Women's Health Science Journal最新文献

{"title":"Barriers to Access of Medical Abortion in Brazil: The Role of Resistance by Obstetricians and Gynaecologists","authors":"A. Faúndes","doi":"10.23880/whsj-16000138","DOIUrl":"https://doi.org/10.23880/whsj-16000138","url":null,"abstract":"Objective: According the WHO, not only gynaecologists but also other physicians, midwives and nurses can provide abortion services as safe and effectively as specialist. Considering the number of willing providers of legal abortion is limited, it is important to know the opinion of Ob & Gyn specialists regarding prescription of misoprostol for voluntary termination of pregnancy (VTP) by other professionals. Study Design: A multicenter cross-sectional study carried out in 21 teaching hospitals in Brazil, aiming to determine who should be allowed to prescribe misoprostol for voluntary termination of pregnancy from the perspective of 407 residents in Obstetrics and Gynaecology who returned a self-responded questionnaire, 404 completed and three blank. Result(s): Less than 8% of residents stated that other doctors besides specialists should be allowed to prescribe misoprostol for VTP. The proportion of residents who agreed to allow any physician to prescribe misoprostol for VTP was twice as large for those who had received information about the use of misoprostol in medical residency (15.1%). The logistic regression indicated that being male, in stable marital union and not giving very much importance to religion were significantly associated with agreement to allow any physician to prescribe misoprostol for voluntary termination of pregnancy. Conclusion(s): The results showed an extremely low acceptance of non-specialist or midwives and nurses to prescribe misoprostol for VTP, which is against the WHO recommendations and world experience. We believe that contrasting such behavior with evidence-based recommendations may help to change such restrictive positions in a not so distant future.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127808983","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}

{"title":"Adhesiolysis in Women with Chronic Pelvic Pain and a Temporal Resolution of Pain","authors":"D. Barnes","doi":"10.23880/whsj-16000122","DOIUrl":"https://doi.org/10.23880/whsj-16000122","url":null,"abstract":"Study Objectives: To evaluate the duration of pain improvement after laparoscopic and/or robotic assisted adhesiolysis in women with prior abdominal or pelvic surgeries that have been diagnosed with chronic pelvic pain with suspected pelvic and/or abdominal adhesions. Design: Retrospective Cohort (Canadian Task Force Level II) Setting: Hospital based practice of gynecological surgery and pelvic pain, St. Joseph Hospital and Medical Center, Phoenix AZ Patients: Women with prior surgery who underwent laparoscopic or robotic assisted adhesiolysis for chronic pelvic pain secondary to pelvic and/or abdominal adhesions between April 2012-Febuary 2016. Intervention; Adhesiolysis performed via laparoscopic or robotic assisted, defined as 30 minutes or greater of operating time needed to restore normal anatomy. Measurements and Main Results: Eighty-eight women were identified with Current Procedural Terminology (CPT) code 4410 and 58550 for adhesiolysis. Women > 18 years old who had prior surgery, and symptoms of pelvic pain were included in the study. Women were excluded if they were found to have another source of pelvic pain, malignancy, surgical complications, co-surgery with another specialty, and conversion to laparotomy, and organ resection. The average age at the time of adhesiolysis was 39 years old (range of 19-57). The average number of abdominal surgeries was 1.42 (range 1-4). Fifty-six patients were excluded for concomitant procedures. Thirty-patients patients meet eligibility criteria, of those; seventeen patients had previously undergone at least one adhesiolysis procedure for the treatment of chronic pelvic pain. All 17 of these patients had improvement of their pain. Fourteen of the 17 patients had 2 adhesiolysis procedures with the median length of time between the first and second procedure (improvement in pain after procedure) being 24 months (range of 6-162 months). Three of 14 underwent a third adhesiolysis procedure with the median pain free interval of 24 months. Two of the 3 patients had a fourth adhesiolysis procedure with the average pain free interval being 24 months prior to the 4th procedure. Fifteen of the 32 patients, who underwent their first adhesiolysis treatment, 10 had resolution of pain and 5 patients had a significant improvement of pain. Of this cohort the earliest reported return of pain was 6 months, and the longest total pain free interval was 13 years and 6 months. Conclusion: In patients who present with pelvic pain and prior abdominal or pelvic surgery adhesiolysis may be associated with a temporal improvement of pain.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128539845","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}

