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Digital Twin of the Female Pelvic Floor. 女性盆底的数字双胞胎
妇产科期刊(英文)
Pub Date : 2024-11-01 Epub Date: 2024-11-06 DOI: 10.4236/ojog.2024.1411138
Vladimir Egorov

Digital twin technology, originally developed for intricate physical systems, holds great potential in women's healthcare, particularly in the management of pelvic floor disorders. This paper delves into the development of a digital twin specifically for the female pelvic floor, which can amalgamate various data sources such as imaging, biomechanical assessments, and patient-reported outcomes to offer personalized diagnostic and therapeutic insights. Through the utilization of 3D modeling and machine learning, the digital twin may facilitate precise visualization, prediction, and individualized treatment planning. Nevertheless, it is crucial to address the ethical and practical challenges related to data privacy and ensuring fair access. As this technology progresses, it has the potential to revolutionize gynecological and obstetric care by enhancing diagnostics, customizing treatments, and increasing patient involvement.

数字孪生技术最初是为复杂的物理系统而开发的，在女性医疗保健领域，尤其是盆底疾病的管理方面具有巨大的潜力。本文深入探讨了专为女性盆底开发的数字孪生技术，该技术可以整合各种数据源，如成像、生物力学评估和患者报告结果，从而提供个性化的诊断和治疗见解。通过利用三维建模和机器学习，数字孪生可以促进精确的可视化、预测和个性化治疗规划。然而，解决与数据隐私和确保公平访问相关的伦理和实际挑战至关重要。随着这项技术的发展，它有可能通过加强诊断、定制治疗和增加患者参与来彻底改变妇产科护理。
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引用次数: 0
Evaluating the Efficacy of Cervical Tactile Ultrasound Technique as a Predictive Tool for Spontaneous Preterm Birth. 评估宫颈触觉超声技术作为自然早产预测工具的有效性
妇产科期刊(英文)
Pub Date : 2024-05-01 Epub Date: 2024-05-24 DOI: 10.4236/ojog.2024.145067
Vladimir Egorov, Todd Rosen, Jennifer Hill, Meena Khandelwal, Victors Kurtenoks, Brendan Francy, Noune Sarvazyan

Background: Premature cervical softening and shortening may be considered an early mechanical failure that predispose to preterm birth.

Purpose: This study aims to explore the applicability of an innovative cervical tactile ultrasound approach for predicting spontaneous preterm birth (sPTB).

Materials and methods: Eligible participants were women with low-risk singleton pregnancies in their second trimester, enrolled in this prospective observational study. A Cervix Monitor (CM) device was designed with a vaginal probe comprising four tactile sensors and a single ultrasound transducer operating at 5 MHz. The probe enabled the application of controllable pressure to the external cervical surface, facilitating the acquisition of stress-strain data from both anterior and posterior cervical sectors. Gestational age at delivery was recorded and compared against cervical elasticity.

Results: CM examination data were analyzed for 127 women at 240/7 - 286/7 gestational weeks. sPTB was observed in 6.3% of the cases. The preterm group exhibited a lower average cervical stress-to-strain ratio (elasticity) of 0.70 ± 0.26 kPa/mm compared to the term group's 1.63 ± 0.65 kPa/mm with a p-value of 1.1 × 10-4. Diagnostic accuracy for predicting spontaneous preterm birth based solely on cervical elasticity data was found to be 95.0% (95% CI, 88.5 - 100.0).

Conclusion: These findings suggest that measuring cervical elasticity with the designed tactile ultrasound probe has the potential to predict spontaneous preterm birth in a cost-effective manner.

