯母乳喂养中父亲角色的看法。方法:采用非概率型现象学设计进行定性研究。选择了7位家长,并通过Zoom平台对每位参与者进行了20-35分钟的半结构化访谈。在分析中,访谈记录被用于随后的转录和编码。结果:对于参与者提交的答案的解释,获得了5个相关分类。虽然所有父母在母乳喂养过程中的生活方式都不同,但每个人都知道并认识到他们在母乳喂养中的作用的重要性,他们也同意这一里程碑会产生不同的感受和情绪。结论:重要的是,男性父亲要广泛了解母乳喂养及其相关内容,以便在母乳喂养期间提供具体帮助。
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引用次数: 0
Knowledge and beliefs about HIV/AIDS among women using barrier and natural methods: an analysis in urban and rural areas. 使用障碍和自然方法的妇女对艾滋病毒/艾滋病的知识和信念:城市和农村地区的分析。
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830309
Sarai Castro-Leyton, Judith Castro-Chuchon, Angie Chamorro-Gómez, Yenny Chipana-Chuquihuamani, John Barja-Ore
Objective: To analyze the knowledge and beliefs about HIV/AIDS in women users of barrier and natural methods in urban and rural areas of Peru. Methods: Cross-sectional analytical study that analyzed the registry of 4926 and 2273 urban and rural women, respectively, who participated in a national survey in 2021. Frequencies and percentages weighted with 95% confidence intervals were estimated; and the chi-square test was calculated with a significance level less than 0.05. Results: In rural areas, the majority of women were users of natural methods (73.6%), while in urban areas, there was less ignorance about HIV/AIDS infection status (11.4%). The proportion of women with inadequate beliefs about HIV was significantly higher in rural areas compared to urban areas (p < 0.001). A higher percentage of barrier method users living in both urban (12.6%) and rural (25.1%) areas were unaware of HIV/AIDS-related issues. Conclusion: In rural areas there is a higher percentage of lack of knowledge and erroneous beliefs about HIV/AIDS. The use of barrier methods was higher in urban areas and natural methods in rural areas. Knowledge and appropriate beliefs were mostly present in users of barrier methods in both rural and urban areas.
目的:分析秘鲁城市和农村地区使用屏障和自然方法的女性对艾滋病毒/艾滋病的知识和信念。方法:横断面分析研究,分别分析了4926名和2273名城市和农村妇女的登记情况,她们参加了2021年的一项全国调查。估计了以95%置信区间加权的频率和百分比;卡方检验的显著性水平小于0.05。结果:在农村地区,大多数妇女使用自然方法(73.6%),而在城市地区,对艾滋病毒/艾滋病感染状况的无知程度较低(11.4%)。与城市地区相比,农村地区对艾滋病毒信仰不足的妇女比例明显更高(p<0.001)。生活在城市(12.6%)和农村(25.1%)地区的屏障方法使用者不知道艾滋病毒/艾滋病相关问题的比例更高。结论:在农村地区,对艾滋病毒/艾滋病缺乏知识和错误信念的比例更高。屏障方法在城市地区的使用率较高,在农村地区使用自然方法。在农村和城市地区,屏障方法的使用者大多具有知识和适当的信念。
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引用次数: 0
Usefulness of fetal sacral length measurement for the prediction of gestational age 胎儿骶骨长度测量对预测胎龄的有用性
Q4 Medicine Pub Date : 2023-08-03 DOI: 10.51288/00830311
Eduardo Reyna-Villasmil, Jorly Mejía-Montilla, Duly Torres-Cepeda, Nadia Reyna-Villasmil, Martha Rondón-Tapia, Carlos Briceño-Pérez
Objective: To establish the usefulness of fetal sacral length measurement for the prediction of gestational age. Methods: A longitudinal and prospective study was conducted between January 2016 and December 2022 in women with low-risk singleton pregnancies, between 14 and 40 weeks of gestation, who attended prenatal consultation at the Central Hospital “Dr. Urquinaona”, Maracaibo. Biparietal diameter, abdominal circumference, femur length, and fetal sacrum length were measured during pregnancy. Results: For the final analysis, data from 215 healthy women was selected. A total of 3,033 total evaluations were performed, with the lowest number of evaluations at 38 weeks with 104 and the highest number of 139 at 22 weeks. When analyzing the correlation between sacral length and gestational age by date of last menstrual period and the rest of the ultrasound variables used, strong, positive, and significant correlations were found (p < 0.0001). The average difference between the gestational age determined by the date of the last menstrual period and that obtained by the model was +/- 0.3 weeks. The value of the coefficient of determination of the model of gestational age predicted by measurement was 0.975. When combining the four ultrasound parameters studied in the resulting model, it was 0.990. Conclusion: Measurement of fetal sacral length by ultrasonography is useful for predicting gestational age with high precision.
目的:探讨胎儿骶骨长度测量在预测孕龄中的作用。方法:在2016年1月至2022年12月期间,对妊娠14至40周的低风险单胎妊娠妇女进行了一项纵向和前瞻性研究,这些妇女在马拉开波的中央医院“Urquinaona医生”接受了产前咨询。在妊娠期间测量了双侧顶径、腹围、股骨长度和胎儿骶骨长度。结果:在最终分析中,选择了215名健康女性的数据。总共进行了3033次评估,38周时评估次数最低,为104次,22周时评估数量最高,为139次。通过最后一次月经日期和其他使用的超声变量分析骶骨长度和胎龄之间的相关性时,发现了强、正和显著的相关性(p<0.0001)。根据最后一次经期日期确定的胎龄与模型获得的胎龄之间平均差为+/-0.3周。通过测量预测的胎龄模型的决定系数的值为0.975。当将所得模型中研究的四个超声参数相结合时,其为0.990。结论:超声测量胎儿骶骨长度有助于准确预测孕龄。
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引用次数: 0
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Revista de Obstetricia y Ginecologia de Venezuela
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