Introduction: Asymptomatic bacteriuria (ASB) is defined as the isolation of bacterial strain in quantitative counts ≥105cfu/mL in the urine without the presence of any symptoms. The aim of this study was to investigate prevalence and pathogen microorganisms of ASB, and the most appropriate diagnostic test in the fırst trimester of pregnancy. Methods: In this study, 312 pregnant women were included. Midstream culture by conventional methods and urinalysis were done. By considering the urine culture as the gold standard, sensitivity, specificity, positive predictive value and negative predictive value of bacteriuria and pyuria were calculated. Results: ASB prevalence was found at 6.7%. Specificity and sensitivity for bacteriuria were 77% and 100%. Specificity and sensitivity for pyuria was 65% and 61%. The common pathojens was E.coli (85.7%). Conclusion: Pyuria and bacteriuria may not a major determinant of the ASB but may be useful as a screening test.
{"title":"Prevalence and evaluation of asymptomatic bacteriuria in pregnant women","authors":"T. Özer","doi":"10.31579/2642-9756/071","DOIUrl":"https://doi.org/10.31579/2642-9756/071","url":null,"abstract":"Introduction: Asymptomatic bacteriuria (ASB) is defined as the isolation of bacterial strain in quantitative counts ≥105cfu/mL in the urine without the presence of any symptoms. The aim of this study was to investigate prevalence and pathogen microorganisms of ASB, and the most appropriate diagnostic test in the fırst trimester of pregnancy. Methods: In this study, 312 pregnant women were included. Midstream culture by conventional methods and urinalysis were done. By considering the urine culture as the gold standard, sensitivity, specificity, positive predictive value and negative predictive value of bacteriuria and pyuria were calculated. Results: ASB prevalence was found at 6.7%. Specificity and sensitivity for bacteriuria were 77% and 100%. Specificity and sensitivity for pyuria was 65% and 61%. The common pathojens was E.coli (85.7%). Conclusion: Pyuria and bacteriuria may not a major determinant of the ASB but may be useful as a screening test.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42046861","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 author decided to write this theme of lack of libido in women as it is a constant and almost universal complaint in women who do not come to treat this condition itself, but when questioned, most say they do not have libido nowadays
{"title":"How to Improve the Sex Life of Women without Using Hormones?","authors":"Huang Wei Ling","doi":"10.31579/2642-9756/074","DOIUrl":"https://doi.org/10.31579/2642-9756/074","url":null,"abstract":"The author decided to write this theme of lack of libido in women as it is a constant and almost universal complaint in women who do not come to treat this condition itself, but when questioned, most say they do not have libido nowadays","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45143093","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 rates of placenta praevia and accreta are rising, probably as a result of increasing rates of cesarean delivery, as well as maternal age and assisted reproductive technologyIn this paper, we present a case report of a pregnancy complicated by anterior placenta praevia and accreta, in which the uterine extra-abdominal exposure technique was used to proceed the hysterotomy in the uterine fundus in order to avoid excessive bleeding and also to better evaluate the lower segment and consequent hysterectomy requirement. The main objective of this procedure is to describe a surgical technique which should guide the hysterotomy, in a position far enough away from the placenta site (fundus or posterior), in order to prevent bleeding complications in placental accreta disorders.
