Global journal of reproductive medicine最新文献

{"title":"Spurious and Substantial-Solid Pseudo-Papillary Neoplasm-Pancreas","authors":"Anubha Bajaj","doi":"10.19080/gjorm.2023.09.555767","DOIUrl":"https://doi.org/10.19080/gjorm.2023.09.555767","url":null,"abstract":"Solid pseudo-papillary neoplasm pancreas configures as a potential low malignant tumour demonstrating an undefined cell of origin. The neoplasm was incorporated into contemporary classification of pancreatic tumours as designated by World Health Organization (WHO) in 1996. The neoplasm incriminates young females and characteristically exemplifies a solitary tumour mass confined to body or tail of pancreas. Tumour is additionally designated as solid pseudo-papillary tumour, papillary epithelial neoplasm, papillary cystic neoplasm, solid and papillary neoplasm, low grade papillary neoplasm and Hamoudi or Frantz tumour. Of obscure pathogenesis, tumefaction is posited to be derived from pluripotent stem cell component of genital ridges which adhere to pancreas during embryogenesis.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136166991","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":"Fulminant Peritonitis Following Second Trimester Spontaneous Abortion; Case Report, 2023","authors":"Okbu Frezgi, Berhe Tesfai, Mhamoud Mohmed, Khalid Hussein","doi":"10.19080/gjorm.2023.09.555768","DOIUrl":"https://doi.org/10.19080/gjorm.2023.09.555768","url":null,"abstract":"Background: Sepsis Following Abortion Is Usually a Feature of Induced Abortion, Especially When It Is Performed Under Unhygienic Conditions And By Untrained Person. Although Extremely Rare, Spontaneous Abortions Can Result Into Severe Sepsis And Endanger Life of the Pregnant Woman. Case Report: A 30 year old multiparous mother was admitted with history of spontaneous abortion at 18 weeks gestation at nearby hospital in teseney, eritrea on 21/03/2022. It was planned pregnancy that ended up in inevitable abortion which was attended by general practitioners and midwives in the hospital and discharged after 48 hours. A week later, on 28/03/2022, she was re-admitted again with a complaint of diffuse abdominal pain, distention and shortness of breath. Despite a week course of broad spectrum antibiotics in the hospital, abdomen was progressively distended, and she was referred to orotta national maternity referral hospital. explorative laparotomy was done and about three liters of serous fluid with foul smelling debris was evacuated from the abdomen. Extensive bowel adhesion was found and gentle adhesion lysis was done. parietal peritoneum was red to black in color and uterus and ovaries were found healthy. on postoperative third day, she developed pulmonary embolism and transferred to intensive care unit. after a month of medical and surgical management, she was discharged home with full improvement. Conclusion: The case is presented because of its rarity in regards to primary etiology and severity of sepsis. The onset was acute that may end in death if urgent interventions were not done. Clinicians should high index of suspicion for these rare associations in which the pathogenesis is not yet known.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136166992","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":"Medico-Surgical Therapeutic Management of Benign Prostatic Hyperplasia","authors":"Oyovwi Mega Obukohwo","doi":"10.19080/gjorm.2023.09.555766","DOIUrl":"https://doi.org/10.19080/gjorm.2023.09.555766","url":null,"abstract":"Although benign prostatic hyperplasia (BPH), a condition that affects many elderly people, is frequent, surgical treatment for BPH has advanced significantly in comparison to medicinal care. Instead of addressing the disease itself, medical treatment just addresses the symptoms. Due to the fact that the majority of senior patients will have comorbid conditions like diabetes and hypertension, surgery may not be an option for everyone, making medical care more widely available. Notably, even while TURP, TUIP, TVP, TUMT, and TUNA continue to be the gold standards for treatment, medicinal therapy still offers hope for recovery and averting surgery. But one must be aware of the recently identified negative effects that these drugs can have in the elderly male, especially over a lengthy period of time. Though they are not appropriate for every patient, novel minimally invasive procedures have shown promise for the elderly male who has failed medicinal therapy but is not a surgical candidate or wishes to avoid surgery. Before choosing a course of treatment for your BPH patient, it’s crucial to talk with them about the risks, advantages, side effects, and alternatives.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"54 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081208","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":"Polypoid Basal Cell Carcinoma on the Right Axillary Region of a Young Lady Four Weeks Gestation: A Case Report","authors":"Amirsaleh Abdollahi, Armaghan Kazeminejad, Nooshin Izadpanahi, Somayeh Sheidaei, Mohammad Zahedi","doi":"10.19080/gjorm.2023.09.555765","DOIUrl":"https://doi.org/10.19080/gjorm.2023.09.555765","url":null,"abstract":"Basal Cell Carcinoma (BCC) is the most common skin neoplasm of various types. It has various clinical forms, mainly known as nodular, superficial, and morphea. Other less prevalent forms include polypoid, pore-like, and Jacobi ulcers. Polypoid BCC is rarely observed in individuals and has remarkable clinical features, such as being pedunculated and connected to the skin by a stalk; the BCC incidence is more in women than men and correlates directly with age, as it is reported to be <15% in patients below 40 years, so it is not frequently observed among young adults. In this case, we report one type of BCC presented as a skin tag. A 21-year-old young lady, four weeks gestation, was referred with a skin tag on the right axillary region. Surgical excision was performed; a histopathologic examination of the skin lesion revealed a malignant epithelial neoplasm composed of some nests of basaloid cells and an accumulation of mucin. The IHC staining, such as Bcl2, CK20, CD34, and Ki67, facilitates better evaluations. The diffuse pattern of Bcl2 in basaloid cells, the rare staining of CD34 in stromal cells, the absence of CK20, and high positivity of Ki67 in tumor cells are favored in diagnosing BCC.