Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 24
Filter
Add more filters










Publication year range
1.
Scand J Public Health ; 45(5): 528-535, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28566013

ABSTRACT

AIMS: Menstrual disorders and sexual harassment are common among young women and interfere with their life and activities. We aimed to describe the association of sexual harassment and menstrual disorders among female university students. METHODS: This cross-sectional, observational study examined the association between sexual harassment and menstrual disorders in a sample of 349 university students in Italy. Students answered an anonymous self-administered questionnaire. Descriptive bivariate analyses and logistic regression analyses were performed. Main outcome measures were associations between levels of exposure to sexual harassment (none, levels 1 and 2) and five menstrual disorders (premenstrual symptoms, heavy bleeding, pain, irregular cycles, and amenorrhea). RESULTS: Among the women interviewed (mean age 20.4 ± 1.45 years), 146 (41.8%) had experienced sexual harassment in the previous 12 months: 91 (26.1%) level 1 and 55 (15.7%) level 2. The frequency of premenstrual symptoms was 31.9% ( n=110); heavy bleeding, 35.3% ( n=124); pain, 51.4% ( n=181); irregular cycles, 55.5% ( n=195); and amenorrhea, 6.7% ( n=23). After adjustment for age, place of birth, being in a couple relationship and receiving hormone therapy, the frequency of menstrual disorders, except for amenorrhea, was increased with sexual harassment, with a regular gradient from no harassment to level 2 harassment. Introducing factors of depression, specific gynaecological problems and lifetime sexual violence did not change the results. For instance, the adjusted odds ratios of premenstrual symptoms were 2.10 [1.19-3.68] for women with level 1 harassment and 3.58 [1.83-7.03] for women with level 2 compared with women without harassment exposure. CONCLUSIONS: Sexual harassment is related to the prevalence of menstrual disorders. Healthcare providers should encourage dialogue with patients and address the issue of sexual violence or harassment.


Subject(s)
Menstruation Disturbances/epidemiology , Sexual Harassment/statistics & numerical data , Students/statistics & numerical data , Universities , Cross-Sectional Studies , Female , Humans , Italy/epidemiology , Surveys and Questionnaires , Young Adult
2.
Arch Pediatr ; 19(11): 1239-42, 2012 Nov.
Article in French | MEDLINE | ID: mdl-22999816

ABSTRACT

In voiding disorders in childhood, after a precise diagnosis, treatment can be provided. Aspecific hygienic and dietetic measures are the basis of care in all micturating disorders and frequently must be established to allow a precise diagnosis. In case of enuresis, restriction of beverage and diuretic foods is recommended in the evening. Other treatments for enuresis should be proposed to motivated children. In the polyuric form of enuresis, the treatment is desmopressin (DDAVP) and in the form with low bladder capacity, alarms or a combination of these 2 treatments. In dysfunctional voiding, after caring for the secondary causes, and depending on the characteristics of the disorder, the first-step treatment is pelvic floor rehabilitation with or without anticholinergic therapy. Other medical treatments are used in a second step. Isolated urethral instability remains controversial.


Subject(s)
Urination Disorders/diagnosis , Urination Disorders/therapy , Behavior Therapy , Child , Child, Preschool , Combined Modality Therapy , Conditioning, Classical , Deamino Arginine Vasopressin/therapeutic use , Enuresis/diagnosis , Enuresis/etiology , Enuresis/therapy , Female , Humans , Infant , Male , Pelvic Floor Disorders/diagnosis , Pelvic Floor Disorders/etiology , Pelvic Floor Disorders/therapy , Referral and Consultation , Surveys and Questionnaires , Urination Disorders/etiology , Water Deprivation
3.
Arch Pediatr ; 19(11): 1231-8, 2012 Nov.
Article in French | MEDLINE | ID: mdl-22999469