{"title":"Uterine Extra-Abdominal Exposure in the Management of Anterior Placenta Previa and Accreta to Proceed Hysterotomy","authors":"Mauricio de Sena Martins","doi":"10.31579/2642-9756/089","DOIUrl":"https://doi.org/10.31579/2642-9756/089","url":null,"abstract":"The rates of placenta praevia and accreta are rising, probably as a result of increasing rates of cesarean delivery, as well as maternal age and assisted reproductive technologyIn this paper, we present a case report of a pregnancy complicated by anterior placenta praevia and accreta, in which the uterine extra-abdominal exposure technique was used to proceed the hysterotomy in the uterine fundus in order to avoid excessive bleeding and also to better evaluate the lower segment and consequent hysterectomy requirement. The main objective of this procedure is to describe a surgical technique which should guide the hysterotomy, in a position far enough away from the placenta site (fundus or posterior), in order to prevent bleeding complications in placental accreta disorders.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48941050","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}
It has been decades into the HIV pandemic, the position of the disease has advanced significantly from death sentence to a chronically manageable disease that can be lived with for long time. This evolution was made possible with the advent of antiretroviral therapy which allowed HIV infected children to reach adulthood. However, sexual, and reproductive needs of these generations remain unattended in many countries. The study sought to highlight the sexual and reproductive health issues affecting young people living with HIV in Chitungwiza and Waterfalls communities, targeting HIV positive young people aged 15-24 years. A mixed methods approach was adopted in which, Qualitative and Quantitative research methods were employed. A survey was conducted with 113 young people to quantify sexual and reproductive health issues affecting young people living with HIV (YPLWH). To solicitate community perceptions and opinions on childbearing among the Adolescents and Young persons living with HIV, 8 focus group discussions and key informant interviews were conducted to qualify the data from the survey. The findings indicated that sexual and reproductive health (SRH) knowledge heavily impacts YPLWH’. Socio-cultural barriers are major inhibiting factors limiting YPLWH. The study recommends that academic research, NGOs, and other stakeholders with support from the Ministry of Health, should conduct more studies on emerging HIV and SRH issues which will help in addressing knowledge gaps and provide evidence-based knowledge in public health. Overall, this will improve the reproductive health outcomes of young people living with HIV.
{"title":"An analysis of Knowledge of Sexual and Reproductive Health among Adolescents and Young persons Living with HIV: The case of Chitungwiza, Harare, Zimbabwe","authors":"Lianora Manyange, Norman Makunika Chulalongkorn","doi":"10.31579/2642-9756/091","DOIUrl":"https://doi.org/10.31579/2642-9756/091","url":null,"abstract":"It has been decades into the HIV pandemic, the position of the disease has advanced significantly from death sentence to a chronically manageable disease that can be lived with for long time. This evolution was made possible with the advent of antiretroviral therapy which allowed HIV infected children to reach adulthood. However, sexual, and reproductive needs of these generations remain unattended in many countries. The study sought to highlight the sexual and reproductive health issues affecting young people living with HIV in Chitungwiza and Waterfalls communities, targeting HIV positive young people aged 15-24 years. A mixed methods approach was adopted in which, Qualitative and Quantitative research methods were employed. A survey was conducted with 113 young people to quantify sexual and reproductive health issues affecting young people living with HIV (YPLWH). To solicitate community perceptions and opinions on childbearing among the Adolescents and Young persons living with HIV, 8 focus group discussions and key informant interviews were conducted to qualify the data from the survey. The findings indicated that sexual and reproductive health (SRH) knowledge heavily impacts YPLWH’. Socio-cultural barriers are major inhibiting factors limiting YPLWH. The study recommends that academic research, NGOs, and other stakeholders with support from the Ministry of Health, should conduct more studies on emerging HIV and SRH issues which will help in addressing knowledge gaps and provide evidence-based knowledge in public health. Overall, this will improve the reproductive health outcomes of young people living with HIV.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48346062","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}
Isna Hikmawati, H. Wahjono, M. Martini, Edi Darmana, S. Hadisaputro, Kisdjamiatun Retna Mustika Djati, S. J. Mardihusodo
Ae. aegypti and Ae. albopictus have an important role in DHF transmission because they can simultaneously transmit the dengue virus vertically / transovarially or horizontally. This phenomenon indicates the persistence of the dengue virus by vectors. The aim of this research was to prove the persistence of the transovarial-transgenerational dengue virus (DENV-1,2,3,4) with real time polymerase chain reaction (qPCR) in Ae. aegypti and Ae. albopictus (Diptera: Culicidae). Quasi experimental design with intervention infects DENV 1-2-3-4 serotypes in Ae. aegypti and Ae. albopictus intratoracally. Research population Ae. aegypti and Ae. albopictus laboratory colony females. Dengue virus detection uses real-time polymerase chain reaction (qPCR). Transovarial detection by qPCR indicates detection of dengue virus in Ae. albopictus DENV-1 to progeny 1 (F1), DENV-2 and DENV-3 to F2, DENV-4 to F3. Next to Ae. aegypti DENV-1 to 1st progeny (F1), DENV-2 to F2, DENV-3 to F4 and DENV-4 to F3. there was no difference in MIR value (p value: 0.356) for the four serotypes in Ae. albopictus and Ae. aegypti. DENV-3 is the most persistent serotype in Ae. aegypti with 83.3% MIR and DENV-4 were the most persistent serotypes in Ae.albopictus with 100% MIR. The need to improve vector control models that focus not only on the main vector, but also other co-vectors.
