International Journal of Gynecology & Obstetrics最新文献

筛选
英文 中文
Establishing a novel score system and using it to assess and compare the quality of ChatGPT-4 consultation with physician consultation for obstetrics and gynecology: A pilot study. 建立一个新的评分系统,并用它来评估和比较 ChatGPT-4 咨询与妇产科医生咨询的质量:试点研究。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-28 DOI: 10.1002/ijgo.15934
Lan Lan, Ling Yang, Jinyan Li, Jia Hou, Yunsheng Yan, Yaozong Zhang
{"title":"Establishing a novel score system and using it to assess and compare the quality of ChatGPT-4 consultation with physician consultation for obstetrics and gynecology: A pilot study.","authors":"Lan Lan, Ling Yang, Jinyan Li, Jia Hou, Yunsheng Yan, Yaozong Zhang","doi":"10.1002/ijgo.15934","DOIUrl":"https://doi.org/10.1002/ijgo.15934","url":null,"abstract":"<p><strong>Objectives: </strong>In the current study, we aimed to establish a quantified scoring system for evaluating consultation quality. Subsequently, using the score system to assess the quality of ChatGPT-4 consultations, we compared them with physician consultations when presented with the same clinical cases from obstetrics and gynecology.</p><p><strong>Methods: </strong>This study was conducted in the Women and Children's Hospital of Chongqing Medical University, a tertiary-care hospital with approximately 16 000-20 000 deliveries and 8500-12 000 gynecologic surgeries per year. The detailed data from obstetric and gynecologic medical records were analyzed by ChatGPT-4 and physicians; the consultation opinions were then generated respectively. All consultation opinions were graded by eight junior doctors using the novel score system; subsequently, the correlation, agreement, and comparison between the two types of consultation opinions were then evaluated.</p><p><strong>Results: </strong>A total of 100 medical records from obstetrics and 100 medical records from gynecology were randomly selected. Pearson correlation analysis suggested a noncorrelation or weak correlation between consultations from ChatGPT-4 and physicians. Bland-Altman plot showed an unacceptable agreement between the two types of consultation opinions. Paired t tests showed that the scores of physician consultations were significantly higher than those generated by ChatGPT-4 in both obstetric and gynecologic patients.</p><p><strong>Conclusion: </strong>At present, ChatGPT-4 may not be a substitute for physicians in consultations for obstetric and gynecologic patients. Therefore, it is crucial to pay careful attention and conduct ongoing evaluations to ensure the quality of consultation opinions generated by ChatGPT-4.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anticoagulant therapy in pregnant women with mechanical and bioprosthetic heart valves. 使用机械和生物人工心脏瓣膜的孕妇的抗凝治疗。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-28 DOI: 10.1002/ijgo.15935
Haroun A Rhemtula, Elise Schapkaitz, Barry Jacobson, Lawrence Chauke
{"title":"Anticoagulant therapy in pregnant women with mechanical and bioprosthetic heart valves.","authors":"Haroun A Rhemtula, Elise Schapkaitz, Barry Jacobson, Lawrence Chauke","doi":"10.1002/ijgo.15935","DOIUrl":"https://doi.org/10.1002/ijgo.15935","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to review maternal and fetal outcomes in pregnant women with prosthetic heart valves.</p><p><strong>Methods: </strong>A retrospective record review of pregnant women with prosthetic heart valves on anticoagulation was performed at the Specialist Cardiac Antenatal Clinic, Johannesburg South Africa from 2015 to 2023.