1,721,119 research outputs found
Sexual function after modified radical hysterectomy (Piver II/Type B) vs. classic radical hysterectomy (Piver III/Type C2) for early stage cervical cancer. A prospective study.
No full textIntroduction. When cervical cancer is detected at an early stage (International Federation of Gynecology and
Obstetrics [FIGO] IA2-IB1), it can be successfully treated by radical surgery alone. Considering that most patients
are young and sexually active at the moment of diagnosis and the long life expectancy of survivors after the treatment,
quality of life (QoL) and sexual function are important issues for cancer survivors and caregivers. However, only a
few studies have examined the QoL and sexual function in disease-free cervical cancer survivors, and there are no
studies in the literature comparing prospectively sexual function after different types of radical hysterectomy.
Aim. To compare sexual function in two groups of early stage cervical cancer survivors treated by radical surgery
alone, undergoing two different types of radical hysterectomy.
Methods. Patients treated by radical hysterectomy with systematic lymphadenectomy for early stage cervical cancer
(FIGO IA2-IB1) have been enrolled and divided in two groups with regard to type of radical hysterectomy performed;
S1: modified radical hysterectomy (Piver II/Type B), S2: classic radical hysterectomy (Piver III/ Type C2).
Main Outcome Measure. Twenty-four months after surgery we assessed the sexual function using the European
Organization for Research and Treatment of Cancer Cervix Cancer Module Questionnaire, which is a validated
system for the assessment of disease- and treatment-specific issues that affect the QoL and sexual functioning of
women who are treated for cervical cancer.
Results. Of the 31 patients enrolled in the S1 group and 46 in the S2 group, 23 and 33 patients have been included,
respectively. We observed significant differences between the two groups in terms of symptom experience, sexual/
vaginal functioning, sexual activity, and sexual enjoyment. There was not any significant difference regarding
lymphedema, peripheral neuropathy, and sexual worry.
Conclusion. Survivors of early stage cervical cancer treated by modified radical hysterectomy (Piver II/ Type B) have
a better sexual function than those operated by classic radical hysterectomy (Piver III/ Type C2). Plotti F, Nelaj E,
Sansone M, Antonelli E, Altavilla T, Angioli R, and Benedetti Panici P. Sexual function after modified radical
hysterectomy (Piver II/Type B) vs. classic radical hysterectomy (Piver III/Type C2) for early stage cervical
cancer: A prospective study. J Sex Med 2012;9:909–917
Incidence of Symptoms and Complications of Pelvic Inflammatory Disease
Full text linkBackground: Each year over one Million Women experience attacks of PID and more than
100,000 women are diagnosed with infertility. Many of the Ectopic pregnancies occur as a
result of this infection.Exact statistics of the patients are not available, and this study has been
done to determine the incidence of some symptoms and complications of pelvic infections.
Methods: This is a cross–sectional study and the women refereeing to Ardebil hospitals make
the sample society. 140 women were the samples of the study considering the criteria including
women who were not hospitalized due to pregnancy, abortion, hypertension, diabetes and
other chronic diseases and surgery. Sampling was done through referring to the Women`s
sections and interviewing, examination, registration, data extraction from patient records and
a two-part questionnaire including demographic information and information on the symptoms
of the disease. Data were analyzed by SPSS Software and descriptive statistical tests.
Results: the participants complained about the followings: 17/2% abnormal discharge, 10%
dysuria, 19/5% back pain,13% of abdominal tenderness, 15/1% of Cervix tenderness, 13/6%
adnexa tenderness in by manual, 13/6% Dyspareunia, 19/5% back pain and abdomen. 23% of
women had all the clinical criteria of pelvic inflammatory disease and chi-squar tests analysis
showed significant relationship between age, duration of marriage, contraception, abnormal
vaginal discharge, abdominal pain, back pain, Dysuria, Dyspareunia (P<0/05).
Conclusions: According to the results, Midwives can take a major step in improving women's
health with recognizing signs and symptoms of this disease and it complication
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Systemic therapy for gynecological neoplasms: ovary, cervix and endometrium
No full textEarly-stage endometrial carcinomas should be treated by total abdominal hysterectomy and bilateral salpingo-oophorectomy. In a small subset of patients, who wish to have children, conservative treatment (hormonal therapy) could be considered. The most effective agents for palliation of advanced disease are doxorubicin plus cisplatin
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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