ISRN obstetrics and gynecology最新文献_第9页

Triggering risk factors of the burnout syndrome in OB/GYN physicians from a reference public university of Brazil. 巴西一所参考公立大学妇产科医生职业倦怠综合征的触发危险因素

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-12-06 DOI: 10.5402/2012/593876

Fátima Ferreira Bortoletti, Ana Maria Teresa Benevides-Pereira, Esdras Guerreiro Vasconcellos, José Oliveira Siqueira, Edward Araujo Júnior, Luciano Marcondes Machado Nardozza, Ricardo Werner Sebastiani, Antonio Fernandes Moron

{"title":"Triggering risk factors of the burnout syndrome in OB/GYN physicians from a reference public university of Brazil.","authors":"Fátima Ferreira Bortoletti, Ana Maria Teresa Benevides-Pereira, Esdras Guerreiro Vasconcellos, José Oliveira Siqueira, Edward Araujo Júnior, Luciano Marcondes Machado Nardozza, Ricardo Werner Sebastiani, Antonio Fernandes Moron","doi":"10.5402/2012/593876","DOIUrl":"https://doi.org/10.5402/2012/593876","url":null,"abstract":"Objective. To identify the risk factors to the development of Burnout Syndrome in Ob/Gyn Brazilian physicians in four dimensions: emotional exhaustion (EE), professional repression (PR), dehumanization (De), and emotional distancing (EmD). Methods. A prospective cross-sectional study was realized with 48 Ob/Gyn physicians (12 lecturers, 12 attending physicians, 12 medical residents, and 12 graduate students) from Department of Obstetrics, São Paulo Federal University (UNIFESP). We used a sociodemographic questionnaire focusing on the activities (administrative, educational, healthcare, and research). We applied a Burnout Syndrome Inventory (BSI) composed of two parts: triggering factors (ISB1) and the Burnout Syndrome (ISB2). The ISB1 is composed of two scales: positive organizational conditions (POC) and negative organizational conditions (NOC). The ISB2 is composed of four scales: EE, PR, De, and EmD. Results. We observed a rate below and above average to POC and NOC, respectively. The dimensions recorded a level above average to EE, an index at the upper limit of the average to De, a median index to EmD, and a median index to PR. Conclusions. The Ob/Gyn physicians are in an area of vulnerability for the development of Burnout Syndrome due to the high level of EE and De, associated with a median index of PR. The high rate of NOC contributes to the triggering of this scenery.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"593876"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/593876","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31151837","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: 10

The Diagnostic Properties of Medical History in the Diagnosis of Tubal Pathology among Subfertile Patients. 病史在不孕患者输卵管病理诊断中的诊断价值。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-01-22 DOI: 10.5402/2012/436930

Egle Tvarijonaviciene, Ruta Jolanta Nadisauskiene, Kristina Jariene, Valdemaras Kruminis

{"title":"The Diagnostic Properties of Medical History in the Diagnosis of Tubal Pathology among Subfertile Patients.","authors":"Egle Tvarijonaviciene, Ruta Jolanta Nadisauskiene, Kristina Jariene, Valdemaras Kruminis","doi":"10.5402/2012/436930","DOIUrl":"https://doi.org/10.5402/2012/436930","url":null,"abstract":"Objectives. To evaluate the diagnostic performance of medical history in the diagnosis of tubal pathology among subfertile patients. Patients and Methods. Prospective cross-sectional study was performed. Prior to tubal evaluation, medical history data were collected. Sensitivity, specificity, and likelihood ratios (LRs) for predicting tubal pathology as determined by laparoscopy and dye test were calculated for each issue of medical history. Results. 39.6 % (59/149) were diagnosed with tubal pathology. The sensitivity for the different issues ranged between 1.7 and 54.2% and the specificity between 75.6 and 97.8%. The estimated highest value of positive LR is attributed to the history of ectopic pregnancy and lowest of negative LR to pelvic inflammatory disease (PID) and abdominal surgery. Conclusion. The positive history of PID, sexually transmitted diseases (STDs), abdominal and laparoscopic surgery, and ectopic pregnancy are satisfactory screening tests for ruling the tubal pathology in. The negative history of evaluated issues is inappropriate for ruling the tubal damage out.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"436930"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/436930","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30541592","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: 2