</p><p><strong>Results: </strong>Fifty pregnancies with mechanical heart valves and three with tissue valves, on anticoagulation for comorbid atrial fibrillation were identified. The majority were of African ethnicity at a mean age of 33 ± 6 years. Anti-Xa adjusted enoxaparin was commenced at 10.5 ± 5.6 weeks' gestation until delivery in 48 (90.6%) pregnancies and warfarin was continued in five (9.4%) pregnancies. The live birth rates on enoxaparin and warfarin were 56.3% (95% confidence interval [CI]: 42.3-69.3) and 20.0% (95% CI: 2.0-64.0), respectively. There were 12 (22.6%) miscarriages at a mean of 11.3 ± 3.7 weeks' gestation, four (7.5%) intrauterine fetal deaths on warfarin and two (3.8%) warfarin embryopathy/fetopathy. The rates of antepartum/secondary postpartum bleeding and primary postpartum bleeding were 29.4% (95% CI: 18.6-43.1) and 5.9% (95% CI: 1.4-16.9), respectively. Maternal complications included anemia (n = 11, 20.8%), arrhythmia (n = 2, 3.8%), heart failure (n = 2, 3.8%) and paravalvular leak (n = 2, 3.8%). There was one (1.9%) mitral valve thrombosis and one (1.9%) stuck valve in pregnancies who defaulted warfarin prior to pregnancy. There were no maternal deaths.</p><p><strong>Conclusion: </strong>Multidisciplinary management of pregnant women with prosthetic heart valves with anti-Xa adjusted low molecular weight heparin throughout pregnancy represents an effective anticoagulation option for low-middle-income countries.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Specific growth velocity reference charts for monochorionic twin pregnancies. 单绒毛膜双胎妊娠的特定生长速度参考图。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-27 DOI: 10.1002/ijgo.15933
Yan-Hua Zhang, Lu Chen, Hong Zhan, Jiao'e Pan, Li Zhao, Wei Zhao, Qiong-Xin Liang, Xiao-Qing Li, Hong Wen
{"title":"Specific growth velocity reference charts for monochorionic twin pregnancies.","authors":"Yan-Hua Zhang, Lu Chen, Hong Zhan, Jiao'e Pan, Li Zhao, Wei Zhao, Qiong-Xin Liang, Xiao-Qing Li, Hong Wen","doi":"10.1002/ijgo.15933","DOIUrl":"https://doi.org/10.1002/ijgo.15933","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to create specific growth velocity reference charts for monochorionic (MC) twin pregnancies and provide additional information for assessing fetal growth in MC twins.</p><p><strong>Study design: </strong>This retrospective study collected data from uncomplicated MC twins with serial ultrasound parameters. The four ultrasound parameters, including biparietal diameter, femur length, head circumference, and abdominal circumference, were used to calculate the estimated fetal weight (EFW). Multilevel linear regression models were applied to fit growth velocity charts for each biometric parameter and EFW. Analysis of variance was used to examine differences in birthweight by whether EFW velocity and EFW values were <10th or ≥10th percentiles.</p><p><strong>Results: </strong>The final analysis encompassed a total of 5956 ultrasound examinations conducted on 487 MC twins. The growth velocity of four biparietal diameters exhibited a gradual decrease in a nearly linear fashion progressing from 18 to 37 gestational weeks. The EFW velocity increased steadily from 18 to 36 gestational weeks, reaching a peak of 178.2 g/week, and then the velocity gradually decreased until delivery. At 32 weeks for illustration, the lightest birth weight was observed when both EFW and EFW velocity were <10th percentile (1899 g). The study also found that birth weight was higher when EFW velocity was ≥10th percentile compared with <10th percentile, regardless of EFW being below or above the 10th percentile (2263 and 1906 g, respectively; P < 0.001).</p><p><strong>Conclusion: </strong>We developed specific growth velocity reference charts for MC twins, which could provide a valuable reference point for a more precise evaluation of fetal growth in MC twins. Preliminary findings indicate that the inclusion of fetal growth velocity in monitoring fetal growth provides additional information beyond EFW alone.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Working towards health: A model of cervical cancer screening and treatment for factory employees in Haiti. 为健康而努力:海地工厂员工宫颈癌筛查和治疗模式。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-27 DOI: 10.1002/ijgo.15940
Vincent DeGennaro, Rebecca R Henderson, Cynthia Petterson, Corey Wilson, Delphine Kanyandekwe, Yui Fujii, Rafael Guerrero-Preston, Nanotte Louis, Marie-Carmelle Elie, Nathalie McKenzie
