1,720,973 research outputs found
Letter to the editor: Comment on “Simultaneous treatment of anterior vaginal wall prolapse and stress urinary incontinence by using transobturator four arms polypropylene mesh”
No full textQuality of life of women using the etonogestrel long-acting reversible contraceptive implant after abortion for unplanned pregnancy
No full textObjectives: The aims of the study were to investigate the effect of a subcutaneous etonogestrelcontaining
contraceptive implant on the quality of life (QoL) and sexual function of women who
had undergone termination of an unplanned pregnancy.
Methods: At pregnancy termination 140 women received contraceptive counselling on the etonogestrel
implant. The Short Form-36 questionnaire, the Female Sexual Function Index and the
Female Sexual Distress Scale were used to investigate, respectively, the QoL, sexual function and
sexual distress of the women at baseline and at 6, 12, 24 and 36 months of follow-up.
Results: The study group comprised 86 (61.4%) women who chose to use the contraceptive
implant. The control group comprised 28 (20.0%) women who chose to use short-acting reversible
contraception (SARC) and 26 (18.6%) women who chose not to use hormonal contraception. In
the women not using hormonal contraception there were 23 (88.5%) unintended pregnancies
before the end of the 3 year study period. QoL, sexual function and sexual distress improved in
the study group from the 6 months follow-up until the end of the study (p<0.001). QoL (p<0.02)
and sexuality (p<0.001) gradually improved in the control group after 24 and 12 months of follow-
up, respectively. None of the women using the etonogestrel implant became pregnant during
the study. Inter-group analysis showed better improvement in QoL, sexual function and sexual distress
in the study group than in the control group from 6 months (p<0.004) until the end of the
study (p<0.001).
Conclusion: Compared with SARC and non-hormonal contraception, the contraceptive implant
promoted better QoL and sexuality in users and reduced the incidence of unplanned pregnancy.
However, the women who opted for SARC or non-hormonal contraception did so because of the lower cost compared with that of the contraceptive implant
Otorrhagia and Nosebleed as first signs of Intravascular Absorption Syndrome During Hysteroscopy: From Bench to Bedside
No full textHysteroscopic surgery is indicated for the treatment of several intrauterine diseases. The surgeon needs to be aware of, and know how to prevent, possible complications related to these procedures. In the case of operative hysteroscopy, the systemic effects of low-viscosity fluid uptake must be considered in order to prevent the complications in the patient. We report on two unusual clinical signs of intravascular absorption syndrome (IAS) that developed during an operative hysteroscopy with glycine 1.5% as the fluid of distension. Based on our experience, we recommend that practitioners reduce operating times, monitor fluid balances, check electrolytes and kinetic heart rates, and monitor for symptoms including otorrhagia and nosebleed, in order to identify and possibly prevent IAS due to an overload of low-viscosity fluids
Impact of endometriosis on quality of life and psychological well-being
No full textThe aim of this work is to propose a brief comment about the impact of endometriosis on quality of life and psychological well-being of women affected
Liposomal ferric pyrophosphate and ascorbic acid supplementation in pregnant women with iron deficiency anaemia: haematochemical, obstetric, neonatal and psychological outcomes in a prospective observational study
No full textThis study aimed to determine the effects of liposomal iron pyrophosphate/ascorbic acid on clinical and psychological outcomes in pregnant women. Women at the 11th-13th weeks of gestation with iron deficiency anaemia assuming SideremilTM from April 2018 to May 2019 were recruited. Haematochemical, obstetric, neonatal and psychological outcomes were investigated at the enrolment, 21-23 weeks of gestation, 30-32 weeks of gestation and after 6 weeks from childbirth. Results showed significant positive effects on haemoglobin, ferritin, sideremia and transferrin levels, compared to baseline data. A significant improvement of anxiety and depression levels was also observed. Regarding the quality of life, all the domains significantly improved, especially the Physical Role domain. Our results indicate that SideremilTM may be a valid treatment for iron deficiency anaemia in pregnant women, since it significantly improves haematological and mental health outcomes. However, further studies are needed to confirm these results
Use of pentoxifylline during ovarian stimulation to improve oocyte and embryo quality: A retrospective study
No full textObjective: This study aims to investigate if the administration of pentoxifylline during ovarian stimulation
have an impact on the quantity and quality of oocytes recovered for in vitro fertilization (IVF), the quality of
zygotes and embryos resulting from IVF, the serum estradiol and progesterone concentrations, the endometrial thickness and pregnancy outcomes after embryo transfer.
Methods: Retrospective crossover study including 18 women with recurrent implantation failur, defined as
having a history of at least two consecutive cycles of implantation failure and 25-45 years of age at the time
of embryo transfer. Pentoxifylline was added during their following IVF attempt aiming to improve endometrial function. Oocyte, zygote and embryo quality, serum estradiol and progesterone concentrations, endometrial thickness and IVF outcomes were compared between the two sequential attempts.
Results: Compared to the first attempt, the outcomes of the second attempt, with the addition of pentoxifylline administration, resulted in higher numbers of total and mature oocytes, better oocyte, zygote and
embryo quality, higher serum estradiol concentrations, thicker endometrium and better clinical IVF
outcomes.
Conclusions: The administration of pentoxifylline during ovarian stimulation seems to improve IVF outcomes,
not only by the generating a thicker endometrial lining, but also by producing a higher number of oocytes,
with better oocyte, zygote and embryo quality, and higher serum estradiol concentrations
The Importance of a Multidisciplinary Approach for Women with Pelvic Organ Prolapse and Cystocele
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Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
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