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Effectiveness of Combined Hysterolaparoscopy on the Quality of Life of Patients with Endometriosis: A Retrospective Review in Hungary 联合宫腔镜对子宫内膜异位症患者生活质量的影响:匈牙利的回顾性研究
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-28840016
Atombosoba Adokiye Ekine
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引用次数: 0
A Review of the Recent Findings on Ductal Carcinoma In Situ of the Breast (DCIS) 乳腺导管原位癌(DCIS)的研究进展
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-28840014
Deniz Erarslan, F. Schmitt
Ductal Carcinoma in Situ is an entity which bears the risk of progression into Invasive Breast Carcinoma of No Special Type (IBC of NST). Evidence suggests that the malignant potential is already present in the non invasive period. Currently, the tumor microenvironment interaction has gained importance since the genetic and translational modifications of the DCIS lesion itself does not inform about the probability of malignancy sufficient for the risk stratification concerning the prognosis of the entity. Recent evidence underlines the interaction of the surrounding cells as affecting the fate of DCIS. Reproducibility of a diagnosis and grading of DCIS is another problem which is tried to be overcome with the incorporation of deep learning convolutional neural network analyses and various gene expression assays. This summarizes the findings of the recent studies to elucidate the transition of DCIS to IBC of NST regarding the histopathology, molecular biology while reflecting on the current prognostic data of DCIS with the treatment methods that are in application.
导管原位癌是一种具有发展为无特殊类型浸润性乳腺癌(IBC)风险的肿瘤。有证据表明,在非侵袭性时期已存在恶性潜能。目前,肿瘤微环境的相互作用变得越来越重要,因为DCIS病变本身的遗传和翻译修饰并不能告知恶性肿瘤的可能性,不足以对该实体的预后进行风险分层。最近的证据强调周围细胞的相互作用影响DCIS的命运。DCIS的诊断和分级的可重复性是另一个问题,它试图通过结合深度学习卷积神经网络分析和各种基因表达分析来克服。本文总结了近年来从组织病理学、分子生物学等方面阐明DCIS向NST IBC转变的研究成果,并对DCIS目前的预后数据及目前应用的治疗方法进行了反思。
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引用次数: 0
Perinatal Psychosocial Assessment-What are the Views of Health Professionals Working in the Private Obstetric Sector? 围产期社会心理评估——在私营产科部门工作的卫生专业人员有什么看法?
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-28840013
Tanya Connell
Background: Women are not universally or routinely screened ante-or postnatally for psychosocial risk factors, depression and anxiety in the private sector in Australia. There are limited studies that explore health professionals’ views on screening or perceived barriers to the screening process. Aim: The aim of this study was to discuss the health professionals’ views of psychosocial screening and assessment who work in the private obstetric sector. Methods: Semi-structured face-to-face interviews were completed with 11 midwives, 1 social worker and 2 obstetricians. Three hospital sites were chosen, of which only one currently screens women for psychosocial risk factors. Thematic analysis was applied to interview transcripts. Three researchers then discussed reoccurring themes and a consensus in themes and subthemes was reached. Results: Only one hospital was screening women and had midwives trained in psychosocial assessment including depression screening. There were mixed views on the process and barriers to screening were identified, e.g. lack of support systems, cultural barriers, inaccurate answers, power barriers with obstetricians, husband interference, fear and powerlessness. Benefits were recognised: early identification of difficulties, standardisation and patient-focused care. Concerns were, however, also evident: suicide ideation, intrusiveness of questions, whether women responded honestly, not wanting to screen all women. Conclusion: There was an identified concern by midwives that obstetricians did not take seriously any concerns highlighted by the midwife about women’s psychosocial problems. There was a sense of a lack of ‘ownership’ of the women, therefore a feeling of helplessness in addressing their needs. Suggestions were made: appropriate education and training of midwives, flagging high risk women, more in-house resources and external resources/community links and employing a central midwife with interest and expertise in psychosocial screening.
