202 research outputs found
Office hysteroscopy: a scientific overview
Minihisteroskopia (histeroskopia ambulatoryjna) wykonywana bez użycia wzierników (waginoskopia) i kulociągóworaz bez konieczności analgezji jest metodą diagnostyczno-leczniczą o bardzo niskim ryzyku powikłańi może być wykonana z minimalnym dyskomfortem dla pacjentki. Rzadko wymaga znieczulenia ogólnego pacjentki.Metoda ta wykazuje niski odsetek niepowodzeń przy zachowanej wysokiej efektywności. Zakres wskazańdo minihisteroskopii obejmuje nie tylko procedury diagnostyczne, w tym również stany przednowotworowei nowotwory, ale również procedury operacyjne w zakresie zbliżonym do tradycyjnej histeroskopii wykonywanejprzy użyciu „tradycyjnego” resektoskopu. W relacji do innych metod diagnostycznych (USG, SIS, badania radiologiczne,NMR) umożliwia nie tylko precyzyjną wizualizację zmian, lecz także celowane pobranie tkanek dobadań mikroskopowych. Te cechy minihisteroskopii sprawiają, że zarówno w wymiarze ekonomicznym (krótkiczas trwania procedury, brak konieczności znieczulenia), jak i psychologicznym (szybka diagnoza i niezwłoczneleczenie) jest metodą z wyboru w diagnostyce i leczeniu patologii jamy macicy i kanału szyjki. Pomimo swoichzalet, w porównaniu z USG, nie jest polecana, mimo sugestii pewnej grupy klinicystów, do rutynowego skrininguu pacjentek niemających objawów
Office hysteroscopy: A scientific overview
Office hysteroscopy, when defined as the vaginoscopic procedure, is a method which can be performed with very little discomfort for the patient and at an extremely low risk for serious complications. It has a low failure rate and high efficacy. It can be used for routine diagnostics but also for small operational interven tions and diagnosis of malignancy and pre-malignancy. It has proved to be superior to other diagnostic tools in the unique possibility of visualization and simultaneous visually-controlled biopsy. Primarily and foremost however, it represents an enormously beneficial gain in both time and psychological impact for the patients undergoing the procedure, who often obtain immediate diagnosis and treatment. There is a further advantage in minimizing the diameter of the hysteroscope, the so-called mini-hysteroscope of 3.3 mm sheath diameter being significantly better tolerated than the wider 4 mm hysteroscope. The use of mini-hysteroscopes may also obviate the need to restrict the patient population to those having undergone vaginal delivery or the need for a very experienced surgeon. At present, however, there seems to be no clear advantage in using a flexible scope, as the gain of greater patient comfort is outweighed by the fact of greater visibility, shorter procedure time and thus lower cost of rigid hysteroscopy. Given that this procedure is still more expensive, more time-consuming and somewhat less comfortable for patients than routine ultrasound it may at this time be premature to recommend, as suggested by some authors [29, 14], it as a screening tool for asymptomatic patients. Most asymptomatic patients will after all present to the clinic without uterine abnormality or cause for intervention. © 2011 Termedia Sp. z o.o. All rights reserved
Characterizing retained placenta : epidemiology and pathophysiology of a critical obstetric disorder
Background: Retained placenta is associated with severe postpartum hemorrhage but its etiology and pathophysiology are largely unknown. Certain studies have suggested that retained placenta is associated to defective placentation disorders- pregnancy disorders with an initial defective placentation resulting in increased oxidative stress. The aim of this thesis was to investigate risk factors for and consequences of retained placenta, determine whether retained placenta and defective placentation disorders are epidemiologically associated and to assess if this association is supported at the molecular and histological level.Methods and Main Results: Study I was a case-control study comparing pregnancy and deliveryrelated variables in women with retained placenta and controls (n=408 in each group) after singleton vaginal birth. The study found that retained placenta was associated with severe postpartum hemorrhage and that a history of abortion or recurrent miscarriage, pre-eclampsia, preterm delivery and prolonged oxytocin use in the current pregnancy were independent risk factors for retained placenta. Study II was a population based cohort study investigating the association between retained placenta and defective placentation disorders (pre-eclampsia, preterm birth, small-for-gestational-age birth and stillbirth) in primiparous women giving vaginal birth at 32-41 gestational weeks between 1997 and 2009 in Sweden (n=386 607). The study found that retained placenta was associated to pre-eclampsia, spontaneous preterm birth, small-for-gestational-age birth and stillbirth. The risk was further increased for women with these disorders among preterm deliveries. Study III was a cross-sectional pilot study investigating the antioxidative enzyme Glutathione Peroxidase 1 (GPX1) and the transcription factor Nuclear Factor Kappa-light-chain-enhancer of activated β-cells (NFκB), as markers of antioxidative defence capacity and inflammation, in 29 retained and 31 non-retained placentas. The study found that retained placentas showed a tendency of lower median concentrations GPX1 and were significantly more likely