Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review

Objective An increasing trend of uterine rupture (UR) after laparoscopic surgery of the uterus (LSU) has been observed. Although the overall incidence is extremely low, UR may have catastrophic outcomes. Therefore, investigation of its potential risk factors is important. Methods We retrospectively reviewed the medical data of 10 women who developed UR after LSU performed at our hospital from October 2003 to October 2016 and conducted a literature review. Results All cases of UR occurred during the third trimester of pregnancy. The surgeries contributing to UR were laparoscopic myomectomy, adhesion decomposition, and salpingectomy, resulting in unfavorable outcomes especially for the fetus. Diathermy was routinely used for hemostasis, and multilayer suturing was not adequately performed in many cases. The posterior wall was the most common site of UR in most cases. Silent rupture with unremarkable symptoms was not rare. Similar risk factors were identified in the literature review. Conclusions Excessive use of energy equipment and the lack of multilayer suturing were the most common characteristics of UR after LSU. A history of LSU should always be considered a risk factor for UR.

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Staphylococcus aureus nasal colonization among Vietnamese adults: prevalence, risk factors and antibiotic susceptibility profile

MedPharmRes ◽

10.32895/ump.mpr.2.2.21 ◽

2018 ◽

Vol 2 (2) ◽

pp. 21-31

Author(s):

Nguyen Phan ◽

Hien Pham ◽

Thuc Nguyen ◽

Hoai Nguyen

Keyword(s):

Risk Factors ◽

Staphylococcus Aureus ◽

Antibiotic Susceptibility ◽

Nasal Carriage ◽

Resistance Rate ◽

High Rate ◽

Weight History ◽

Potential Risk Factors ◽

History Of ◽

Vietnamese Community

Staphylococcus aureus (S. aureus) has long been recognized as an important human pathogen causing many severe diseases. It is also a part of human normal flora with its ecological niche in the human anterior nares. This study focused on screening S. aureus nasal carriage in community and its relationship to human physiological and pathological factors which have not been studied in Vietnam previously. Two hundred and five volunteers in Ho Chi Minh City from 18 to 35 and over 59 years old both male and female participated in the study. Result showed that the prevalence of S. aureus nasal carriage in southern Vietnamese community was relatively low, only 11.2% (23/205), much lower than that in other international reports on human S. aureus. In addition, nasal carriage of the older age group (> 59 years old, 13.7%) was higher than that of younger age (18-35 years old, 10.4%). Other potential risk factors such as gender, career, height, weight, history of antibiotic usage, daily nasal wash, use of nasal medication sprays, acne problems, smoking and nasal problems showed no significant impact on S. aureus carriage. The obtained S. aureus nasal isolates were all sensitive to vancomycin. Lincomycin and tetracycline had low resistance rate with 4.3 % and 17.4 %, respectively. However, the isolates showed particularly high rate of multidrug resistance (54.2%) In summary, our data provided researchers an overview on S. aureus nasal carriage and antibiotic susceptibility profile of the community- isolated S. aureus in Vietnam. This would serve as valuable information on assessing risk of community-acquired S. aureus infections.

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GASTRODUODENAL PERFORATION, A FREQUENT SURGICAL EMERGENCY. REVIEW AND DESCRIPTIVE STUDY

British Journal of Surgery ◽

10.1093/bjs/znab160.038 ◽

2021 ◽

Vol 108 (Supplement_3) ◽

Author(s):

C Nuño Iglesias ◽

M R Fresnedo Pérez ◽

R A Alonso Blanco ◽

M Soto Dopazo ◽

E Pérez Prudencio ◽

...

