Adenomyosis: diagnostics, tactics of treatment and rehabilitation of genesial function

2018 ◽  
pp. 30-32
Author(s):  
P.M. Prudnikov ◽  

The objective: depression frequencies disturbances genesial function and gestational complications at| women with various forms of an adenomyosis on the basis of studying of new aspects of pathogenesis nodal and diffuse forms, and also development of algorithm of diagnostic, treatment-and-prophylactic and rehabilitational actions depending on an adenomyosis form. Materials and methods. Researches were conducted in three stages. At 1 stage 200 women of genesial age with an adenomyosis who addressed for surgical treatment in unit of operational gynecology were surveyed. At the 2nd stage of researches 100 women of genesial age who were operative concerning the sterility caused by existence of nodal or diffuse forms of an adenomyosis І and ІІ to degree were surveyed. To all patients sterility treatment with use of auxiliary genesial technologies – an extracorporal fertilization or ICSI was carried out. At the 3rd stage we studied features of a course of pregnancy and labors at 33 of 100 women (the 2nd stage) who had various programs of auxiliary genesial technologies. The complex of the conducted researches included clinical, ekhografical, dopplerometrical, endocrinologic, immunohistochemical, morphological, psychological and static methods. Results. Results of the conducted researches testify that the problem of conservation of genesial health at women with various forms of an adenomyosis is rather actual and conforms to all modern requirements. The algorithm of maintaining women developed by us with various forms of an adenomyosis, since well-timed diagnostics, expeditious treatment, rehabilitation of genesial function and finishing the course of pregnancy and labors allows to reduce the frequency of disturbances of genesial health at women of genesial age with an adenomyosis. Conclusion. The received results allow to recommend them for wide use in practical health care. Key words: adenomyosis, various forms, sterility, diagnostics, treatment, pregnancy, labors.

2020 ◽  
pp. 84-89
Author(s):  
Inna Ivanovna Lapkina

Today, around 50 million people worldwide suffer from cataracts, more than a half of them need surgical treatment. High prevalence of this pathology in Ukraine, the need to improve the provision of ophthalmic care to patients, and the reform of the health care system have made the research relevant. Concomitant diseases and special conditions of the eye increase the risk of intra− and postoperative complications, worsen the functional parameters of patients after surgery. In order to develop a unified approach to the treatment of complicated cataracts based on diagnostically related groups of patients, a retrospective analysis of case histories of patients with different variants of complications related to the condition of the lens itself, its ligament apparatus and other structures of the eye was conducted. In each case, the surgeon has to choose the appropriate modification of cataract phacoemulsification surgery. The study proposed the classification of cataract phacoemulsification modifications on the basis of the techniques and the sequence of operation stages, taking into account the classification of the degrees of turbidity of the lens, proposed by L. Buratto. It has been noted that in complicated cases, according to the indications of the patient, surgery may be performed on several modifications of cataract phacoemulsification. The developed classification made it possible to generalize the various variants of pathology and greatly facilitate the choice of tactics of surgical treatment in complicated cataracts. It can be used not only for practical application, but also for improving the qualification of trained professionals. The prospect of further research is to identify contraindications for outpatient treatment of the patients with complicated cataracts. Key words: cataract complication, classification of phacoemulsification modifications, diagnostically related groups.


2016 ◽  
pp. 144-146
Author(s):  
Yu.V. Strakhovetskaya ◽  

The objective: rising of efficiency of restoration of genesial function at women with endometrioidal cysts of ovaries on the basis of studying at them clinical-functional and endocrinologic features, and also improvement and introduction of algorithm of diagnostic and treatment-and-prophylactic actions with use of an endoscopy and auxiliary genesial technologies. Patients and methods. Were surveyed 144 women of genesial age who were operated concerning the sterility caused by existence the endometrioidal of cysts of ovaries. To all patients sterility treatment with use of auxiliary genesial technologies was carried out. Results. Optimization of restoration of genesial function at patients with endometrioidal cysts of ovaries with use of expeditious treatment and programs of auxiliary genesial technologies allows to reach effective results not only in respect of pregnancy offensive, but also a favorable current. Conclusion. The received results can be recommended for wide use in practical health care. Key words: endometriome of ovaries, auxiliary genesial technologies.