to have a low level of GPX1 protein concentration. There were no differences in expression ofNFκB. Study IV was a case-control study comparing histological signs of maternal underperfusion and inflammation in retained (n=49) and non-retained (n=47) placentas. The study found that retained placentas had a significantly smaller surface area, were more oblong in shape and showed overall more signs of maternal placental underperfusion compared to non-retained placentas.Conclusions: Retained placenta is epidemiologically associated to defective placentation disorders, a finding which is supported in part by signs of decreased antioxidative capacity in the placenta and increased histological signs of maternal placental underperfusion. Prolonged oxytocin use may exacerbate the risk of retained placenta. Risk awareness of retained placenta should guide preparedness during the third stage of labor given the high risk of severe postpartum hemorrhage that the disorder entails.List of scientific papersI. Endler M, Grünewald C, Saltvedt S. Epidemiology of retained placenta: oxytocin an independent risk factor. Obstet Gynecol. 2012 Apr;119(4):801-9. https://doi.org/10.1097/AOG.0b013e31824acb3b II. Endler M, Saltvedt S, Cnattingius S, Stephansson O, Wikström AK. Retained placenta is associated with pre-eclampsia, stillbirth, giving birth to a smallfor-gestational-age infant, and spontaneous preterm birth: a national registerbased study. BJOG. 2014 Nov;121(12):1462-70 https://doi.org/10.1111/1471-0528.12752 III. Endler M, Saltvedt S, Eweida M, Åkerud H. Oxidative stress and inflammation in retained placenta: a pilot study of protein and gene expression of GPX1 and NFκB. [Submitted]IV. Endler M, Saltvedt S, Papadogiannakis N. Macroscopic and histological characteristics of retained placenta: a prospectively collected case-control study. [Submitted]</p
»Så skärper den ena människan den andra» : Om litteraturkritikern Margit Abenius och hennes många nätverk
An essay on the life and work of the Swedish literary critic Margit Abenius (1899-1970) and on her various social networks. The essay focuses on Margit Abenius' life-long depression and on its impact on her professional career. The aim is to study whether, and in what way, Abenius handled her desease and how she managed to make it a resource in her work as a literary critic and author. The essay is a part of Marta Ronne's research project on Margit Abenius and the Swedish literary critique 1930-1970 (book in progress).</p
Short communication: The influence of vermicompost based substrates on basil growth and nutrient content
ArticleSaabunud / Received 07.01.2019 ; Aktsepteeritud / Accepted 23.05.2019 ; Avaldatud veebis / Published online 23.05.2019 ; Vastutav autor / Corresponding author: Margit Olle e-mail: [email protected] produced by earthworms is rich in macro- and micronutrients, vitamins and growth hormones, which are all needed for successful plant growth. The influence of vermicompost based growth substrates on basil (Ocimum basilicum L.) growth and nutrient content was assessed. Treatments were: 1. 30% vermicompost, peat, sand, dolomite stone; 2. 25% vermicompost, peat, gravel, perlite; 3. 25% vermicompost, peat, gravel, light gravel, 4. commercially available growth medium, or 5. 20% vermicompost and organic matter rich clay soil. Basil growth was best with treatments 1 and 2. Nutrient content of basil was best in treatment 3. The best growth substrate for basil production is treatment 1, based on growth results, while based on nutrient analysis when basil is used in medicine, the right treatment is 3: 25% vermicompost, peat, gravel, light gravel
Short communication: the effect of silicon on the organically grown leaf lettuce growth and quality
ArticleSaabunud / Received 30.08.2019 ; Aktsepteeritud / Accepted 11.10.2019 ; Avaldatud veebis / Published online 15.10.2019 ; Vastutav autor / Corresponding author: Margit Olle e-mail: [email protected] purpose was to assess the effect of silicon on the leaf lettuce production. The experiments in the greenhouse were carried out in the spring 2014 at the Estonian Crop Research Institute. Treatments: 1) stabilized silicic acid treatment; 2) control. Si treatment (2 mL L–1 of silicic acid): First spray, when 1 true leaf was present; second spray was two weeks after spray 1; third spray was two weeks after spray 2. The pH of spray solution was 5.5. pH of spray solution was 5.5. Control plants were treated with water. The plants were 26% higher in Si variant. The width of leaf lettuce was 32% larger in Si variant. In leaf lettuce the phosphorus content was 14% higher, the content of calcium was 32% higher, the content of magnesium was 12% higher in Si variant than in control
Heritaging and the Use of History in Margit Sandemo’s The Legend of the Ice People
This chapter explores the use of heritage and history in the popular romance series The Legend of the Ice People (1982–1989) by Norwegian-Swedish author Margit Sandemo. The epos is the 47-volume multigenerational saga of a family. The series is here defined as a story world in which Sandemo is the creator, but fans are actively involved in collective negotiations. The use of the past within the series offers interpretations to readers, who are putting the old-fashion modes into up-to-date, concurrent, and contemporary understandings of morality by emerging from the historical past within the series.