{"title":"Persistence of Dengue Virus (DENV-1, 2, 3,4) Transovarial-Transgenerational with Realtime Polymerase Chain Reaction (qPCR) in Ae. Aegypti and Ae. Albopictus (Diptera: Culicidae)","authors":"Isna Hikmawati, H. Wahjono, M. Martini, Edi Darmana, S. Hadisaputro, Kisdjamiatun Retna Mustika Djati, S. J. Mardihusodo","doi":"10.31579/2642-9756/090","DOIUrl":"https://doi.org/10.31579/2642-9756/090","url":null,"abstract":"Ae. aegypti and Ae. albopictus have an important role in DHF transmission because they can simultaneously transmit the dengue virus vertically / transovarially or horizontally. This phenomenon indicates the persistence of the dengue virus by vectors. The aim of this research was to prove the persistence of the transovarial-transgenerational dengue virus (DENV-1,2,3,4) with real time polymerase chain reaction (qPCR) in Ae. aegypti and Ae. albopictus (Diptera: Culicidae). Quasi experimental design with intervention infects DENV 1-2-3-4 serotypes in Ae. aegypti and Ae. albopictus intratoracally. Research population Ae. aegypti and Ae. albopictus laboratory colony females. Dengue virus detection uses real-time polymerase chain reaction (qPCR). Transovarial detection by qPCR indicates detection of dengue virus in Ae. albopictus DENV-1 to progeny 1 (F1), DENV-2 and DENV-3 to F2, DENV-4 to F3. Next to Ae. aegypti DENV-1 to 1st progeny (F1), DENV-2 to F2, DENV-3 to F4 and DENV-4 to F3. there was no difference in MIR value (p value: 0.356) for the four serotypes in Ae. albopictus and Ae. aegypti. DENV-3 is the most persistent serotype in Ae. aegypti with 83.3% MIR and DENV-4 were the most persistent serotypes in Ae.albopictus with 100% MIR. The need to improve vector control models that focus not only on the main vector, but also other co-vectors.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47304303","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}
Cervical cancer is the most common cause of death in female patients over 45 years of age. Surgical treatment (laparoscopic total hysterectomy and radical hysterectomy plus laparoscopic pelvic lymphadenectomy) is the most curative therapeutic resource in the initial stages (Ia1, Ia2 and Ib1). The treatment adopted in the development of this pathology is fundamental as the technique used to determine the prognosis of cervical cancer and obtain information on lymphatic involvement. Imaging techniques have advanced in recent years, but the only reliable way to detect lymph node involvement is the pathological study of the extracted pieces. The goal of laparoscopic staging is to assess bladder, bowel, and lymph node involvement and intra-abdominal disease. Laparoscopic pelvic and lumboaortic lymphadenectomy is effective in staging and treating gynecologic cancers. Laparoscopic lumboaortic lymphadenectomy has few complications, rescues an acceptable number of lymph nodes, and requires a shorter hospital stay. In addition, it identifies cervical cancers that require extended-field radiation therapy.