{"title":"Working towards health: A model of cervical cancer screening and treatment for factory employees in Haiti.","authors":"Vincent DeGennaro, Rebecca R Henderson, Cynthia Petterson, Corey Wilson, Delphine Kanyandekwe, Yui Fujii, Rafael Guerrero-Preston, Nanotte Louis, Marie-Carmelle Elie, Nathalie McKenzie","doi":"10.1002/ijgo.15940","DOIUrl":"https://doi.org/10.1002/ijgo.15940","url":null,"abstract":"<p><strong>Objective: </strong>In Haiti, cervical cancer continues to cause high levels of mortality and morbidity due to lack of resources and political unrest. Haitian women employed in factories are especially vulnerable because they are unable to take time away from work to access health resources. We aimed to describe a low-cost intervention which successfully addressed this need.</p><p><strong>Methods: </strong>We present a retrospective review of data gathered through a public-private partnership, in which women working in garment factories near Port-au-Prince, Haiti, were offered health education, clinical breast exam, and free human papillomavirus (HPV) self-swab testing at their place of employment. Women testing positive for HPV were subsequently tested using visual inspection with acetic acid (VIA) to inform treatment referrals, and treated with mobile thermocoagulation in factory infirmaries. Factory-employed healthcare workers were trained on cancer screening, including VIA and clinical breast exam.</p><p><strong>Results: </strong>A total of 6843 out of 6983 (98%) female factory employees attended free reproductive health education sessions, and 4005 out of 4153 eligible women (97%) were screened using HPV self-swab testing; 5176 women received a clinical breast exam. Of the women screened for HPV, 1001 (25%) tested positive and 905 (90%) of HPV-positive women received VIA testing and thermocoagulation. The intervention had a total cost of US$76 000, over half of which was spent on an HPV testing machine.</p><p><strong>Conclusions: </strong>Innovative approaches to the prevention of cervical cancer are especially necessary in very low-resource, politically unstable environments like Haiti. Self-swab and screen-and-treat programs in the workplace were acceptable to employees and factory owners. This low-cost model was reached vulnerable women through a public-private partnership, and tracked them through screening and treatment. It could be implemented elsewhere or extended to include other health services.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fungibility, accessibility and clinical utility of remote electronic fetal monitoring in improving maternal emotional status compared with traditional method: A multicenter prospective cohort analysis. 与传统方法相比,远程电子胎儿监护在改善产妇情绪状态方面的可行性、可及性和临床实用性:多中心前瞻性队列分析。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-26 DOI: 10.1002/ijgo.15917
Yu Pan, Zi Chen, Lujiao Chen, Lingli Ning, Huimin Wan, Ting Chen, Haihong Zhang, Ying Jiang, Qiong Luo
{"title":"Fungibility, accessibility and clinical utility of remote electronic fetal monitoring in improving maternal emotional status compared with traditional method: A multicenter prospective cohort analysis.","authors":"Yu Pan, Zi Chen, Lujiao Chen, Lingli Ning, Huimin Wan, Ting Chen, Haihong Zhang, Ying Jiang, Qiong Luo","doi":"10.1002/ijgo.15917","DOIUrl":"https://doi.org/10.1002/ijgo.15917","url":null,"abstract":"<p><strong>Objective: </strong>Supported by remote signal processing techniques and wireless communication technology, remote electronic fetal monitoring (REFM) has emerged as a promising alternative to traditional electronic fetal monitoring (TEFM) in clinical practice. The aim of this study was to evaluate the comparability, accessibility, and clinical utility of REFM in contrast to TEFM.</p><p><strong>Methods: </strong>This was a multicenter prospective cohort study. A cohort of 2900 pregnant women were enrolled from three medical centers between June 1, 2021 and June 31, 2022. Among them, 800 utilized REFM, with 760 of them completing the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) assessments using the devices for 1 month. The control group comprised 2100 pregnant women who did not use REFM. Additionally, 80 pregnant women concurrently employed both REFM and TEFM, and their respective curve coincidence rates were determined through curve fitting. Primary outcomes encompassed pregnancy outcomes in both groups, average curve coincidence rates between REFM and TEFM, as well as SDS and SAS scores.