Kindheit in Berlin Charlottenburg Ahornallee 33.
The memoir was published in "Katholische Schule Liebfrauen, Berlin: Schulchronik," 1998, pages 33 - 38.The author describes her childhood memories as a child of a Christian journalist and a mother from a well-to-do Jewish family. Margit Korge's parents got divorced in 1935. At the age of 7 she was taken to a Catholic boarding school. Her mother immigrated to the United States and left her daughter in the care of the nuns of the order "Our dear Lady" (Unserer lieben Frau). Margit's grandparents, the textile merchants Anita and Salomon Kalman paid for her education. The boarding school was located in an exclusive villa and hosted children of the high society. Margit was fascinated by the rituals of the Catholic surroundings. The nuns showed a loving care and made efforts to integrate her in an environment alien to her. At the same time restriction of her strong desire for independence through firm rules and distanced relationships in the nunnery. Estrangement from her classmates due to her mixed heritage. Last encounters with her maternal grandparents prior to their deportation. Growing danger and Gestapo investigations. In 1942 she had to leave the boarding school and lived without legal permission at her paternal grandparents. In 1944 she was taken to Brambach, where she survived the war in hiding.Margit Korge, née Metzmacher was the daughter of a Christian journalist and a Jewish mother. Her parents got divorced when she was little. At the age of 7 she was taken to the Catholic boarding school "Maria Regina", where she was protected by the nuns of the order. Due to the growing danger of Gestapo investigations she had to leave the school in 1942 and survived the war in hiding.Synopsis in fileKalman, Anita and SalomonMarriage, MixedRighteous Gentiles in the Holocaus
"Jag lever i tre världar" - Margit Sandemos visioner i ljuset av religionspsykologisk mystikteori
The topic of this essay is visions and how they can be viewed in the scientific study of mysticism. A case study of the life and mystical visions of Swedish-Norwegian author Margit Sandemo is conducted. The method used is interview as well as textual studies. The material thus consists of both several autobiographies and the transcribed interview with Sandemo. Through comparisons and rereading of the different texts a short biography is constructed focusing on important events and experiences, particularly visions, in the life of Sandemo. Based mainly on the theories and concepts of Antoon Geels and Mark Freeman the visions of Margit Sandemo are analyzed and discussed. The purpose is to try to understand the visions and decide which of them are to be regarded as mystical experiences. Applied to the material the theories often seem to be in accord, but they provide different levels of understanding. Depending on the theory used different visions may or may not appear as mystical experiences. The viewpoint, particularly of W.T. Stace, that visions are not to be regarded as mystical experiences is also discussed.Uppsatsens ämne är visioner och hur de kan betraktas inom ett vetenskapligt mystikstudium. Empirin utgörs av författaren Margit Sandemos liv och upplevelser, vilka tecknas utifrån en genomförd intervju och olika självbiografiska böcker. Materialet utvinns alltså genom intervjumetod och textläsning. Genom jämförelser och omläsning av texter och intervjumaterial växer en kort biografi fram med särskild fokus på viktiga händelser och upplevelser, däribland visioner, i Sandemos liv. Med utgångspunkt i teorier och begrepp hämtade främst från Antoon Geels och Mark Freeman analyseras och diskuteras Sandemos visioner och deras mystika status. Syftet är att försöka förstå visionerna och bestämma vilka av dem som kan betraktas som mystika upplevelser. Teorierna är delvis i harmoni, men bjuder olika möjligheter till förståelse, och divergerar även något vid bestämmandet av mystika aspekter hos visionerna. Även synsättet att visioner ej utgör mystika upplevelser berörs, huvudsakligen i anslutning till W.T. Staces uppfattning om mystik
Ironic Narrative Agency as a Method of Coping with Trauma in the Diary-Memoir of Margit K., a Female Holocaust Survivor
This paper analyzes the rhetoric of a manuscript written in Budapest immediately after the Holocaust to record the personal experiences of the author, Margit K. I examine the text in terms of the role of writing and narration in processing trauma and how these appear in the narrative. In her memoirs, Margit K. had imbued her personal history of persecution with meanings that facilitated their integration into her life history and her self-definition. She chose to narrate her tragic past using euphemistic, mitigating, or ironic language and constructed her stories to have positive outcomes while attempting to write as little of the pain and tragedy of her persecution as possible. The euphemizing narrative methods used in the memoirs disappear entirely in the diary and the themes discussed in the diary are also different, which shows the advantages of constructing a desired past within the genre of the memoirs in contrast to the more strictly defined genre of diary-writing
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