The article presents the research materials devoted to the peculiarities of carrying out the rehabilitation treatment and rehabilitation of patients, after the artificial termination of pregnancy in the early stages. Methods and means of non-drug restorative treatment are described, practical recommendations for its practical application at different stages of rehabilitation are given.
{"title":"Restoration Treatment for Female Patients with Non-Bearing Pregnancy at the Early Terms of Gestation","authors":"K. Bugaevsky","doi":"10.31579/2642-9756/124","DOIUrl":"https://doi.org/10.31579/2642-9756/124","url":null,"abstract":"The article presents the research materials devoted to the peculiarities of carrying out the rehabilitation treatment and rehabilitation of patients, after the artificial termination of pregnancy in the early stages. Methods and means of non-drug restorative treatment are described, practical recommendations for its practical application at different stages of rehabilitation are given.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48552635","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}
Background: Cutaneous metastasis is uncommon in endometrial cancer. Recurrence to the skin has been demonstrated to occur in the abdomen, pelvis and scalp. This is the first case presented of a cutaneous metastasis to the face. Case: A 60-year-old Nepalese woman stage 1A grade 1 endometrial adenocarcinoma experienced metastasis to her external iliac lymph node 15 months after her initial presentation. After the recurrence was treated with chemotherapy, she experienced cutaneous metastasis of her endometrial carcinoma to her face 34 months after her initial surgery. The patient passed away 3 months after. Conclusion: Endometrial adenocarcinoma can metastasize to the face and is associated with a poor prognosis
{"title":"Cutaneous Metastsis of An Endometrioid Adenocarcinoma to The Face","authors":"A. Laibangyang","doi":"10.31579/2642-9756/125","DOIUrl":"https://doi.org/10.31579/2642-9756/125","url":null,"abstract":"Background: Cutaneous metastasis is uncommon in endometrial cancer. Recurrence to the skin has been demonstrated to occur in the abdomen, pelvis and scalp. This is the first case presented of a cutaneous metastasis to the face. Case: A 60-year-old Nepalese woman stage 1A grade 1 endometrial adenocarcinoma experienced metastasis to her external iliac lymph node 15 months after her initial presentation. After the recurrence was treated with chemotherapy, she experienced cutaneous metastasis of her endometrial carcinoma to her face 34 months after her initial surgery. The patient passed away 3 months after. Conclusion: Endometrial adenocarcinoma can metastasize to the face and is associated with a poor prognosis","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49326745","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}
Background: Developing countries accounts for 56% of unsafe abortions as compared to 6% in developed countries and leads to high maternal morbidity and mortality. Materials and Methods: A cross sectional study was conducted from March 2021 to June 2021 during covid pandemic. All women presenting with diagnosis of septic abortions to our hospital were included in the study. The details of all the patients including their demography, clinical presentation and outcome were collected and subjected to statistical analysis. Results: The incidence of septic abortion in our study was estimated to be 4.4%. Age range of the patients was between 15 to 45 years. Majority of the patients were grand multigravida, belonging to lower socioeconomic group. The main reason behind getting abortion done was unprotected intercourse. Unauthorized place and person carrying out the abortion was seen in 61% women. Most common presenting complaint was fever and the majority underwent laparotomy for uterine perforation. Maternal mortality was seen in 2 out of 13 cases i.e. ,15.4%. Conclusion: Unsafe abortion is still prevalent in developing countries. Septic abortions contribute significantly to maternal morbidity and mortality. All attempts should be made on improving access to contraceptive and safe abortion practices to curtail this menace.
