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Liquid-Based Cytology Compared to Conventional Cytology for Diagnosis of Cervical Intraepithelial Neoplasia: A Single-Center Experience 液基细胞学与常规细胞学诊断宫颈上皮内瘤变的比较:单中心经验
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.206
L. Flores-Hernández, Ramírez-Uribe Rd, Villegas-González Lf, Serrano-Arévalo Ml, Cordoba-Gonzalez, Barquet-Muñoz Sa
Conclusion: Considering no statistically differences in the results and the outlay of LBC, implementation of LBC should be used for molecular-based detection and genotyping when human papillomavirus may offer additional benefits when screening for cervical carcinoma. Introduction: Cervical carcinoma is the fourth most common gynecologic cancer. Screening assays that include the conventional cytology (CC) have a sensitivity and specificity far from optimal; however, liquid-based cytology (LBC) may overcome some limitations. The objective is to compare the screening accuracy of LBC and CC in individuals suspected of having precancerous lesions.
结论:考虑到LBC的结果和费用没有统计学差异,当人乳头瘤病毒可能为宫颈癌筛查提供额外的好处时,LBC的实施应用于基于分子的检测和基因分型。简介:宫颈癌是第四大常见妇科癌症。包括常规细胞学(CC)在内的筛选试验灵敏度和特异性远未达到最佳水平;然而,液体细胞学(LBC)可以克服一些局限性。目的是比较在怀疑有癌前病变的个体中LBC和CC的筛查准确性。
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引用次数: 0
Determinants of Medication Adherence in Nausea and Vomiting of Pregnancy 妊娠期恶心呕吐药物依从性的决定因素
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.201
I. I, Cohen R, Berkovitch M, Koren G
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引用次数: 0
Positive Efficiency of Combine Immunotherapy in Immunocompromised Girls with Recurrent Nonspecific Chronic Vulvovaginitis 联合免疫治疗复发性非特异性慢性外阴阴道炎的疗效观察
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.207
Nesterova Iv, Kovaleva Sv, Chudilova Ga, Lomtatidze Lv, Krutova Va, Shuvalov An, Malinovskaya Vv
Nonspecific chronic vulvovaginites (NCVV) are a frequent clinical sign of immune deficiency, especially in young girls. The established problems with the functioning of various parts of the immune system (IS) in this pathology dictate the need to include immunomodulatory therapy into the complex. The developed program of combined immunotherapy for immunocompromised girls allows reducing the severity and duration of exacerbation of NCVV, their frequency against the background of a significant reduction in ARVI incidence. Positive clinical effects were observed with underlying restoration in IS functioning. A protective effect was obtained (observation in a catamnesis for 1 year): the duration of a clinically safe period increased from 6 to 11-11.5 months per year. Introduction Vulvovaginitis takes the first place in the structure of gynaecological disorders in girls of primary school age and preschool age, with the peak share at the age of 2-7 years old. Acute and chronic genital inflammations in childhood may later cause serious infections and inflammations in women of various ages and result in reproductive disorders in women of childbearing age. Therefore tackling the challenge of protecting the reproductive health of children and teenagers, preventing and treating gynaecological disorders in children is a burning issue; it is of huge practical significance and of a certain interest both for scientists and practitioners.
非特异性慢性外阴阴道炎(NCVV)是免疫缺陷的常见临床症状,特别是在年轻女孩中。建立问题与免疫系统的各个部分的功能(是)在这个病理决定需要包括免疫调节治疗到复杂。针对免疫功能低下女孩的联合免疫治疗方案可以降低ncv恶化的严重程度和持续时间,在ARVI发病率显著降低的背景下,其发生频率也有所降低。在IS功能恢复的基础上观察到积极的临床效果。保护效果(观察在诊后病历1年):临床安全期的持续时间从6增加到每年11 - 11.5个月。外阴阴道炎在小学和学龄前女童妇科疾病结构中占首位,2-7岁为发病高峰。儿童期的急性和慢性生殖器炎症可在以后引起各年龄妇女的严重感染和炎症,并导致育龄妇女的生殖障碍。因此,应对保护儿童和青少年生殖健康、预防和治疗儿童妇科疾病的挑战是一个紧迫的问题;这对科学家和实践者都具有重大的现实意义和一定的兴趣。
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引用次数: 0
Role of Bilirubin and Albumin in Cord Blood as Predictors for Neonatal Hyperbilirubinemia 脐带血中胆红素和白蛋白作为新生儿高胆红素血症预测因子的作用
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.208
M. Alalfy, A. E. lithy, Z. Ezzeldin, Y. Mansi, A. Hamed, Marwa Mostafa, A. Adel
