scholarly journals Application Value of Transvaginal Ultrasound on Early Screening for Ectopic Pregnancy

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Chen Yu ◽  
Chunxue Xu ◽  
Jun Huang
Keyword(s):  
Ectopic Pregnancy ◽  
Detection Rate ◽  
Transvaginal Ultrasound ◽  
Abdominal Ultrasound ◽  
Control Group ◽  
Early Screening ◽  
Vaginal Ultrasound ◽  
Entry Time ◽  
Peritoneal Effusion ◽  
Psychological Pressure

Objective: To explore the effect and value of transvaginal ultrasound in screening early ectopic pregnancy. Methods: A total of 146 patients with ectopic pregnancy in our hospital were selected. The patients' entry time was from May 2018 to December 2020. 146 patients were divided into two groups. The control group was screened by abdominal ultrasound with 73 cases, and the experimental group was screened by vaginal ultrasound with 73 cases. The uterine adnexal mass, pelvic effusion, peritoneal effusion and diagnostic accuracy were detected. Results: The positive number of abdominal ultrasound was significantly higher than that of vaginal ultrasound; In the detection process of abdominal ultrasound, 54 cases of ectopic pregnancy, 19 cases of non-ectopic pregnancy, the detection rate was 73.97%, 26 cases of ectopic pregnancy, 47 cases of non-ectopic pregnancy, the detection rate was 32.62%. Conclusion: The accuracy of transvaginal ultrasound is relatively high, and the accuracy of ectopic pregnancy examined by transvaginal ultrasound is higher, which is more friendly to patients, less traumatic and high operability. It can provide more accurate reports for patients and relieve the psychological pressure of patients, which is worthy of application in actual screening.

The Application of Vaginal Color Ultrasound in the Diagnosis and Treatment of Ectopic Pregnancy

2021 ◽  
Vol 7 (5) ◽  
pp. 1691-1695
Author(s):  
Panpan Liu ◽  
Yanbin Li ◽  
Li’an Yi ◽  
Haiping Yan
Keyword(s):  
Ectopic Pregnancy ◽  
Detection Rate ◽  
Transvaginal Ultrasound ◽  
Abdominal Ultrasound ◽  
High Accuracy ◽  
Diagnosis And Treatment ◽  
Accuracy Rate ◽  
Vaginal Ultrasound ◽  
Simple Operation

To explore the application of vaginal color ultrasound in the diagnosis and treatment of ectopic pregnancy. Methods: From August 2018 to May 2019, 90 patients with suspected ectopic pregnancy who were treated in our hospital were selected as the study objects. Abdominal color ultrasound and vaginal ultrasound were performed respectively to compare the diagnosis results of the two methods. Result: The detection rate of transvaginal ultrasound was higher than that of abdominal ultrasound (P < 0.05); the accuracy rate of transvaginal ultrasound was significantly higher than that of abdominal ultrasound (P < 0.05); the main parts of ectopic pregnancy were ampulla, isthmus and umbrella, and the main types were ruptured, unruptured and obsolete. Conclusion: The application of transvaginal ultrasound in the diagnosis of ectopic pregnancy has the advantages of high accuracy and detection rate, fast examination speed, simple operation, etc. it is of great significance to retain the fertility of patients and is wworthy popularizing.

scholarly journals Trans abdominal versus transvaginal ultrasound in assessment of polycystic ovary.

2021 ◽  
Vol 28 (02) ◽  
pp. 202-207
Author(s):  
Shazia Kadri ◽  
Safia Izhar ◽  
Nazia Azeem ◽  
Sadia Rashid ◽  
Zafreen Naz Gudaro
Keyword(s):  
Polycystic Ovary ◽  
Transvaginal Ultrasound ◽  
Hormonal Treatment ◽  
Abdominal Ultrasound ◽  
Polycystic Ovaries ◽  
Cross Sectional ◽  
Vaginal Ultrasound ◽  
Medical College ◽  
Significant Difference ◽  
Irregular Menses

Objective: The main objective of our study is to compare transabdominal and transvaginal ultrasound in assessment of polycystic ovaries. Study Design: Cross Sectional Comparative study. Setting: Jinnah Medical College and Hospital Karachi. Period: January 2016 to January 2017. Material & Methods: 200 married females were selected with complaints of irregular menses, hirsutism, obesity and infertility and age group 18-45 years. Patients with already diagnosed polycystic ovaries or on hormonal treatment were excluded. Results: Out of 200 patients, 54 patient shows poly cystic ovaries both on trans abdominal and Trans vaginal ultrasound, 16 patients on Trans vaginal ultrasound only  but not on trans abdominal ultrasound in which 13 patients were very obese. Rest of the patients had normal ovaries on both types of ultrasound examinations. The prevalence of polycystic ovaries noted by transabdominal ultrasound is 27% (54/200) overall and by TVS ultrasound is 35% (70/200). Conclusion: PCOS is quite a common endocrine complaint. Our results suggest that prevalence of PCO is 27% by trans-abdominal u/s and 35% by TVS. The Mean volume of ovary is greater in women with polycystic ovaries but there is no significant difference seen in prevalence of polycystic ovaries diagnosed by both ultrasound examinations. Although it has been observed that TVS is better than transabdominal U/S in detection of PCO but our study shows that the two methods are almost analogous except in obese patient where TVS displayed better results.

