scholarly journals Clinical significance and treatment of striae gravidarum during pregnancy: a review article

Author(s):  
Ahmed M. Abbas ◽  
Fatma M. Kamel ◽  
Safwat A. Salman

Abdominal stretch marks found during pregnancy may be indicative of poor skin elasticity. One who does not have stretch marks may have better skin elasticity and may be less likely to tear perineal and vaginal tissue during vaginal delivery. Striae gravidarum (SG) is a common phenomenon of stretch marks observed during pregnancy that may be an indicator of poor skin elasticity. The type and amount of collagen in connective tissue are considered to determine the individual’s elastic index. The skin surface is made up of a complex network of crossing thin lines. The two-dimensional relationship between primary and secondary lines determines the skin texture and its grade of irregularity. SG is caused by changes in the structural connective tissue due to a hormonal elect on the alignment and reduced elastin and fibrillin in the dermis. Severity scoring of SG was observed using the numerical scoring system of Atwal. This score provides a rank based on observation of four areas in which SG is most commonly observed (abdomen, hips, buttocks, and breast).

2018 ◽  
Vol 5 (2) ◽  
pp. 96
Author(s):  
Sinta Khrisnamurti ◽  
Detty Siti Nurdiati ◽  
Wahyu Ikka Setiyarini

Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital.Results: Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629).Conclusion: Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. Keywords: striae gravidarum; perineal laceration; childbirth


Author(s):  
Nashiz Inayet ◽  
Jamal Hayat ◽  
Andrew Poullis ◽  
Maite Tome ◽  
Ann Child

Symptoms attributed to the gastrointestinal manifestations of multi-system disorders play an important role in the long-term management of these conditions. Gastrointestinal complications of a variety of connective tissue disorders have been studied and there is an increased interest in the incidence and prevalence of these symptoms. Descriptions of the occurrence of gastrointestinal complications in Marfan syndrome have appeared infrequently in the medical literature. In this review article we focus on both structural and functional gastrointestinal pathology that may occur in patients with Marfan syndrome.


Author(s):  
Yongyan Li

Partnership with content teachers is sought after by EAP practitioners working in many contexts. However, such a partnership has not been a common phenomenon in EAP practice. In the Chinese context, the traditional institutional structure which maintained compartmentalization of disciplines did not encourage language-content dialogue. A review of the relevant (English-medium) literature would be timely as insights can be derived to inform the praxis in the Chinese context. For this purpose, in this review article, I aim to illuminate some literature-derived themes that seem particularly relevant for the Chinese context. The article will conclude with a consideration of the implications of these insights for the Chinese context.


2017 ◽  
Vol 9 (12) ◽  
pp. 317-329 ◽  
Author(s):  
Ariane L. Herrick

Raynaud’s phenomenon (RP) is relevant to the rheumatologist because it may signify an underlying connective tissue disease and also because it can be very challenging to treat, especially when it has progressed to digital ulceration or critical ischaemia. This review article discusses diagnosis (does this patient have an underlying connective tissue disease?), including the role for nailfold capillaroscopy, and treatment. Management of ‘uncomplicated’ RP is first described and then treatment of RP complicated by progression to digital ulceration or critical ischaemia, highlighting recent advances (including phosphodiesterase type 5 inhibition, and endothelin 1 receptor antagonism) and the evidence base underpinning these. Possible future therapies are briefly discussed.


2019 ◽  
Vol 25 (17) ◽  
pp. 1915-1932 ◽  
Author(s):  
Jomarien García-Couce ◽  
Amisel Almirall ◽  
Gastón Fuentes ◽  
Eric Kaijzel ◽  
Alan Chan ◽  
...  

Articular cartilage is a connective tissue structure that is found in anatomical areas that are important for the movement of the human body. Osteoarthritis is the ailment that most often affects the articular cartilage. Due to its poor intrinsic healing capacity, damage to the articular cartilage is highly detrimental and at present the reconstructive options for its repair are limited. Tissue engineering and the science of nanobiomaterials are two lines of research that together can contribute to the restoration of damaged tissue. The science of nanobiomaterials focuses on the development of different nanoscale structures that can be used as carriers of drugs / cells to treat and repair damaged tissues such as articular cartilage. This review article is an overview of the composition of articular cartilage, the causes and treatments of osteoarthritis, with a special emphasis on nanomaterials as carriers of drugs and cells, which reduce inflammation, promote the activation of biochemical factors and ultimately contribute to the total restoration of articular cartilage.


2021 ◽  
Vol 16 (3) ◽  
pp. 6-15
Author(s):  
Meenal Mavinkurve ◽  
Azriyanti Anuar Zaini ◽  
Muhammad Yazid Jalaludin

Stunting is a common phenomenon in Malaysian children. Optimising outcomes for children with growth disorders rests on early recognition and prompt referral. In this context, a framework for the clinical approach can help to guide appropriate growth assessment and referral. This review article aims to provide family medicine specialists with such a framework whilst raising awareness about the shortcomings of the existing growth monitoring system in Malaysia. It also invites readers to consider additional measures that could further optimise this system.


2013 ◽  
Vol 760-762 ◽  
pp. 101-104
Author(s):  
Yun Xia Wang ◽  
Shu Lian W ◽  
Xiao Hui Xu ◽  
Hai Yu Chen ◽  
Hui Li

Nowadays CO2 laser has been regarded as the effective treatment methods of different kinds of cosmetology and dermatologic surgery. The second-degree scald is of frequent occurrence in people, but many methods on treat the second-degree scald are not good enough. Therefore, the process of second degree scald skin irradiated by the CO2 laser was monitored in the study. The second-degree scald of mice models were divided into two groups in order to contrastively observe the effect of CO2 laser on treating scald. Skin detector associating with the histopathologic examination were used to observe the changes of skin texture and pathologic morphology structure. Meanwhile the healing time was recorded about the two groups. The texture of skin surface irradiated CO2 laser was more glossy and distinct after healing, and the healing time was much faster as well. It was good agreement between skin detector images and histopathological architecture. The result suggests the CO2 laser can significantly cure the the second-degree scald.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Francesco Paolo Cantatore ◽  
Nicola Maruotti ◽  
Addolorata Corrado ◽  
Domenico Ribatti

Systemic sclerosis is a chronic autoimmune connective tissue disease characterized by vascular injury and fibrosis and by an impaired angiogenesis which cannot ensure an efficient vascular recovery. Vascular injury is responsible for hypoxia and tissual ischemia which are the primary triggers for angiogenesis and are not able to induce a compensatory angiogenesis. This review article is focused on current knowledge on the mechanisms responsible for angiogenesis dysregulation in systemic sclerosis.


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