A Review of Outcome Data concerning Children Born following Assisted Reproductive Technologies. 辅助生殖技术后出生儿童的结局数据综述。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-06-17 DOI: 10.5402/2012/405382

Charlotte Dupont, Christophe Sifer

引用次数: 17

Results of second-look laparotomy in advanced ovarian cancer: one single center experience. 晚期卵巢癌复诊剖腹手术的结果:单中心经验。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-10-16 DOI: 10.5402/2012/849518

Tarak Damak, Riadh Chargui, Jamel Ben Hassouna, Monia Hechiche, Khaled Rahal

{"title":"Results of second-look laparotomy in advanced ovarian cancer: one single center experience.","authors":"Tarak Damak, Riadh Chargui, Jamel Ben Hassouna, Monia Hechiche, Khaled Rahal","doi":"10.5402/2012/849518","DOIUrl":"https://doi.org/10.5402/2012/849518","url":null,"abstract":"Objective. The goal of the study was to analyse the results of 85 cases of second-look laparotomy (SLL) and explore the influence of this procedure on survival. Patients and Methods. We reviewed retrospectively 85 cases of SLL collected and treated in our institute between 1994 and 2003. Results. Complete pathologic response (CPR) was 25.8%, microscopic disease (Rmicro) was 38.8%, and macroscopic disease (Rmacro) was 35.4%. In patients with negative SLL results, disease recurrence was diagnosed in 41%. The 3- and 5-year overall survival rates for the entire population were 91% and 87%, respectively. The 3- and 5-year disease-free survivals were, respectively, 76.3% and 58.5% in negative SLL versus 55.7% and 16% in positive SLL. The difference between the group of patients with complete response (76%) and the patients with residual microscopic disease (72%) was not significant. The tumoral residuum after initial surgery was the only prognostic factor influencing significantly the disease-free survival. On Cox regression model analysis, only initial tumoral residuum (P = 0.04) and tumoral residuum after SLL (P = 0.02) were independent prognostic factors for survival. Conclusions. The most important advantage of SLL is the early detection of recurrence and thus the early administration of consolidation treatment resulting in a better prognosis.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"849518"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/849518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31022338","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: 8

Routine use of color Doppler in fetal heart scanning in a low-risk population. 彩色多普勒在低危人群胎儿心脏扫描中的常规应用。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-05-20 DOI: 10.5402/2012/496935

Torbjørn Moe Eggebø, Claudia Heien, Magne Berget, Christian Lycke Ellingsen

引用次数: 14

Ultrasound Reference Chart Based on IVF Dates to Estimate Gestational Age at 6-9 weeks' Gestation. 根据体外受精日期估计妊娠6-9周胎龄的超声参考图。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-07-22 DOI: 10.5402/2012/938583

Pavitra Delpachitra, Kirsten Palmer, Joseph Onwude, Simon Meagher, Luk Rombauts, Karen Waalwyk, Michael Bethune, Stephen Tong

{"title":"Ultrasound Reference Chart Based on IVF Dates to Estimate Gestational Age at 6-9 weeks' Gestation.","authors":"Pavitra Delpachitra, Kirsten Palmer, Joseph Onwude, Simon Meagher, Luk Rombauts, Karen Waalwyk, Michael Bethune, Stephen Tong","doi":"10.5402/2012/938583","DOIUrl":"https://doi.org/10.5402/2012/938583","url":null,"abstract":"Accurate determination of gestational age underpins good obstetric care. We assessed the performance of six existing ultrasound reference charts to determine gestational age in 1268 singleton IVF pregnancies, where \"true\" gestational age could be precisely calculated from date of fertilisation. All charts generated dates significantly different to IVF dates (P < 0.0001 all comparisons). Thus we generated a new reference chart, The Monash Chart, based on a line of best fit describing crown-rump length across 6 + 1 to 9 + 0 weeks of gestation (true gestational age) in the IVF singleton cohort. The Monash Chart, but none of the existing charts, accurately determined gestational age among an independent IVF twin cohort (185 twin pairs). When applied to 3052 naturally-conceived singletons scans, The Monash Chart generated estimated due dates that were different to all existing charts (P ≤ 0.004 all comparisons). We conclude that commonly used ultrasound reference charts have inaccuracies. We have generated a CRL reference chart based on true gestational age in an IVF cohort that can accurately determine gestational age at 6-9 weeks of gestation.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"938583"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/938583","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30830345","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: 8

