Journal of Womens Health Care最新文献

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Factors Influencing the Uptake of HIV Testing During Antenatal Care inRural Uganda 影响乌干达农村产前保健期间接受艾滋病毒检测的因素
Journal of Womens Health Care Pub Date : 2013-02-03 DOI: 10.4172/2167-0420.1000121
Z. Mumtaz, N. Merchant, A. Levay
{"title":"Factors Influencing the Uptake of HIV Testing During Antenatal Care inRural Uganda","authors":"Z. Mumtaz, N. Merchant, A. Levay","doi":"10.4172/2167-0420.1000121","DOIUrl":"https://doi.org/10.4172/2167-0420.1000121","url":null,"abstract":"Despite critics of the ‘opt-out’ policy surrounding HIV testing during antenatal care visits in Uganda suggesting that women may be deterred from seeking antenatal care at facilities with on-site testing, empirical evidence suggests the acceptability of HIV testing during antenatal care has been significantly increasing over the last decade. Furthermore, there is a disconnect between high rates of antenatal care and low rates of facility births implying that there are other reasons women use antenatal care besides to prepare for a facility delivery. The aim of this paper is to investigate the role HIV testing has in the high rates of antenatal care uptake in Uganda. A focused ethnographic study was undertaken in two areas of Kabarole district between the period of September 2009 and January 2010. Data collection consisted of in-depth interviews, focus groups and participant observation.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"303 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2013-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83444647","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}
引用次数: 2
Incidence of Menstrual Disorders is Not Influenced by Nulliparity 月经紊乱的发生率不受未生育的影响
Journal of Womens Health Care Pub Date : 2013-01-01 DOI: 10.4172/2167-0420.1000119
S. Pinzauti, N. Conti, I. D. Blasis, S. Vannuccini, Cinzia Orl, ini, L. Sabbioni, A. Testa, F. Petraglia
{"title":"Incidence of Menstrual Disorders is Not Influenced by Nulliparity","authors":"S. Pinzauti, N. Conti, I. D. Blasis, S. Vannuccini, Cinzia Orl, ini, L. Sabbioni, A. Testa, F. Petraglia","doi":"10.4172/2167-0420.1000119","DOIUrl":"https://doi.org/10.4172/2167-0420.1000119","url":null,"abstract":"Background: Nulliparity is a condition that has been associated with some oncological gynecological diseases. Since religious community is a realistic example of nulliparous women, the present study aims to evidence if nulliparity is a risk factor for developing menstrual disorders and benign gynecological diseases. Materials and Methods: The present observational retrospective study enrolled 442 women divided in Group A (n=216; Catholic nuns) and Group B (n=226; parous women). All eligible women filled in standardized questionnaires, to obtain data on physiological and pathological aspects of menstrual cycle and related gynecological data. Statistical analysis was performed using univariate statistical analyses, Mann-Whitney U test or Fisher exact test. P<0.05 was considered statistically significant. Results: The results showed that nulliparity is not correlated with a different incidence of menstrual cycle disorders (in term of length or bleeding), or gynecological disorders (ovarian or uterine). Dysmenorrhea is more common in pluriparous women, with a higher use of painkillers in nulliparous women. Conclusion: Therefore, the present study suggests that nulliparity does not represent a risk factor for the development of menstrual irregularity and painful symptomatology, compared with pluriparous women.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"14 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85316508","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}
引用次数: 1
Development of a Cancer Treatment with Low-Intensity Ultrasound 低强度超声治疗癌症的研究进展
Journal of Womens Health Care Pub Date : 2013-01-01 DOI: 10.4172/2167-0420.1000E113
M. Emoto
