Application value of B-mode ultrasound in gynecologic acute abdomen / 中国基层医药

Objective To explore the application value of B -ultrasound examination in gynecological acute abdomen.Methods From October 2015 to October 2017,150 patients with suspected gynecological acute abdomen were selected in the People's Hospital of Lishui.The effect of B-ultrasound examination in diagnosis of gynecological acute abdomen was analyzed.Results The sensitivity,specificity and total accuracy of abdominal ultrasound in the diagnosis of gynecological acute abdomen were 75.00%( 99／132),44.44%(8／18) and 71.33%(107／150), respectively.The sensitivity,specificity and total accuracy of transvaginal ultrasound in the diagnosis of gynecological acute abdomen were 87.12%(115／132),72.22%(13／18) and 85.33%(128／150),respectively.The sensitivity, specificity and total accuracy of abdominal combined with transvaginal ultrasonography in the diagnosis of gynecological acute abdomen were 98.48%(130／132),94.44%(17／18) and 98.00%(147／150),respectively.The sensitivity, specificity and total accuracy of abdominal combined with transvaginal ultrasound in the diagnosis of gynecological acute abdomen were significantly higher than those of abdominal ultrasound and transvaginal ultrasound (χ2 ＝8.658, 10.699,9.075,all P＜0.05).The diagnosis of acute pelvic inflammation ,ectopic pregnancy ,rupture of luteal cyst and torsion of ovarian cyst by abdominal combined with transvaginal ultrasound was better than abdominal ultrasound (χ2 ＝13.748,5.984,13.524,6.874,all P＜0.05).Conclusion Abdominal ultrasound and transvaginal ultrasound can be used to diagnose gynecological acute abdomen.However,abdominal combined with vaginal ultrasound is more effective in the diagnosis of gynecological acute abdomen ,and it can effectively improve the accuracy of diagnosis.

The application of syphilis detection in the pre-pregnancy eugenics inspection / 国际检验医学杂志

Objective To investigate the application of syphilis detection in the pre-pregnancy eugenics inspection.Methods 12 900 women who attended the national free pre-pregnancy eugenics inspection from March 201 1 to October 2013 were selected as subjects.The treponema pallidum particle agglutination assay(TPPA)and rapid plasma regain test(RPR)were conducted among them before pregnancy,and the results of syphilis detections were recorded and compared.Results In 12 900 women,63 cases (0.49%)were syphilis positive in RPR tests,129 cases(1.00%)were syphilis positive in TPPA test,and 45 cases(0.35%)were syphilis positive both in RPR and TPPA tests.There were significant differences in positive rates of syphilis between that in the RPR test and that in the TPPA test(P <0.05),while no significant differences were found in positive rates of syphilis between that in the RPR test and that in the combined detection of RPR test and TPPA test.There were significant differences in positive rate of syphilis between that in the TPPA test and that in the combined detection of RPR test and TPPA test(P <0.05).The sensitivity of RPR test and TPPA test was 71.4% and 34.9%,respectively.Conclusion Both the RPR test and TPPA test could be the fast and ef-fective method in diagnosis of syphilis.However,RPR test might be more sensitive,which could be widely used in the pre-pregnancy eugen-ics healthy screening.Moreover,the diagnosis results could be confirmed by combination of RPR test and TPPA test.

Una mirada de género al embarazo después de los 35 años: experiencias de mujeres atendidas por la red de salud de Bogotá D. C. / Gendered approach to pregnancy after 35 years: women's experiences at the health network in Bogotá D. C. / Abordagem geral a gravidez apos de 35 anos: experiencias das mulheres atendidas por a rede de saude de Bogotá D. C.

