scholarly journals Anatomic substantiation of an intraosseous method of introduction medicinal preparations in an obstetrics and gynecology

2021 ◽  
Vol 51 (4) ◽  
pp. 27-31
Author(s):  
E. V. Utkin
Keyword(s):  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Medicinal Preparations ◽  
The Given ◽  
Positive Results

In work on the basis of carried out morphological and roentgenological investigations the anatomic substantiation of intraosseous injections of antibiotics at treatment of endometritis and purulent adnexitis is given. The positive results of therapy with application of intraosseous introduction of medicinal preparations 25 women with aп endometritis after operation are resulted is cesarean sections and 30 women with purulent adnexitis. The indications to application of the given way of introduction of medicinal preparations are proved.

scholarly journals Fistulas secondary to gynecological and obstetrical operations

2003 ◽  
pp. 99-105
Author(s):  
Branislava Jakovljevic ◽  
Tatjana Draca ◽  
Petar Draca
Keyword(s):  
Radical Hysterectomy ◽  
Surgical Procedure ◽  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Vesicovaginal Fistulas ◽  
Novi Sad

The authors present urogenital and rectogenital fistulas treated at the Department of Obstetrics and Gynecology in Novi Sad in the period from 1976 to 1999. The study comprised 28 cases of fistula out of which 17 were vesicovaginal, 3 ureterovaginal, 1 vesicorecto vaginal and 7 recto vaginal. During the investigated period there were 182 Wertheim operations, 3864 total abdominal hysterectomies, 1160 vaginal hysterectomies and 7111 cesarean sections. The vesicovaginal fistulas were most frequent with the incidence of 0.33%, whereas the tocogenic fistulas did not occur. Urogenital fistulas secondary to radical hysterectomy are extremely rare thanks to the administered measures of prevention during the surgical procedure.

The development of ultrasound in obstetrics and gynaecology in Sweden

2011 ◽  
Author(s):  
Karel Maršál ◽  
Bertil Sundén
Keyword(s):  
Pregnant Women ◽  
Obstetrics And Gynecology ◽  
Two Dimensional ◽  
Non Invasive ◽  
Obstetrics And Gynaecology ◽  
Invasive Method ◽  
Electronic Engineer ◽  
Fetal Size ◽  
Harmful Effects ◽  
Positive Results

In the field of obstetrics, the advent of diagnostic ultrasound was most welcome because of the obvious lack of a non-invasive method providing information on the fetus in utero. The subsequent very fast and widespread use of ultrasound in clinical obstetrics was vindication that the method fulfilled the expectations and that it literally ‘opened a window into the uterus’. Ultrasound enabled direct examinations of fetal anatomy, measurements of fetal size and growth, and recording of intrauterine activities. Nowadays, 97 % of all pregnant women in Sweden undergo at least one ultrasound examination during their pregnancy. The early positive results reported from the application of ultrasound in cardiology and neurosurgery at Lund University elicited interest to test the method on pregnant women at the Department of Obstetrics and Gynecology in Lund. In 1957, Alf Sjövall, then professor in obstetrics and gynaecology, discussed over a lunch-table with neurosurgeon Lars Leksell his very first experience of diagnosing subdural hematoma using ultrasound. Professor Sjövall asked then Bertil Sundén, who worked at his department, to investigate early pregnancies with the Krautkrämer echoscope belonging to Leksell. The aim was to examine whether it would be possible to detect echoes from the fetus in early pregnancies and to differentiate it from myomatous enlargements of the uterus and from ovarian tumours. The Krautkrämer echoscope offered only an A-mode display of ultrasound signals so no tangible results were obtained as the origin of the echoes could not be identified. At that time, it was unknown whether or not ultrasound might have any harmful effects on embryonic tissue and therefore these first investigations in early pregnancies were done on patients admitted for interruption of pregnancy. After that Ian Donald published the first description of an echoscope generating a two dimensional display in 1958, Bertil Sundén went on a three-week visit to Professor Donald in Glasgow. There he met electronic engineer Tom G. Brown, employed by Smiths Industrial Division in Glasgow, who had built Donald’s machine. During his stay in Glasgow Sundén performed several investigations on obstetric and gynaecological patients using Brown’s equipment that was the only one of its type.