ABSTRACT

The new definitions of voiding disorders in children should be used in clinical practice. Two major kinds of voiding disorders are identified: 1) isolated primary enuresis as a disorder occurring exclusively during sleep with no daytime leakage; 2) urinary dysfunctions that include uninhibited detrusor contraction, sphincter hypertonicity, and urethral instability. These dysfunctions may be primary or secondary. Constipation as an underlying cause is frequent and usually underestimated. The diagnostic process requires one (or more) long consultations. After ruling out a urine leak without a voiding disorder and secondary causes (constipation, inadequate hydration, poor voiding hygiene, crystalluria, etc.), the aim is to distinguish isolated sleep-time disorders (primary enuresis) from daytime ± sleep-time symptoms (primary urinary dysfunctions). Anamnesis, long and accurate, can be sensitized by a questionnaire completed at home. The physical examination focuses on the exclusion of anatomic abnormalities and local inflammation (vulvitis, balanitis, etc.). Diagnostic tests are rarely required at the beginning. Urodynamic exploration may be indicated, never at the first consultation, in case of primary urinary dysfunction. This diagnostic approach provides an appropriate therapeutic decision.


Subject(s)
Urination Disorders/etiology , Child , Child, Preschool , Constipation/complications , Constipation/diagnosis , Constipation/therapy , Diagnosis, Differential , Enuresis/diagnosis , Enuresis/etiology , Enuresis/therapy , Female , Humans , Infant , Male , Muscle Hypertonia/diagnosis , Muscle Hypertonia/etiology , Muscle Hypertonia/therapy , Physical Examination , Referral and Consultation , Risk Factors , Surveys and Questionnaires , Urethral Diseases/diagnosis , Urethral Diseases/etiology , Urethral Diseases/therapy , Urinary Bladder, Overactive/diagnosis , Urinary Bladder, Overactive/etiology , Urinary Bladder, Overactive/therapy , Urinary Incontinence/diagnosis , Urinary Incontinence/etiology , Urinary Incontinence/therapy , Urination Disorders/diagnosis , Urination Disorders/therapy
4.
Arch Pediatr ; 19(11): 1226-30, 2012 Nov.
Article in French | MEDLINE | ID: mdl-22999470

ABSTRACT

Micturition is a natural event occurring several times a day, the result of a complex and partially unknown physiology. It involves different muscles (striated and smooth) as well as the central and autonomic nervous systems in an innate voiding reflex. This reflex is controlled after 2 years of age. If there is a failure or dysfunction of one of these elements, a miction disorder may appear. Two types of miction disorders are identified: neuromuscular disorders of the bladder and defective central control. Multiple factors such as constipation, bladder irritation, or an increase in abdominal pressure can interfere with the voiding reflex. The new international definitions and classifications of voiding disorders allow an easier clinical approach through careful and complete questioning and a simple clinical exam, efficient enough in most cases to provide the diagnosis and adapted treatment.


Subject(s)
Urination Disorders/diagnosis , Urination Disorders/physiopathology , Urodynamics/physiology , Autonomic Nervous System/physiopathology , Central Nervous System/physiopathology , Child , Child, Preschool , Female , Humans , Infant , Male , Muscle, Smooth/innervation , Muscle, Striated/innervation , Neuromuscular Diseases/classification , Neuromuscular Diseases/diagnosis , Neuromuscular Diseases/physiopathology , Urethra/innervation , Urinary Bladder/innervation , Urinary Tract/abnormalities , Urination/physiology , Urination Disorders/classification
5.
Ann Endocrinol (Paris) ; 71(6): 535-42, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20934171

ABSTRACT

GOALS: To report cases of embryopathy occurring following first trimester exposure to anti-thyroid drugs. METHODS: Retrospective screening of the database of our Pharmacovigilance Center from 1987 to date. RESULTS: We report six cases of embryopathy, all following carbimazole exposure during the first trimester: two cases of abdominal wall defect, including one associated with facial dysmorphia; one case of digestive malformation (patent omphalomesenteric duct); two cases of aplasia cutis including one with facial dysmorphism; one case of bilateral choanal atresia with aorta coarctation associated with poorly controlled insulin dependent diabetes. Four out of five patients were euthyroid with treatment during the first trimester. We found a context suggesting genetic predisposition to congenital malformation in three cases: two cases of parental cleft lip/palate, one case of consanguinity. Outcome was favorable in all cases. CONCLUSIONS: We want to raise awareness about the potential teratogenicity of carbimazole, probably on a predisposed genetic background. We suggest better reporting of congenital anomalies in children of women with Graves'disease, with or without in utero exposure to anti-thyroid drugs. In light of current literature, propylthiouracil should be the first line treatment for hyperthyroid women wishing a pregnancy.