Role of Serum β-HCG doubling in Diagnosis of Early Pregnancy and its Management Strategy

2020 ◽  
Vol 16 ◽  
Author(s):  
Divya Mirji ◽  
Shubha Rao ◽  
Akhila Vasudeva ◽  
Roopa P.S
Keyword(s):  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Management Strategy ◽  
Transvaginal Ultrasound ◽  
Expectant Management ◽  
First Trimester ◽  
Intrauterine Pregnancy ◽  
Β Hcg ◽  
Pregnancy Of Unknown Location

Background: Pregnancy of unknown location (PUL) is defined as the absence of intrauterine or extrauterine sac and Beta Human Chorionic Gonadotropin levels (β-HCG) above the discriminatory zone of 1500 mIU/ml. It should be noted that PUL is not always an ectopic; however, by measuring the trends of serum β-HCG, we can determine the outcome of a PUL. Objective: This study aims to identify the various trends β-HCG levels in early pregnancy and evaluate the role of β-HCG in the management strategy. Methods: We conducted a prospective observational study of pregnant women suspected with early pregnancy. Cases were classified as having a pregnancy of unknown location (PUL) by transvaginal ultrasound and ß-HCG greater than 1000 mIU/ml. Expectant management was done until there was a definite outcome. All the collected data were analyzed by employing the chi-square test using SPSS version 20. Results: Among 1200 women who had early first trimester scans, 70 women who fulfilled our criteria of PUL and ß-HCG > 1000 mIU/ml were recruited in this study. In our study, the mean age of the participants was 30±5.6yrs, and the overall mean serum ß-HCG was 3030±522 mIU/ml. The most common outcome observed was an ectopic pregnancy, 47% in our study. We also found the rate of failing pregnancy was 27%, and that of intrauterine pregnancy (IUP) was 25%. Overall, in PUL patients diagnosed with ectopic pregnancy, 9% behaved like IUP, and 4% had an atypical trend in their ß-HCG. Those who had an IUP, 11% had a suboptimal increase in ß-HCG. Conclusion: PUL rate in our unit was 6%. Majority of the outcome of PUL was ectopic in our study. Every case of PUL should be managed based on the initial ß-HCG values, clinical assessments and upon the consent of the patient.

scholarly journals The effect of online multimedia psychoeducational interventions on the resilience and perceived stress of hospitalized patients with COVID-19: a pilot cluster randomized parallel-controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maryam Shaygan ◽  
Zahra Yazdani ◽  
Adib Valibeygi
Keyword(s):  
Perceived Stress ◽  
Mental Health Professionals ◽  
Stress Reduction ◽  
Controlled Trial ◽  
Control Group ◽  
Psychological Techniques ◽  
Psychological Pressure ◽  
Cluster Randomized ◽  
High Level ◽  
Psychoeducational Interventions

Abstract Background There is evidence suggesting that quarantine might have undesirable psychological impacts on the patients. Therefore, it is important to seek for ways to increase the resilience and alleviate the psychological pressure of the patients who are quarantined due to infection with COVID-19. The present study was conducted to assess an online multimedia psychoeducational intervention regarding the feasibility, adherence, patient satisfaction and effectiveness on resilience and perceived stress of patients hospitalized with confirmed COVID-19. Method This was a pilot cluster randomized parallel-controlled trial with hospital wards as the units of randomization. Participants in this fully online trial were 50 consecutive patients who were hospitalized in 2 hospitals in Shiraz, after being diagnosed with COVID-19. Before the beginning of the intervention, four inpatient wards inside two of the hospitals were randomly assigned to either intervention or control conditions. All eligible participants in the wards allocated to the intervention condition received online multimedia psychoeducational interventions during the 2 weeks, whilst the patients in the wards allocated to the control condition were offered the opportunity to receive telephone-based psychological counseling if needed. Psychoeducational interventions mainly included cognitive–behavioural techniques, stress management techniques, mindfulness-based stress reduction and positive psychotherapy. The patients were assessed regarding resilience and perceived stress at baseline and after two weeks. Results Of 27 patients starting multimedia psychoeducational interventions, 26 (96.29%) completed post-assessments. A high level of adherence (80.76%) and satisfaction (Mean = 29.42; SD = 4.18) with the online multimedia psychoeducational interventions was found. Compared with the control group, the patients who used online multimedia psychoeducational interventions reported greater resilience (Meanintervention = 81.74; Meancontrol = 72.86; adjusted t (46) = 2.10; p = 0.04; CI: 0.39 to 17.38; dppc2 = 0.83) and fewer perceived stress (Meanintervention = 22.15; Meancontrol = 29.45; adjusted t (46) = 2.66; p = 0.01; CI: − 12.81 to − 1.78; dppc2 = − 0.77) after 2 weeks. Discussion The findings of the present study provided a successful first attempt at implementing feasible online multimedia psychoeducational interventions to promote resilience and mitigate stress among the patients who were hospitalized due to infection with COVID-19. The present results could help mental health professionals to determine which psychological techniques should be emphasized to promote patients’ resilience in the context of COVID-19 disease. Trial registration Iranian Registry of Clinical Trials, IRCT20201001048893N1. Retrospectively registered, 29 Jan 2021.