</p><p><strong>Results: </strong>Among the 760 pregnant women who completed SAS and SDS assessments, their average SAS scores before and after 1 month of REFM usage were 43.09 ± 8.04 and 41.58 ± 6.59, respectively. Concurrently, the average SDS scores before and after 1 month of REFM usage were 45.45 ± 9.60 and 44.80 ± 9.17, respectively. A statistically significant decrease was observed in SAS scores (P = 0.005), whereas no significant difference was noted in SDS scores (P = 0.340). Furthermore, a statistically significant difference in the rate of adverse pregnancy outcomes (neonatal asphyxia) emerged between the two groups, those who employed REFM and those who did not (P = 0.021). In the subset of 80 pregnant women employing both REFM and TEFM, all 80 results showed precise congruence between the two methods. The average coincidence rate was determined to be 79.45% ± 12.64%.</p><p><strong>Conclusion: </strong>REFM contributes to improved pregnancy outcomes and exhibits a high level of concordance with TEFM, thereby accurately reflecting the quality of fetal heart monitoring. Additionally, REFM effectively mitigates pregnant women's anxiety. Thus, REFM demonstrates comparability, accessibility, and clinical utility.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopic sacrocolpopexy with concurrent hysterectomy or uterine preservation: A metanalysis and systematic review. 腹腔镜骶骨整形术同时进行子宫切除术或保留子宫:荟萃分析和系统综述。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-26 DOI: 10.1002/ijgo.15891
Veronica Tius, Martina Arcieri, Cristina Taliento, Giulia Pellecchia, Giampiero Capobianco, Tommaso Simoncini, Giovanni Panico, Daniela Caramazza, Giuseppe Campagna, Lorenza Driul, Giovanni Scambia, Alfredo Ercoli, Stefano Restaino, Giuseppe Vizzielli
{"title":"Laparoscopic sacrocolpopexy with concurrent hysterectomy or uterine preservation: A metanalysis and systematic review.","authors":"Veronica Tius, Martina Arcieri, Cristina Taliento, Giulia Pellecchia, Giampiero Capobianco, Tommaso Simoncini, Giovanni Panico, Daniela Caramazza, Giuseppe Campagna, Lorenza Driul, Giovanni Scambia, Alfredo Ercoli, Stefano Restaino, Giuseppe Vizzielli","doi":"10.1002/ijgo.15891","DOIUrl":"https://doi.org/10.1002/ijgo.15891","url":null,"abstract":"<p><strong>Background: </strong>Literature is lacking strong evidence about comparisons of efficacy and quality of life-related outcomes between laparoscopic total and/or supracervical hysterectomy (LTH/LSCH) with laparoscopic sacrocolpopexy (LSC) and minimally invasive sacrohysteropexy (LSH).</p><p><strong>Objective: </strong>To summarize and compare available data on this topic providing a useful clinical tool in the treatment decision process.</p><p><strong>Search strategy: </strong>We performed a systematic research of PubMed (MEDLINE), Web of Science, and Gooogle Scholar.</p><p><strong>Selection criteria: </strong>We included studies that compared at least one efficacy outcome (objective or subjective outcome) between LTH/LSCH with LSC and LSH. Data on surgery-related morbidities were also extracted where available.</p><p><strong>Data collection and analysis: </strong>A random-effect meta-analysis was conducted reporting pooled mean differences and odds ratios (OR) between groups using Review Manager V.7.9.0.</p><p><strong>Main results: </strong>We included a total of nine observational studies. LTH/LSCH with LSH was associated with a significantly higher objective success (apical compartment OR 7.95; 95% confidence interval [CI] 2.23-28.33; I<sup>2</sup> = 0%; P = 0.001; anterior compartment OR 2.23; 95% CI 1.26-4.30; I<sup>2</sup> = 12%; P = 0.007) and subjective success (OR 3.19; 95% CI 1.42-7.17; I<sup>2</sup> = 39%; P = 0.005). No differences were found regarding intraoperative and postoperative complications, sexual dysfunction, and stress urinary incontinence rate after surgery. Hysteropexy showed shorter operative time and shorter hospital length with a pool mean difference of 27.37 min (95% CI 18.04-32.71; I<sup>2</sup> = 0%; P < 0.001) and 0.7 days (95% CI 0.24-1.17; I<sup>2</sup> = 75%; P = 0.003), respectively. Concurrent hysterectomy was not associated with a higher rate of mesh-related complications (P = 0.53). No major differences were found regarding recurrence and reoperation rate (P = 0.10 and P = 0.93, respectively).