scholarly journals Care of Breast in Pregnant and Lactating Females

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Al-shaimaa G Soliman ◽  
S A Abdelrahman ◽  
A A Darweesh ◽  
W B Gerges ◽  
H S Tantawy
Keyword(s):  
Breast Feeding ◽  
Lactation Period ◽  
Breast Abscess ◽  
Breast Clinic ◽  
Her Family ◽  
Breast Infection ◽  
History Of ◽  
The Right ◽  
A Prospective Study ◽  
Obstetric Clinic

Abstract Background Brest feeding is an important process that’s not only important for baby nutrition but also it strengthens the relation between the mother and her baby. Female breast undergoes multiple physiological changes during pregnancy and lactation.if the female not well educated about them and how to deal with them it will be a source of great horror to the female and her family as they consider any pain or unknown change in the breast as cancer until proved otherwise. Objective To assess breast care during pregnancy and its preparation for lactation and the value of this care in preventing breast infection. Patients and Methods This is a prospective study included 85 female patients coming to breast clinic and obstetric clinic of El Demerdash Hospital from September 2017 to August 2018. 40 of them presented during the third trimester of their pregnancy and the remaining 45 presented during lactation period. Sixty –three of them were multipara, the others were primigravida. Thirty of them gave a history of problems with previous lactation. Results In our research, females who came and were followed during pregnancy were educated about the importance of breast feeding to the baby and to the mother during their visits to the obstetric clinic. They were taught how to take care of their breast preparing it for safe and comfortable nursing. 35% of them were previously suffered from breast engorgement in previous lactation but when they followed our instructions about 27% of them developed breast engorgement which relieved rapidly without progressing to further complications. Also 5% previously developed breast abscess which was avoided in current study. We had also two of our participants that had retracted nipple one of them had previous experience of lactation that stopped shortly after birth but when we reassure her and learn her how to prepare her nipples by gentle massage, lubricants and use of plastic shells after delivery she could overcome her problem and continue breast feeding. Females who came during lactation were not prepared properly during pregnancy and 44% of them suffered from breast engorgement which was relieved with proper management but one of them developed breast abscess. Conclusion Every female have to learn about the right position of nursing and how to make proper care of her breasts and when she has to seek medical advice. This will help her to adapt the act of nursing and overcome any annoying problem that she may face during this period.

scholarly journals Case Report: Synchronous primary malignancy including the breast and endometrium

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1502
Author(s):  
Elham Sadat Banimostafavi ◽  
Sepideh Tayebi ◽  
Maryam Tayebi ◽  
Fatemeh Montazer
Keyword(s):  
Endometrial Cancer ◽  
Rare Event ◽  
Uterine Wall ◽  
Pelvic Cavity ◽  
Primary Malignancy ◽  
Tissue Mass ◽  
Her Family ◽  
History Of ◽  
Abnormal Vaginal Bleeding ◽  
The Right

Breast and endometrial cancer are the most common types of female cancers, but the incidence of both of these malignancies in a single patient is a rare event. Multiple primary malignancy has been increasingly reported over the past decade, and double primary cancer is considered as the most common type.  In this study, we present a 53-year-old woman with synchronous primary malignancy of breast and endometrium. This patient had a history of breast and endometrial cancer in her family. Mammography and chest CT of the patient revealed a mass in the right breast and left supraclavicular region. However, the patient did not want to initiate treatment. Subsequently, the patient returned with a chief complaint of persistent abnormal vaginal bleeding. Abdominopelvic CT scan of the patient revealed a huge soft tissue mass in the pelvic cavity. She underwent hysterectomy, and pathology revealed endometrioid carcinoma, which had invaded the full thickness of uterine wall. Since this type of malignancy is rare and several risk factors are associated with it, it is worth being considered by clinicians when making decisions about screening or strategy for prevention.

scholarly journals Perinatal Outcome of Deliveries after One Previous Caesarean Section

2015 ◽  
Vol 3 (1) ◽  
pp. 19
Author(s):  
Narinder Kaur ◽  
Sushila Jain
Keyword(s):  
Caesarean Section ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Previous Caesarean Section ◽  
Lower Segment Caesarean Section ◽  
History Of ◽  
Live Fetus ◽  
The Right ◽  
A Prospective Study

