Pub Date : 2019-01-01DOI: 10.15406/mojwh.2019.08.00224
Baydaa Al Sannan, Eyad Saleh, M. Nandakumaran, Harmi Nandakumaran, Jehad Al Harmi
Though incidence of Diabetes Mellitus in Pregnancy is a serious complication of Pregnancy, data on pregnancy outcome in diabetic pregnancies in Kuwaiti Obstetric Population are scanty. Hence we have attempted to establish baseline parameters of Pregnancy outcome in Type 2 Diabetic Pregnancies including Gestational Diabetic Pregnancies by conducting a retrospective survey of Type 2 Diabetic Pregnancies and compared the Date Obtained from control, uncomplicated normal pregnancies in a Tertiary Hospital in Kuwait.
{"title":"Comparative assessment of pregnancy outcome in diabetic obstetric population in Kuwait tertiary hospital","authors":"Baydaa Al Sannan, Eyad Saleh, M. Nandakumaran, Harmi Nandakumaran, Jehad Al Harmi","doi":"10.15406/mojwh.2019.08.00224","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00224","url":null,"abstract":"Though incidence of Diabetes Mellitus in Pregnancy is a serious complication of Pregnancy, data on pregnancy outcome in diabetic pregnancies in Kuwaiti Obstetric Population are scanty. Hence we have attempted to establish baseline parameters of Pregnancy outcome in Type 2 Diabetic Pregnancies including Gestational Diabetic Pregnancies by conducting a retrospective survey of Type 2 Diabetic Pregnancies and compared the Date Obtained from control, uncomplicated normal pregnancies in a Tertiary Hospital in Kuwait.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"4 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67090767","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00240
Khuraseva Ab, A. Acquah, Brimpong Bb, Odiase Be, Konoplya Aa
Uterine fibroids (UF), one of the most common benign gynecologic tumors has been found to occur more often in African women.1 Since the disease is not acute in nature, its onset probably begins early in the reproductive years before clinical manifestation hence the need for early screening and diagnosis. The major reason for such disparities is the fact that routine screening for fibroid is usually not performed as only 20% to 50% of those affected are symptomatic with the rest all being asymptomatic.2 Although interstitial localization of uterine fibroid is the most frequent in practice they become symptomatic only when large in size. However, sub mucous localization appear to be symptomatic irrespective of its size either small or big.3 Although poorly understood, certain etiological factors such as race/ethnicity, parity and age of menarche have been attributed to being the cause of uterine fibroid development in general. In African women however, other factors like obesity, hair relaxer use also come into play thus may explain why the expected pharmacological treatment which have been proven to be effective in other races not be effective in them. The problem is compounded by the fact that many clinical trials do not include adequate representation of all race/ethnicity.4 This leaves the African woman with only surgical treatment options like myomectomy and hysterectomy. Myomectomy is known to have a high recurrence rate while hysterectomy is no better option for the African woman for cultural reasons,5 thus it is imperative to look for other options for treatment for the African woman who may not even be able to afford the emerging pharmacotherapies. To achieve this, there is a need to search for the specific causes of uterine fibroids among the African woman so as to find simple preventive measures to curb this condition thus the purpose of this review.