</p><p><strong>Conclusions: </strong>LTH/LSCH with LSC has better objective and subjective outcomes in pelvic organ prolapse surgery than LSH alone, especially for apical and anterior compartments, and is not associated with higher postoperative sexual dysfunction and mesh-related complications. Adequate preoperative counseling is highly recommended in patients who desire uterine preservation.</p><p><strong>Prospero registration number: </strong>CRD42024537270.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A commentary on "Factors associated with infant feeding intention among usual-risk pregnant women" 关于 "高危孕妇婴儿喂养意愿的相关因素 "的评论。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-26 DOI: 10.1002/ijgo.15919
Chunyan Wei, Guofang Feng, Sichao Chen
{"title":"A commentary on \"Factors associated with infant feeding intention among usual-risk pregnant women\"","authors":"Chunyan Wei,&nbsp;Guofang Feng,&nbsp;Sichao Chen","doi":"10.1002/ijgo.15919","DOIUrl":"10.1002/ijgo.15919","url":null,"abstract":"","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nomogram to predict methotrexate treatment success in ectopic pregnancy. 预测甲氨蝶呤治疗宫外孕成功率的提名图。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-26 DOI: 10.1002/ijgo.15927
Gil Zeevi, Or Bercovich, Yael Haring, Shir Nahum, Asaf Romano, Ohad Houri, Effi Yeoshoua, Ram Eitan, Yoav Peled, Haim Krissi
{"title":"Nomogram to predict methotrexate treatment success in ectopic pregnancy.","authors":"Gil Zeevi, Or Bercovich, Yael Haring, Shir Nahum, Asaf Romano, Ohad Houri, Effi Yeoshoua, Ram Eitan, Yoav Peled, Haim Krissi","doi":"10.1002/ijgo.15927","DOIUrl":"https://doi.org/10.1002/ijgo.15927","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate clinical factors prior to methotrexate (MTX) treatment for tubal ectopic pregnancy and to apply the data to a prediction model for treatment success.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted during 2014-2022. Of the 808 patients with a tubal ectopic pregnancy, 372 with a β-hCG level less than 5000 IU/L were treated with a single dose of MTX and were included in this study. Pretreatment factors, including patient characteristics, initial β-hCG level, and sonographic parameters, were compared between those who achieved complete resolution and those who needed additional MTX or surgical intervention. A logistic regression model and multivariable analysis were used to predict success. A graphic nomogram was generated to represent the model.</p><p><strong>Results: </strong>Complete resolution of the ectopic pregnancy was achieved in 290 (77.9%) patients after a single dose of MTX. A second dose or surgical intervention was required for 82 (22.0%): 49 (13.2%) received a second dose of MTX and 33 (8.9%) underwent laparoscopic salpingectomy. In the MTX Success group compared to the MTX Failure group, the median β-hCG levels were lower (746 vs 1347 IU/L, P < 0.001) and the presence of a yolk sac and a fetal pole were less frequent. The predictive model, based on significant variables, includes initial β-hCG concentration and the visibility of a yolk sac or fetal pole. Analysis with cross-validation techniques revealed that the model was both accurate and discriminative.</p><p><strong>Conclusion: </strong>A predictive nomogram was developed to predict the success of single-dose MTX treatment for tubal ectopic pregnancy.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of age on premenstrual syndrome prevalence and severity: A population-based survey in Brazil. 年龄对经前期综合征发病率和严重程度的影响:巴西人口调查。
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-25 DOI: 10.1002/ijgo.15895
Adriana Orcesi Pedro, Juliana Dineia Perez Brandão, Samantha Belamarques de Oliveira Silva, Maura Gonzaga Lapa, Vivienne Carduz Castilho