Investigation of Cesarean Sections at Istanbul Training and Research Hospital Obstetrics and Gynecology Department between 2005 and 2012

2013 ◽  
Vol 14 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Cihangir Uzuncakmak ◽  
Ahmet Guldas ◽  
Selvi Aydin ◽  
Altan Var ◽  
Hasene Ozcam
Keyword(s):  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Research Hospital ◽  
Training And Research

scholarly journals River rehabilitation in urban areas – restrictions, possibilities and positive results

2018 ◽  
Vol 19 (3) ◽  
pp. 944-952
Author(s):  
Michael Weyand ◽  
Ludgerus Rullich
Keyword(s):  
Urban Areas ◽  
Ecological Status ◽  
Habitat Conditions ◽  
Aquatic Life ◽  
River Rehabilitation ◽  
River Bed ◽  
Good Ecological Status ◽  
The Given ◽  
Positive Results ◽  
River Bottom

Abstract Reaching the goal of good ecological status stipulated by the European Water Framework Directive (WFD) is generally difficult in German rivers. Appropriate habitat conditions for multiple and abundant incidence of flora and fauna are still missing. Existing water bodies, particularly in urban areas, are extremely affected by anthropogenic-induced pressures, resulting in reinforced river bottoms and river banks. In such regions, river rehabilitation is a challenging task and often requires a step by step approach to alter the given conditions. Nevertheless, work must be done and may create successful results as in the case of the Sprockhoevel creek. Over recent years this 11-km-long river in the western and industrialised part of the Ruhr River basin has partly been changed in shape to better resemble nature. Such change implies the widening of the river bed, the improvement of the river bottom by inserting natural gravel substrate, the removal of drop structures and the construction of a new river bed. Presently, this part of the river has again become a valuable habitat for aquatic life. Moreover, the area surrounding the rehabilitated Sprockhoevel creek is now also attractive for the neighbourhood community. Rehabilitation projects have the additional effects of reconnecting people to nature, encouraging public interest in near-natural aquatic systems, and catalysing further investments in similar projects.

scholarly journals Statistical Analysis of Obstetric Complications A Hospital Based Data in WadMedani Obstetrics and Gynecology Hospital, Gezira State, Sudan (2017)

2018 ◽  
pp. 201-203
Author(s):  
Fatima A Mohamed ◽  
Ahmed Alnory
Keyword(s):  
Placenta Previa ◽  
Obstetric Complications ◽  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Main Study ◽  
Chi Square ◽  
Development Path ◽  
Study Results ◽  
Induced Hypertension ◽  
Data Source

Obstetric complications are an issue of concern in all countries and especially, in developing countries. The prevalence of obstetrics complications measures the development path and the implementation of motherhood initiative 1999 for reducing obstetric complications and maternal mortality. The study aimed at estimating the level and socio-economic causes of obstetric complication in Gezira state. The data source of this research is based on a longitudinal sample of 400 women who were admitted to Wad Medani Obstetrics and Gynecology Hospital. The research used descriptive statistics, cross tabs with chi- square and logistic regression analyses utilizing SPSS program. The main study results include that: the rate of obstetric complications is high in Gezira state amounting to 60 % approximately. The results also indicated that the modal complications are pregnancy induced hypertension, septicemia and placenta previa while the modal problems are malaria and anemia. The study recommended reducing intervention delays by consultants upon admission, abolish unnecessary cesarean sections and women must go to antenatal care clinics according to WHO protocol.

scholarly journals The Changing Scenario of Obstetrics and Gynecology Residency Training