{"title":"Etiological reasons, screening, and simple prophylactic measures of uterine fibroid in women of African descent","authors":"Khuraseva Ab, A. Acquah, Brimpong Bb, Odiase Be, Konoplya Aa","doi":"10.15406/mojwh.2019.08.00240","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00240","url":null,"abstract":"Uterine fibroids (UF), one of the most common benign gynecologic tumors has been found to occur more often in African women.1 Since the disease is not acute in nature, its onset probably begins early in the reproductive years before clinical manifestation hence the need for early screening and diagnosis. The major reason for such disparities is the fact that routine screening for fibroid is usually not performed as only 20% to 50% of those affected are symptomatic with the rest all being asymptomatic.2 Although interstitial localization of uterine fibroid is the most frequent in practice they become symptomatic only when large in size. However, sub mucous localization appear to be symptomatic irrespective of its size either small or big.3 Although poorly understood, certain etiological factors such as race/ethnicity, parity and age of menarche have been attributed to being the cause of uterine fibroid development in general. In African women however, other factors like obesity, hair relaxer use also come into play thus may explain why the expected pharmacological treatment which have been proven to be effective in other races not be effective in them. The problem is compounded by the fact that many clinical trials do not include adequate representation of all race/ethnicity.4 This leaves the African woman with only surgical treatment options like myomectomy and hysterectomy. Myomectomy is known to have a high recurrence rate while hysterectomy is no better option for the African woman for cultural reasons,5 thus it is imperative to look for other options for treatment for the African woman who may not even be able to afford the emerging pharmacotherapies. To achieve this, there is a need to search for the specific causes of uterine fibroids among the African woman so as to find simple preventive measures to curb this condition thus the purpose of this review.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091625","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00249
I. Elnasr, Hesham Ammar
Gestational diabetes mellitus [GDM] is diagnosed when glucose intolerance starts during pregnancy.1 It occurs in 6–7% of pregnancies. These patients have more chance of maternal complications and developing diabetes in older age with many neonatal complications up to stillbirth and neonatal death.2,3 Use of insulin has been the only pharmacological line for women with GDM, but it is high cost and inconvenient.1 Many studies show that Glibenclamide and metformin can be used as insulin in controlling hyperglycemia in GDM, with no change in maternal and neonatal complications.4 The target of our study is to evaluate use of metformin or glibenclamide in glycemic control and reducing maternal and neonatal complications in GDM to assess if it is possible to replace metformin or glibenclamide instead of insulin in GDM.
{"title":"Can Oral hypoglycemic drugs replace Insulin for management of patients with gestational diabetes mellitus in pregnant Egyptian women’s: Observational study?","authors":"I. Elnasr, Hesham Ammar","doi":"10.15406/mojwh.2019.08.00249","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00249","url":null,"abstract":"Gestational diabetes mellitus [GDM] is diagnosed when glucose intolerance starts during pregnancy.1 It occurs in 6–7% of pregnancies. These patients have more chance of maternal complications and developing diabetes in older age with many neonatal complications up to stillbirth and neonatal death.2,3 Use of insulin has been the only pharmacological line for women with GDM, but it is high cost and inconvenient.1 Many studies show that Glibenclamide and metformin can be used as insulin in controlling hyperglycemia in GDM, with no change in maternal and neonatal complications.4 The target of our study is to evaluate use of metformin or glibenclamide in glycemic control and reducing maternal and neonatal complications in GDM to assess if it is possible to replace metformin or glibenclamide instead of insulin in GDM.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091852","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00230
S. E, Benyuk V, Lastovetska L, S. V
{"title":"Study of the functional activity of mucous membrane cervix and vagina in patients with genital herpes","authors":"S. E, Benyuk V, Lastovetska L, S. V","doi":"10.15406/mojwh.2019.08.00230","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00230","url":null,"abstract":"","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091049","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00243
Rashmi Aggarwal
Retnakaran et al studied all women with singleton, live birth first pregnancies between April 2000 to March 2010. A total of 642987 pregnant women were recruited.2 Out of these 313280 delivered a girl child and the remaining delivered a male child. This cohort was followed up for a median period of 3.8 years. Development of type 2 diabetes was the main outcome and it was found that carrying a male fetus yielded a greater risk of gestational diabetes in the ongoing pregnancy and also the second pregnancy. The same authors in a subsequent study concluded that after adjusting for classical risk factors of developing gestational diabetes like maternal age at the time of conception, family history of diabetes and body mass index, the presence of male fetus is considered to be an independent risk factor for poor beta cell function in the mother.3 This conclusion was based on the study which involved a total of 1074 pregnant women who underwent metabolic characterization by performing oral glucose tolerance test (OGTT) at mean 29.5 weeks gestation. The prevalence of gestational diabetes, insulin resistance determined by HOMA was evaluated and compared between 534 women who were carrying a female fetus with 540 females who were carrying a male fetus. Women carrying a male fetus had a higher odds ratio of developing GDM (odds ratio 1.39-95%confidence interval 1.011.90). They concluded that male fetus is associated with poorer beta cell function, higher post prandial glycemia and an increased risk of GDM in mother.3 Thus fetal sex is potentially capable of influencing maternal glucose metabolism in pregnancy. Although the risk of developing gestational diabetes associated with carrying a male fetus is very modest but nevertheless, it supports the concept of fetal influence on maternal physiology. The evidence that male fetus increases the risk of gestational diabetes suggests that further studies should be undertaken to explore the relationship between maternal and fetal physiology. There could be an important metabolic relationship between the mother and her growing fetus that needs to be studied further in greater details.