{"title":"Differences of Relationships between Iodine and Some Chemical Elements in Normal Thyroid and Thyroid Benign Nodules Revealed by Neutron Activation and Inductively Coupled Plasma Atomic Emission Spectrometry","authors":"V. Zaichick","doi":"10.23880/whsj-16000173","DOIUrl":"https://doi.org/10.23880/whsj-16000173","url":null,"abstract":"Thyroid benign nodules (TBN) are the most common lesions of this endocrine gland. The etiology of TBN is not clear. The aim of this exploratory study was to examine differences in the content of such chemical elements (ChEs) as Al, B, Ba, Br, Ca, Cl, Cu, Fe, I, K, Li, Mg, Mn, Na, P, S, Si, Sr, V and Zn, as well as differences in I/ChEs content ratios in tissues of normal thyroid and TBN. Thyroid tissue levels of ChEs were prospectively evaluated in 105 apparently healthy persons and in 79 patients with TBN. Measurements were performed using neutron activation analysis combined with inductively coupled plasma atomic emission spectrometry. It was observed that in TBN the mass fraction of Al, B, Br, Cl, Cu, Fe, Li, Mn, Na, P, S, Si, V, and Zn were higher whereas mass fractions of Ca and I were lower than in normal tissues of the thyroid. It was found also that the I/Al, I/B, I/Br, I/Cl, I/Cu, I/K, I/Mg, I/Mn, I/Na, I/P, I/S, and I/Zn mass fraction ratios in TBN were significantly lower the normal levels. Furthermore, it was shown that the levels of Al, B, Ba, Br, Ca, Cl, Cu, Fe, I, K, Li, Mg, Mn, Na, P, S, Si, Sr, V and Zn contents in the normal and affected thyroid gland were interconnected and depend on the content of I in thyroid tissue. Because I plays a decisive role in the function of the thyroid gland, the data obtained allow us to conclude that, along with I, such ChEs as Al, B, Ba, Br, Ca, Cl, Cu, Fe, I, K, Li, Mg, Mn, Na, P, S, Si, Sr, V and Zn, if not directly, then indirectly, are involved in the process of thyroid hormone synthesis. It follows that for the normal functioning of the thyroid gland, it is necessary to maintain an adequate concentration of I in its tissue, balanced with the levels of other ChE. An imbalance between I content and levels of other ChEs in the thyroid gland may be one of the causes of nodular neoplasms","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115681484","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}

{"title":"The Psychobehavioral Responses of Pregnant Women towards the COVID-19 Pandemic","authors":"Aqwa Azman","doi":"10.23880/whsj-16000163","DOIUrl":"https://doi.org/10.23880/whsj-16000163","url":null,"abstract":"Psychological distress during pregnancy can have adverse effects on both maternal and fetal wellbeing. It is a well-known fact that it increases risk of preterm deliveries and low birth weight babies. The objective of this study is to determine the psychological responses of pregnant women towards the COVID-19 outbreak, by assessing the degree of stress, anxiety, and depression among these pregnant women. This study is a cross-sectional study, utilizing a five-part questionnaire exploring patients’ sociodemographic background, level of knowledge and psychological impact of the COVID-19 pandemic utilizing the Depression Anxiety Stress Scale (DASS-21). In addition, the study also aims to evaluate the rate of vaccination among pregnant women attending antenatal care in our center. Respondents are recruited from the Antenatal Clinic, Patient Assessment Center (PAC), and maternity wards of the University Malaya Medical Center, Malaysia. The result shows that the percentage of pregnant mothers with significant psychological distress is low at 1%, further scrutiny showed that the level of anxiety as a result of the COVID-19 pandemic is substantial, whereby half of them reported an abnormal score, 5.4 % and 7.9 % of them reported to be having severe and extremely severe levels of anxiety respectively. Risk factors for anxiety include higher education level, being a first time mothers and having significant complications in the current pregnancy. Good stress management, family support and vaccination may have resulted in a lower degree of stress among pregnant women; however the level of anxiety is significantly higher. The result should help maternity care providers to strategize and implement appropriate screening and interventions to prevent significant deterioration in maternal mental health which subsequently could translate into poor pregnancy and fetal related outcomes.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114429277","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}

{"title":"The Flagellate Transition- Serous Carcinoma Ovary","authors":"Anu Bajaj","doi":"10.23880/whsj-16000166","DOIUrl":"https://doi.org/10.23880/whsj-16000166","url":null,"abstract":"Serous ovarian tumours are engendered from Mullerian epithelium and denominate a segment of surface epithelial-stromal ovarian tumours. Serous ovarian carcinoma is classified as low grade tumefaction comprising of benign, borderline and low grade malignant lesions and high grade neoplasms. Staging of serous carcinoma of ovary is appropriately achieved with American Joint Committee on Cancer (AJCC), International Federation of Obstetrics and Gynaecology (FIGO) and Tumour, Node, Metastasis(TNM) staging. Surgical resection is an optimal and curative mode of therapy.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133861624","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}

{"title":"Does Human Blastocyst Transfer Increase the Success Rate in Artificial Reproductive Technology (ART) Treatment","authors":"Mettler Liselotte","doi":"10.23880/whsj-16000144","DOIUrl":"https://doi.org/10.23880/whsj-16000144","url":null,"abstract":"All over the world, many of the ART centres, especially those without experience perform Cleavage stage on not blastocyst transfers. Although it has been proved without doubt that Blastocyst transfer is better, the personal experience of failure after shifting to Blastocyst transfer has demotivated many from the shift. The aim of this article was to explain to the reader how we at the University hospital took evidence based decisions and improved our culture conditions while increasing our pregnancy rates. Although the outcome of an ART cycle depends on a multitude of clinical and laboratory factors, this study pursued to critically explore the various advantages and disadvantages of changing the protocol in a German lab to international standards where blastocyst culture is the norm. 1126 ART cycles were performed from 2014 to 2018 in the University Reproductive Medical Unit of UKSH, Kiel. There was an improvement in pregnancy rates from 2014 to 2018 in both cleavage stage transfer (day 3) and blastocyst transfer with a 1.4 time increase every year. Improvement in the lab culture conditions had profound effect in increasing pregnancy rates. The article aims at encouraging the reader to make decisions to improve lab blastocyst culture conditions before shifting to blastocyst culture to improve pregnancy rates and not blindly shift overnight to blastocyst for all.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124082498","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}