{"title":"A Case Series of Septic Abortion During Covid-19 Pandemic at A Tertiary Care Centre in New Delhi, India","authors":"Kanika Chopra","doi":"10.31579/2642-9756/114","DOIUrl":"https://doi.org/10.31579/2642-9756/114","url":null,"abstract":"Background: Developing countries accounts for 56% of unsafe abortions as compared to 6% in developed countries and leads to high maternal morbidity and mortality. Materials and Methods: A cross sectional study was conducted from March 2021 to June 2021 during covid pandemic. All women presenting with diagnosis of septic abortions to our hospital were included in the study. The details of all the patients including their demography, clinical presentation and outcome were collected and subjected to statistical analysis. Results: The incidence of septic abortion in our study was estimated to be 4.4%. Age range of the patients was between 15 to 45 years. Majority of the patients were grand multigravida, belonging to lower socioeconomic group. The main reason behind getting abortion done was unprotected intercourse. Unauthorized place and person carrying out the abortion was seen in 61% women. Most common presenting complaint was fever and the majority underwent laparotomy for uterine perforation. Maternal mortality was seen in 2 out of 13 cases i.e. ,15.4%. Conclusion: Unsafe abortion is still prevalent in developing countries. Septic abortions contribute significantly to maternal morbidity and mortality. All attempts should be made on improving access to contraceptive and safe abortion practices to curtail this menace.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41932407","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}
Background: Infection caused by Neisseria Gonorrhoeae increases the risk of pelvic inflammatory disease (PID). Gonococcal PID tends to be clinically more severe than non-gonococcal ones. The main is to present two cases of gonococcal PID, with rapid clinical and analytic progression, leading to severe sepsis, but without imaging manifestations. Clinical presentation: 1. 41-year-old patient with replacement of intrauterine releasing levonorgestrel device (IUD), presented abdominal pain and green vaginal discharge. Abdominal examination revealed signs of peritoneal irritation and blood test showed leukocytosis, increased C Reactive Protein and procalcitonin, as well as coagulation abnormalities. Imaging tests (vaginal ultrasound/tomography) revealed no structural pathology, without collections. Given the criteria of severe sepsis, broadspectrum intravenous (iv) antibiotic therapy was started and laparoscopy and IUD removal were performed. Cervical and IUD cultures were positive for Neisseria gonorrhoeae. 2. 20-year-old woman, with an IUD, consulted for abdominal pain, low-grade fever and green vaginal discharge. Abdominal examination suggested peritoneal sensitivity and laboratory tests leukocytosis, increased C Reactive Protein and procalcitonin with coagulation abnormalities. Imaging tests (vaginal ultrasound/tomography) showed no structural pathology, without collections. Despite analgesia and broad-spectrum iv antibiotics, the patient worsened, proceeding to remove the IUD. Given the criteria compatible with severe sepsis, laparoscopy was decided. Endocervical and IUD cultures revealed Neisseria gonorrhoeae. Conclusions: Facing the situation of an acute PID with severe and fast clinical worsening even without findings in imaging tests, we should consider gonococcal ethiology as a possible cause. Surgical approach shouldn’t be delayed in order to control the infection and rule out other possible diagnosis.
{"title":"Gonococcal Pelvic Inflammatory Disease with Sepsis Criteria: Review of 2 Cases","authors":"Sonia De-Miguel-Manso","doi":"10.31579/2642-9756/123","DOIUrl":"https://doi.org/10.31579/2642-9756/123","url":null,"abstract":"Background: Infection caused by Neisseria Gonorrhoeae increases the risk of pelvic inflammatory disease (PID). Gonococcal PID tends to be clinically more severe than non-gonococcal ones. The main is to present two cases of gonococcal PID, with rapid clinical and analytic progression, leading to severe sepsis, but without imaging manifestations. Clinical presentation: 1. 41-year-old patient with replacement of intrauterine releasing levonorgestrel device (IUD), presented abdominal pain and green vaginal discharge. Abdominal examination revealed signs of peritoneal irritation and blood test showed leukocytosis, increased C Reactive Protein and procalcitonin, as well as coagulation abnormalities. Imaging tests (vaginal ultrasound/tomography) revealed no structural pathology, without collections. Given the criteria of severe sepsis, broadspectrum intravenous (iv) antibiotic therapy was started and laparoscopy and IUD removal were performed. Cervical and IUD cultures were positive for Neisseria gonorrhoeae. 