{"title":"Fetal sex and risk of developing gestational diabetes mellitus and type 2 diabetes mellitus in mother","authors":"Rashmi Aggarwal","doi":"10.15406/mojwh.2019.08.00243","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00243","url":null,"abstract":"Retnakaran et al studied all women with singleton, live birth first pregnancies between April 2000 to March 2010. A total of 642987 pregnant women were recruited.2 Out of these 313280 delivered a girl child and the remaining delivered a male child. This cohort was followed up for a median period of 3.8 years. Development of type 2 diabetes was the main outcome and it was found that carrying a male fetus yielded a greater risk of gestational diabetes in the ongoing pregnancy and also the second pregnancy. The same authors in a subsequent study concluded that after adjusting for classical risk factors of developing gestational diabetes like maternal age at the time of conception, family history of diabetes and body mass index, the presence of male fetus is considered to be an independent risk factor for poor beta cell function in the mother.3 This conclusion was based on the study which involved a total of 1074 pregnant women who underwent metabolic characterization by performing oral glucose tolerance test (OGTT) at mean 29.5 weeks gestation. The prevalence of gestational diabetes, insulin resistance determined by HOMA was evaluated and compared between 534 women who were carrying a female fetus with 540 females who were carrying a male fetus. Women carrying a male fetus had a higher odds ratio of developing GDM (odds ratio 1.39-95%confidence interval 1.011.90). They concluded that male fetus is associated with poorer beta cell function, higher post prandial glycemia and an increased risk of GDM in mother.3 Thus fetal sex is potentially capable of influencing maternal glucose metabolism in pregnancy. Although the risk of developing gestational diabetes associated with carrying a male fetus is very modest but nevertheless, it supports the concept of fetal influence on maternal physiology. The evidence that male fetus increases the risk of gestational diabetes suggests that further studies should be undertaken to explore the relationship between maternal and fetal physiology. There could be an important metabolic relationship between the mother and her growing fetus that needs to be studied further in greater details.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091776","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00259
Dilek Orbatu, D. Alaygut, K. Eliaçık
With the increase in the use of internet-related activities and the smart phones, the rapid assessment of technology is becoming increasingly popular worldwide.1,2 Following the acceptance of the term’ internet dependency’, the concept of internet gaming disorder (IGD) has begun to be emphasized. It was categorized as a behavioral addiction for the first time in the Diagnostic and Statistical Manual of Mental Disorders -5 (DSM-5) and included under the heading of nonsubstance related disorders.3 As a result of the adoption of the concept of behavioral addiction in DSM-5, the debates about whether some behaviors such as internet addiction, video games, sex and physical exercise can be included in this group have gained momentum.4 IGD is a potential mental health disorder.5 The cognitive pathologies underlying IGD are overly prone to the overwhelming importance given to awards from online games, to take on different identities, to participate in activities, and thus to be extremely inclined to play video games.5 IGD, mostly resembles gambling addiction in DSM5. IGD have 9 diagnostic criteria. These are concerns with internet games, feeling exhausted when being away from internet games, developing tolerance and increasing time spent on the internet, unsuccessful attempts to quit surfing on the internet, decreased enthusiasm in the fields of interests and hobbies, not being able to desist from playing games even though it is known that it will cause psychosocial problems. Misleading therapists and family members about the time spent during gaming, indulging in internet games to get away from negative moods, and missing friendship, work, education and career opportunities due to game addiction.6 Reaching consensus on the definition of IGD will speed up the diagnostic process, shape and guide treatment approaches.7 Material and methods
{"title":"Internet gaming disorder in adolescents","authors":"Dilek Orbatu, D. Alaygut, K. Eliaçık","doi":"10.15406/mojwh.2019.08.00259","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00259","url":null,"abstract":"With the increase in the use of internet-related activities and the smart phones, the rapid assessment of technology is becoming increasingly popular worldwide.1,2 Following the acceptance of the term’ internet dependency’, the concept of internet gaming disorder (IGD) has begun to be emphasized. It was categorized as a behavioral addiction for the first time in the Diagnostic and Statistical Manual of Mental Disorders -5 (DSM-5) and included under the heading of nonsubstance related disorders.3 As a result of the adoption of the concept of behavioral addiction in