背景：目的：本研究旨在探索一种创新的宫颈触觉超声方法在预测自发性早产（sPTB）方面的适用性：符合条件的参与者为低风险单胎妊娠后三个月的妇女，她们都参加了这项前瞻性观察研究。研究人员设计了一种宫颈监测器（CM）装置，其阴道探头由四个触觉传感器和一个工作频率为 5 兆赫的超声换能器组成。该探头可对宫颈外表面施加可控压力，便于采集宫颈前后两侧的应力应变数据。记录分娩时的妊娠年龄，并与颈椎弹性进行比较：分析了 127 名孕周 240/7 - 286/7 的产妇的 CM 检查数据。早产组的平均宫颈应力应变比（弹性）为 0.70 ± 0.26 kPa/mm，低于足月组的 1.63 ± 0.65 kPa/mm，P 值为 1.1 × 10-4。仅根据宫颈弹性数据预测自然早产的诊断准确率为 95.0%（95% CI，88.5 - 100.0）：这些研究结果表明，使用设计的触觉超声探头测量宫颈弹性有可能以经济有效的方式预测自发性早产。
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引用次数: 0
Factors Predicting Transformation of Non-Severe Pre-Eclampsia into Pre-Eclampsia with Severe Features 非重度子痫前期转化为重度子痫前期的预测因素
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.132017
M. Samy, Ahmed Nagy Abdul-Rahman Younis, Karim Mohammed Labib
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引用次数: 0
Prediction of Success Rates of Vaginal Birth after Cesarean Delivery According to the Previous Indication for Cesarean Delivery 根据既往剖宫产适应证预测剖宫产后阴道分娩成功率
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.131004
Hytham Atia, Amani Khider, N. M. Metwally
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引用次数: 0
Gingival Hyperplasia during Pregnancy: Frequency and Clinical Presentation in a Tertiary Level Hospital in Yaoundé-Cameroon 怀孕期间牙龈增生:在喀麦隆雅温德萨的一家三级医院的频率和临床表现
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.132016
C. Nsahlai, V. M. Batoum, Azemafac Njifac Vianny, Nokam Abena Marie Elvire, Foumane Pascal
{"title":"Gingival Hyperplasia during Pregnancy: Frequency and Clinical Presentation in a Tertiary Level Hospital in Yaoundé-Cameroon","authors":"C. Nsahlai, V. M. Batoum, Azemafac Njifac Vianny, Nokam Abena Marie Elvire, Foumane Pascal","doi":"10.4236/ojog.2023.132016","DOIUrl":"https://doi.org/10.4236/ojog.2023.132016","url":null,"abstract":"","PeriodicalId":67381,"journal":{"name":"妇产科期刊(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70469799","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
Mothers’ Level of Schooling, Monitoring of Their Pregnancy and Perinatal Prognosis at the Reference Health Centre of Commune V of the District of Bamako 巴马科区第五公社参考保健中心的母亲受教育程度、妊娠监测和围产期预后
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.132037
Albachar Hamidou, S. Dembélé, C. Sylla, Sissoko Hamady, S. Dao, A. Samaké, S. Doumbia, Cissao Chiaka, Sanogo Siaka Amara, Séma Kéita
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引用次数: 0
Determinants of Breastfeeding Practices among Working Mothers in Solwezi District of Zambia 赞比亚Solwezi地区职业母亲母乳喂养行为的决定因素
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.133043
Twaambo Mwiza, Dorothy Chanda, E. Musenge
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引用次数: 0
Prevalence and Adverse Pregnancy Outcomes Associated with Maternal Obesity in the Bamenda Regional Hospital 巴门达地区医院孕产妇肥胖的患病率及不良妊娠结局
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.134060
Dobgima Walter Pisoh, Ngek Edwin Foinsok, L. Niba, Tameh Theodore, Achuo Ascensius Mforteh, B. Merlin, Takang William Ako, D. Julius
{"title":"Prevalence and Adverse Pregnancy Outcomes Associated with Maternal Obesity in the Bamenda Regional Hospital","authors":"Dobgima Walter Pisoh, Ngek Edwin Foinsok, L. Niba, Tameh Theodore, Achuo Ascensius Mforteh, B. Merlin, Takang William Ako, D. Julius","doi":"10.4236/ojog.2023.134060","DOIUrl":"https://doi.org/10.4236/ojog.2023.134060","url":null,"abstract":"","PeriodicalId":67381,"journal":{"name":"妇产科期刊(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70470836","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
Serum Vitamin E Reference Intervals in a Black Congolese Population of Kinshasa 金沙萨刚果黑人人群血清维生素E参考区间
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.134062
Monzango Sibo, Mboloko Esimo, Mputu Lobota, Mbemba Fundu, N. Mireille, Itewa Monka, Mayoka Mamoi, Ntanga Kabuya, Amba Naomie, Lezaka Ensemeya, Bola Jonita, M. Fastrez, Lebwaze Bienvenu, Balthazar Phoba, D. Mbongi, T. Léon, Kahindo P. Muyalalo, Mbanzulu Pita, E. Darai
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引用次数: 0
Perception of Condoms and Emergency Contraceptive Pill Use among Students in the University of Bamenda 巴门达大学学生对避孕套和紧急避孕药使用的认知
妇产科期刊(英文)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.133051
W. Takang, Arnold Agwe Tanah, Walter Dobgima Pisoh, M. B. Atanga
{"title":"Perception of Condoms and Emergency Contraceptive Pill Use among Students in the University of Bamenda","authors":"W. Takang, Arnold Agwe Tanah, Walter Dobgima Pisoh, M. B. Atanga","doi":"10.4236/ojog.2023.133051","DOIUrl":"https://doi.org/10.4236/ojog.2023.133051","url":null,"abstract":"","PeriodicalId":67381,"journal":{"name":"妇产科期刊(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70471037","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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