Possibilities and prospects of surgical treatment of submucosal uterine myoma

2020 ◽  
Vol 19 (6) ◽  
pp. 102-109
Author(s):  
N.M. Podzolkova ◽  
◽  
V.V. Korennaya ◽  
O.L. Glazkova ◽  
R.E. Kuznetsov ◽  
...  

Objective. Analysis of current tendencies in the treatment of patients with submucosal uterine myoma. Results. Submucosal uterine myoma is often an indication for hysterectomy. At the same time, modern surgical methods allow performing organ-sparing interventions quickly and safely, including on an outpatient basis with the use of mini hysteroresectoscope. Accurate topographic diagnosis is an important condition for the successful implementation of organ-sparing treatment for submucosal myoma. When choosing diagnostic instruments, it is necessary to take into account their specificity and availability, which makes hydrosonography and hysteroscopy a priority, especially considering that endoscopic diagnostics can be supplemented by myoma resection, and the use of spectral analysis in image processing makes it possible to more accurately identify associated endometrial pathology. Conclusion. The use of mini-resectoscope (16 Fr) allows achieving a number of significant advantages in comparison with traditional hysteroresectoscopy. The use of spectral analysis in hysteroscopy provides more information about the state of the endometrium and intrauterine formations. Key words: intrauterine shaver, myomectomy, office hysteroresectoscopy, submucosal uterine myoma, spectral analysis

2018 ◽  
Vol 18 (6) ◽  
pp. 83 ◽  
Author(s):  
S. N. Buyanova ◽  
N. A. Shchukina ◽  
M. A. Chechneva ◽  
E. L. Babunashvili

2021 ◽  
Vol 25 (2) ◽  
pp. 238-246
Author(s):  
I. Yu. Drachevska

Annotation. Anomalies of the dental-jaw system are one of the most difficult challenges of modern orthodontics, and accordingly require the use of modern and evidence-based therapy. To predict the results of treatment and proper planning of orthodontic interventions, a reliable tool in the hands of an orthodontist is cephalometric analysis by the Ricketts method. An important step in the successful implementation of this method of analysis is to conduct a study taking into account ethnicity, age, sex and the influence of facial type on teleradiographic indicators calculated by this method. The aim of the study is to build and analyze regression models of teleradiographic indicators used in the Ricketts method for Ukrainian young men and young women with orthognathic occlusion with different face types. Ricketts teleradiography was performed for 49 young men and 76 young women with orthognathic occlusion. Cephalometric analysis was performed using OnyxCeph³™ software, 3DPro version, Image Instruments GmbH, Germany (software license URSQ-1799). The division into facial types was performed by determining the morphological index of Garson. All indicators were divided into three groups: the first group included the main cephalometric points and measurements used in modern cephalometric analyzes Schwartz, Ricketts, Steiner, Roth-Jarabak, Burstone and Bjork and are parameters that usually do not change during surgery and orthodontic treatment; to the second group – metric dental-jaw characteristics by the Ricketts method by which surgical methods can change the length, width, angles and position of the jaws; to the third group – indicators according to the Ricketts method which characterize the position of each individual tooth relative to each other, cranial structures and the profile of the soft tissues of the face. Regression models of individual teleradiographic indicators are built using the license package "Statistica 6.0". Only reliable models with a coefficient of determination higher than 0.6 were subject to analysis. Of the 13 possible facial features, 9 models of teleradiographic indicators (R² = from 0.691 to 0.834) were included to the second group, depending on the indicators of the first group, and 9 (R² = from 0.640 to 0.910) of the 15 possible models of indicators were included to the third group depending on the indicators of the first and second groups. In young men with a wide type of face, the constructed models of indicators included to the second group, depending on the indicators of the first group, most often include the distance Ar-Go (20.7 %), angle POr-NBa (13.8 %), distances N-S and S-E and the ratio N-S:S-Ar' (10.3 % each); and to the models of indicators included in the third group depending on the indicators of the first and second groups – the angle N-CF-A (12.8 %), the distance Ar-Go (10.3 %), the distances N-CC and A-NPog and angle ANS- Xi-Pm, POr-ANSPNS and DC-Xi-Pm (7.7 % each). In young women with a very wide type of face out of 13 possible built only 2 models of teleradiographic indicators (R² = 0.691 and 0.834) which were included to the second group depending on the indicators of the first group and 5 (R² = from 0.628 to 0.919) of 15 possible models of indicators which entered the third group depending on the indicators of the first and second groups. In young women with a very wide type of face, the constructed models of indicators included in the third group, depending on the indicators of the first and second groups, most often include the distance Xi-Pm (18.2 %), as well as the distance P-PTV and angles MeGo-NPog and POr-CFXi (9.1 % each). In young women with a wide type of face from 13 possible 5 models of teleradiographic indicators (R² = from 0.606 to 0.854) which were included in the second group depending on indicators of the first group and 7 (R² = from 0.607 to 0.888) from 15 possible models of indicators which were entered to the third group depending on the indicators of the first and second groups. In young women with a wide type of face, the constructed models of indicators included in the second group, depending on the indicators of the first group, most often include the distance Ar-Go (28.6 %) and the angle POr-NBa and the ratio S-ar:ar-Go (14.3 %), and to the models of indicators included in the third group depending on the indicators of the first and second groups – the distances A-NPog and Xi-Pm and the angle NBa-PtG (10.3 % each).