2018 ◽  
pp. 108-110
Author(s):  
G.O. Tolstanova ◽  

The objective: rising of efficiency of diagnostics and sterility treatment at women with pathological changes an endometrium on the basis of improvement and introduction of algorithm of diagnostic and treatment-and-prophylactic actions. Materials and methods. Сomplex clinical-tool, laboratory and morphological examination of 120 patients with unrealized genesial function and various pathology an endometrium which were divided into four groups was conducted. Results. Use of the advanced differentiated approach to tactics of maintaining women with unrealized genesial function against various options of pathology the endometriya allows to increase for 10.0% efficiency of treatment of sterility (33.3% in comparison with 23.3%). Conclusion. The algorithm improved by us allows to increase efficiency of auxiliary genesial technologies at these women for 10.0% that grants to us the right to recommend it for wide use in practical health care. Key words: pathology endometrium, sterility, diagnostics, treatment.


Author(s):  
Rodrigo Figueiredo de Brito Resende

RESUMOO dente denominado incluso nada mais é que um dente retido ou impactado dentro do alvéolo dentário de maneira parcial ou completa que não conseguiu erupcionar por motivos patológicos ou simplesmente anatômicos após o período de rizogênese. O canino, em especial, é de suma importância sob os pontos de vista estético e funcional. O deslocamento do canino incluso ultrapassando, ou se aproximando da linha média antes da erupção dentária do mesmo, é mais frequente na mandíbula do que na maxila.  Este trabalho tem por objetivo descrever o caso de um paciente de 21 anos que apresentava um canino incluso na região mentual, em posição transversal, inicialmente visualizado em uma radiografia periapical e posteriormente submetido a radiografia com a técnica de Donavan. Através de uma radiografia oclusal, foi possível observar o posicionamento do dente para a vestibular mentoniana e íntima relação do dente retido com as raízes dos incisivos centrais decíduos do paciente. Foi realizada a extração do dente retido no mento, removendo o mesmo por completo sendo feitas osteotomias e odontossecções. O paciente está em acompanhamento clínico à 1 ano após o tratamento cirúrgico.Palavras – chave: Dente incluso; Cirurgia Oral; Imaginologia. ABSTRACTThe tooth inserted  is nothing more than a tooth retained or impacted within the dental socket partially or completely that failed to erupt for pathological or simply anatomical reasons after the period of rhizogenesis. The canine, in particular, is of the utmost importance from the aesthetic and functional points of view. The displacement of the canine, even surpassing or approaching the midline before tooth eruption, is more frequent in the mandible than in the maxilla. This work aims to describe the case of a 21 - year - old patient who had a canine included in the mental region, in a transverse position, which was initially visualized on a periapical radiograph and later submitted to radiography with the Donavan technique. An occlusal radiograph showed the positioning of the tooth for the mental vestibular and the intima relationship of the retained tooth with the roots of the patient's central deciduous incisors. Removal of the tooth retained in the denture was performed, removing the tooth completely and osteotomies and odontosections were performed. The patient is in clinical follow-up at 1 year after the surgical treatment. key words: Tooth included; Oral surgery; Imaginology.  


1989 ◽  
Vol 16 (6) ◽  
pp. 902-909 ◽  
Author(s):  
Shahbaz Mavaddat ◽  
M. Saeed Mirza

Three computer programs, written in FORTRAN WATFIV, are developed to analyze straight, monolithically cast, symmetric concrete box beams with one, two, or three cells and side cantilevers over a simple span or over two spans with symmetric mid-span loadings. The analysis, based on Maisel's formulation, is performed in three stages. First, the structure is idealized as a beam and the normal and shear stresses are calculated using the simple bending theory and St-Venant's theory of torsion. The secondary stresses arising from torsional and distortional warping and shear lag are calculated in the second and third stages, respectively. The execution times on an AMDAHL 580 system are 0.02, 0.93, and 0.25 s for the three programs, respectively. The stresses arising in each stage of analysis are then superposed to determine the overall response of the box section to the applied loading. The results are compared with Maisel's hand calculations. Key words: bending, bimoment, box beam, computer analysis, FORTRAN, shear, shear lag, thin-walled section, torsion, torsional and distortional warping.