Keyword(s):

Risk Factors ◽

Gastroduodenal Ulcer ◽

Lifestyle Changes ◽

Surgical Emergency ◽

Perforated Gastroduodenal Ulcer ◽

Gastroduodenal Perforation ◽

Potential Risk Factors ◽

History Of ◽

Sixth Decade ◽

Current Risk

Abstract INTRODUCTION Perforated gastroduodenal ulcer represents a common surgical emergency and is associated with a morbimortality close to 40-50%. HP infection, tobacco and alcohol and some socioeconomic aspects represent the most commonly described risk factors. MATERIAL AND METHODS A descriptive and retrospective study was performed between 2018-2020. A total of 40 patients with a history of gastroduodenal perforation were selected. Data corresponding to: sex, age, ulcer location, treatment, tobacco and alcohol consumption, HP infection (presence or not of eradicating treatment) and other potential risk factors were collected and analysed. The aim of the study is to assess how new lifestyle changes, the evolution and improvement in the management of PH infection and the general decrease in smoking have modified the classic profile of patients with gastroduodenal perforations. RESULTS Gastroduodenal perforations predominated in the fifth/sixth decade of life (mean age 59 years). Although a predominance in men is described in the literature, in our sample no significant sex differences were found (1:1 ratio). The most frequent location was duodenal and the reference surgical treatment was primary suture + epipoplasty. Only one third of the patients had a known history of peptic ulcer. CONCLUSIONS Gastroduodenal perforations are a major problem for the on-call surgeon. It is essential to know the current risk factors and their potential relationship with morbimortality and postoperative evolution in order to guarantee the optimal management of these patients.

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Improving California's Bay Area Rapid Transit District Connectivity and Access with Segway Human Transporter and Other Low-Speed Mobility Devices

Transportation Research Record Journal of the Transportation Research Board ◽

10.1177/0361198105192700122 ◽

2005 ◽

Vol 1927 (1) ◽

pp. 189-194

Author(s):

Susan A. Shaheen ◽

Caroline J. Rodier ◽

Amanda M. Eaken

Keyword(s):

Risk Factors ◽

Field Test ◽

Significant Risk ◽

Rapid Transit ◽

Legislative History ◽

Low Speed ◽

Bay Area ◽

Potential Risk Factors ◽

History Of ◽

Speed Mode

To evaluate the potential for low-speed modes to improve transit access, the EasyConnect field test will offer shared-use Segway Human Transporters (HT), electric bicycles, and bicycles linked to a Bay Area Rapid Transit District station and surrounding employment centers in California. Because of safety concerns, research was conducted to understand the risks associated with these modes and potential risk factors. A review of the safety literature indicates that user error is the major cause of low-speed mode crashes, and significant risk factors are poor surface conditions and obstructions to drivers’ vision. As a result, an extensive training program and carefully selected routes have been included in the field test. The regulatory and legislative history of the HT is chronicled to understand how concerns about its interaction with pedestrians have produced legislation that includes specific safety requirements. The low-speed modes used in this project will be equipped with safety devices, and participants will be required to wear helmets. The survey results of 13 HT implementation projects provide insight into potential advantages and challenges to the field test. Results of interviews and meetings with field test stakeholders are presented with a discussion of their influence on the field test design. Finally, conclusions and future project steps are discussed.

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Evaluation of Potential Risk Factors that contribute to Malignant Transformation of Oral Lichen Planus: A Literature Review

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1914 ◽

2016 ◽

Vol 17 (8) ◽

pp. 692-701 ◽

Cited By ~ 16

Author(s):

Farzaneh Agha-Hosseini ◽

Nafiseh Sheykhbahaei ◽

Maryam-Sadat SadrZadeh-Afshar

Keyword(s):