2. 20-year-old woman, with an IUD, consulted for abdominal pain, low-grade fever and green vaginal discharge. Abdominal examination suggested peritoneal sensitivity and laboratory tests leukocytosis, increased C Reactive Protein and procalcitonin with coagulation abnormalities. Imaging tests (vaginal ultrasound/tomography) showed no structural pathology, without collections. Despite analgesia and broad-spectrum iv antibiotics, the patient worsened, proceeding to remove the IUD. Given the criteria compatible with severe sepsis, laparoscopy was decided. Endocervical and IUD cultures revealed Neisseria gonorrhoeae. Conclusions: Facing the situation of an acute PID with severe and fast clinical worsening even without findings in imaging tests, we should consider gonococcal ethiology as a possible cause. Surgical approach shouldn’t be delayed in order to control the infection and rule out other possible diagnosis.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42320830","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}
Background: Ovarian cysts are frequently common in practice at reproductive age. The management of the cystic adnexal mass in women of reproductive age remains a common gynaecological problem. It is widely accepted that many adnexal cysts represent a persistence of an ovarian follicle or cystic corpus luteum. Aim of the work: The aim of the study is to determine the usefulness of use of progestins over expectant management in treatment of functional ovarian cyst. Methods: 90 women with ovarian cysts were recruited and divided into either control group or progesterone group. The patients were monitored after 6 to 8 weeks. Results: The percentage of 50% or more reduction in cyst width in progesterone group was 35.6% while the control group was 17.8%. The percentage of 50% or more reduction in cyst length in progesterone group was 24.4% while the control group was 15.6%. The percentage of 50% or more reduction in cyst depth in progesterone group was 24.4% while the control group was 17.8%. After testing, there no significant difference detected between both treatment modalities regarding cyst length (p = 0.097), cyst width (p = 0.385), cyst depth (p = 0.204). Cysts resolved completely in 26/45 (57.9%) and 17/45 (37.8%) in groups progesterone and control respectively, However, there was no significant difference regarding content (p = 0.059) and cyst disappearance (p = 0.058). Conclusion: Progestin therapy in functional cysts could be effectively used as expectant management at least among women who are having spontaneous ovulation.
{"title":"Efficacy Of Progestins in The Treatment of Functional Ovarian Cyst","authors":"Rania H Aly","doi":"10.31579/2642-9756/127","DOIUrl":"https://doi.org/10.31579/2642-9756/127","url":null,"abstract":"Background: Ovarian cysts are frequently common in practice at reproductive age. The management of the cystic adnexal mass in women of reproductive age remains a common gynaecological problem. It is widely accepted that many adnexal cysts represent a persistence of an ovarian follicle or cystic corpus luteum. Aim of the work: The aim of the study is to determine the usefulness of use of progestins over expectant management in treatment of functional ovarian cyst. Methods: 90 women with ovarian cysts were recruited and divided into either control group or progesterone group. The patients were monitored after 6 to 8 weeks. Results: The percentage of 50% or more reduction in cyst width in progesterone group was 35.6% while the control group was 17.8%. The percentage of 50% or more reduction in cyst length in progesterone group was 24.4% while the control group was 15.6%. The percentage of 50% or more reduction in cyst depth in progesterone group was 24.4% while the control group was 17.8%. After testing, there no significant difference detected between both treatment modalities regarding cyst length (p = 0.097), cyst width (p = 0.385), cyst depth (p = 0.204). Cysts resolved completely in 26/45 (57.9%) and 17/45 (37.8%) in groups progesterone and control respectively, However, there was no significant difference regarding content (p = 0.059) and cyst disappearance (p = 0.058). Conclusion: Progestin therapy in functional cysts could be effectively used as expectant management at least among women who are having spontaneous ovulation.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49577576","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}
Bugaevskaya Nataliya Anatolyevna, Bugaevsky Konstantin Anatolyevich
This article presents the results of studies on the features of practical training of nurses-bachelors care and provide appropriate palliative and hospice care hospice patients to facilities in Ukraine and Poland. The peculiarity of the formation and development of this type of care seriously and terminally ill patients in both countries.