{"title":"Impact of age on premenstrual syndrome prevalence and severity: A population-based survey in Brazil.","authors":"Adriana Orcesi Pedro, Juliana Dineia Perez Brandão, Samantha Belamarques de Oliveira Silva, Maura Gonzaga Lapa, Vivienne Carduz Castilho","doi":"10.1002/ijgo.15895","DOIUrl":"https://doi.org/10.1002/ijgo.15895","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between premenstrual disorders (PMD) and age, we analyzed the prevalence and severity of psycho-emotional and physical symptoms in a representative sample of Brazilian women.</p><p><strong>Methods: </strong>This observational and retrospective study analyzed data from Brazilian women aged 20-49 years from five regions of the country who reported premenstrual symptoms. Participants completed a premenstrual symptom screening questionnaire and self-reported the presence and severity of their symptoms. Among 23 104 women reporting does premenstrual symptoms, 38.91% (n = 8990) experienced PMD caused functional impairment. Finally, 5121 participants agreed to complete the adapted version of the screening questionnaire.</p><p><strong>Results: </strong>The age group distribution was 20-29 (46.7%), 30-39 (38.3%), and 40-49 years (15%). The most prevalent and severe physical symptom was acne/oily skin in participants aged 20-29 years and headache in women aged 30-49 years. Regarding psycho-emotional symptoms, the most prevalent was anxiety/tension in women aged 20-29 years and 40-49 years and irritability/anger in those aged 30-39 years. Irritability/anger was the most severe symptom in all groups.</p><p><strong>Conclusion: </strong>PMD significantly impacts the quality of life of Brazilian women with varying intensity. Physical symptoms associated with PMD vary with age, while psycho-emotional symptoms, particularly irritability/anger and anxiety, were intense in Brazilian women of reproductive age. These findings inform early diagnosis and individualized treatment approaches for PMD, addressing the needs of women.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
John J. Sciarra Prize Paper Award for 2024 John J. Sciarra 2024 年获奖论文奖
IF 2.6 3区 医学
International Journal of Gynecology & Obstetrics Pub Date : 2024-09-24 DOI: 10.1002/ijgo.15924
{"title":"John J. Sciarra Prize Paper Award for 2024","authors":"","doi":"10.1002/ijgo.15924","DOIUrl":"https://doi.org/10.1002/ijgo.15924","url":null,"abstract":"<p>The editors of the <i>International Journal of Gynecology and Obstetrics</i> (IJGO) are pleased to announce a prize award for the best clinical research paper from a low- or middle-income country published in the IJGO during 2024.</p><p>All clinical research articles from low- and middle-income countries published in 2024 will be considered for this prize. Selection will be made by the editors and the decision will be announced in IJGO in 2025. The winning corresponding author will receive an £800 stipend, a certificate of recognition, and complimentary access to the online version of IJGO for a period of 1 year from the date the prize is awarded. Notification will be made to the corresponding author, who will be responsible for determining distribution of the winnings.</p><p>This award has been established for the purpose of encouraging investigators, especially young scientists, from low- and middle-income countries to submit their very best clinical research articles for publication in IJGO.</p><p>IJGO is the official publication of the International Federation of Gynecology and Obstetrics (FIGO), the primary international organization for the specialty of obstetrics and gynecology. FIGO is dedicated to enhancing the health care of women worldwide, and the prize award is intended to encourage authors to work toward the FIGO mission, which is, in part, to serve an international audience by publishing original scientific articles and communications originating in low-income countries, emphasizing important obstetric and gynecologic problems, issues, and perspectives, such as maternal mortality and family planning.</p>","PeriodicalId":14164,"journal":{"name":"International Journal of Gynecology & Obstetrics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ijgo.15924","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142316795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信