[{"text": "El estudio buscó explorar cuáles son los antecedentes de diez mujeres mayores de 35 años de edad, de estratos 1, 2 y \r\n3, atendidas por la red distrital de salud en cuatro localidades de Bogotá en cuanto a sus embarazos y cómo son sus \r\nvivencias al respecto. Según los resultados, se trata ante todo de embarazos no planeados que, a pesar de implicar un \r\n"volver a empezar" incluso quince o más años después de la última gestación, son aceptados por las mujeres porque \r\nrepresentan para ellas compañía en el hogar cuando ya los hijos están grandes, una forma de complacer a sus parejas \r\no un hijo más por sacar adelante en el caso de las madres cabezas de hogar. Las mujeres que en su gran mayoría han \r\ntenido riesgos obstétricos en anteriores embarazos temen eventuales complicaciones y al parto, y se preocupan por la \r\nposibilidad de morir. Se recomienda atender las necesidades y preocupaciones de las gestantes, ofreciendo un acompa\r\n-\r\nñamiento que les permita sentir confianza, aclarar dudas, conocer signos de alarma y desarrollar su autocuidado. Se \r\nsugiere empoderarlas para el ejercicio consciente de sus derechos sexuales y reproductivos y para vivir sus embarazos \r\nen armonía y como una oportunidad de desarrollo para su vida", "_i": "es"}, {"text": "The study is intended to explore the history and expe\r\n-\r\nriences of pregnancies of ten 35-year-old women of \r\nsocial stratum 1, 2 and 3, who attend the District Health \r\nNetwork in different areas of Bogotá. These pregnancies \r\nare generally unplanned and, despite having to "start \r\nover" -in seven cases fifteen years or more after the \r\nprevious pregnancy- are accepted by women because they \r\nrepresent new company at home when other children are \r\ngrown, or a way to satisfy their partners with another \r\nchild to raise, in the case of head-of-household mothers. \r\nMost of the women have had previous obstetrical risk \r\npregnancies and fear health complications and death at \r\nthe time of delivery. It is recommended to note the needs \r\nand concerns expressed by the pregnant women, provi\r\n-\r\nding support that allows them to feel confident, receive \r\nanswers, know warning signs and develop self-care. \r\nAdditionally, the study suggests empowering women to \r\nexercise their sexual and reproductive rights and to live in \r\nharmony with their pregnancies and treat the pregnancy \r\nas a development opportunity in their lives", "_i": "en"}, {"text": "O estudo teve o objetivo de explorar a história das \r\ngestações as experiências com a gravidez de dez mulheres \r\ncom mais de 35 anos de idade, níveis 1, 2 e 3, servidas \r\npela Rede de Saúde do Distrito em diferentes lugares de \r\nBogotá. Isso e geralmente gravidezes não desejadas, que \r\ntem que "começar novo", em sete casos, depois de quinze \r\nanos ou mais são aceitas por mulheres, porque elas repre\r\n-\r\nsentam a eles como fazer companhia em casa e quando \r\nas crianças são grandes, uma maneira de agradar seus \r\nparceiros ou outra criança para levar para a frente, no \r\ncaso dos mães quem são chefes de família. As mulheres, \r\nque em sua maioria tiveram gestações de risco obsté\r\n-\r\ntricos anteriores, medo e parto complicações, quem estão \r\npreocupados com a possibilidade de morte. Recomenda-\r\nse a satisfazer as necessidades expressas pelas mulheres \r\ngrávidas e as suas preocupações, fornecendo suporte \r\nque elas permite sentir confiança, responder perguntas, \r\nfazer sinais de alerta e desenvolver a se cuidar. Da mesma \r\nforma, o estudo capacitá-las para o exercício cons\r\n-\r\nciente de seus direitos sexuais e reprodutivos e viver em \r\nharmonia e sua gravidez como uma oportunidade de \r\ndesenvolvimento para suas vidas.", "_i": "pt"}]

Pregnancy outcome after high intensity focused ultrasound (HIFU) treatment for patients with adenomyosis / 重庆医学

Objective To investigate the reproductive outcome after high intensity focused ultrasound (HIFU ) ablation for pa-tients with adenomyosis who have fertility requirements .Methods From October 2010 to June 2013 ,38 patients with adenomyosis who have fertility requirements treated by HIFU in our hospital were analyzed .Results In 38 cases ,the menorrhagia severity score ,the dysmenorrhea pain score and adenomyosis lesions after HIFU ablation were significantly different from the levels before HIFU treatment(P<0 .05) .Successful pregnancy occurred in 15 patients ,full-term birth was seen in 7 patients(three of Cesarean section ,four of vaginal delivery);the remaining patients accept routine prenatal examination .All pregnant patients showed no ab-normality .Conclusion Although large sample size study with long-term follow up is need ,based on our results ,HIFU ablation for patients with adenomyosis might improve the pregnancy rate safely .