DSM-5, the debates about whether some behaviors such as internet addiction, video games, sex and physical exercise can be included in this group have gained momentum.4 IGD is a potential mental health disorder.5 The cognitive pathologies underlying IGD are overly prone to the overwhelming importance given to awards from online games, to take on different identities, to participate in activities, and thus to be extremely inclined to play video games.5 IGD, mostly resembles gambling addiction in DSM5. IGD have 9 diagnostic criteria. These are concerns with internet games, feeling exhausted when being away from internet games, developing tolerance and increasing time spent on the internet, unsuccessful attempts to quit surfing on the internet, decreased enthusiasm in the fields of interests and hobbies, not being able to desist from playing games even though it is known that it will cause psychosocial problems. Misleading therapists and family members about the time spent during gaming, indulging in internet games to get away from negative moods, and missing friendship, work, education and career opportunities due to game addiction.6 Reaching consensus on the definition of IGD will speed up the diagnostic process, shape and guide treatment approaches.7 Material and methods","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091816","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00250
A. Abebe, Fikir Alebachew, Mengistu, Mesfin Wudu Kassaw, Mulugeta, Mihrete Tefera
Abbreviations: AIM, action and investment to defeat malaria; CDC, center for disease control; FGD, focus group discussion; HC, health center; HEP, health extension program; HP, health post; HSB, health seeking behavior; HH, household; IEC, information education communication; IMNCI, integrated management of neonatal and childhood illness; MOH, ministry of health; NMV, non-mobile clinic village; MV, mobile clinic villages; PHC, primary health care; RDT, rapid diagnostic tests; SSA, sub sahara Africa; TM, traditional medicine; WHO, world health organization
{"title":"Awareness of sexual trafficking and associated factors among youth females in debre birhan town, north shewa, Ethiopia, 2017","authors":"A. Abebe, Fikir Alebachew, Mengistu, Mesfin Wudu Kassaw, Mulugeta, Mihrete Tefera","doi":"10.15406/mojwh.2019.08.00250","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00250","url":null,"abstract":"Abbreviations: AIM, action and investment to defeat malaria; CDC, center for disease control; FGD, focus group discussion; HC, health center; HEP, health extension program; HP, health post; HSB, health seeking behavior; HH, household; IEC, information education communication; IMNCI, integrated management of neonatal and childhood illness; MOH, ministry of health; NMV, non-mobile clinic village; MV, mobile clinic villages; PHC, primary health care; RDT, rapid diagnostic tests; SSA, sub sahara Africa; TM, traditional medicine; WHO, world health organization","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091886","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 : 2019-01-01DOI: 10.15406/mojwh.2019.08.00201
A. Rani, H. Heena, Poojita Poojita, V. Srivastava
There is no loss of weight. Her menstrual periods were regular. On examination there was mild pallor her pulse rare was 90/minute. Her BP was 120/88mm of Hg. There was no lymphadenopathy mild pedal edema was present. On per abdominal examination there was a cystic lump in lower abdomen expending up to umbilicus. On per speculum examination cervix was normal. On per vaginal examination uterus could not be felt separately from mass. No tenderness. On Ultrasound there was a large ovarian mass. CT scan was also done which was also showing large ovarian mass (Figure 1) (Figure 2). There was no ascites and no lymphadenopathy. Patient was planned for total abdominal hysterectomy and bilateral salpingoophrectomy. But patient was willing for preservation of her fertility because she wanted one more child. 4
{"title":"A case of big omental cyst mimicking like malignant ovarian tumor","authors":"A. Rani, H. Heena, Poojita Poojita, V. Srivastava","doi":"10.15406/mojwh.2019.08.00201","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00201","url":null,"abstract":"There is no loss of weight. Her menstrual periods were regular. On examination there was mild pallor her pulse rare was 90/minute. Her BP was 120/88mm of Hg. There was no lymphadenopathy mild pedal edema was present. On per abdominal examination there was a cystic lump in lower abdomen expending up to umbilicus. On per speculum examination cervix was normal. On per vaginal examination uterus could not be felt separately from mass. No tenderness. On Ultrasound there was a large ovarian mass. CT scan was also done which was also showing large ovarian mass (Figure 1) (Figure 2). There was no ascites and no lymphadenopathy. Patient was planned for total abdominal hysterectomy and bilateral salpingoophrectomy. But patient was willing for preservation of her fertility because she wanted one more child. 4","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67090965","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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