Subject(s)
Abnormalities, Drug-Induced/epidemiology , Antithyroid Agents/adverse effects , Carbimazole/adverse effects , Abdominal Wall/abnormalities , Adult , Antithyroid Agents/therapeutic use , Carbimazole/therapeutic use , Consanguinity , Databases, Factual , Digestive System Abnormalities/chemically induced , Ectodermal Dysplasia/chemically induced , Female , Fetal Diseases/chemically induced , France/epidemiology , Graves Disease/complications , Graves Disease/drug therapy , Hernia, Umbilical/chemically induced , Humans , Male , Pregnancy , Pregnancy Complications/drug therapy , Product Surveillance, Postmarketing , Prospective Studies
7.
Ann Dermatol Venereol ; 127(6-7): 614-5, 2000.
Article in French | MEDLINE | ID: mdl-10930859

ABSTRACT

BACKGROUND: Neonatal cellulitis is usually caused by staphylococcal infection of the mammary gland which has generally reached the stage of abscess formation at the time of diagnosis. The circumstances of onset and possible complications remain poorly known. We report a recent case. CASE REPORT: A female neonate developed major bilateral mammary hypertrophy. Her mother had tried to express the breasts, fearing "congestion". Three days later, the right breast showed signs of inflammation with a fluctuant central zone suggestive of a cellulitic infectious abscess confirmed at ultrasound. Recovery was achieved with incision and antistaphylococci antibiotic therapy. DISCUSSION: Mammary cellulitis of the newborn appears to generally occur following an attempt to manipulate a pre-existing physiological hypertrophy of the breast. Staphylococcus aureus is the most commonly found agent. Early surgical care is generally required as there is a real risk of progression to necrotizing faciitis.


Subject(s)
Abscess/diagnosis , Cellulitis/diagnosis , Staphylococcal Skin Infections/diagnosis , Abscess/surgery , Cefotaxime/administration & dosage , Cellulitis/surgery , Combined Modality Therapy , Diagnosis, Differential , Drainage , Drug Therapy, Combination/therapeutic use , Female , Humans , Infant, Newborn , Staphylococcal Skin Infections/surgery , Vancomycin/administration & dosage
9.
Article in French | MEDLINE | ID: mdl-1304635

ABSTRACT

Laminectomy in lumbar spine surgery often produces disabling adhesive arachnoiditis. We have tested, on the rat, polyglactin 910 mesh with collagen or not, with a mail 0.9 mm large. We have used 34 Wistar male rats. L5 laminectomy were realised on all the rats. Rats were ranged in four groups: group 1: control, L5 laminectomy alone, 6 months follow up--group 2: one month follow up, L5 laminectomy, vicryl mesh with collagen or not--group 3: two months follow up, L5 laminectomy, vicryl mesh with collagen or not--group 4: six months follow up, L5 laminectomy, vicryl mesh with collagen or not. On 28 rats, the histologic study have demonstrated: group 1 control: important and adhesive fibrosis scar--group 2: no or minimal reaction--group 3: fibroblastic or few cellular, non or little adhesive fibrosis--group 4: moderate adhesive fibrosis in half of the cases with vicryl mesh without collagen, minimal non adhesive fibrosis with collagen vicryl mesh.


Subject(s)
Arachnoiditis/prevention & control , Laminectomy/adverse effects , Polyglactin 910/therapeutic use , Animals , Fibrosis/prevention & control , Lumbar Vertebrae/surgery , Male , Rats , Surgical Mesh
10.
J Med Genet ; 27(5): 330-2, 1990 May.
Article in English | MEDLINE | ID: mdl-2352262

ABSTRACT

The observation of two new cases in a previously reported family has brought about a change in the delineation of the syndrome initially defined. To the abnormalities already described (branchial dysplasia, mental deficiency, club feet, inguinal herniae) must be added a paucity of interlobular bile duts; the relationship between this new syndrome and the Alagille syndrome requires reconsideration.