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"233 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135424794","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":"Cholecystitis Associated with HELLP Syndrome in Previously Preeclampsia Patient","authors":"Amirsaleh Abdollahi, Mehran Frouzanian","doi":"10.19080/gjorm.2023.09.555764","DOIUrl":"https://doi.org/10.19080/gjorm.2023.09.555764","url":null,"abstract":"In this article, we report a pregnant woman with HELLP syndrome (hemolysis findings, elevated liver enzymes, and low platelets) and acute cholecystitis. She was first admitted due to epigastric pain, nausea, and vomiting, which was managed and discharged after three days. She was admitted due to severe right upper quadrant pain, which sonography showed cholecystitis; however, the levels of lactate dehydrogenase level, ALT, AST, and platelet suspects to HELLP syndrome, and after two days of current admission, these parameters became 2148 IU/L, 199 U/L, 230 U/L, and 43000 respectively, which led us to a definitive diagnosis of HELLP syndrome patient underwent cesarean section surgery, which led to significant improvement in laboratory findings Afterward, on day 3, the patient went on laparoscopic cholecystectomy surgery. Finally, on the seventh day of admission, all parameters were normal, and the patient was discharged without complications.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"268 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135837837","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":"Torsion of an Ovarian Endometrioma: About an Uncommon Case Report","authors":"Aziz Slaoui, Mariam Mahtate, Khawla Lakhder, Najia Zeraidi, Amina Lakhdar, Aicha Kharbach, Aziz Baydada","doi":"10.19080/gjorm.2023.09.555762","DOIUrl":"https://doi.org/10.19080/gjorm.2023.09.555762","url":null,"abstract":"Endometrioma, when its size is ≥ 5 cm, can be complicated by a torsion of the ovary. In this case it is a diagnostic and therapeutic emergency with respect to the many complications of ovarian torsion including necrosis. We report a case of endometrioma diagnosed by a torsion of the ovary. The context clinic was dominated by acute pelvic pain; the ultrasound showed a huge left cystic ovary, and the laparotomy revealed a torsion of the left adnexa. A detorsion and cystectomy was performed and the confirmation of the endometrioma was provided by the histology of the surgical specimen. The difficulty lies in the diagnostic and therapeutic choice to preserve or not the ovary. The indications are therefore discussed on a case-by-case basis and depend on many parameters, the most important of which is the intraoperative viability of the ovary after its detorsion.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"256 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135323083","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":"Function of Platelet-Activating Factor in Spermatozoa Motility and Fertility Potential","authors":"William E Roudebush","doi":"10.19080/gjorm.2022.08.555749","DOIUrl":"https://doi.org/10.19080/gjorm.2022.08.555749","url":null,"abstract":"Platelet-activating factor (PAF) is a potent signaling phospholipid (alkyl acetyl glycerol phosphocholine) and has been found to have a variety of reproductive roles, including but not limited to sperm function, and early pre implantation development. PAF functions via a G-protein coupled receptor mediated pathway, which ultimately increases intracellular calcium levels. Since its discovery, PAF has been positively linked with fertility, i.e. reproductive outcomes. Roudebush et al. [1] found that boars with high fertility have a significantly more endogenous PAF in sperm than boars with low fertility [1]. Roudebush et al. reported that PAF levels in sperm were significantly higher during the breeding season of squirrel monkeys in comparison to the nonbreeding season [2]. Additionally, Sengoku et al. [2] demonstrated how a PAF antagonist (CV-3988) will decrease the fertilization ability of human sperm in vitro by both decreasing sperm penetration ability as well as its acrosome reaction [3].","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45662875","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":"Reproductive Health Knowledge, Attitude and Practice Among Adolescents Attending Secondary Schools in Asmara, Eritrea","authors":"Yonatan Mehari Andemeskel, Ghidey Gebreyohanns Weldegiorgis, Bekit Zere Bekit, Ermias Gebregziabiher Gebresilassie, Goitom Hagos Gebreab, Tedros Yemane Gebresilassie, Yonas Haile Abraha","doi":"10.21203/rs.3.rs-958951/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-958951/v1","url":null,"abstract":"\u0000 Background: Adolescent reproductive health problems are a great threat to adolescent’s warfare and such problems are associated with inadequate knowledge. In Eritrea, as adolescent reproductive health is not given much attention the knowledge is expected to be poor, which could lead adolescents to become victims of adolescence related reproductive health problems and limit their opportunity to build a better future. Therefore, this study was carried out with the aim of investigating the reproductive health knowledge, attitude and practice among secondary school students in Asmara, the capital of Eritrea. Methods: A cross