{"title":"Development of a Cancer Treatment with Low-Intensity Ultrasound","authors":"M. Emoto","doi":"10.4172/2167-0420.1000E113","DOIUrl":"https://doi.org/10.4172/2167-0420.1000E113","url":null,"abstract":"Copyright: © 2013 Emoto M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. In recent years, research on the usage of ultrasound for cancer treatment has developed and while high intensity focused ultrasound (HIFU, FUS) has already been clinically applied to several types of cancers, it is not yet considered as an established treatment. On the other hand, studies using ultrasound energy for cancer treatment have advanced, thus revealing the enhancement of drug effects by employing low-intensity ultrasound. Furthermore, anti-angiogenesis against tumors is now attracting attention as a new cancer treatment. Therefore, our research focused on the biological effects and the enhancement of drug effects brought by this low-intensity ultrasound energy and reported on the efficacy against a uterine sarcoma model, by implementing the basic studies, for the first time, including the concomitant use of low-intensity ultrasound irradiation, as an expected new antiangiogenic therapy for cancer treatment. Furthermore, we have succeeded in simultaneously utilizing low-intensity ultrasound in both diagnosis and treatment, upon real time evaluation of the anti-tumor effects and anti-angiogenesis effects using color Doppler ultrasound imaging [1].","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"69 3 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77150386","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}
引用次数: 0
Managing Costs in High Risk Obstetrics: The Value of Technology thatImproves Diagnostic Accuracy 高风险产科的成本管理:提高诊断准确性的技术价值
Journal of Womens Health Care Pub Date : 2013-01-01 DOI: 10.4172/2167-0420.1000120
M. Lopes
{"title":"Managing Costs in High Risk Obstetrics: The Value of Technology thatImproves Diagnostic Accuracy","authors":"M. Lopes","doi":"10.4172/2167-0420.1000120","DOIUrl":"https://doi.org/10.4172/2167-0420.1000120","url":null,"abstract":"In the USA, about 12.8% of babies (more than half a million a year) are born prematurely. The rate of premature birth has increased by 36% since the early 1980’s, [1] and is now responsible for an estimated $26 billion in costs to the American healthcare system annually [2]. Unfortunately, little progress has been made to decrease prevalence in so serious condition. From a managed care perspective, a premature birth constitutes a potential high cost episode of care and high-risk pregnancies constitute a major category of high-cost for payers. In Medicaid, 27% of all inpatient charges and 60% of all hospital procedures covered by Medicaid [3] are related to pregnancy and although only 10% of pregnancies are considered high risk, they account for 57% of total newborn costs [4]. A recent analysis found that overall, 4% of the Medicaid population was responsible for 48% of program spending in 2001 [5]. These high-cost members translate into highly concentrated spending on only a small fraction of the entire population. In this paper we will identify ways in which new technology can improve the diagnostic accuracy of pregnancy-related disorders and assist in managing the costs of high risk obstetrics.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"57 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89191084","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}
引用次数: 3
The Role of Late Amniocentesis in the Management of PretermParturition 晚期羊膜穿刺术在早产管理中的作用
Journal of Womens Health Care Pub Date : 2013-01-01 DOI: 10.4172/2167-0420.1000E109
O. Erez, M. Mazor
{"title":"The Role of Late Amniocentesis in the Management of PretermParturition","authors":"O. Erez, M. Mazor","doi":"10.4172/2167-0420.1000E109","DOIUrl":"https://doi.org/10.4172/2167-0420.1000E109","url":null,"abstract":"Copyright: © 2013 Erez O, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Preterm labor and preterm PROM are both obstetrical syndromes leading to spontaneous preterm birth. This is one of the leading causes for maternal and neonatal morbidity and perinatal mortality [1-3]. Indeed, premature delivery has a lifelong effect on the neonates, ranging from severe morbidities near to the time of birth (i.e. respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis and sepsis) to chronic morbidities later on in life (i.e. retinopathy of prematurity, bronchopulmonary dysplasia, cerebral palsy, and reduces mental and cognitive functions) [1-3]. The Institute of Medicine in the USA has estimated in 2005 that the annual cost of these obstetrical syndromes is about 25 billion US Dollars [4]. Thus, there is urgent need for tools that will assist in prevention and treatment of prematurity.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91252769","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}
引用次数: 2
Female Genital Mutilation (FGM) is Still a Challenge in DevelopingCountries 女性生殖器切割(FGM)在发展中国家仍然是一个挑战
Journal of Womens Health Care Pub Date : 2012-11-05 DOI: 10.4172/2167-0420.1000E107
A. Ali
