Journal of Mid-life Health最新文献

Unraveling Endometriosis: Is Fusobacterium the Culprit for Endometriosis. 揭开子宫内膜异位症的神秘面纱：子宫内膜异位症的罪魁祸首是镰刀菌吗？

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_43_24

Aariz Hussain, Wajiha Shaikh, Areeba Fareed

引用次数: 0

Primary Vaginal Leiomyosarcoma Mimicking Bartholin's Cyst. 模仿巴氏腺囊肿的原发性阴道子宫内膜肉瘤

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_70_24

Deepthy Balakrishnan, Saubhagya Kumar Jena, Pritinanda Mishra

引用次数: 0

Uterine Serous Cystadenoma or Endosalpingiosis?: A Case Report with a Review of Literature. 子宫浆液性囊腺瘤还是子宫内膜异位症？病例报告与文献综述。

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_206_23

Sana Ahuja, Sufian Zaheer

引用次数: 0

Balance Problems in the Elderly with Diabetes Mellitus: A Literature Review. 糖尿病老人的平衡问题：文献综述。

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_29_23

Made Hendra Satria Nugraha

{"title":"Balance Problems in the Elderly with Diabetes Mellitus: A Literature Review.","authors":"Made Hendra Satria Nugraha","doi":"10.4103/jmh.jmh_29_23","DOIUrl":"10.4103/jmh.jmh_29_23","url":null,"abstract":"Diabetes mellitus (DM) is a syndrome of chronic metabolic disease which leads to all kinds of complications. Elderly people with DM have significantly higher fear of falling and balance problem scores as compared to those who did not have DM. This literature review aims: (1) to determine the risk factors for balance disorders in the elderly population with DM, (2) to describe valid and reliable balance measurement tools in the elderly population with DM, and (3) to describe the nonpharmacological management in dealing with balance disorders in the elderly population with DM. Several risk factors that cause balance disorders in the elderly with DM are related to complications of the disease they suffer, such as diabetic peripheral neuropathy, decreased sensory abilities, decreased motor skills, and decreased cognitive condition of the elderly with DM. Measuring instruments that can be used in the elderly population with DM to assess balance include the Mini-Balance Evaluation Systems Test, the Berg Balance Scale, and computerized measuring instruments with center of pressure analysis. Several nonpharmacological interventions are suggested in overcoming balance problems in the elderly with DM, including a combination of balance exercise and gait training, strength or resistance training, aquatic exercise, tai chi, yoga, technology-based exercise, electrotherapy, use of insoles, and whole-body vibrations.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic Efficacy of Enhanced Visual Assessment [Visual Check] for Triaging Cervical Cancer Screen Positive Women. 增强视觉评估[视觉检查]对宫颈癌筛查阳性妇女分诊的诊断效果。

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_204_23

Saritha Shamsunder, Archana Mishra, Anita Kumar, Rajni Beriwal, Charanjeet Ahluwalia, Sujata Das