Risk Factors ◽

Literature Review ◽

Malignant Transformation ◽

Lichen Planus ◽

Potential Risk ◽

Oral Lichen Planus ◽

World Health ◽

Extensive Literature ◽

Potential Risk Factors ◽

Oral Lichen

ABSTRACT Aim Many studies have suggested that a lesion originally diagnosed as oral lichen planus (OLP) has different possibilities of undergoing malignant transformation in time, although these findings remain a controversial issue; for example, some studies reported different values of potential malignancy of OLP. Introduction World Health Organization (WHO) classifies OLP as a “potentially malignant disorder” with unspecified malignant transformation risk, and suggests that OLP patients should be closely monitored. Numerous studies have attempted to confirm the malignant transformation potential of OLP. Review results The Cochrane Controlled Trials Register, Medline and EMBASE databases, PubMed, Google Scholar, Ovid, Up To Date, BMJ Clinical Evidence, MD Consult, and Science Direct were searched for papers published between 1997 and 2015. The medical subject heading search terms were “lichen planus,” “oral lichen planus,” “erosive oral lichen planus,” “dysplasia,” “oral precancerous condition,” “oral premalignant condition,” oral cancer, oral squamous cell carcinoma (OSCC), and atrophic lichen planus. A total of 120 English language abstracts were reviewed, and 50 relevant articles identified. Because of the extensive literature on the association between OLP and SCC, we have divided the data into genetic and nongenetic factors for more accurate assessment. Conclusion In this evidence base, malignant transformation ranges from 0 to 37% with a mean of 4.59%. The highest rate of malignancy was noted in erythematosus and erosive lesions. In this way, follow-up of OLP patients could be carried out more efficiently and appropriately. Clinical significance Oral lichen planus is a premalignant lesion. All types of OLP in any site of oral mucosa must be monitored regularly. How to cite this article Agha-Hosseini F, Sheykhbahaei N, SadrZadeh-Afshar M-S. Evaluation of Potential Risk Factors that contribute to Malignant Transformation of Oral Lichen Planus: A Literature Review. J Contemp Dent Pract 2016;17(8):692-701.

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Isolated night cough in children: how does it differ from wheeze?

ERJ Open Research ◽

10.1183/23120541.00217-2020 ◽

2020 ◽

Vol 6 (4) ◽

pp. 00217-2020

Author(s):

Maja Jurca ◽

Myrofora Goutaki ◽

Philipp Latzin ◽

Erol A. Gaillard ◽

Ben D. Spycher ◽

...

Keyword(s):

Risk Factors ◽

Family History ◽

Variant Form ◽

Older Children ◽

Cough Variant Asthma ◽

Asymptomatic Children ◽

Increased Risk ◽

History Of ◽

Male Sex ◽

Similar Risk

It has been postulated that some children with recurrent cough but no wheeze have a mild form of asthma (cough variant asthma), with similar risk factors and an increased risk of future wheeze.This longitudinal study compared risk factors for isolated night cough and for wheeze in the Leicester Respiratory Cohort in children aged 1, 4, 6 and 9 years and compared prognosis of children with isolated night cough, children with wheeze and asymptomatic children.We included 4101 children aged 1 year, 2854 aged 4 years, 2369 aged 6 years and 1688 aged 9 years. The prevalence of isolated night cough was 10% at age 1 year and 18% in older children. Prevalence of wheeze decreased from 35% at 1 year to 13% at 9 years. Although several risk factors were similar for cough and wheeze, day care, reflux and family history of bronchitis were more strongly associated with cough, and male sex and family history of asthma with wheeze. Over one-third of preschool children with cough continued to cough at school age, but their risk of developing wheeze was similar to that of children who were asymptomatic at earlier surveys. Wheeze tracked more strongly throughout childhood than cough.In conclusion, our study showed that only some risk factors for cough and wheeze were shared but many were not, and there was little evidence for an increased risk of future wheeze in children with isolated night cough. This provides little support for the hypothesis that recurrent cough without wheeze may indicate a variant form of asthma.