2015 ◽  
Vol 7 (3) ◽  
pp. 401-406 ◽  
Author(s):  
Natasha Gupta ◽  
Kristina Dragovic ◽  
Richard Trester ◽  
Josef Blankstein
Keyword(s):  
Medical Education ◽  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Training Experience ◽  
Innovative Strategies ◽  
The Past ◽  
Changing Trends ◽  
Operative Case ◽  
Vaginal Deliveries ◽  
Case Logs

ABSTRACT Background Significant changes have been noted in aspects of obstetrics-gynecology (ob-gyn) training over the last decade, which is reflected in Accreditation Council for Graduate Medical Education (ACGME) operative case logs for graduating ob-gyn residents. Objective We sought to understand the changing trends of ob-gyn residents' experience in obstetric procedures over the past 11 years. Methods We analyzed national ACGME procedure logs for all obstetric procedures recorded by 12 728 ob-gyn residents who graduated between academic years 2002–2003 and 2012–2013. Results The average number of cesarean sections per resident increased from 191.8 in 2002–2003 to 233.4 in 2012–2013 (17%; P < .001; 95% CI −47.769 to −35.431), the number of vaginal deliveries declined from 320.8 to 261 (18.6%; P < .001; 95% CI 38.842–56.35), the number of forceps deliveries declined from 23.8 to 8.4 (64.7%; P < .001; 95% CI 14.061–16.739), and the number of vacuum deliveries declined from 23.8 to 17.6 (26%; P < .001; 95% CI 5.043–7.357). Between 2002–2003 and 2007–2008, amniocentesis decreased from 18.5 to 11 (P < .001, 95% CI 6.298–8.702), and multifetal vaginal deliveries increased from 10.8 to 14 (P < .001, 95% CI −3.895 to −2.505). Both were not included in ACGME reporting after 2008. Conclusions Ob-gyn residents' training experience changed substantially over the past decade. ACGME obstetric logs demonstrated decreases in volume of vaginal, forceps, and vacuum deliveries, and increases in cesarean and multifetal deliveries. Change in experience may require use of innovative strategies to help improve residents' basic obstetric skills.

scholarly journals Investigation of cesarean sections at Konya Training and Research Hospital Obstetrics and Gynecology Department between 2010 and 2015

2017 ◽  
Vol 88 (4) ◽  
pp. 185-190 ◽  
Author(s):  
Zeynep Ozturk Inal ◽  
Hasan Ali Inal ◽  
Hasan Kucukkendirci ◽  
Ayla Sargin Oruc
Keyword(s):  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Research Hospital ◽  
Training And Research

S. A. RACHINSKY'S EXPERIENCE IN EDUCATING PEASANTS' CHILDREN IN THE CONTEXT OF DESTROYING CULTURALLY MEANINGFUL SOCIAL ENVIRONMENT IN THE LATE 19TH TO EARLY 20TH CENTURY

2021 ◽  
Vol 1 (100) ◽  
pp. 222-234
Author(s):  
NIKOLAI P. SENCHENKOV ◽  
VICTORIA V. TERESHCHENKOVA
Keyword(s):  
20Th Century ◽  
Educational Institutions ◽  
Historical Period ◽  
Early 20Th Century ◽  
Negative Consequences ◽  
The Government ◽  
The Russian Empire ◽  
Prevention Of Crime ◽  
The Given ◽  
Positive Results

The article discusses certain measures for preventing juvenile delinquency in the Russian Empire in the late 19th - early 20th century. It was conditioned by the fact that the given social contradiction brought negative consequences for the country and demanded ultimate concentration of the government on finding the solution to the problem. There were scientists at that historical period who suggested effective ways out of this contradictory situation. S. A. Rachinsky, a science communicator, was one of such people. His efforts produced positive results and contributed to the prevention of crime among underagers. The experience of the Tatev school was used by other educational institutions. Thus, Storozhishchensky correctional and shelter facility founded in 1894 in Smolensk province for underage criminals followed the education system proposed by S. A. Rachinsky, which contributed to effective socialization and correction of pupils.