2020 ◽  
Vol 24 (4) ◽  
pp. 348-352
Author(s):  
Nusrat Noor ◽  
Rabiah Anwar ◽  
Rabia Akbar ◽  
Ghazala Sadaf ◽  
Khan M Yaqub

ABSTRACT Objective: To assess the effectiveness and enlist clinical factors, which may affect effectiveness of Pipelle sampling in diagnosing endometrial pathology in patients with abnormal uterine bleeding and Post-menopausal Bleeding. Study Design: ‘Analytical Cross-Sectional’ study. Place and duration: Gynecology Department at Combined Military Hospital Rawalpindi, in collaboration with Histo-Pathology Department, of six months duration i.e. from 1st  December 2019 to 31st May 2020. Patients and methods: 100 female patients of outpatient department with presenting complaints of either abnormal or post-menopausal bleeding were included in the study in the specified time frame. After informed written consent, Pipelle endometrial sampling was done on outpatient basis, and by consecutive sampling technique using lottery method, sample was sent for histopathological evaluation. Evaluated factors studied were:  indications for the procedure, age, parity, age of menarche. Results: Of the total patients evaluated, 91% (n=100) were non-malignant, while 4% (n=100) were malignant. Inadequate tissue was obtained in 5% samples. Most common histopathological findings among reproductive age group were Proliferative and Secretory phase endometrium 64% (n=100). While in Post-menopausal age group 4% (n=100) were Endometrial carcinoma on histopathology. Inadequate tissue samples 5% (n=100) were noted among the Post-menopausal group. 6% samples showed endometrial hyperplasia. Pipelle Endometrial Sampling had sensitivity and specificity, in diagnosing the endometrial pathologies is summarized in Table 3. Conclusion: Pipelle Endometrial Sampling is an effective, safe, simple and acceptable procedure for diagnosing endometrial pathology. It is cost effective requiring no anesthesia with high sensitivity and specificity for detecting endometrial pathology.  


2016 ◽  
Vol 16 (6) ◽  
pp. 73
Author(s):  
Yu. E. Andreeva ◽  
V. I. Vtorenko ◽  
V. P. Dymkovets ◽  
A. E. Vanyukov ◽  
A. M. Torchinov ◽  
...  
Keyword(s):  

Author(s):  
Marina V. Sviridenko ◽  
◽  
Anna N. Leontieva ◽  

t. The article presents the role of municipalities in achieving the national development goals of the Russian Federation and the problems of interaction in this context between regional and federal authorities and local self-government bodies. The authors single out the personnel support of the municipal management level as the most important condition for the successful implementation of national development priorities.