{"title":"Paliative Care: Features Training of Nurses on Hospise Care in Ukraine and Poland","authors":"Bugaevskaya Nataliya Anatolyevna, Bugaevsky Konstantin Anatolyevich","doi":"10.31579/2642-9756/121","DOIUrl":"https://doi.org/10.31579/2642-9756/121","url":null,"abstract":"This article presents the results of studies on the features of practical training of nurses-bachelors care and provide appropriate palliative and hospice care hospice patients to facilities in Ukraine and Poland. The peculiarity of the formation and development of this type of care seriously and terminally ill patients in both countries.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43592786","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}
The article presents the materials of a study devoted to the peculiarities of the use of methods and means of physical rehabilitation in women who have undergone a corporate cesarean section. The stage of rehabilitation treatment in an obstetric hospital and a women's clinic is presented and substantiated. The criteria for initiating the use of active physical activity after surgery are specified. The volume of rehabilitation measures in the late postoperative period, which can be carried out both in the outpatient and at home conditions, is presented.
{"title":"Peculiarities of the Practical Implementation of Rehabilitation Treatment after a Caesarean Section","authors":"Konstantin Anatolyevich Bugaevsky","doi":"10.31579/2642-9756/120","DOIUrl":"https://doi.org/10.31579/2642-9756/120","url":null,"abstract":"The article presents the materials of a study devoted to the peculiarities of the use of methods and means of physical rehabilitation in women who have undergone a corporate cesarean section. The stage of rehabilitation treatment in an obstetric hospital and a women's clinic is presented and substantiated. The criteria for initiating the use of active physical activity after surgery are specified. The volume of rehabilitation measures in the late postoperative period, which can be carried out both in the outpatient and at home conditions, is presented.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48174857","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}
Background: Family planning (FP) enables people to attain their desired number of children and determine the spacing of pregnancies, but many barriers prevent the use of family planning and result in unplanned pregnancies. This study investigates the trend of intention not to use contraceptives among married women in Nepal. Methods: The data for this study was obtained from three sequential Nepal Demographic and Health Surveys [NDHS] of 2006, 2011, and 2016. We used data from 4297, 4833, and 4677 women who were currently not using any FP methods on NDHS 2006, NDHS 2011, and NDHS 2016, respectively. Univariate, Bivariate and Multivariate analyses were made. Results: Minor fluctuation can be seen in the proportion of women who did not intend to use FP methods for ten years. Above a fourth (26%) women who were currently not using any FP methods had no intention to use FP in 2006, which decreased to 19% in 2011 and slightly increased to 23% in 2016. Overall, the significant socio-demographic predictors of intention to not use FP methods were the age of women, age at marriage, and education of women, religion, residence, and wealth index. Education was a significant predictor of intention not to use FP. Uneducated women and women with only primary education were 83 percent (aOR=1.84, CI=1.52-2.22) and 17 percent (aOR=1.17, CI=0.97-1.43), respectively, more likely not to intend to use FP than women with secondary or above education, and the relation was significant among uneducated women. Similarly, Muslim women were three times (aOR=3.28, CI=2.66-4.02) more likely to intend not to use contraceptives than Hindu women. Likewise, women residing in rural areas and belonging to richer wealth index were significantly more likely to intend not to use FP methods than their counterparts. Conclusion: Although expenditure for enabling environment has increased, nonuse intentions of FP have increased in 2016 than in the survey year 2011, highlighting the necessity of different program modality. This study elucidates the necessity of focusing the FP interventions among uneducated women, rural women, and those belonging to the Muslim religion to increase the intention to use FP in the future.