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RISK FACTOR OF ECTOPIC PREGNANCY BY USING LITERATURE REVIEW METHOD

Indonesian Midwifery and Health Sciences Journal ◽

10.20473/imhsj.v5i3.2021.277-287 ◽

2021 ◽

Vol 5 (3) ◽

pp. 277

Author(s):

Winda Fatma Sari ◽

Adityawarman Adityawarman ◽

Budiono Budiono

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Risk Factor ◽

Literature Review ◽

Ectopic Pregnancy ◽

Exclusion Criteria ◽

Mortality And Morbidity ◽

Pregnancy History ◽

Major Predictor ◽

History Of

Background: Ectopic pregnancy is a pregnancy outside the uterus, embryo could attached to thefallopian tube, ovary cervix or cervix. Around 85-90% incidence of ectopic pregnancy is found inmultigravid women. According to data from the Health Office, maternal mortality in 2017 tendsto increase in the last two years. Not only it is a major predictor of mortality and morbidity inpregnant women, but individuals with a history of ectopic pregnancy have a greater risk. Thepurpose of this research was to determine the risk factors that cause ectopic pregnancy by usingliterature studies review. Method:This study used a systematic review of articles that publishedbetween 2013-2020 in the Science Direct, Scopus and Google Scholar. 10 articles that meet theinclusion and exclusion criteria, included as a sample for further review. The results regarding torisk factors that caused ectopic pregnancy in each article were systematically synthesized. Results:Risk factors found to be significantly associated with the incidence of ectopic pregnancy in thearticle were age (2), infertility (2), IUD (3), PID (3), Ectopic Pregnancy History (5), Progestine Pills (2), History of Abortion (1), Smoking (3). Conclusions: age, infertility, IUD, PID, history of ectopic pregnancy, progestine pill, History of abortion, and smoking were risk factors that hadsignificant relationship with the incidence of ectopic pregnancy.

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RISK FACTORS INFLUENCING ENTEROCOLITIS DEVELOPMENT IN PEDIATRIC PATIENTS WITH HIRSCHSPRUNG’S DISEASE

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v8i32020.218-227 ◽

2020 ◽

Vol 8 (3) ◽

pp. 218

Author(s):

Andro Pramana Witarto ◽

Alpha Fardah Athiyyah ◽

I.G.B. Adria Hariastawa ◽

I Gusti Made Reza Gunadi Ranuh

Keyword(s):

Risk Factors ◽

Hirschsprung's Disease ◽

Hirschsprung’S Disease ◽

Secondary Data ◽

Prevalence Ratio ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Potential Risk Factors ◽

History Of

Background: Hirschsprung-associated enterocolitis (HAEC) is one of the worst and most common complications of Hirschsprung’s disease (HD). The mortality rate of HD patients with enterocolitis is still considered to be higher compared to that of those without enterocolitis. Purpose: This study aimed to identify and evaluate potential risk factors for HAEC development. Methods: A cross-sectional study was conducted using secondary data from the medical records of HD patients treated from January 2015 to September 2018 at Regional Public Hospital (RSUD) Dr. Soetomo, Surabaya. The inclusion criteria were HD patients who had or had not experienced enterocolitis. The analysis was done by comparing the presence of risk factors between groups of HD patients with and without preoperative and/or postoperative HAEC. The results were presented as the median value and frequency. To evaluate further, a prevalence ratio (PR) with a 95% confidence interval was performed. The Mann–Whitney U test was also performed with a significance level of p < 0.05 for one factor: length of aganglionic intestinal segments. Results: This study showed that 12 of the 40 HD patients studied (30%) had experienced enterocolitis. The risk of developing HAEC was associated with patients who had a history of previous enterocolitis (PR 6.60 [2.94 < PR < 14.80]). Regarding surgical details, patients who had had surgery only once (31.30% compared to 14.30%), surgery with one surgical method (29.40% compared to 20.00%), and a primary procedure had a higher incidence of HAEC (29.40% compared to 27.30%). Conclusion: HD patients with a history of previous enterocolitis were found to have a higher risk of developing HAEC.

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Depression-anxiety in Adult Population of Qatar during the First Year of COVID-19

10.29117/quarfe.2021.0177 ◽

2021 ◽

Author(s):

Salma Mawfek Khaled ◽

Iman Amro ◽

Lina Bader ◽

Tarek Bellaj ◽

Yousri Marzouki ◽

...