Author(s):  
Simon Thomas

Trends in the technology development of very large scale integrated circuits (VLSI) have been in the direction of higher density of components with smaller dimensions. The scaling down of device dimensions has been not only laterally but also in depth. Such efforts in miniaturization bring with them new developments in materials and processing. Successful implementation of these efforts is, to a large extent, dependent on the proper understanding of the material properties, process technologies and reliability issues, through adequate analytical studies. The analytical instrumentation technology has, fortunately, kept pace with the basic requirements of devices with lateral dimensions in the micron/ submicron range and depths of the order of nonometers. Often, newer analytical techniques have emerged or the more conventional techniques have been adapted to meet the more stringent requirements. As such, a variety of analytical techniques are available today to aid an analyst in the efforts of VLSI process evaluation. Generally such analytical efforts are divided into the characterization of materials, evaluation of processing steps and the analysis of failures.


2019 ◽  
Vol 4 (5) ◽  
pp. 971-976
Author(s):  
Imran Musaji ◽  
Trisha Self ◽  
Karissa Marble-Flint ◽  
Ashwini Kanade

Purpose The purpose of this article was to propose the use of a translational model as a tool for identifying limitations of current interprofessional education (IPE) research. Translational models allow researchers to clearly define next-step research needed to translate IPE to interprofessional practice (IPP). Method Key principles, goals, and limitations of current IPE research are reviewed. A popular IPE evaluation model is examined through the lens of implementation research. The authors propose a new translational model that more clearly illustrates translational gaps that can be used to direct future research. Next steps for translating IPE to IPP are discussed. Conclusion Comprehensive reviews of the literature show that the implementation strategies adopted to date have fostered improved buy-in from key stakeholders, as evidenced by improved attitudes and perceptions toward interprofessional collaboration/practice. However, there is little evidence regarding successful implementation outcomes, such as changed clinician behaviors, changed organizational practices, or improved patient outcomes. The authors propose the use of an IPE to IPP translational model to facilitate clear identification of research gaps and to better identify future research targets.


2019 ◽  
Vol 28 (4) ◽  
pp. 993-1005 ◽  
Author(s):  
Gitte Keidser ◽  
Nicole Matthews ◽  
Elizabeth Convery

Purpose The aim of this study was to examine how hearing aid candidates perceive user-driven and app-controlled hearing aids and the effect these concepts have on traditional hearing health care delivery. Method Eleven adults (3 women, 8 men), recruited among 60 participants who had completed a research study evaluating an app-controlled, self-fitting hearing aid for 12 weeks, participated in a semistructured interview. Participants were over 55 years of age and had varied experience with hearing aids and smartphones. A template analysis was applied to data. Results Five themes emerged from the interviews: (a) prerequisites to the successful implementation of user-driven and app-controlled technologies, (b) benefits and advantages of user-driven and app-controlled technologies, (c) barriers to the acceptance and use of user-driven and app-controlled technologies, (d) beliefs that age is a significant factor in how well people will adopt new technology, and (e) consequences that flow from the adoption of user-driven and app-controlled technologies. Specifically, suggested benefits of the technology included fostering empowerment and providing cheaper and more discrete options, while challenges included lack of technological self-efficacy among older adults. Training and support were emphasized as necessary for successful adaptation and were suggested to be a focus of audiologic services in the future. Conclusion User perceptions of user-driven and app-controlled hearing technologies challenge the audiologic profession to provide adequate support and training for use of the technology and manufacturers to make the technology more accessible to older people.


2009 ◽  
Vol 19 (1) ◽  
pp. 4-9
Author(s):  
Jill Parmenter ◽  
Sheryl Amaral ◽  
Julia Jackson

Abstract The Professional Performance Review Process for School-Based Speech-Language Pathologists (PPRP) (ASHA, 2006) was developed in response to the need for a performance review tool that fits school district requirements for performance review management while addressing the specific roles and responsibilities of a school-based speech-language pathologist (ASHA, 2006). This article will examine the purpose and components of the PPRP. A description of its use as a tool for self-advocacy will be discussed. Strategies for successful implementation of the PPRP will be explained using insight from speech-language pathologists and other professionals familiar with the PPRP.


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