2018 ◽  
pp. 7-79
Author(s):  
S.Yu. Vdovichenko ◽  
◽  
T.D. Fakhrutdinova ◽  

The objective: depression of obstetric and perinatal complications at pregnant women with pathological increase of body weight during pregnancy on the basis of studying of clinical-functional, endocrinologic, metabolic, morphological features of condition of fetoplacental complex and development of advanced algorithm of treatment-and-prophylactic actions. Materials and methods. We conducted examination of 264 patients who consisted on the account concerning pregnancy in female consultations of Kiev. By a method of selection of 178 women were included in retrospective research and 86 – in prospective. The main group was made by 39 pregnant women with whom led individual discussions, control – 142 women, that received traditional references in female consultation. Results. Use of the algorithm improved by us allows to improve obstetric (decrease of frequency of a preeclampsia by 12.3%; anomalies of a patrimonial deyalnost for 8.4%) and perinatal outcomes (depression of level of an asphyxia at a delivery for 9.4% and post-natal adaptation for 7.8%) deliveries of women with an excessive increase of body weight during pregnancy. Conclusion. The received results grant the right to recommend the algorithm improved by us for wide use in practical health care. Key words: obstetric and perinatal pathology, pathological increase of body weight, prophylaxis.


2018 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Rahma Sartika ◽  
Lufri Lufri

The purposes of this research are to produce valid and practice nuanced spiritual module  about Environment Pollution for class VII SMP/MTs. This study uses three stages of plomp models. The subjects of this study were 29 students of class VII SMP Negeri 25 Padang  and 2 teachers. The object of this research is spirituality module IPA on the material of Environment Pollution in validated human validator 3. The data of this research are primary data collected from validity and questionnaire of data practicality. The result of validity is 86,63% with valid criterion, practicality by teacher and student  practical with 82,46% value by teacher and 88,69% by student. Key words: Spiritual module, Environment Pollution


2018 ◽  
Vol 06 (01) ◽  
pp. e7-e10
Author(s):  
Feride Mehmetoğlu

AbstractRectal atresia is a rare anorectal malformation, and its association with other anomalies is even more rare. This study presents a unique case of co-twin in which the surviving newborn male underwent surgery due to rectal atresia. Newborn screening tests identified congenital hypothyroidism. The surgical treatment consisted of three stages and thyroid hormones were replaced.


2009 ◽  
pp. 5-14
Author(s):  
Marinella Sommaruga ◽  
Paola Gremigni ◽  
Porta Paola Della

- This study is aimed at investigating outpatients' and clients' experience of communication with a group of employees of a hospital in the North of Italy. Participants in the study were 328 patients/users who were asked to report their communicative experience with 20 hospital employees using the Health Care Communication Questionnaire (HCCQ). Employees were 40% administrative, 60% ambulatory nurses and technicians, and 82% females. The comparison between employees on scores obtained showed significant differences in two of the four factors of the questionnaire (Lack of hostility and Non verbal immediacy). Furthermore, the female employees have been perceived by patients as less hostile then men. Female patients/users felt to be more respected then males, but this difference was linked to age, as among males the feeling of being respected decreased with age. Finally, it was possible to observe the scores obtained by each hospital employee in the HCCQ factors, to detect which of the four communicative behaviours has been evaluated by the users as less appropriate. This seems useful for planning personalized training.Key words: communication, patients, hospital personnel.Parole chiave: comunicazione, pazienti, personale ospedaliero


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