Role of Bilirubin and Albumin in Cord Blood as Predictors for Neonatal Hyperbilirubinemia Mahmoud Alalfy*1, Ahmed el lithy2, Zahraa Mohamed EzzEldin3, Yasmeen Amr Mansi3, Alaa Hamed4, Marwa basher Mostafa5 and Ahmed Adel6 1Lecturer, Researcher, Reproductive health and family planning department, National Research Centre, Egypt, and The senior Fellow in cairo fetal medicine unit, Egypt and Consultant OB/Gyn, Aljazeerah Hospital, Egypt 2Assistant professor Obstetrics and Gynecology, Kasralainy faculty of medicine, Cairo university, Egypt 3Professor of Pediatrics & NeonatologyFaculty of Medicine, Cairo University, Egypt 4Lecturer of obstetrics and Gynecology, Alazhar faculty of medicine, Alazhar university 5Specialist of Obstetrics Pediatrics and neonatology, Egypt 6Assistant Researcher, Child Health department, National Research Centre, Egypt *Corresponding author: Mahmoud Alalfy, PhD. Lecturer, Researcher, Reproductive Health and family planning department, national Research Centre, Egypt, and Consultant OB/Gyn, Aljazeerah Hospital, Egypt, Tel: +201002611058, E-mail: mahmoudalalfy@ymail.com
脐带血中胆红素和白蛋白在新生儿高胆红素血症预测中的作用Mahmoud Alalfy*1, Ahmed el lithy2, Zahraa Mohamed EzzEldin3, Yasmeen Amr Mansi3, Alaa Hamed4, Marwa basher Mostafa5和Ahmed Adel6埃及国家研究中心生殖健康和计划生育部讲师,研究员,埃及开罗胎儿医学部门高级研究员,埃及Aljazeerah医院妇产科顾问2,妇产科助理教授,埃及开罗大学Kasralainy医学院3埃及开罗大学医学院儿科和新生儿学教授4埃及阿拉资哈尔大学医学院妇产科讲师5埃及产科儿科和新生儿学专家6埃及国家研究中心儿童卫生部门助理研究员*通讯作者:Mahmoud Alalfy,博士。埃及国家研究中心生殖健康和计划生育部讲师,研究员,埃及阿拉伯半岛医院妇产科顾问,电话:+201002611058,电子邮件:mahmoudalalfy@ymail.com
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引用次数: 7
Hirsutism will be not Considered as Sign of Progressive Disease after Autologous Transplant in POEMS Syndrome 多毛症不被认为是POEMS综合征自体移植后疾病进展的标志
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.203
F. Sorà, I. Innocenti, P. Chiusolo, F. Autore, Rotarescu Ca, M. Luigetti, S. Sica, L. Laurenti
Volume 4 | Issue 2 Introduction Hirsutism will be not Considered as Sign of Progressive Disease after Autologous Transplant in POEMS Syndrome Sorà F*1, Innocenti I1, Chiusolo P1, Autore F1, Rota CA2, Luigetti M3, Sica S1, and Laurenti L1 1Fondazione Policlinico universitario A.Gemelli IRCSS istituto di Ematologia, Rome, Italy 2Fondazione Policlinico universitario A.Gemelli IRCSS istituto di Endocrinologia, Rome, Italy 3Fondazione Policlinico Universitario Agostino, Gemelli, UOC Neurologia, Rome, Italy *Corresponding author: Sorà F, MD, Fondazione Policlinico universitario A.Gemelli IRCSS istituto di Ematologia, Rome, Italy, Fax: +396-3017319, Tel: +39-6-30154278, E-mail: federica.sora@unicatt.it
第4卷2引言Hirsutism will be not |问题案例as of累进疾病之后产卵Autologous Transplant POEMS综合症SoràF * 1,“无辜”,Chiusolo P1,作者F1, Rota CA2, Luigetti立方米、卢森堡:和Laurenti L1大学综合医院基金会A .双胞胎IRCSS血液学研究所,罗马,意大利2Fondazione A .双胞胎IRCSS大学综合医院内分泌学研究所,罗马,意大利3Fondazione奥古斯丁、双胞胎、UOC大学综合医院神经内科,罗马,意大利*通信author: sora F, MD,多学科大学基金会A.格梅里IRCSS血液学研究所,罗马,意大利,传真:+396-3017319,电话:+39-6-30154278,电子邮件:federica.sora@unicatt.it
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引用次数: 0
Impact of Inverted Interrupted Skin Suturing Versus Continous Suturing in Episiotomy on Postpartum Pain in Primigravida 会阴切开术中连续缝合与倒置间断缝合对初产妇产后疼痛的影响
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.205
M. Alalfy, Amr Abbassy, Yossra Lasheen
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引用次数: 1
Ultrasound Criteria for Expecting Mode of Delivery after Induction of Labour in Primigravida with Postdates 初产妇产后引产的超声诊断标准
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.204
M. Alalfy, Ahmed M. Hassan, M. Saleh
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引用次数: 0
A Rare Recurrence of an Immature Teratoma: A Case Report 罕见的未成熟畸胎瘤复发1例报告
Pub Date : 2018-09-01 DOI: 10.15744/2454-3284.4.202
Huang J, Z. Z, S. N, Yao S, L. D
Case report: A 26-year-old woman who was previously diagnosed as immature, right ovarian teratoma, was presented to Hangzhou obstetrics and gynecology hospital. The patient had previously undergone a laparotomy and right salpingo-oophorectomy with partial omentectomy 14-year before. Initial laboratory tests showed the serum markers: cancer antigen (CA)-125 was 44.5IU/ml (increased) and CA199, AFP levels were normal. Sonographic examination revealed a complex mass, measuring 12.6cmx10.5cm x8.5 cm, behind the uterus. Magnetic resonance imaging (MRI) findings were in favour of teratoma, originated from the right adnexa, occupying pouch of Douglas. The patient underwent exploratory laparotomy with a right intraligamentary teratoma cystectomy along with residual omentectomy,andrandom peritoneal biopsies. The pathology revealed mature teratoma, glioma, with no malignant components.