sectional study design was conducted on 428 adolescent high school students with the age range of 14 to 19 years. Sample size was determined by using a single population proportion formula. Initially, population size of each school and each grade was taken and proportional sample size was determined from each school and then from each grade. The list of students was used and participants were selected using simple random sampling. Data was collected through a structured self-administered questionnaire. Descriptive and inferential analysis were made using SPSS (version 22). Statistical significance level was set at P<0.005.Results: The median age of the study participants was 15 (IQR=2), in which 88.8% were between age of 14 to 16 years with 53% of them being females. The level of knowledge of the students regarding RH was low, with moderate to good attitude. Sexual practice was very low (3.5%) with usage of 86.7% of contraceptive use. Meanwhile, the usage of sexually explicit material was relatively higher (53%). Conclusions: Reproductive health knowledge was low almost in all variables. Meanwhile, significant number of students are already engaged in heterosexual romantic relationships and use of sexually explicit material. Adolescents need to be knowledgeable about themselves and the people they relate to, need sound information about the physical, psychological and social changes that take place through childhood to adolescence.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48243703","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":"Quality of Life in Patients with Urinary Incontinence: A Cross Sectional Study","authors":"Lama Al Mehaisen","doi":"10.19080/gjorm.2021.08.555742","DOIUrl":"https://doi.org/10.19080/gjorm.2021.08.555742","url":null,"abstract":"Background: Urinary incontinence in women severely affects the physical, social and psychological aspects of life. Objectives: To find out the Quality of Life in female patients with urinary incontinence in a tertiary care hospital. Materials and Methods: A cross-sectional, observational study was conducted in the Gynecology out-patient department. All non-pregnant women ≥21 years of age, attending the Gynecology OPD of tertiary care hospital for various complaints were included in the study. After obtaining written informed consent, demographics, relevant medical and surgical history was noted, and they were then administered two validated questionnaire 'Incontinence Quality of Life Questionnaire' (IQOL) and SF-36. Result: The overall incidence of incontinence in this population was 17.0%, with a steadily rising incidence by age. The incidence was more in postmenopausal than premenopausal women. Menopausal women compared to non-menopausal women also had significantly higher incontinence QOL scores (median of 5 vs. 3; p=0.001). Avoidance and limiting behavior (ALB), Psychosocial impact (PSI) and social embarrassment (SE) scores were studied improved after 24 weeks. Items determining ALB had high correlation coefficient with total ALB and all of them were statistically significant. Items determining PSI had statistically significant correlation with mean PSI with all the items except two items. But among the items","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46593123","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 Impact of Physiological Interpretation of Cardiotocogram (CTG) in Conjunction with Fetal ECG (STAN) on Intrapartum Emergency Caesarean Sections","authors":"E. Chandraharan","doi":"10.19080/gjorm.2021.08.555738","DOIUrl":"https://doi.org/10.19080/gjorm.2021.08.555738","url":null,"abstract":"Background: The false-positive rate of the “pathological” CTG has been reported as >60%, which resulted in an exponential increase in emergency intrapartum caesarean sections for “fetal distress”. Fetal ECG (ST-Analyser or STAN) was introduced into clinical practice to reduce the false positive rate of the CTG. Objective: To determine the impact of Physiological interpretation of Cardiotocogram (CTG) in Conjunction with Fetal ECG (STAN) on intrapartum emergency caesarean sections. Methods: A retrospective study at the Royal Gwent Hospital in South Wales following the introduction of STAN monitoring after training in Physiological Interpretation of CTG in 2014. Total Caesarean section rate, emergency caesarean section rate for fetal compromise (i.e., “fetal distress”), operative vaginal delivery rate and spontaneous vaginal delivery (SVD) rate were analyzed for the first 19 months after the intervention (October 2014- 2016) and were compared with 2012 -September 2014). Result: There were 7977 deliveries during the 19-month period from 01 October 2014 to 30 April 2016. The average total Caesarean section rate was 23.5% and the emergency Caesarean section rate for suspected fetal compromise (“fetal distress”) was 13.6%, an observed increase in the rate of spontaneous vaginal births from 63% to 71%. There was a statistically significant reduction in the intrapartum emergency caesarean sections performed for “fetal distress” immediately after the introduction of STAN following training on Physiological Interpretation of CTG from 5.57% to 2.1%. The rate of hypoxic ischaemic encephalopathy (HIE) due to CTG misinterpretation was reduced by 50% following the training on Physiological Interpretation of CTG. Conclusion: Training on physiological interpretation of the CTG before the introduction of STAN, and its use in conjunction with STAN resulted in a statistically significant reduction of intrapartum emergency caesarean section for “fetal distress”, and a 50%reduction in the HIE rate due to CTG misinterpretation.","PeriodicalId":92369,"journal":{"name":"Global journal of reproductive medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48785406","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}