{"title":"Laparoscopic or Minimally Invasive Surgery in the Treatment of Cervical Cancer","authors":"Vanessa Carrillo Redondo, Mariana Borras Osorio, Jairo Jesús Martínez Romero, Angie Katerine Rodríguez Paredes, Yamith de Jesús Álvarez Castro, Olga Vanessa Manrique Arismendy","doi":"10.31579/2642-9756/084","DOIUrl":"https://doi.org/10.31579/2642-9756/084","url":null,"abstract":"Cervical cancer is the most common cause of death in female patients over 45 years of age. Surgical treatment (laparoscopic total hysterectomy and radical hysterectomy plus laparoscopic pelvic lymphadenectomy) is the most curative therapeutic resource in the initial stages (Ia1, Ia2 and Ib1). The treatment adopted in the development of this pathology is fundamental as the technique used to determine the prognosis of cervical cancer and obtain information on lymphatic involvement. Imaging techniques have advanced in recent years, but the only reliable way to detect lymph node involvement is the pathological study of the extracted pieces. The goal of laparoscopic staging is to assess bladder, bowel, and lymph node involvement and intra-abdominal disease. Laparoscopic pelvic and lumboaortic lymphadenectomy is effective in staging and treating gynecologic cancers. Laparoscopic lumboaortic lymphadenectomy has few complications, rescues an acceptable number of lymph nodes, and requires a shorter hospital stay. In addition, it identifies cervical cancers that require extended-field radiation therapy.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45152543","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 : 2021-08-10DOI: 10.1101/2021.08.09.21261359
M. W. Anshebo, T. Tessema, Y. Gebremariam
Abstract Background: There is paucity of information on level of commitment among health professionals attending delivery service in public health facilities of low-income countries including Ethiopia. Objective: To assess the level and factors associated with professional commitment among institutional delivery services providers at public health facilities in Shone District, Southern Ethiopia. Methods: A facility-based cross-sectional study design was conducted at primary level public health facilities in Shone District. All health facilities (one primary hospital and 7 health centers) were included in the study. 503 study participants who fulfilled inclusion criteria in proportion to obstetric care providers in each public health facilities were selected by applying simple random sampling. Self-administered Likert scale type of questionnaire was used. Data were analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were done to see the association between dependent and explanatory variables. Results: The magnitude of professional commitment for obstetric care providers working in public health facilities of Shone district was 69.4%. In this study, those who worked at hospital, those who had positive attitude toward organizational commitment, and those who had positive attitude toward personal characteristics were 2.4, 2.3 and 1.76 times more likely committed to profession compared with the counterparts respectively. Conclusion: The professional commitment among institutional delivery service provision was medium. All health professional should manage their own personal characteristics to behave in good way to be committed for their profession. Organizational commitment had great influence on professional commitment. Keywords: Health professionals, Commitment, Institutional delivery service, shone district
背景:在包括埃塞俄比亚在内的低收入国家的公共卫生机构中，卫生专业人员参加分娩服务的承诺水平缺乏信息。目的:评估埃塞俄比亚南部肖尼区公共卫生设施机构交付服务提供者的专业承诺水平和相关因素。方法:采用基于设施的横断面研究设计，对肖尼区初级公共卫生机构进行调查。所有卫生设施(1所初级医院和7个卫生中心)都被纳入研究。采用简单随机抽样的方法，选择了503名符合每个公共卫生机构产科护理提供者纳入标准的研究参与者。采用李克特自评式问卷。数据分析采用SPSS version 20。进行了双变量和多变量逻辑回归分析，以了解因变量和解释变量之间的关联。结果:肖尼区公共卫生机构产科护理人员的专业承诺率为69.4%。在本研究中，在医院工作的人、对组织承诺持积极态度的人、对个人特征持积极态度的人的职业承诺率分别是同行的2.4倍、2.3倍和1.76倍。结论:机构交付服务提供者的专业承诺处于中等水平。所有卫生专业人员都应该管理好自己的个人特点，以良好的方式为自己的职业做出贡献。组织承诺对专业承诺有显著影响。关键词:卫生专业人员;承诺;机构交付服务