scholarly journals A study of rate, indications and maternal morbidity associated with cesarean delivery in a tertiary care hospital

2019 ◽  
Vol 8 (7) ◽  
pp. 2810
Author(s):  
Asma Nigar ◽  
Ausaf Ahmad ◽  
Khashia Khan
Keyword(s):  
Cesarean Section ◽  
Maternal Morbidity ◽  
Tertiary Care ◽  
Multiple Pregnancy ◽  
Morbidity And Mortality ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Cesarean Sections ◽  
Previous Cesarean Section ◽  
Previous Cesarean

Background: Cesarean section is one of the most commonly performed surgical procedures in obstetrics worldwide. Over  the last three decades, a tremendous increase in cesarean section rates has been observed globally, which is a cause for concern as procedure is associated with higher morbidity and mortality compared to vaginal delivery. This study was done to analyze the rate and indications for cesarean section and associated maternal morbidity and mortality.Methods: This retrospective study was conducted over a period of 6 months from 1st October 2017 to 31st March 2018 in the department of Obstetrics and Gynecology, Integral Institute of Medical Sciences and Research, Lucknow, India. Data of patients who were admitted for delivery in department of Obstetrics and Gynecology in OPD or emergency were recorded. Statistical analysis of various parameters namely, the cesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 577, out of which 210 patients underwent cesarean sections. The overall cesarean section rate in our study was 36.39%. Previous cesarean section was the leading indication of cesarean section (31.9%) followed by arrest of labor (18.1%), CPD (14.2%), and fetal distress (12.9%). Breech presentation (5.2%), failed induction of labor (4.8%), pregnancy induced hypertension (PIH) (3.8%), oligohydramnios (3.3%), obstructed labor (2.4%), APH (1.4%), multiple pregnancy and BOH accounted for 0.95% of cesarean sections. 9% patients had few complications mainly minor wound infection (2.4%) and postpartum hemorrhage (2%). There was no mortality during this period.Conclusions: Previous cesarean section has been found to be the main indication for cesarean section. So primary cesarean section should be reduced to decrease the overall cesarean rates. A comprehensive, evidence based approach needs to be introduced to monitor indication of all cesarean section.

scholarly journals CYSTEAMINE IMPROVES THE BACTERICIDAL EFFICACY OF INTRA-CANAL MEDICAMENTS AGAINST ENTEROCOCCUS FAECALIS

2018 ◽  
Vol 91 (4) ◽  
pp. 448-451
Author(s):  
Sanket Hans Pandey ◽  
Pallav Mahesh Patni ◽  
Pradeep Jain ◽  
Gauri Sanwatsarkar ◽  
Chinki Bardia
Keyword(s):  
Calcium Hydroxide ◽  
Enterococcus Faecalis ◽  
Antimicrobial Efficacy ◽  
Disc Diffusion ◽  
Bactericidal Efficacy ◽  
Triple Antibiotic Paste ◽  
The Given ◽  
Positive Results

Aim. The aim of this study was to compare the antimicrobial efficacy of cysteamine, calcium hydroxide[Ca(OH)2], triple antibiotic paste (TAP), chlorhexidine (CHX) and their combinations against Enterococcus faecalis (E. Faecalis).Methods. The E. Faecalis eradication capacity of cysteamine, Calcium hydroxide (Ca[OH]2), TAP, CHX, and their combinations was tested on E. Faecalis by Kirby Brauer disc diffusion method.Results. Cysteamine in combination with TAP was able to completely eradicate E. Faecalis within 24 hours. Ca(OH)2 was unable to show its effect on E. Faecalis in the given time.Conclusion. Cysteamine increased the E. Faecalis eradicating capacity of TAP and also showed positive results when used in combination with Ca(OH)2, which if used alone was unable to show any action in 24 hours.

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