Keyword(s):

Risk Factors ◽

Online Survey ◽

Adult Population ◽

First Year ◽

Cross Sectional ◽

Never Married ◽

Potential Risk Factors ◽

History Of ◽

Adjusted Model ◽

Arabic Speaking

There is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, and COVID-19 infection and mortality rates. This study intended to identify the factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic. We conducted a cross-sectional online survey in Qatar between July and December 2020 after Qatar’s first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the PHQ-ADS scale. Of 1138 participants, 71.05% were female, 69.0% Arabs, and 70.0% Non-Qataris. 77 % were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with PHQ-ADS; Arab ethnicity (OR=1.67, p=0.026), never married (OR=1.69, p < 0.015), prior psychiatric history (OR=1.80, p=0.009), Social Media induced worries (OR=1.72, p=0.003), history of COVID-19 (OR=1.76, p=0.039), loneliness (OR=1.91, p < 0.001), and lower levels of religiosity (OR=0.96, p=0.039). The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, similar national events and assist with early intervention to treat sufferers.

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Factors Associated with Depression and Anxiety in the Adult Population of Qatar in the First Year of the COVID-19 pandemic: Results from an Online Survey

10.21203/rs.3.rs-729213/v1 ◽

2021 ◽

Author(s):

Salma M. Khaled ◽

Iman Amro ◽

Lina Bader ◽

Peter Woodruff ◽

Majid A Alabdulla ◽

...

Keyword(s):

Risk Factors ◽

Online Survey ◽

Adult Population ◽

Prior History ◽

First Year ◽

Depression And Anxiety ◽

Cross Sectional ◽

Factors Associated ◽

Potential Risk Factors ◽

History Of

Abstract Background: There is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, COVID-19 infection and mortality rates.Aim: To identify factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic.Method: We conducted a cross-sectional online survey in Qatar between July and December 2020 after the first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the PHQ-ADS scale. Results: Of 1138 participants, 71.05% were female, 69.0% Arabs, and 70.0% Non-Qataris. 77% were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with PHQ-ADS; Arab ethnicity (OR=1.67, p=0.026), never married (OR=2.04, p < 0.001 (versus married), prior history of psychiatric disorder (versus no history) (OR=1.76, p=0.039), increased worries due to social media use for COVID-related news/updates (OR=1.72, p=0.003), those with a history of COVID-19 (OR=1.76, p=0.039), loneliness (OR=1.91, p < 0.001), and lower levels of religiosity (OR=0.96, p=0.039). These associations also pertained in the reduced model, with exception of religiosity which was only marginally statistically significant (OR=0.97, p=0.055).Conclusions: The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, and similar crises, and assist with early intervention to treat sufferers.

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Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

Journal of International Medical Research ◽

10.1177/0300060519874903 ◽

2019 ◽

Vol 47 (10) ◽

pp. 5328-5336

Author(s):

Zhifen Hua ◽

Minjun Wu

Keyword(s):

Literature Review ◽

Case Reports ◽

Third Trimester ◽

Interstitial Pregnancy ◽

Spontaneous Uterine Rupture ◽

Close Observation ◽

History Of ◽

Laparoscopic Salpingectomy ◽

Timely Treatment ◽

Better Than

Laparoscopic salpingectomy (LPSC) is the main treatment for ectopic pregnancy, which leads to spontaneous uterine rupture (UR) during pregnancy. We report the characteristics of a woman who had spontaneous UR during pregnancy with a history of salpingectomy. We experienced a 31-year-old woman with a UR in pregnancy with a history of LPSC twice. The patient had a successful pregnancy. We also performed a literature review including cases with spontaneous UR after LPSC. Twenty-seven case reports of 48 women were included in our review. Thirty-five (83.33%, 35/42) women previously received LPSC and 15 (31.25%) developed interstitial pregnancies. The interval between pregnancy and the last surgery did not affect the frequency of interstitial pregnancy and gestational age. Fetal outcomes in patients with UR at the third trimester were better than those at the first and second trimesters. We suggest that close observation and timely treatment by experienced clinicians lead to good outcomes of pregnant women with suspected UR.

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