Combined hysterolaparoscopy as an early option for initial evaluation of female infertility: a retrospective study of 135 patients

Abstract Background The present study aims to provide a comparative analysis of the etiologies of female infertility between Dehong, on the Yunnan Frontier, and Kunming. Methods A retrospective study, which included 941 infertile females in Kunming who were treated in the First People’s Hospital of Yunnan Province and infertile females who were treated in the local hospital in Dehong from January 2016 to November 2018, was conducted. A comparative analysis of the etiologies of infertility in the two regions was then carried out. Results In patients with primary infertility, ovulation disorder (15.03%) was the main cause of infertility in Kunming, and pelvic inflammatory disease (25.59%) was the main cause in Dehong. With regard to secondary infertility, although pelvic inflammatory disease was the main cause of infertility in both regions, the incidence of intrauterine adhesions in Kunming was significantly higher than in Dehong. Conclusions The etiology of infertility showed different epidemiological characteristics depending on the region, hence individualized treatment should be given accordingly

Download Full-text

Association of Obstructive Sleep Apnea with Female Infertility - A 13-Year Nationwide Population-Based Retrospective Study

10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a2716 ◽

2020 ◽

Author(s):

I.-D. Wang ◽

C.-K. Peng ◽

W.-C. Chien

Keyword(s):

Obstructive Sleep Apnea ◽

Retrospective Study ◽

Sleep Apnea ◽

Population Based ◽

Female Infertility ◽

Obstructive Sleep

Download Full-text

A retrospective study on role of HSG in evaluation of female infertility

Journal of Indira Gandhi Institute Of Medical Sciences ◽

10.4103/jigims.jigims_10_21 ◽

2021 ◽

Vol 7 (2) ◽

pp. 111

Author(s):

Kalpana Singh ◽

Huma Nishat ◽

Bhawana Tiwary ◽

Shubhanti Kumari ◽

Kumari Shashi ◽

...

Keyword(s):

Retrospective Study ◽

Female Infertility

Download Full-text

Role of skull radiography in the initial evaluation of minor head injury: A retrospective study

Acta Neurochirurgica ◽

10.1007/bf01400866 ◽

1994 ◽

Vol 129 (1-2) ◽

pp. 11-14 ◽

Cited By ~ 9

Author(s):

W. R. Murshid

Keyword(s):

Retrospective Study ◽

Head Injury ◽

Initial Evaluation ◽

Minor Head Injury ◽

Skull Radiography

Download Full-text

Role of Diagnostic Hysterolaparoscopy in Female Infertility: A Retrospective Study

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v7i1.164 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Dr Ravikanth G O ◽

Keyword(s):

Retrospective Study ◽

Female Infertility

Download Full-text

Comparison of outcomes between medical and surgical treatment in dogs with prostatic adenocarcinoma: a retrospective study

BMC Veterinary Research ◽

10.1186/s12917-021-03103-5 ◽

2022 ◽

Vol 18 (1) ◽

Author(s):

Keigo Iizuka ◽

Kumiko Ishigaki ◽

Mamiko Seki ◽

Takahiro Nagumo ◽

Kei Tamura ◽

...

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Postoperative Complications ◽