背景:在澳大利亚的私营部门,妇女没有普遍或常规地在产前或产后进行心理社会风险因素、抑郁和焦虑的筛查。有有限的研究探讨卫生专业人员对筛查的看法或对筛查过程的感知障碍。目的:本研究的目的是讨论在私营产科部门工作的卫生专业人员对社会心理筛查和评估的看法。方法:对11名助产士、1名社工和2名产科医生进行半结构化的面对面访谈。选择了三家医院,其中只有一家目前对妇女进行心理社会风险因素筛查。访谈笔录采用专题分析。然后,三位研究者讨论了重复出现的主题,并在主题和副主题上达成了共识。结果:只有一家医院对妇女进行了筛查,并且助产士接受了心理社会评估(包括抑郁症筛查)方面的培训。人们对筛查过程的看法不一,并确定了筛查的障碍,例如缺乏支持系统、文化障碍、不准确的答案、与产科医生的权力障碍、丈夫干预、恐惧和无能为力。好处是公认的:及早发现困难,标准化和以病人为中心的护理。然而,担忧也很明显:自杀念头、问题的侵入性、女性是否诚实回答、不想筛查所有女性。结论:助产士有一个明确的担忧,即产科医生没有认真对待助产士强调的关于妇女心理社会问题的任何担忧。有一种对女性缺乏“所有权”的感觉,因此在满足她们的需求时感到无助。提出了以下建议:对助产士进行适当的教育和培训,标记高风险妇女,增加内部资源和外部资源/社区联系,雇用对社会心理筛查感兴趣和具有专业知识的中心助产士。
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引用次数: 0
Family Relationship and Gender as Correlates of Post-Traumatic Growth among Parents of Neonatal Death 家庭关系和性别对新生儿死亡父母创伤后成长的影响
Pub Date : 2019-01-01 DOI: 10.26502/FJWHD.2644-2884005
Eke Oh, Chukwuma Ge, Ebulum Gc, Onyenyirionwu Ug
The study investigated the family relation and gender as correlates of post traumatic growth among 40 (15 males and 25 females) parents of neonatal death. Participants were drawn from health facility in Eastern Nigerian. Cross-sectional design was used. Two instruments were used: Index of family relations Scale and Posttraumatic Growth Inventory. Multiple regression result shows that appropriate family relationship is a significant factor in posttraumatic growth among parents of neonatal death. The result indicated that gender is a significant predictor in posttraumatic growth among parents of neonatal death. Discussions and the implications were emphasized and suggestions were made for further studies.
本研究调查了40名新生儿死亡父母(15名男性和25名女性)的家庭关系和性别与创伤后成长的相关性。参与者来自尼日利亚东部的卫生机构。采用横断面设计。使用两种工具:家庭关系指数量表和创伤后成长量表。多元回归结果显示,适当的家庭关系是影响新生儿死亡父母创伤后成长的重要因素。结果表明,性别是新生儿死亡父母创伤后成长的显著预测因子。强调了讨论和影响,并提出了进一步研究的建议。
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引用次数: 0
Splenic Artery Aneurysm (SAA) Rupture in Pregnancy: A Case Report of a Rare but Life-Threatening Obstetrical Complication. 妊娠期脾动脉瘤(SAA)破裂:罕见但危及生命的产科并发症病例报告。
Pub Date : 2019-01-01 Epub Date: 2019-05-20 DOI: 10.26502/fjwhd.2644-2884004
Rami A Ballout, Rayan Ghanem, Anwar Nassar, Ali H Hallal, Labib M Ghulmiyyah

This is the case of a 38 year-old Lebanese woman G2P1, history of previous cesarean section, presenting at 30+5 weeks of gestation with acute left-sided flank pain and a two-day history of chills and dysuria. In light of the clinical presentation, the patient was initially diagnosed with pyelonephritis and managed accordingly; however, her clinical status deteriorated with worsening hypotension and lethargy despite resuscitative measures and a normal abdominal ultrasound. Failure to revive the patient eventually led to a cardiac arrest for which a peri-mortem cesarean section was performed at bedside. Upon abdominal entry, an actively-bleeding ruptured splenic artery aneurysm (SAA) was identified, for which massive transfusion protocol was activated, and the patient was transferred to the operating room. The patient had a complicated postoperative course, the fetus was stillborn, and she was discharged home after 6 months of hospital stay. In view of the high mortality and morbidity associated with ruptured SAA in pregnancy, early recognition and prompt intervention are crucial for maternal and fetal benefit.