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引用次数: 0
Molecular Mechanism Linking BRCA1 Dysfunction to High Grade Serous Epithelial Ovarian Cancers with Peritoneal Permeability and Ascites. BRCA1功能障碍与高级别浆液性上皮性卵巢癌伴腹膜通透性和腹水的分子机制
Pub Date : 2015-04-24 DOI: 10.15744/2454-3284.1.103
A. Desai, J. Xu, K. Aysola, O. Akinbobuyi, M. White, V. Reddy, J. Okoli, C. Clark, E. Partridge, E. Childs, D. Beech, M. Rice, E. Reddy, V. Rao
Ovarian cancer constitutes the second most common gynecological cancer with a five-year survival rate of 40%. Among the various histotypes associated with hereditary ovarian cancer, high-grade serous epithelial ovarian carcinoma (HGSEOC) is the most predominant and women with inherited mutations in BRCA1 have a lifetime risk of 40-60%. HGSEOC is a challenge for clinical oncologists, due to late presentation of patient, diagnosis and high rate of relapse. Ovarian tumors have a wide range of clinical presentations including development of ascites as a result of deregulated endothelial function thereby causing increased vascular permeability of peritoneal vessels. The molecular mechanisms remain elusive. Studies have shown that fallopian tube cancers develop in women with BRCA1 gene mutations more often than previously suspected. Recent studies suggest that many primary peritoneal cancers and some high-grade serous epithelial ovarian carcinomas actually start in the fallopian tubes. In this article we have addressed the molecular pathway of a recently identified potential biomarker Ubc9 whose deregulated expression due to BRCA1 dysfunction can result in HGSEOC with peritoneal permeability and formation of ascites. We also discuss the role of downstream targets Caveolin-1 and Vascular Endothelial Growth Factor (VEGF) in the pathogenesis of ascites in ovarian carcinomas. Finally we hypothesize a signaling axis between Ubc9 over expression, loss of Caveolin-1 and induction of VEGF in BRCA1 mutant HGSEOC cells. We suggest that Ubc9-mediated stimulation of VEGF as a novel mechanism underlying ovarian cancer aggressiveness and ascites formation. Agents that target Ubc9 and VEGF signaling may represent a novel therapeutic strategy to impede peritoneal growth and spread of HGSEOC.
卵巢癌是第二大常见妇科癌症,5年生存率为40%。在与遗传性卵巢癌相关的各种组织类型中,高级别浆液上皮性卵巢癌(HGSEOC)是最主要的,BRCA1遗传突变的女性的终生风险为40-60%。由于患者出现较晚,诊断较晚,复发率高,对临床肿瘤学家来说是一个挑战。卵巢肿瘤具有广泛的临床表现,包括由于内皮功能失调而导致腹水的发展,从而导致腹膜血管通透性增加。分子机制仍然难以捉摸。研究表明,携带BRCA1基因突变的女性患输卵管癌的几率比之前猜测的要高。最近的研究表明,许多原发性腹膜癌和一些高级浆液上皮性卵巢癌实际上起源于输卵管。在这篇文章中,我们讨论了最近发现的潜在生物标志物Ubc9的分子途径,Ubc9由于BRCA1功能障碍而表达失调,可导致HGSEOC伴腹膜通透性和腹水形成。我们还讨论了下游靶点Caveolin-1和血管内皮生长因子(VEGF)在卵巢癌腹水发病机制中的作用。最后,我们假设在BRCA1突变体HGSEOC细胞中存在Ubc9过表达、Caveolin-1缺失和VEGF诱导之间的信号轴。我们认为ubc9介导的VEGF刺激是卵巢癌侵袭性和腹水形成的新机制。靶向Ubc9和VEGF信号的药物可能是一种新的治疗策略,可以阻止HGSEOC在腹膜的生长和扩散。
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引用次数: 6
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Journal of gynecology research
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