{"title":"I Developed a Professional Attitude at the University, but Among the Poor Families I Developed Personality","authors":"D. S. Backes","doi":"10.23880/whsj-16000128","DOIUrl":"https://doi.org/10.23880/whsj-16000128","url":null,"abstract":"The Brazilian Curriculum Guidelines for Undergraduate Nursing Courses have gradually encouraged home visits in differently realities by advocating the training of reflective and critical professional skills with regard to multiples dimensions of health of the human beings. Based on this justification, the objective of this study was to understand the meaning of the home visits for Brazilian nursing student in poor families. The Grounded Theory approach was used in this study. Data collection was performed between December 2017 and July 2018 through interviews with students and newly graduated nurses who are working in the Primary Health Care and carry out routine home visits. The meaning of home visits to poor families by a nursing student resulted in an intensive personal and professional (re)organization process: “I developed a professional attitude at the university, but among the poor families I developed personality”. Initially the students demonstrated uncertainty, disappointment and frustration, but soon as they take up the challenge, the nursing students rethink concepts, practices, types of personality and social responsibility. It is concluded that regular curricular activities with poor families have the possibility of extending the life expectancy of families and transcending the academic knowledge limits of students'.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132556225","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}

{"title":"Importance of Physical Therapy in Breast Cancer Survivors","authors":"Rangel Jackeline","doi":"10.23880/whsj-16000150","DOIUrl":"https://doi.org/10.23880/whsj-16000150","url":null,"abstract":"Women diagnosed with breast cancer have had a significant increase in life expectancy in recent years. However, many of these women are living with chronic complications resulting from treatment. It is common during and after the treatment of breast cancer, particularly at the trunk and upper limb (pain, movement disorders, among others). Physical therapy may play an important role in the immediate and late postoperative period of breast cancer surgery where it can be considered one of the main preventive agents for disorders after surgery. Physical therapy is considered an effective intervention for pain control, postural realignment and recovery of functional autonomy and is important at all stages of treatment, and helps overcome the side effects of breast cancer treatment.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131685283","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}

{"title":"Opinion: Menstruation One of the Oldest Non-Issues","authors":"A. M. Pires","doi":"10.23880/whsj-16000148","DOIUrl":"https://doi.org/10.23880/whsj-16000148","url":null,"abstract":"The Planet Earth is a magical place where thousands of animal and plant species co-inhabit. It overflows with life. All living things share characteristics as movement, respiration, sensitivity, growth, reproduction, excretion, and nutrition. The organisms who have similarity between those characteristics and can breed with each other producing fertile offspring they belong to the same species.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130636604","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}

{"title":"Awareness of Women about Tetanus in Baghdad","authors":"Salih Aa","doi":"10.23880/whsj-16000172","DOIUrl":"https://doi.org/10.23880/whsj-16000172","url":null,"abstract":"Background: Tetanus toxoid (TT) vaccine is still recommended for pregnant women even in countries that declared elimination of neonatal tetanus (NT) and consequently the maternal tetanus (MT). Many factors may affect TT vaccination during pregnancy. Awareness is a key factor that greatly affect the pregnant women to receive tetanus toxoid vaccination during pregnancy. Aims of study: To assess the awareness of women regarding different aspects of tetanus and tetanus toxoid vaccination as well as to identify the factors influencing their awareness. Subjects and Method: A cross sectional study conducted in Baghdad from first of April to the end of September 2021. Convenient sample of women in reproductive age, attended the designated primary health care centers for the study were enrolled. An interview questionnaire was used to collect quantitative data pertaining to awareness of women about tetanus toxoid immunization and tetanus infection. The total number of women enrolled in the study was 400, the study found that that 35.2% and 35% of women had good and fair level of awareness respectively. Good awareness level was significantly higher among older aged women and those with higher level of education as well as working women. Good awareness was more prominent among women’s having1-2 children (39%), as compared to those having five and more children (21.3%). Antenatal care attendance and place of delivery shown statistical significant link with level of awareness. Women identify family members and friends as their primary sources of information about tetanus infection and immunization. Conclusion: Women’s awareness was acceptable regarding Tetanus and TT immunization. Yet still there is a place for proper health education targeting young women to bridge gap in the connection between the etanus immunization status of women and the occurrence of Maternal neonatal tetanus (MNT), as well as need for the appraisal of the components of health information delivered by health care providers to women attending antenatal care clinics.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114531508","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}