{"title":"The Trend of Intention to Not Use Contraception among Married Women in Nepal","authors":"R. Adhikari, A. Wagle","doi":"10.31579/2642-9756/119","DOIUrl":"https://doi.org/10.31579/2642-9756/119","url":null,"abstract":"Background: Family planning (FP) enables people to attain their desired number of children and determine the spacing of pregnancies, but many barriers prevent the use of family planning and result in unplanned pregnancies. This study investigates the trend of intention not to use contraceptives among married women in Nepal. Methods: The data for this study was obtained from three sequential Nepal Demographic and Health Surveys [NDHS] of 2006, 2011, and 2016. We used data from 4297, 4833, and 4677 women who were currently not using any FP methods on NDHS 2006, NDHS 2011, and NDHS 2016, respectively. Univariate, Bivariate and Multivariate analyses were made. Results: Minor fluctuation can be seen in the proportion of women who did not intend to use FP methods for ten years. Above a fourth (26%) women who were currently not using any FP methods had no intention to use FP in 2006, which decreased to 19% in 2011 and slightly increased to 23% in 2016. Overall, the significant socio-demographic predictors of intention to not use FP methods were the age of women, age at marriage, and education of women, religion, residence, and wealth index. Education was a significant predictor of intention not to use FP. Uneducated women and women with only primary education were 83 percent (aOR=1.84, CI=1.52-2.22) and 17 percent (aOR=1.17, CI=0.97-1.43), respectively, more likely not to intend to use FP than women with secondary or above education, and the relation was significant among uneducated women. Similarly, Muslim women were three times (aOR=3.28, CI=2.66-4.02) more likely to intend not to use contraceptives than Hindu women. Likewise, women residing in rural areas and belonging to richer wealth index were significantly more likely to intend not to use FP methods than their counterparts. Conclusion: Although expenditure for enabling environment has increased, nonuse intentions of FP have increased in 2016 than in the survey year 2011, highlighting the necessity of different program modality. This study elucidates the necessity of focusing the FP interventions among uneducated women, rural women, and those belonging to the Muslim religion to increase the intention to use FP in the future.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43351819","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}
Objective: To compare the efficacy of local levonorgestrel intrauterine releasing system and transcervical resection of the endometrium (TCER) in the management of perimenopausal dysfunctional uterine bleeding. Patients and Methods: This study was done at Ain Shams and Al-Azhar University Maternity Hospitals during a period started from January 2019 to January 2021. Patients were followed up at the outpatient gynaecology clinics at regular schedules (3, 6 and 12 months) for one year duration. Perimenopausal patients with DUB were assigned randomly to either the levonorgestrel intrauterine system (n = 35) or endometrial resection (n = 45). Blood loss assessment charts were used to measure menstrual blood loss. Results: Total bleeding score/month decreased from a baseline median of 47.26 to 33.5 (P<0.01) for the levonorgestrel intrauterine system and from 47.13 to 33.9 (P<0.01) for transcervical resection of the endometrium. There was no statically difference in bleeding score before and during treatment between the two groups of women. Conclusion: Both treatments levonorgestrel intrauterine system and transcervical resection of the endometrium efficiently reduced menstrual bleeding. levonorgestrel intrauterine system should be considered the first-line treatment for idiopathic menorrhagia because it is easy to insert, has a sustained effect, provides contraception, may reduce the need for surgery, and is cost-effective and well tolerated.