{"title":"Diagnostic Efficacy of Enhanced Visual Assessment [Visual Check] for Triaging Cervical Cancer Screen Positive Women.","authors":"Saritha Shamsunder, Archana Mishra, Anita Kumar, Rajni Beriwal, Charanjeet Ahluwalia, Sujata Das","doi":"10.4103/jmh.jmh_204_23","DOIUrl":"10.4103/jmh.jmh_204_23","url":null,"abstract":"Introduction: Colposcopy is important for triaging any abnormal cervical screening test. Scarcity of trained colposcopists and colposcopy centers is a big hurdle to screening programs in low- and middle-income countries.Objectives of the study: The objective was to assess the performance of the artificial intelligence incorporated into the mobile optical device technologies (ODT) Enhanced Visual Assessment (EVA visual check) against physician colposcopic diagnosis and the gold standard of histopathology.Materials and methods: It was a cross-sectional observational study conducted on women referred to a colposcopy clinic following an abnormal screening test. Colposcopic examination was performed by colposcopists using the MobileODT EVA system. Physician's impression and Visual Check analysis were compared with the final histopathological analysis or cytology. Cases with normal cytology and normal colposcopy did not undergo biopsy, and these were considered normal.Results: A total of 2050 women were screened, and 147 screen-positive women were recruited in the study. EVA Visual Check had a sensitivity of 86.8% (75-95), specificity of 28.7% (20-39), positive predictive value (PPV) of 40.7% (32-50), negative predictive value (NPV) of 79.4% (62-91), and diagnostic accuracy of 49.7% (41-58) for diagnosing cervical intraepithelial neoplasia (CIN) 1+ lesions. EVA Visual Check has a sensitivity of 89.3% (72-98), specificity of 26.1% (18-35), PPV of 22.1% (15-31), NPV of 91.2% (76-98), and diagnostic accuracy of 38.1% (30-46) for CIN 2+ lesions.Conclusion: MobileODT EVA colposcope with AI has sensitivity comparable to physician's diagnosis, whereas specificity, PPV, and NPV were less than that of physician's diagnosis. It could prove valuable for triage of screen-positive women for further management.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing Four Different Risk Malignancy Indices in Differentiating Benign and Malignant Ovarian Masses. 比较四种不同的风险恶性指数，以区分良性和恶性卵巢肿块。

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_192_23

Rajlaxmi Mundhra, Anupama Bahadur, Jyotshna Kashibhatla, Sanjeev Kishore, Jaya Chaturvedi

{"title":"Comparing Four Different Risk Malignancy Indices in Differentiating Benign and Malignant Ovarian Masses.","authors":"Rajlaxmi Mundhra, Anupama Bahadur, Jyotshna Kashibhatla, Sanjeev Kishore, Jaya Chaturvedi","doi":"10.4103/jmh.jmh_192_23","DOIUrl":"10.4103/jmh.jmh_192_23","url":null,"abstract":"Background: Accurate prediction of ovarian masses preoperatively is crucial for optimal management of ovarian cancers.Objective: The objective of this study was to identify the risk of malignancy index (RMI) incorporating menopausal status, serum carbohydrate antigen 125 levels, and imaging findings for presurgical differentiation of benign from malignant ovarian masses and to evaluate the diagnostic ability of four different RMIs.Materials and methods: Women presenting with ovarian masses from August 2018 to January 2020 were evaluated preoperatively with detailed history, examination, imaging, and tumor markers. RMI 1-4 was calculated for all patients. Evaluation of the diagnostic utility of four different RMIs for preoperative identification of malignancy was based on the increment of the area under the receiver operating characteristic curve. Histopathological diagnosis was used as the gold standard test.Results: One hundred and twenty-one patients fulfilling the eligibility criteria were enrolled in this study. Benign tumors constituted 61 (50.4%) out of 121 cases, followed by malignant tumors and borderline tumors constituting 49 (40.49%) cases and 11 (9.09%) cases, respectively. The sensitivity of RMIs 1, 2, 3, and 4 was 77.0%, 63%, 77.0%, and 77.0%, respectively, and the specificity was 84%, 86%, 77%, and 71%, respectively. The RMI 2 had higher specificity at predicting malignancy than other RMIs while diagnostic accuracy was highest in RMI 1.Conclusion: The RMI method is a simple and cost-effective technique in preoperative differentiation of ovarian masses.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osseous Metaplasia of Cervix Mimicking Cervical Cancer - A Rare Case Report. 宫颈骨质增生模仿宫颈癌--罕见病例报告。

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_84_23

Sajeeb Mondal, Rajashree Pradhan, Ashmita Chakraborty, Sankha Chatterjee

引用次数: 0

Angiolipoleiomyoma of the Uterus with a Dermoid Cyst in the Right Ovary: An Unusual Association. 子宫血管脂肪瘤合并右侧卵巢皮样囊肿：不寻常的关联