{"title":"Female Genital Mutilation (FGM) is Still a Challenge in DevelopingCountries","authors":"A. Ali","doi":"10.4172/2167-0420.1000E107","DOIUrl":"https://doi.org/10.4172/2167-0420.1000E107","url":null,"abstract":"I am honored to have been invited to write an editorial to the Journal of Woman’s Health Care. I would like in this article to discuss one of the harmful practice to woman’s health. Female Genital Mutilation (FGM) or Female Genital Cutting represents a violation of human and child rights and outlawed in many countries [1]. Female Genital Mutilation (FGM) or cutting is defined as “all procedures involving partial or total removal of the external female genitalia or other injury to the female organs whether for cultural or other non-therapeutic reasons” [2]. Even to date, the governments of many developing countries where the practice is highly prevalent are not taking strong stand against female genital cutting, this might be explained by the fear of the government from the society which accept circumcision as necessary, natural and adopt the rationale for its existence [3]. In Sudan, where I am working there is a very high prevalence rate of FGM (ranged between 87%-100%) [4]. It is little bit of low prevalence (50.3%) in neighboring Egypt and ranged between 23.3%-45.2% in Nigeria. In some African and Asian countries for example Eritrea, Djibouti, Mali and Somalia, the prevalence rate of FGM is more than 90% [5]. Generally the girls undergo the procedures between the age of 6 and 12 year old before they become decisive persons, thus the practice is against the child and human rights. Female genital cutting always performed by midwives without anesthesia, moreover it is practiced without precaution concerning the septic conditions is putting the girls at a greater risk of complications. FGM is a public health issue with recognized complications such as hemorrhage, shock, infection, necrotizing fasciitis, pain and psychological morbidities [6].","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78948482","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}
引用次数: 0
Survey of Correlation between Preeclampsia and Season & Some of itsRisk Factor In Pregnant Women 孕妇子痫前期与季节及部分危险因素的相关性调查
Journal of Womens Health Care Pub Date : 2012-07-21 DOI: 10.4172/2167-0420.1000114
F. Khojasteh, A. Safarzadeh, Burayri
{"title":"Survey of Correlation between Preeclampsia and Season & Some of itsRisk Factor In Pregnant Women","authors":"F. Khojasteh, A. Safarzadeh, Burayri","doi":"10.4172/2167-0420.1000114","DOIUrl":"https://doi.org/10.4172/2167-0420.1000114","url":null,"abstract":"Background: Preeclampsia, is a multisystem disorder unique to human pregnancy. It is one of the main complications during pregnancy and one of the three major causes of matenal mortality. The aim of this study was to evaluate the preeclampsia correlation with season and its risk factors in 15-45 year old women. Methods: The hospital records of consecutive patients (July 2004 - June2007) with preeclampsia were used for this study. This case - control study, the patients of the case group were 2488 persons who had the requirements of the study (age: 15- 45 year, gravid: 1-3), and then other 2488 pregnant women without preeclampsia were selected as the control group. Data achieved through filling questionnaires through the patients file. The SPSS info software program was used for statistical analysis. Results: The results showed that there is an inverse correlation between preeclampsia and seasons. At the start of spring it gradually began to increase and reached to a sudden peak in Autumn and then it suddenly decreased in the winter.The most important factors of the prevalenee of preeclampsia were hypertension, diabetes and previous preeclampsia, respectively.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83789385","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}
引用次数: 8
Focal Placenta Accreta and Spontaneous Uterus Rupture in the Post-Partum 产后局灶性胎盘增生和自发性子宫破裂
Journal of Womens Health Care Pub Date : 2012-02-28 DOI: 10.4172/2167-0420.1000105
C. Pafumi, Leanza, A. Carbonaro, M. Stracquadanio, G. Leanza, A. Iemmola, A. D. Agati