Diagnosing arthrogryposis multiplex congenita: a review. 多重先天性关节挛缩症的诊断综述。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-09-23 DOI: 10.5402/2012/264918

Emmanouil Kalampokas, Theodoros Kalampokas, Chrisostomos Sofoudis, Efthymios Deligeoroglou, Dimitrios Botsis

{"title":"Diagnosing arthrogryposis multiplex congenita: a review.","authors":"Emmanouil Kalampokas, Theodoros Kalampokas, Chrisostomos Sofoudis, Efthymios Deligeoroglou, Dimitrios Botsis","doi":"10.5402/2012/264918","DOIUrl":"https://doi.org/10.5402/2012/264918","url":null,"abstract":"Arthrogryposis multiplex congenita (AMC) refers either to a syndromic or to a nonsyndromic group of conditions with varied etiology and complex clinical features, including multiple congenital contractures in different body areas. Its etiology still remains unclear but generally any cause that leads to reduced fetal movement may lead to congenital contractures and in severe cases to fetal akinesia deformation sequence (FADS). It affects approximately 1 in 2-3000 live births with an approximately equal gender ratio. There are many known subgroups of AMC differing in signs, symptoms, and causes. The primary diagnosis is made when a lack of mobility and an abnormal position is noted in routine ultrasound scanning. Early diagnosis, prenatal evaluation, and further surveillance via image scanning (ultrasound and MRI) give the opportunity for family counseling concerning neonatal morbidity and mortality and labor or delivery planning. Better understanding of the ultrasound findings and the etiology of this clinical situation offers the opportunity for careful prenatal assessment.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"264918"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/264918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30965709","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: 75

Predictive and prognostic factors in definition of risk groups in endometrial carcinoma. 子宫内膜癌危险人群定义的预测和预后因素。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-11-14 DOI: 10.5402/2012/325790

Bengt Sorbe

{"title":"Predictive and prognostic factors in definition of risk groups in endometrial carcinoma.","authors":"Bengt Sorbe","doi":"10.5402/2012/325790","DOIUrl":"https://doi.org/10.5402/2012/325790","url":null,"abstract":"Background. The aim was to evaluate predictive and prognostic factors in a large consecutive series of endometrial carcinomas and to discuss pre- and postoperative risk groups based on these factors. Material and Methods. In a consecutive series of 4,543 endometrial carcinomas predictive and prognostic factors were analyzed with regard to recurrence rate and survival. The patients were treated with primary surgery and adjuvant radiotherapy. Two preoperative and three postoperative risk groups were defined. DNA ploidy was included in the definitions. Eight predictive or prognostic factors were used in multivariate analyses. Results. The overall recurrence rate of the complete series was 11.4%. Median time to relapse was 19.7 months. In a multivariate logistic regression analysis, FIGO grade, myometrial infiltration, and DNA ploidy were independent and statistically predictive factors with regard to recurrence rate. The 5-year overall survival rate was 73%. Tumor stage was the single most important factor with FIGO grade on the second place. DNA ploidy was also a significant prognostic factor. In the preoperative risk group definitions three factors were used: histology, FIGO grade, and DNA ploidy. Conclusions. DNA ploidy was an important and significant predictive and prognostic factor and should be used both in preoperative and postoperative risk group definitions.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"325790"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/325790","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31096912","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: 23

Flow-mediated vasodilation is not attenuated in hypertensive pregnancies despite biochemical signs of inflammation. 血流介导的血管舒张在高血压妊娠中没有减弱，尽管有炎症的生化迹象。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-01-17 DOI: 10.5402/2012/709464

Heli Saarelainen, Henna Kärkkäinen, Pirjo Valtonen, Kari Punnonen, Tomi Laitinen, Nonna Heiskanen, Tiina Lyyra-Laitinen, Esko Vanninen, Seppo Heinonen