Dimensiones de educación integral en sexua - lidad para la prevención del embarazo en la adolescencia / Dimensions of integral sexual education for the prevention of teenage pregnancy / Dimensões da educação sexual integral para a prevenção da gravidez na adolescência

[{"text": "El presente artículo es el resultado de un trabajo de revisión de tema basado en los hallazgos de dos estudios cuali\r\n-\r\ntativos descriptivos exploratorios acerca del embarazo en adolescentes, desarrollados en la línea de investigación \r\nAdolescentes del grupo Salud Sexual y Reproductiva de la Facultad de Enfermería de la Universidad El Bosque entre \r\n2010 y 2012. En el primer estudio se preguntó por las condiciones psicosociales que interactuaron para el embarazo \r\nen esa etapa de su vida a un grupo de adolescentes ­mujeres y hombres­ que esperaban su primer hijo o hija. En el \r\nsegundo, se identificaron las necesidades de educación integral en sexualidad para prevenir el embarazo en la adoles\r\n-\r\ncencia; dichas necesidades fueron reportadas por un grupo de adolescentes, madres de familia y expertos en salud \r\nsexual y reproductiva. Los resultados de estas dos investigaciones generaron las categorías que orientaron la revisión \r\nde las dimensiones fundamentales para la educación integral en sexualidad desde la niñez para la prevención del \r\nembarazo en la adolescencia que se exponen en el presente artículo.", "_i": "es"}, {"text": "This article is a review of two qualitative descriptive \r\nstudies about teenage pregnancy, developed in the \r\nResearch Teen Line, by the Sexual and Reproductive \r\nHealth Group, in the Nursing Faculty at the El Bosque \r\nUniversity between 2010 and 2012. In the first study we \r\ncontemplated the psychosocial conditions that interacted \r\nto pregnancy in a group of teenagers ­females and males­ \r\nwho were expecting their first son / daughter, in the \r\nsecond, the needs of integral sexual education were iden\r\n-\r\ntified, in order to prevent teenage pregnancy; those were \r\nreported by a group of teenagers, mothers and experts \r\nin sexual and reproductive health. The results of these \r\ntwo investigations generated the categories that guided \r\nthe revision of the fundamental aspects for an integral \r\nsexual education since childhood, to prevent teen preg\r\n-\r\nnancy and are presented in this article.", "_i": "en"}, {"text": "Este artigo é o resultado de uma revisão da questão que \r\nse baseia nas conclusões de dois estudos exploratórios \r\ndescritivos qualitativos sobre a gravidez na adolescên\r\n-\r\ncia, desenvolvidas na Linha de Pesquisa do Adolescente,\r\npelo Grupo de Saúde Sexual e Reprodutiva na Facul\r\n-\r\ndade de Enfermagem na Universidade El Bosque, entre \r\n2010 e 2012. No primeiro estudo foi-se investigado as \r\ncondições psicossociais que interagiram a gravidez num \r\ngrupo de adolescentes ­homens e mulheres­ que estavam \r\nesperando seu primeiro filho / filha. No segundo estudo, \r\nas necessidades da educação sexual foram identificadas, \r\nem ordem de prevenir a gravidez da adolescente; e essas\r\nnecessidades foram relatadas por um grupo de adolescentes,\r\nmães e especialistas em saúde sexual e reprodutiva. Os\r\nresultados dessas duas investigações geraram as categorias\r\nque orientaram a revisão dos aspectos fundamentais\r\npara a educação integral em sexualidade desde a infância \r\npara a prevenção da gravidez na adolescência que é apresentado neste artigo.", "_i": "pt"}]

Evaluation of Clinical Usefulness of PREG-Q(TM) as a Screening Test for Pregnancy / 임상검사와정도관리

BACKGROUND: Among the many methods estimating the quantity of beta-hCG for pregnancy testing in urine, immunochromatography is one of most widely used semi-quantitative detection method for its convenience to use and also for its rapid result reporting system. PREG-Q(TM) is a newly introduced semi-quantitative immunochromatography method for detecting b-hCG. Clinical usefulness of PREG-Q(TM) was evaluated as a screening test for early pregnancy detection. METHODS: Accuracy, detection limit, cross-reactivity with various glycoprotein hormones, interference study, and comparison study using total 100 urine samples from pregnant (50 samples) and non-pregnant women (50 samples) was evaluated. RESULTS: All the 50 urine samples of pregnant women showed positive results, and another 50 urine samples of non-pregnant women showed negative results with PREG-Q(TM). The lower detection limit of PREG-Q(TM) was 25 mIU/mL and the result was not affected by addition of glycoprotein hormones tested. Interfering substance causing false negative or false positive results enrolled didn't affect the test results in this study. CONCLUSIONS: We conclude PREG-Q(TM) is an excellent test kit for pregnancy test, and is valuable especially for detecting early pregnancy.