本病例是一名 38 岁的黎巴嫩妇女,G2P1,既往有剖宫产史,妊娠 30+5 周时出现急性左侧腹痛,两天前出现寒战和排尿困难。根据临床表现,患者最初被诊断为肾盂肾炎,并接受了相应的治疗;然而,尽管采取了抢救措施并进行了正常的腹部超声波检查,患者的临床状况还是恶化了,低血压和嗜睡症状不断加重。由于抢救无效,患者最终心脏骤停,在床边进行了剖腹产手术。进入腹腔后,发现了一个活跃出血的脾动脉瘤(SAA)破裂,为此启动了大量输血方案,并将患者转入手术室。患者术后病程复杂,胎儿胎死腹中,住院 6 个月后出院回家。鉴于妊娠期 SAA 破裂的高死亡率和发病率,早期识别和及时干预对孕产妇和胎儿的获益至关重要。
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引用次数: 0
What is the Health Professional’s Role in Perinatal Psychosocial Screening Assessment and Referral in the Private Sector? 在私营部门,卫生专业人员在围产期社会心理筛查评估和转诊中的作用是什么?
Pub Date : 2019-01-01 DOI: 10.26502/FJWHD.2644-28840012
Tanya Connell
Background: This paper is a discussion paper exploring the health professionals role in psychosocial assessment in the private sector. This study is part of a larger study. Aim: The aim of this paper is to explore and discuss the health professionals role in psychosocial screening in the private sector. The aim of a larger study was to pilot universal, routine, psychosocial assessment and depression screening in a private hospital. This article is highly significant to inform health professionals of their role in psychosocial screening and assessment. Little is known about this area and little is published. This will influence screening practices and identify risk factors for postnatal/antenatal anxiety, depression and other disorders. This will influence the introduction of best practice and consistency in psychosocial assessment in the private and the public sector. It will identify/initiate effective referral pathways for follow-up of women identified as high risk of psychosocial problems and mental illness.   The identification of quality local pathways to care underpinning the implementation of universal psychosocial assessment: to address the care and intervention needs of women identified as being at risk, experiencing mild or moderate difficulties through to women experiencing complex and or severe mental illness. The wide range of services and sectors required involves developing a system of care that is effectively networked, collaborative and responsive to the whole family.
背景:本文是一篇探讨卫生专业人员在私营部门社会心理评估中的作用的讨论论文。这项研究是一项更大研究的一部分。目的:本文的目的是探讨和讨论卫生专业人员在私营部门的社会心理筛查中的作用。一项规模更大的研究的目的是在一家私立医院试行普遍、常规、心理社会评估和抑郁症筛查。这篇文章对告知卫生专业人员他们在社会心理筛查和评估中的作用具有重要意义。人们对这个领域所知甚少,发表的文章也很少。这将影响筛查做法,并确定产后/产前焦虑、抑郁和其他疾病的风险因素。这将影响私营和公共部门在心理社会评估方面采用最佳做法和一致性。它将确定/启动有效的转诊途径,以便对被确定为有社会心理问题和精神疾病高风险的妇女进行后续行动。确定高质量的当地护理途径,为实施普遍社会心理评估提供基础:解决被确定有风险、经历轻度或中度困难的妇女的护理和干预需求,直至患有复杂和/或严重精神疾病的妇女。所需的广泛服务和部门涉及发展一个有效联网、协作和对整个家庭作出反应的护理系统。
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引用次数: 0
Hepatocellular Carcinoma in Pregnancy; Still Rare, Still Occurring Still Devastating - A Case Report in A Pregnant Nigerian Woman 妊娠期肝细胞癌;仍然罕见,仍然发生,仍然是毁灭性的——一名尼日利亚孕妇的病例报告
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-28840015
Esike Chidi OU, Anozie Okechukwu B, Ajayi Nnennaya A, Aja Leonard O, Ukaegbe Chukwuemeka I, Umeora Odidika UJ, Iyare Festus E
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引用次数: 0
The Effect of Body Mass Index Changes between Two Consecutive Pregnancies on the Recurrence of Gestational Diabetes Mellitus in Japan 日本连续两次妊娠期间体重指数变化对妊娠期糖尿病复发的影响