{"title":"Professional Commitment and Its Associated Factors Among Institutional Delivery Services Providers In Public Health Facilities, In Shone District, Southern Ethiopia","authors":"M. W. Anshebo, T. Tessema, Y. Gebremariam","doi":"10.1101/2021.08.09.21261359","DOIUrl":"https://doi.org/10.1101/2021.08.09.21261359","url":null,"abstract":"Abstract Background: There is paucity of information on level of commitment among health professionals attending delivery service in public health facilities of low-income countries including Ethiopia. Objective: To assess the level and factors associated with professional commitment among institutional delivery services providers at public health facilities in Shone District, Southern Ethiopia. Methods: A facility-based cross-sectional study design was conducted at primary level public health facilities in Shone District. All health facilities (one primary hospital and 7 health centers) were included in the study. 503 study participants who fulfilled inclusion criteria in proportion to obstetric care providers in each public health facilities were selected by applying simple random sampling. Self-administered Likert scale type of questionnaire was used. Data were analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were done to see the association between dependent and explanatory variables. Results: The magnitude of professional commitment for obstetric care providers working in public health facilities of Shone district was 69.4%. In this study, those who worked at hospital, those who had positive attitude toward organizational commitment, and those who had positive attitude toward personal characteristics were 2.4, 2.3 and 1.76 times more likely committed to profession compared with the counterparts respectively. Conclusion: The professional commitment among institutional delivery service provision was medium. All health professional should manage their own personal characteristics to behave in good way to be committed for their profession. Organizational commitment had great influence on professional commitment. Keywords: Health professionals, Commitment, Institutional delivery service, shone district","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48283023","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}
Life style affects different aspects of human life, therefore, the human health is influenced by it, directly or non-directly. In recent years, the beneficial use of lifestyle intervention for health improvement has noticed interestingly. In the article, health improvement of the women through lifestyle modifications with focus on Islamic lifestyle is presented, briefly.
{"title":"Woman’s Health Improvement through Lifestyle Modifications: Focus on Islamic Lifestyle","authors":"M. Rabbani Khorasgani","doi":"10.31579/2642-9756/057","DOIUrl":"https://doi.org/10.31579/2642-9756/057","url":null,"abstract":"Life style affects different aspects of human life, therefore, the human health is influenced by it, directly or non-directly. In recent years, the beneficial use of lifestyle intervention for health improvement has noticed interestingly. In the article, health improvement of the women through lifestyle modifications with focus on Islamic lifestyle is presented, briefly.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41775821","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}
Purpose: The purpose of the study was to evaluate the effectiveness of wet-cupping therapy (CT) on menopause specific quality of life (MENQOL). Methods: This study was conducted with randomized controlled pretest, and posttest method between July 2015 and July 2016 at a Gynecology Outpatient Clinic of University Hospital in Ankara, Turkey. Intervention group (n=30) received wet CT while control group (n=30) did not receive any therapy. Both groups were measured quality of life using MENQOL scale before and two weeks after wet CT. Results: The women’s age ranged from 45 to 60 years. Baseline characteristics were similar in the both groups. Women treated with wet CT showed significant improvements in their vasomotor, physical and sexual symptoms (p<0.001). No significant effect was found for pshysco-social area (p>0.05). No adverse effects were recorded after treatment. Conclusion: Wet CT can be considered as an effective method for reducing of menopausal symptoms. In conclusion, this study provides preliminary data on the effectiveness of various symptoms in postmenopausal period. However, further with larger sample size evidence-based trials are needed in order to confirm these results for improving MENQOL.