{"title":"Flow-mediated vasodilation is not attenuated in hypertensive pregnancies despite biochemical signs of inflammation.","authors":"Heli Saarelainen, Henna Kärkkäinen, Pirjo Valtonen, Kari Punnonen, Tomi Laitinen, Nonna Heiskanen, Tiina Lyyra-Laitinen, Esko Vanninen, Seppo Heinonen","doi":"10.5402/2012/709464","DOIUrl":"https://doi.org/10.5402/2012/709464","url":null,"abstract":"Background. Our objective was to evaluate endothelial function and markers of inflammation during and after pregnancy in normal pregnancies compared to pregnancies complicated with hypertension or preeclampsia (PE). Methods and Results. We measured endothelium-dependent brachial artery flow-mediated vasodilation (FMD) and high sensitive C-reactive protein (hsCRP), interleukin-6 (IL-6), and tumour necrosis factor-α (TNF-α) in 32 women with normal pregnancy and in 28 women whose pregnancy was complicated with hypertensive disorder in the second half of pregnancy and minimum 3-month postpartum. Enhancement of endothelial function was greater in hypertensive than normal pregnancies, the mean FMD% being 11.0% versus 8.8% during pregnancy (P = 0.194) and 8.0% versus 7.9% postpartum (P = 0.978). Concentrations of markers of inflammation were markedly increased in pregnant hypertensive group compared to those after delivery (hsCRP 4.5 versus 0.80 mg/L, P = 0.023, IL-6 2.1 versus 1.2 pg/mL, P = 0.006; TNF-α 1.9 versus 1.5 pg/mL, P = 0.030). There were no statistically significant associations between the markers of inflammation and FMD. Conclusions. Brachial artery FMD was not attenuated in the third trimester hypertensive pregnancies compared to normal pregnancies, whereas circulating concentrations of hsCRP and IL-6 and TNF-α reacted to hypertensive complications.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2012 ","pages":"709464"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/709464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30540438","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: 9

Perinatal outcome in unbooked teenage pregnancies in the university of calabar teaching hospital, calabar, Nigeria. 尼日利亚卡拉巴尔卡拉巴尔大学教学医院未登记少女怀孕的围产期结局。

ISRN obstetrics and gynecology Pub Date : 2012-01-01 Epub Date: 2012-03-04 DOI: 10.5402/2012/246983

C U Iklaki, J U Inaku, J E Ekabua, E I Ekanem, A E Udo

{"title":"Perinatal outcome in unbooked teenage pregnancies in the university of calabar teaching hospital, calabar, Nigeria.","authors":"C U Iklaki, J U Inaku, J E Ekabua, E I Ekanem, A E Udo","doi":"10.5402/2012/246983","DOIUrl":"10.5402/2012/246983","url":null,"abstract":"Background. Teenage pregnancy being a high risk condition requires skilled attention for good outcome. Objectives. To determine the influence of antenatal care on perinatal outcome in teenage pregnancies in Calabar. Materials and Methods. A review of patient records in Calabar was conducted between 1st January, 2006 and 31st December, 2010, to determine perinatal outcome in teenage pregnancy. Results. Teenage pregnancy accounted for 644 (6.5%) of the total deliveries with 245 (38.0%) booked while 399 (62.0%) were unbooked. Teenage mothers contributed significantly to the proportion of women who were delivered without prior antenatal care (χ(2) = 6.360; P < 0.05). The mean duration of labour in booked teenagers was 10.85 ± 4.2 hours, while unbooked teenagers was 23.31 ± 3.6 hours (t-value = 77.1039; P < 0.05). There was statistically more caesarean sections among unbooked teenage pregnancies than booked (χ(2) = 36.75; P < 0.05). Stillbirth was statistically significant (χ(2) = 27.096; P < 0.05) among unbooked teenagers than booked. However, early neonatal death was not significantly different between booked and unbooked teenage pregnancies(χ(2) = 0.512; P < 0.05). Conclusion. Unbooked teenage pregnancies were significantly associated with increased operative intervention and poor perinatal outcome.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":" ","pages":"246983"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/246983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40173384","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: 28