Introduction: Contrary to the WHO recommended caesarean section (CS) rate of 15%, there is an alarming trend of increasing caesarean section rates. An important reason for this is repeat caesarean section (RCS). Vaginal birth after caesarean (VBAC) is one of the methods of reducing CS rates in women with history of previous CS. This study was done with the aim to see the maternal and fetal outcome among parturient with history of single previous caesarean section and to determine the rate of VBAC at Lumbini Medical College, Nepal. Methods: This is a prospective study done for a period of ten months. Seventy parturient fulfilling inclusion criteria of term pregnancy with single live fetus and history of one Lower Segment Caesarean Section (LSCS) were enrolled in the study. Patients meeting the criteria for VBAC were given trial of labour and others were taken for elective repeat CS. This cohort was analyzed further, with respect to age, parity, period of gestation, mode of delivery, indication for CS, maternal and fetal complications and outcomes. Results: VBAC was successful in 27.14% of patients (n=19) while the rest 51 (72.85%) underwent RCS . Indications for RCS was mainly scar tenderness 7 (13.7%), fetal distress 6 (11.7%), non progress of labour 6 (11.7%), meconium stained liquor 6 (11.7%) and post-dated pregnancy 6 (11.7%). Maternal morbidity was comparable in women undergoing RCS or VBAC. There was one still birth and one early neonatal death in each group due to complications of meconium aspiration. Conclusion: Patients with previous CS are at high risk of RCS. If trial of labor is allowed under careful patient selection and supervision, the rate of vaginal delivery after caesarean section can be increased safely. As there is no added perinatal morbidity and mortality in cases of VBAC as compared to RCS, VBAC shows the right way forward to decrease the rate of caesarean section.

scholarly journals A Case Report: A 37 Years-old Women with Takayasu Arteritis

2021 ◽  
pp. 56-60
Author(s):  
Shakib H. Sheikh ◽  
Arti Raut ◽  
Savita Pohekar ◽  
Dipali Ghungrud ◽  
Swapna Morey
Keyword(s):  
Takayasu Arteritis ◽  
The Body ◽  
Her Family ◽  
Lower Segment Caesarean Section ◽  
Disease Condition ◽  
History Of ◽  
The Difference ◽  
Wbc Count ◽  
The Right ◽  
Physical Findings

Background: A rarity of form of vasculitis, also known as TAK, induces inflammation in the walls of the major arteries in the body: the aorta and its main branches. The disease results from a body attack and inflammation of the walls of the arteries caused by the body's own immune system. Case Presentation: A 37-years-old women had complaints of fever, giddiness, weakness of right upper limb and lower limb since1 day. After undergoing whole blood count, liver function examination, renal and MRI function checks, CT scan, angiography, etc. was studied. She was diagnosed with takayasu arteritis.  She had past medical history of neck pain and numbness since January 2020. For these complaints her family members referred her in private hospital. There is no significant history of surgery in present, lower segment caesarean section and piles operation was done previously. Physical findings were normal except the Glasgow Coma Scale score was 11 that is, patient  was semi-conscious, In General appearance patient activity was dull and weak due disease condition, Patient’s all routine investigations were normal except few like Total WBC count was increased (21,500cell /cm) due to increased infection, Granulocytes were increased  that is 75 % due to infection and autoimmune disease, ESR was increased  that is52mm/h. Angiography showed block in the right common carotid artery, MRI- showed Acute infract in left fronto  temporo parietal region involving insular par ventricular white matter,  absent flow in distal M1 segment of MCA. Conclusion: The most frequently involved arteries and the angiographic trends in this Takayasu Arteritis study were subclavian arteries and carotid arteries. The difference between angiographic characteristics may lead to clinical differences. Operations and surgery should be carried out at various points in the course of the disease.

scholarly journals Case Report: Synchronous primary malignancy including the breast and endometrium

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1502 ◽  
Author(s):  
Elham Sadat Banimostafavi ◽  
Sepideh Tayebi ◽  
Maryam Tayebi
Keyword(s):  
Endometrial Cancer ◽  
Rare Event ◽  
Uterine Wall ◽  
Pelvic Cavity ◽  
Primary Malignancy ◽  
Tissue Mass ◽  
Her Family ◽  
History Of ◽  
Abnormal Vaginal Bleeding ◽  
The Right