Survival Time ◽

Medical Management ◽

Prostatic Carcinoma ◽

Prostatic Adenocarcinoma ◽

Initial Evaluation ◽

Treatment Type ◽

Surgical Group

Abstract Background Prostatic cancer is uncommon in dogs. Dogs with prostatic carcinoma have been reported to have a poor prognosis. Information regarding prognosis with various surgery options as well as prognosis with surgical vs. medical treatment is lacking. This retrospective study compares the outcomes of medical management to surgical treatment in dogs with prostatic adenocarcinoma and assesses the surgical outcomes of patients who underwent total prostatectomy (TP) and prostatocystectomy (TPC). The medical records of 41 dogs with prostatic adenocarcinoma, between February 2008 and June 2019, were reviewed for information on signalment, clinical signs in the initial evaluation, preoperative diagnostic imaging findings, treatment type (non-surgical or surgical), surgery type, postoperative complications, adjunctive medical therapy, and survival time. The dogs were divided into non-surgical (n = 12) or surgical (n = 29) groups. The surgical group was subdivided into the TP (n = 20) and TPC (n = 9) subgroups. Results Age was not significantly different between the surgical (median 13.1 years [8.4–15.4] years) and the non-surgical groups (median 10.8 [7.7–15.3] years). Body weight (BW) was also not significantly different between the surgical (median 6.8 kg [2.4–34.5 kg]) and non-surgical groups (median 6.4 kg [3.7–9.12 kg]). The overall median survival time (MST) from the initial evaluation was significantly longer in the surgical than in the non-surgical group (337 vs. 90.5 days). The postoperative MST was significantly longer in the TP group than in the TPC subgroup (510 vs. 83 days). As TPC was performed in cases of tumor progression, its postoperative complications were severe, resulting in a shorter MST. Ten (50%) and 6 patients (30%) in the TP subgroup postoperatively showed mild and severe urinary incontinence, respectively, whereas all patients in TPC subgroup did show severe incontinence. Conclusion Results of the study suggest that surgical treatment of prostatic carcinoma results in longer survival times over medical management alone. In particular, TP might be recommended for improving survival time and quality of life in canine prostatic adenocarcinoma that does not infiltrate the bladder. Early detection is key for a survival advantage with surgical treatment.

Download Full-text

Seizure in HIV-infected patients: clinical presentation, cause and treatment outcome in Ethiopia—a retrospective study

BMC Infectious Diseases ◽

10.1186/s12879-021-06497-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Amanuel Amare

Keyword(s):

Treatment Outcome ◽

Retrospective Study ◽

Hiv Infection ◽

Clinical Presentation ◽

Case Fatality ◽

Initial Evaluation ◽

Cd4 Count ◽

Recent Onset ◽

Stage 4 ◽

Almost All

Abstract Background The estimated number of adult patients living with HIV infection in Ethiopia in 2012 was approximately 800,000. Seizure occurs in 2 to 3% and 6.1% to 34.3% in patients with HIV infection and patients with neurological complications of HIV infection, respectively. Studies on HIV infection and seizure are rare in Ethiopia. The purpose of this study was to assess clinical presentation, cause and treatment outcome of patients with HIV infection presented with seizure. Methods In this retrospective study, patients aged ≥ 13 years with HIV infection presented with seizure were included. Medical records were reviewed and demographic and clinical data were collected. Results Records of 146 patients were analysed. Males were 55.5% and the mean age was 34 years. The diagnosis of HIV infection was made after current hospital admission in 69% of patients. Almost all patients (98.6%) had stage 4 HIV infection with very low CD4 count (mean = 77/mm3). In almost all patients seizure was a recent onset at current admission; either it started after admission (42.5%) or within 3 months prior to admission (52.5%). The types of seizures were: generalized tonic–clonic seizure [GTCS] (69.2%), focal motor with secondarily generalization [FMWSG] (19.9%) and simple focal motor (11%). The common causes of seizure were: cerebral toxoplasmosis (46%), tuberculous meningitis (35.6%) and cryptococcal meningitis (13.7%). Case-fatality was 53% and predictors of mortality were: seizure started after admission, change in mentation and comatose at initial evaluation. Conclusions Most patients had stage 4 HIV infection with very low CD4 count and a recent onset seizure which started within 3 months at initial evaluation. GTCS was the commonest seizure type and most causes of seizure were central nervous system opportunistic infections. The case-fatality was high and change in sensorium was an independent predictor of mortality. To prevent the high mortality and morbidity prevention of HIV infection, early diagnosis and treatment, improving diagnostic facilities and access to non-enzyme inducing antiepileptic drugs are recommended.

Download Full-text