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-28840017
Shoko Dateki, S. Furukawa, Syunichi Noda, H. Sameshima
Aim: To identify the effect of interpregnancy pre-pregnancy body mass index changes (ΔBMI) on the recurrence of gestational diabetes mellitus (GDM). Method: A cross sectional study was conducted comprising 183 cases diagnosed with GDM at least once in two consecutive pregnancies. Study cases were divided into three groups based on two consecutive glucose tolerance profiles that comprised normal glucose tolerance (NGT); GDM/GDM (n=45), GDM/NGT (n=33), and NGT/GDM (n=105). We compared ΔBMI among the groups. Study cases were then divided into subgroups on the basis of being below or above the median pre-pregnancy BMI at index pregnancy and ΔBMI was compared based on glucose tolerance profiles. Results: The NGT/GDM group had the highest ΔBMI (1.01±2.06) among the 3 groups. The GDM/GDM group had a higher ΔBMI (0.52±1.59) compared with the GDM/NGT group (-0.41±1.50, p<0.01). The median pre-pregnancy BMI at index pregnancies was 21.2. In the GDM/NGT group, there was no difference in ΔBMI below or above the pre-pregnancy BMI of 21.2 (p=0.66). In the GDM/GDM group, there was no difference in ΔBMI below or above the pre-pregnancy BMI of 21.2 (p=0.97). In cases that fell below the pre-pregnancy BMI of 21.2, the GDM/NGT group was associated with a lower ΔBMI (-0.28±1.13) compared with the GDM/GDM group (0.51±1.23, p<0.05). In cases above the pre-pregnancy BMI of 21.2, there was no difference in ΔBMI between GDM/NGT (-0.64±2.04) and GDM/GDM groups (0.52±1.82, p=0.11). Conclusion: Subtle changes in ΔBMI are associated with GDM recurrence, and reduced ΔBMI suppresses GDM recurrence in Japanese lean women.
目的:探讨孕前体重指数变化(ΔBMI)对妊娠期糖尿病(GDM)复发的影响。方法:对183例连续两次妊娠中至少一次诊断为GDM的患者进行横断面研究。研究病例根据连续两次葡萄糖耐量概况分为三组,包括正常葡萄糖耐量(NGT);GDM/GDM (n=45)、GDM/NGT (n=33)、NGT/GDM (n=105)。我们比较了各组之间的ΔBMI。然后将研究病例根据孕前BMI指数的中位数分为亚组,并根据葡萄糖耐量谱对ΔBMI进行比较。结果:NGT/GDM组得分最高ΔBMI(1.01±2.06)。GDM/GDM组ΔBMI(0.52±1.59)高于GDM/NGT组(-0.41±1.50,p<0.01)。指数妊娠的孕前BMI中位数为21.2。在GDM/NGT组中,ΔBMI低于或高于孕前BMI 21.2,差异无统计学意义(p=0.66)。在GDM/GDM组中,ΔBMI低于或高于孕前BMI 21.2,差异无统计学意义(p=0.97)。在孕前BMI低于21.2的情况下,GDM/NGT组的ΔBMI(-0.28±1.13)低于GDM/GDM组(0.51±1.23,p<0.05)。在孕前BMI为21.2以上的患者中,GDM/NGT组(-0.64±2.04)与GDM/GDM组(0.52±1.82,p=0.11)的ΔBMI差异无统计学意义。结论:ΔBMI的细微变化与GDM复发有关,降低ΔBMI可抑制日本瘦女性GDM复发。
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引用次数: 0
Contraceptive Uptake among Adolescent Girls Attending Family Planning Units in Four Health Facilities in Cameroon 喀麦隆四家保健机构计划生育单位的少女避孕药具使用率
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-2884007
Frankline Sevidzem Wirsiy, Eugene Vernyuy Yeika
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引用次数: 1
Leveraging Women’s Knowledge, Practices, and Behavior to Reduce the Spread of Avian Influenza in Egypt 利用妇女的知识、实践和行为减少禽流感在埃及的传播
Pub Date : 2019-01-01 DOI: 10.26502/fjwhd.2644-2884006
Basma M. Sheta, K. Njabo, R. Harrigan, S. Shafir, Thomas B. Smith
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引用次数: 0
期刊
Journal of women's health and development
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