Subject(s)
Biliary Atresia/genetics , Foot Deformities, Congenital/genetics , Hernia, Inguinal/genetics , Biliary Atresia/complications , Foot Deformities, Congenital/complications , Genes, Recessive , Hernia, Inguinal/complications , Humans , Infant , Intellectual Disability , Male , Syndrome
16.
Chir Pediatr ; 31(2): 131-3, 1990.
Article in French | MEDLINE | ID: mdl-2268953

ABSTRACT

A 15 year old boy presents two fractures of the left inferior member (femur and tibia), after a motor-cycle accident. An osteosynthesis by plate and screws was performed, in emergency. In immediate post-operative days, a radicular paresia of the left inferior member appear especially on exterior popliteus sciatic nerve. The electromyogram confirm the diagnosis. However, these is nor pain nor fracture of the sacro-lumbar spine. The consolidation of femur and tibia fractures is normal. The neurologic recuperation is slow but progressive. A year after the accident, because the recuperation is not complete, an MRI is performed. An arachnoidal cyst surrounding the L5 and S1 roots is diagnosed. The surgery is decided. The ablation of the cyst is performed in the same operative time that the ablation of plate. The histology of the paries of the cyst confirm, by hemosiderimic deposits, the traumatic etiology. The arachnoïdal cyst is rare, particularly in the childhood. It is always difficult to know the relation between the cyst and the symptom. It is also impossible to be certain of traumatic etiology: traumatic cyst or traumatised cyst? The surgical indication is lawful by the existence of clinical signs, because 50 per cent of cases are improved or recovered.


Subject(s)
Arachnoid Cysts/etiology , Lumbar Vertebrae/pathology , Sacrum/pathology , Spinal Injuries/complications , Adolescent , Arachnoid Cysts/pathology , Humans , Male , Meningocele/etiology , Spinal Diseases/etiology , Spinal Diseases/pathology
17.
Chir Pediatr ; 31(4-5): 272-4, 1990.
Article in French | MEDLINE | ID: mdl-2083465

ABSTRACT

The authors report a retrospective study of therapeutic abortions for antenatally diagnosed abnormalities, 146 fetuses are concerned during a five years period, an anatomo-pathological examination have been performed in all cases, malformations of central nervous system are the most frequent (62). 26 urologic abnormalities are especially detailed. There are 10 isolated urologic abnormalities, and 16 abnormalities multiples. All fetuses had renal lesions which could justified an intervention but the declaration at registration of congenital birth defects is not obligatory. A multidisciplinary approach to prenatal diagnosis and congenital birth must still developed for a better understanding.


Subject(s)
Abortion, Induced/statistics & numerical data , Urinary Tract/abnormalities , France , Humans , Retrospective Studies
19.
Chir Pediatr ; 28(4-5): 259-61, 1987.
Article in French | MEDLINE | ID: mdl-3442934

ABSTRACT

The association of a low back pain and kyphosis in children has not a unique diagnosis. A type of fracture of lumbar spine in the child simulates Scheuermann's disease. As in Scheuermann's disease, a traumatic event in sport is frequently associated with the onset of symptoms. But the location of intraspongious herniation to the anterior margin of vertebral body signs the fracture of lumbar spine.


Subject(s)
Fractures, Bone/diagnosis , Lumbar Vertebrae , Scheuermann Disease/diagnosis , Adolescent , Diagnostic Errors , Fractures, Bone/therapy , Humans , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/surgery , Male , Radiography
20.
Chir Pediatr ; 27(6): 354-5, 1986.
Article in French | MEDLINE | ID: mdl-3581307

ABSTRACT

We described a case of spondylodiscitis L3 L4, in a 3 year old child that appeared 3 weeks after a lumbar puncture. The infectious agent responsible wasn't found. The child recovered without sequelae with an antistaphylococcis treatment. The mecanism by inoculation has been described after surgery of the inter-vertebral disc but also after spinal anesthesis. The bone complications of the lumbar puncture are exceptionally rare but elementary aseptic precautions must not be overlooked in order minimise the infection.


Subject(s)
Intervertebral Disc , Lumbar Vertebrae , Spinal Puncture/adverse effects , Spondylitis/etiology , Anti-Bacterial Agents/therapeutic use , Child, Preschool , Humans , Male , Radionuclide Imaging , Spondylitis/diagnostic imaging , Spondylitis/drug therapy
SELECTION OF CITATIONS
SEARCH DETAIL
...