Breast and endometrial cancer are the most common types of female cancers, but the incidence of both of these malignancies in a single patient is a rare event. Multiple primary malignancy has been increasingly reported over the past decade, and double primary cancer is considered as the most common type.  In this study, we present a 53-year-old woman with synchronous primary malignancy of breast and endometrium. This patient had a history of breast and endometrial cancer in her family. Mammography and chest CT of the patient revealed a mass in the right breast and left supraclavicular region. However, the patient did not want to initiate treatment. Subsequently, the patient returned with a chief complaint of persistent abnormal vaginal bleeding. Abdominopelvic CT scan of the patient revealed a huge soft tissue mass in the pelvic cavity. She underwent hysterectomy, and pathology revealed endometrioid carcinoma, which had invaded the full thickness of uterine wall. Since this type of malignancy is rare and several risk factors are associated with it, it is worth being considered by clinicians when making decisions about screening or strategy for prevention.

scholarly journals En tilfældig slægt

1991 ◽  
Vol 42 (1) ◽  
pp. 170-171
Author(s):  
Hellmut Toftdahl
Keyword(s):  
Soren Kierkegaard ◽  
Good Deal ◽  
History Of Ideas ◽  
Main Character ◽  
Christian Church ◽  
Her Family ◽  
Three Generations ◽  
History Of ◽  
The Right ◽  
Personal Matter

‘Just a Family’Birgit Michelsen: ‘The Catechist, the Dean, and the Socialist’. The History of Three Generations. Published by Anis, Århus, 1989.By Hellmut Toftdahl The writer has written about three people in the history of her family, for whom Christianity was a deeply personal matter. Their crises reflect the crisis which the Christian Church underwent in those years. We also meet several other people in the book, sons and daughters of the three. Their scruples and rebellions, ranging from radical free-thinking to an involvement in German Socialism, are woven together into a vivid presentation of the history of ideas of the time.The main character of the book is the restless, fascinating Christian, who ended his life in Leipzig as a Socialist and naturalized German. With his doubt about the ‘truths’ he had inherited from his family of clergymen, and in his search for the ‘right thinking’, he was ahead of his time. In his honesty and need to be true to himself, he had a good deal in common with both Søren Kierkegaard and Grundtvig, whose contemporary he was.In a Grundtvig context the book is interesting because it affords personal evidence of the ecclesiastical and existential forces that Søren Kierkegaard and Grundtvig, with their liberating theology, were up against among the representatives of the established understanding of Christianity of the time.

scholarly journals Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Nadia Kamagate ◽  
Robert DeVito
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Disease Process ◽  
Tissue Infection ◽  
Necrotizing Soft Tissue Infection ◽  
Breast Infection ◽  
Risk Of Mortality ◽  
History Of ◽  
The Right ◽  
High Index Of Suspicion

Necrotizing soft tissue infection has been historically recognized as a severe, rapidly spreading soft tissue infection associated with a very high risk of mortality. Cases of primary necrotizing fasciitis of the breast are rarely described but often fatal. We present a case of necrotizing soft tissue infection of the right breast extending to the anterior abdominal wall in a 39-year-old obese female, with a history of tobacco use. The patient presented 10 days after symptom onset due to concerns and anxiety related to COVID-19 exposure. This delay allowed for further extension and smoldering of the breast infection. The treatment of this aggressive disease process begins with early diagnosis, where a high index of suspicion is vital. Once diagnosed, the treatment regimen should be composed of emergent surgical debridement, which can include breast salvage debridement or total mastectomy, in addition to antibiotic therapy.

scholarly journals Case Report: Synchronous primary malignancy including the breast and endometrium

F1000Research ◽  
2018 ◽  
Vol 6 ◽  
pp. 1502
Author(s):  
Elham Sadat Banimostafavi ◽  
Sepideh Tayebi ◽  
Maryam Tayebi ◽  
Fatemeh Montazer
Keyword(s):  
Endometrial Cancer ◽  
Rare Event ◽  
Uterine Wall ◽  
Pelvic Cavity ◽  
Primary Malignancy ◽  
Tissue Mass ◽  
Her Family ◽  
History Of ◽  
Abnormal Vaginal Bleeding ◽  
The Right