{"title":"Focal Placenta Accreta and Spontaneous Uterus Rupture in the Post-Partum","authors":"C. Pafumi, Leanza, A. Carbonaro, M. Stracquadanio, G. Leanza, A. Iemmola, A. D. Agati","doi":"10.4172/2167-0420.1000105","DOIUrl":"https://doi.org/10.4172/2167-0420.1000105","url":null,"abstract":"Introduction: Uterine rupture occurs when the integrity of the myometrial wall is compromised. It could interest the uterine body (prior to labour) or the lower segment (during labour). The main causes of uterine rupture are obstetric anamnestic factors and/or the administration of oxytocin. Case presentation:The authors report the case of a 42 years old patient without risk factors for uterine rupture. After the expulsion of the placenta the mother had continuous blood loss, for this reason she was subjected to subtotal hysterectomy. Histological examination revealed the absence of decidua in the uterine fundus and thinning of the myometrium. Histological examination of the lesion at the site commented that there was infiltration of the chorionic villi into the endometrium and this is undoubtedly the features of placenta accreta. Conclusion: The authors emphasize the importance of careful observation of the placenta after delivery for the absence of even small placental cotyledons in order to eliminate a rare risk factor for silent uterine rupture.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91544347","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}
引用次数: 0
Obstetric and Non-Obstetric Indications for Admission in the Antepartum and Postpartum Periods of Pregnancy 产前和产后住院的产科和非产科指征
Journal of Womens Health Care Pub Date : 2012-02-21 DOI: 10.4172/2167-0420.1000104
T. Waters, J. Bailit
{"title":"Obstetric and Non-Obstetric Indications for Admission in the Antepartum and Postpartum Periods of Pregnancy","authors":"T. Waters, J. Bailit","doi":"10.4172/2167-0420.1000104","DOIUrl":"https://doi.org/10.4172/2167-0420.1000104","url":null,"abstract":"Objective: To determine the most common non-obstetric indications for admission during the antepartum and postpartum period of pregnancy. \u0000Methods: This is a population-based investigation of the primary diagnoses for admission in the antepartum and postpartum periods of pregnancy. Data was obtained from the Healthcare Cost and Utilization Project’s State Inpatient Database for the state of California for 2005. The frequency of each primary diagnosis was determined. Diagnoses were classified as obstetric or non-obstetric and compared for differences in maternal race, age and insurance provider. \u0000Results: 576,846 total maternal admissions were identified with 35,158 antepartum (6.1%), 536,415 intrapartum (93.0%) and 5273 postpartum (0.9%). Overall, 26.6% of admissions were non-obstetric in nature. The most common non-obstetric indication for antenatal admission was urinary tract infections. The most common postpartum non-obstetric indication for admission was psychiatric/substance abuse disorders. \u0000Conclusions: Many admissions during pregnancy are non-obstetric in nature and may be amenable to outpatient screening.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"21 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87519788","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}
引用次数: 6
Menopause: Changes in the Mouth Cavity and Preventive Strategies 更年期:口腔的变化和预防策略
Journal of Womens Health Care Pub Date : 2012-02-06 DOI: 10.4172/2167-0420.1000102
G. Farronato, C. Maspero, C. Folegatti, L. Giannini
{"title":"Menopause: Changes in the Mouth Cavity and Preventive Strategies","authors":"G. Farronato, C. Maspero, C. Folegatti, L. Giannini","doi":"10.4172/2167-0420.1000102","DOIUrl":"https://doi.org/10.4172/2167-0420.1000102","url":null,"abstract":"Aim:Menopause is a term used to describe the permanent cessation of the primary functions of the human ovaries. Menopause typically occurs in women in midlife and signals the end of the fertile phase of a woman’s life. The transition from reproductive to non-reproductive is the result of a major reduction in female hormonal production by the ovaries. During the menopause remarkable changes happen in the mouth cavity as osteoporosis, periodontal disease, Burning Mouth Syndrome (BMS) and xerostomia. \u0000The aim of this work is to describe the changes that occur during the menopause in the mouth cavity and the preventive protocols used in the Preventive Dental Department of the University of Milan. \u0000Material and Methods: A systematic literature review about the menopause and its modifications in the mouth cavity have been made using the data base Medline and key words as “oral health” and “menopause” have been searched. \u0000Discussion and Conclusions:Different changes in women oral condition can be observed during menopause.These pathological conditions are typical of the hormonal phase and they must be known by clinicians in order to make a correct intervention. Problems as osteoporosis, periodontal disease, Burning mouth syndrome and xerostomia could be prevented using specific protocols.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":"138 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77456630","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}
引用次数: 6
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