{"title":"The Reproducibility of Treatment of Perimenopausal Abnormal Uterine Bleeding Due to Ovulatory Dysfunction with Hysteroscopic Endometrial Resection versus Mirena","authors":"Y. Sultan, S. Daoud","doi":"10.31579/2642-9756/122","DOIUrl":"https://doi.org/10.31579/2642-9756/122","url":null,"abstract":"Objective: To compare the efficacy of local levonorgestrel intrauterine releasing system and transcervical resection of the endometrium (TCER) in the management of perimenopausal dysfunctional uterine bleeding. Patients and Methods: This study was done at Ain Shams and Al-Azhar University Maternity Hospitals during a period started from January 2019 to January 2021. Patients were followed up at the outpatient gynaecology clinics at regular schedules (3, 6 and 12 months) for one year duration. Perimenopausal patients with DUB were assigned randomly to either the levonorgestrel intrauterine system (n = 35) or endometrial resection (n = 45). Blood loss assessment charts were used to measure menstrual blood loss. Results: Total bleeding score/month decreased from a baseline median of 47.26 to 33.5 (P<0.01) for the levonorgestrel intrauterine system and from 47.13 to 33.9 (P<0.01) for transcervical resection of the endometrium. There was no statically difference in bleeding score before and during treatment between the two groups of women. Conclusion: Both treatments levonorgestrel intrauterine system and transcervical resection of the endometrium efficiently reduced menstrual bleeding. levonorgestrel intrauterine system should be considered the first-line treatment for idiopathic menorrhagia because it is easy to insert, has a sustained effect, provides contraception, may reduce the need for surgery, and is cost-effective and well tolerated.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48459572","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}
Rahibu A. Abassi, Amina S. Msengwa, Rocky R. J. Akarro
Background: Clinical datasets are at risk of having missing data for several reasons including patients’ failure to attend clinical measurements and measurement recorder’s defects. Missing data can significantly affect the analysis and results might be doubtful due to bias caused by omission incomplete records during analysis especially if a dataset is small. This study aims to compare several imputation methods in terms of efficiency in filling-in missing data so as to increase prediction and classification accuracy in breast cancer dataset. Methodology: Five imputation methods namely series mean, k-nearest neighbour, hot deck, predictive mean matching, expected maximisation via bootstrapping, and multiple imputation by chained equations were applied to replace the missing values to the real breast cancer dataset. The efficiency of imputation methods was compared by using the Root Mean Square Errors and Mean Absolute Errors to obtain a suitable complete dataset. Binary logistic regression and linear discrimination classifiers were applied to the imputed dataset to compare their efficacy on classification and discrimination. Results: The evaluation of imputation methods revealed that the predictive mean matching method was better off compared to other imputation methods. In addition, the binary logistic regression and linear discriminant analyses yield almost similar values on overall classification rates, sensitivity and specificity. Conclusion: The predictive mean matching imputation showed higher accuracy in estimating and replacing missing data values in a real breast cancer dataset under the study. It is a more effective and good approach to handle missing data. We recommend replacing missing data by using predictive mean matching since it is a plausible approach toward multiple imputations for numerical variables. It improves estimation and prediction accuracy over the use complete-case analysis especially when percentage of missing data is not very small.
{"title":"Imputation methods on retrospective breast cancer data in Tanzania: A comparative study","authors":"Rahibu A. Abassi, Amina S. Msengwa, Rocky R. J. Akarro","doi":"10.31579/2642-9756/118","DOIUrl":"https://doi.org/10.31579/2642-9756/118","url":null,"abstract":"Background: Clinical datasets are at risk of having missing data for several reasons including patients’ failure to attend clinical measurements and measurement recorder’s defects. Missing data can significantly affect the analysis and results might be doubtful due to bias caused by omission incomplete records during analysis especially if a dataset is small. This study aims to compare several imputation methods in terms of efficiency in filling-in missing data so as to increase prediction and classification accuracy in breast cancer dataset. Methodology: Five imputation methods namely series mean, k-nearest neighbour, hot deck, predictive mean matching, expected maximisation via bootstrapping, and multiple imputation by chained equations were applied to replace the missing values to the real breast cancer dataset. The efficiency of imputation methods was compared by using the Root Mean Square Errors and Mean Absolute Errors to obtain a suitable complete dataset. Binary logistic regression and linear discrimination classifiers were applied to the imputed dataset to compare their efficacy on classification and discrimination. Results: The evaluation of imputation methods revealed that the predictive mean matching method was better off compared to other imputation methods. In addition, the binary logistic regression and linear discriminant analyses yield almost similar values on overall classification rates, sensitivity and specificity. Conclusion: The predictive mean matching imputation showed higher accuracy in estimating and replacing missing data values in a real breast cancer dataset under the study. It is a more effective and good approach to handle missing data. We recommend replacing missing data by using predictive mean matching since it is a plausible approach toward multiple imputations for numerical variables. It improves estimation and prediction accuracy over the use complete-case analysis especially when percentage of missing data is not very small.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41761545","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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