Breast and endometrial cancer are the most common types of female cancers, but the incidence of both of these malignancies in a single patient is a rare event. Multiple primary malignancy has been increasingly reported over the past decade, and double primary cancer is considered as the most common type.  In this study, we present a 53-year-old woman with synchronous primary malignancy of breast and endometrium. This patient had a history of breast and endometrial cancer in her family. Mammography and chest CT of the patient revealed a mass in the right breast and left supraclavicular region. However, the patient did not want to initiate treatment. Subsequently, the patient returned with a chief complaint of persistent abnormal vaginal bleeding. Abdominopelvic CT scan of the patient revealed a huge soft tissue mass in the pelvic cavity. She underwent hysterectomy, and pathology revealed endometrioid carcinoma, which had invaded the full thickness of uterine wall. Since this type of malignancy is rare and several risk factors are associated with it, it is worth being considered by clinicians when making decisions about screening or strategy for prevention.

scholarly journals Les particularités du rétinoblastome au Niger

2016 ◽  
Vol 12 (3) ◽  
pp. 84
Author(s):  
Abba Kaka.H.Y ◽  
Sylla F ◽  
Ali M.H ◽  
Amza A
Keyword(s):  
Survival Rate ◽  
Treatment Options ◽  
Late Presentation ◽  
Tumor Treatment ◽  
Traditional Treatment ◽  
History Of ◽  
The Mean ◽  
One Year ◽  
The Right ◽  
A Prospective Study

Aims: To describe the clinical peculiarities of retinoblastoma and to outline the difficulties in their management in our context. Patients and Methods: We carried out a prospective study in all the cases of retinoblastoma from January 2014 to July 2015 in Niamey National Hospital. We studied: age, sex, first sign, age at first symptoms, time taken to seek medical help, anterior treatment , consanguinity, laterality, stage of tumor, extension of tumor, treatment done, survival rate. Results: The study was about 57 kids, among which 38 boys and 19 girls giving a sex ratio of 2.The mean age at diagnosis was 32 months with extremes of 7 months and 6 years. The range 2 to 3 years were most affected with 35 cases (61, 4%). Leucocorie was the onset symptom in 50 cases (87, 7%), strabismus in 7 cases (12, 3%). Traditional treatment was seen in 45 patients (79%). Consanguinity was found in 45 cases (79%), no family history of tumor was found in this study. In 38 cases (66, 66%) diagnosis was after one year of onset, the left eye was affected in 22 patients (38, 59%), the right eye in 21 patients (36, 84%) and it was bilateral in 14 cases (24, 56%). All our patients were at stage V of Reese classification, the tumor was extra-ocular in 54 patients (94, 6%) and intra-ocular in 5, 4% of cases. Enucleation was performed in 46 cases (80, 70%) and 56 patients (94, 73%) underwent chemotherapy cure. The survival rate after 18 months was of 15, 78%. Conclusion: Late presentation, diagnosis at an advance stage, and limited treatment options are the main factors responsible for the low rate of survival in this study.

Z-line degradation and phagocytosis of sarcomeric fragments in myonecrosis

1983 ◽  
Vol 41 ◽  
pp. 790-791
Author(s):  
Melinda L. Estes ◽  
Samuel M. Chou
Keyword(s):  
Vastus Lateralis ◽  
Inflammatory Myopathy ◽  
Muscle Disease ◽  
White Female ◽  
Inflammatory Cell Infiltrate ◽  
Limb Weakness ◽  
Muscle Diseases ◽  
History Of ◽  
The Right ◽  
Mononuclear Inflammatory Cell

Many muscle diseases show common pathological features although their etiology is different. In primary muscle diseases a characteristic finding is myofiber necrosis. The mechanism of myonecrosis is unknown. Polymyositis is a primary muscle disease characterized by acute and subacute degeneration as well as regeneration of muscle fibers coupled with an inflammatory infiltrate. We present a case of polymyositis with unusual ultrastructural features indicative of the basic pathogenetic process involved in myonecrosis.The patient is a 63-year-old white female with a one history of proximal limb weakness, weight loss and fatigue. Examination revealed mild proximal weakness and diminished deep tendon reflexes. Her creatine kinase was 1800 mU/ml (normal < 140 mU/ml) and electromyography was consistent with an inflammatory myopathy which was verified by light microscopy on biopsy muscle. Ultrastructural study of necrotizing myofiber, from the right vastus lateralis, showed: (1) degradation of the Z-lines with preservation of the adjacent Abands including M-lines and H-bands, (Fig. 1), (2) fracture of the sarcomeres at the I-bands with disappearance of the Z-lines, (Fig. 2), (3) fragmented sarcomeres without I-bands, engulfed by invading phagocytes, (Fig. 3, a & b ), and (4) mononuclear inflammatory cell infiltrate in the endomysium.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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