{"title":"The effect of wet-cupping therapy on menopause specific quality of life: A randomized-controlled trial","authors":"Nurcan Gokgoz, G. Pinar","doi":"10.31579/2642-9756/061","DOIUrl":"https://doi.org/10.31579/2642-9756/061","url":null,"abstract":"Purpose: The purpose of the study was to evaluate the effectiveness of wet-cupping therapy (CT) on menopause specific quality of life (MENQOL). Methods: This study was conducted with randomized controlled pretest, and posttest method between July 2015 and July 2016 at a Gynecology Outpatient Clinic of University Hospital in Ankara, Turkey. Intervention group (n=30) received wet CT while control group (n=30) did not receive any therapy. Both groups were measured quality of life using MENQOL scale before and two weeks after wet CT. Results: The women’s age ranged from 45 to 60 years. Baseline characteristics were similar in the both groups. Women treated with wet CT showed significant improvements in their vasomotor, physical and sexual symptoms (p<0.001). No significant effect was found for pshysco-social area (p>0.05). No adverse effects were recorded after treatment. Conclusion: Wet CT can be considered as an effective method for reducing of menopausal symptoms. In conclusion, this study provides preliminary data on the effectiveness of various symptoms in postmenopausal period. However, further with larger sample size evidence-based trials are needed in order to confirm these results for improving MENQOL.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48958309","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 In women, peritoneal cancer is commonly associated to epithelial ovarian cancer. Ovarian peritoneal carcinomatosis patient survival appears to be better in comparison to other peritoneal Malignancies, e.g., colorectal neoplasms or mesotheliomas. Here, we aim to analyze the value of CA125, CEA, CA125/CEA ratio (CCR) tumor markers as preoperative tools for the diagnosis ovarian cancer. Material and methods: From 2005-2008, we recruit prospectively patients admitted to the Navarre Hospital Complex Gynecological service with peritoneal carcinomatosis and suspicion of ovarian cancer origins. The final diagnosis of ovarian cancer carcinomatosis or other malignancies was obtained through Biopsy or cytology. CA 125, CEA and CCR were determined from preoperative venous blood Samples. We compared the tumor markers values between groups of ovarian cancer carcinomatosis and non-ovarian cancer carcinomatosis and calculate the receiver operating curves (ROC) for CA 125, CEA and CCR. Results From 250 patients with suspicion of having ovarian peritoneal carcinomatosis, only 86.4% of the Cases were finally diagnosis of ovarian cancer. Sensitivities of CA125 > 35 mg/dL, CEA < 5 ngr/mL, and CCR > 25 were 95.5%, 91.9%, and 93.6% with specificities of 4.6%, 40.9% and 40.0%, respectively. ROC displayed poor performance for CA125 and CEA for detecting ovarian peritoneal carcinomatosis patients (area under the curve (AUC): 0.69 and 0.63, respectively) while ROC analysis of CCR showed better results (AUC: 0.74). Conclusions: CCR is somehow useful to differentiate between ovarian and non-ovarian peritoneal carcinomatosis patients in comparison with CA125 and CEA alone, although without sufficient specificity for improving the differential diagnosis.
{"title":"Little Clinical Relevance of Ca125, Cea and Ca125/Cea Ratio for the Differential Diagnosis of Ovarian and Non- Ovarian Carcinomatosis","authors":"Carmen Manuela Tauste Rubio","doi":"10.31579/2642-9756/064","DOIUrl":"https://doi.org/10.31579/2642-9756/064","url":null,"abstract":"Background In women, peritoneal cancer is commonly associated to epithelial ovarian cancer. Ovarian peritoneal carcinomatosis patient survival appears to be better in comparison to other peritoneal Malignancies, e.g., colorectal neoplasms or mesotheliomas. Here, we aim to analyze the value of CA125, CEA, CA125/CEA ratio (CCR) tumor markers as preoperative tools for the diagnosis ovarian cancer. Material and methods: From 2005-2008, we recruit prospectively patients admitted to the Navarre Hospital Complex Gynecological service with peritoneal carcinomatosis and suspicion of ovarian cancer origins. The final diagnosis of ovarian cancer carcinomatosis or other malignancies was obtained through Biopsy or cytology. CA 125, CEA and CCR were determined from preoperative venous blood Samples. We compared the tumor markers values between groups of ovarian cancer carcinomatosis and non-ovarian cancer carcinomatosis and calculate the receiver operating curves (ROC) for CA 125, CEA and CCR. Results From 250 patients with suspicion of having ovarian peritoneal carcinomatosis, only 86.4% of the Cases were finally diagnosis of ovarian cancer. Sensitivities of CA125 > 35 mg/dL, CEA < 5 ngr/mL, and CCR > 25 were 95.5%, 91.9%, and 93.6% with specificities of 4.6%, 40.9% and 40.0%, respectively. ROC displayed poor performance for CA125 and CEA for detecting ovarian peritoneal carcinomatosis patients (area under the curve (AUC): 0.69 and 0.63, respectively) while ROC analysis of CCR showed better results (AUC: 0.74). Conclusions: CCR is somehow useful to differentiate between ovarian and non-ovarian peritoneal carcinomatosis patients in comparison with CA125 and CEA alone, although without sufficient specificity for improving the differential diagnosis.","PeriodicalId":93058,"journal":{"name":"Women health care and issues","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42143690","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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