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_129_23

Deepika Gupta, Purnima Malhotra, Seema Rahar, Arvind Ahuja

引用次数: 0

Clinical Validation of Calf Circumference with DEXA Scans as a Measure of Muscle Mass to Assess Sarcopenia in Community Settings in Indian Postmenopausal Women. 将小腿围度与 DEXA 扫描作为肌肉质量的测量方法进行临床验证，以评估印度绝经后妇女在社区环境中的 "肌肉疏松症"。

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_226_23

Renuka Malik, Himanshi Goel

{"title":"Clinical Validation of Calf Circumference with DEXA Scans as a Measure of Muscle Mass to Assess Sarcopenia in Community Settings in Indian Postmenopausal Women.","authors":"Renuka Malik, Himanshi Goel","doi":"10.4103/jmh.jmh_226_23","DOIUrl":"10.4103/jmh.jmh_226_23","url":null,"abstract":"Aims and objective: To validate calf circumference as a reliable clinical tool for measuring muscle mass in postmenopausal women.Materials and methods: A cross sectional study done at Ram Manohar Lohia Hospital, New Delhi from February 2023 to September 2023. Thirty postmenopausal women were enrolled for this study. Women with surgical menopause, premature ovarian failure, chronic debilitating illness and morbid obesity were excluded. In these women, muscle mass was measured using calf circumference. Also, Appendicular skeletal muscle index (ASMI), a measure of muscle mass was calculated using DEXA scan (Gold standard). The muscle mass was taken as a parameter by both methods to detect sarcopenia. The collected data was analysed and statistically evaluated to clinically validate calf circumference as a reliable tool for measuring muscle mass in Indian postmenopausal women.Results: In our study, the values at different cut offs of calf circumference was compared to ASMI scoring using gold standard investigation DEXA Scan. The better accuracy was found for the cut off point 32 cm of calf circumference with sensitivity of 100%, specificity of 60%, positive predictive value of 71.4%, negative predictive value of 100% and accuracy of 80%. The prevalence of sarcopenia was found to be 70%.Conclusion: Calf circumference can be used as reliable clinical tool to assess sarcopenia as a measure of muscle mass in Indian postmenopausal women.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postmenopausal Idiopathic Spontaneous Rupture of Pyometra with Tubo-ovarian Abscess: An Atypical Presentation. 绝经后特发性子宫脓肿自发性破裂伴输卵管卵巢脓肿：非典型表现

IF 1.2

Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI: 10.4103/jmh.jmh_6_24

Nikita Krishna, Kiran Aggarwal, Prabha Lal, Anuradha Singh

{"title":"Postmenopausal Idiopathic Spontaneous Rupture of Pyometra with Tubo-ovarian Abscess: An Atypical Presentation.","authors":"Nikita Krishna, Kiran Aggarwal, Prabha Lal, Anuradha Singh","doi":"10.4103/jmh.jmh_6_24","DOIUrl":"10.4103/jmh.jmh_6_24","url":null,"abstract":"Spontaneous perforations in pyometra occur rarely. Incidence is only 0.01%-0.5% in gynecological patients. Tubo-ovarian abscess (TOA) is seen less in postmenopausal women amounting the 6%-18% of the total cases of TOA reported. A 52-year-old P3L3 postmenopausal woman with abdominal pain was admitted to hospital. Emergency laparotomy was performed in view of pyoperitoneum. Intraoperatively, 1000 cc of foul-smelling pus was suctioned out from the peritoneal cavity a 2 cm × 2 cm sized perforation was seen at the right fundal region of the uterus and a right sided TOA was seen extending to the uterine cavity, left sided ovary was normal. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The patient got discharged on the 36th postoperative hospitalization day. Histopathological study revealed uterine purulent inflammation with no evidence of malignancy. The diagnosis of spontaneous perforation of pyometra is rarely made preoperatively and the possibility of a perforated pyometra should, therefore, be considered when elderly women suffer from acute abdominal pain. Hysterectomy and bilateral salpingo-oophorectomy may be the best choice procedure in these patients. There is probably a new trend in the epidemiology of TOA, occurring in older women who do not present the traditional risk factors for pelvic inflammatory disease and TOA.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0