Analysis of the intervention effect and self-satisfaction of sports dance exercise on the psychological stress of college students

Work ◽  
2021 ◽  
pp. 1-13
Author(s):  
Changliang Zheng ◽  
Hongmei Ji
Keyword(s):  
College Students ◽  
Stress Response ◽  
Psychological Stress ◽  
Rating Scale ◽  
Response Characteristic ◽  
Control Group ◽  
Observation Group ◽  
Excessive Pressure ◽  
Psychological Pressure ◽  
The Impact

BACKGROUND: College students are a high-risk subpopulation of psychological disorders. The problem of various adverse phenomena and consequences caused by excessive pressure on college students has gradually become the focus of social and psychological academic circles. However, studies related to individual self-concept and psychological pressure are rare. OBJECTIVE: To explore the impact of sports dance exercises on college students’ psychological pressure and improve the psychological effects of their self-satisfaction. METHODS: College students were taken as research objects, randomly divided into a control group and an observation group. The observation group is intervened with sports dance exercises. The observation group was intervened with sports dance exercises. The stress response characteristic questionnaire and multidimensional self-satisfaction rating scale were utilized to measure college students’ conditions before and after the intervention. Finally, the obtained data were statistically analyzed. RESULTS: Generally, the psychological stress response of college students was mild, with self-satisfaction and various dimensions at a moderately higher level. No significant differences were discovered in the psychological stress response and self-satisfaction level between the control group and the observation group before intervention (P >  0.05), which were homogeneous. Compared with the data obtained before the intervention, after the intervention, the control group scores were slightly reduced in all dimensions of the psychological stress response and self-satisfaction. In contrast, the scores were significantly increased in the experimental group (P <  0.05). Psychological stress response could reliably explain 30.4%of the total self-satisfaction variance (P <  0.01). The negative self-evaluation was the most important variable affecting self-satisfaction, followed by poor interpersonal communication and poor sleeping quality. CONCLUSIONS: Sports dance exercises could alleviate the psychological stress of college students and improve their self-satisfaction. Colleges and universities should include sports dance in the content of optional public courses and encourage more college students to actively participate in sports dance exercises to improve their mental health.

scholarly journals Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility

2021 ◽  
Vol 10 (11) ◽  
pp. 2355
Author(s):  
Dean Decter ◽  
Nissim Arbib ◽  
Hila Markovitz ◽  
Daniel S. Seidman ◽  
Vered H. Eisenberg
Keyword(s):  
Laparoscopic Surgery ◽  
Retrospective Study ◽  
Statistical Analysis ◽  
Conservative Management ◽  
Transvaginal Ultrasound ◽  
Control Group ◽  
Study Group ◽  
Control Groups ◽  
Increased Risk ◽  
And Control

We compared the prevalence of ultrasound signs of adenomyosis in women with endometriosis who underwent surgery to those who were managed conservatively. This was a retrospective study of women evaluated at a tertiary endometriosis referral center who underwent 2D/3D transvaginal ultrasound. Adenomyosis diagnosis was based on the presence of at least three sonographic signs. The study group subsequently underwent laparoscopic surgery while the control group continued conservative management. Statistical analysis compared the two groups for demographics, symptoms, clinical data, and sonographic findings. The study and control groups included 244 and 158 women, respectively. The presence of any, 3+, or 5+ sonographic signs of adenomyosis was significantly more prevalent in the study group (OR = 1.93–2.7, p < 0.004, 95% CI; 1.24–4.09). After controlling for age, for all findings but linear striations, the OR for having a specific feature was higher in the study group. Women in the study group with ≥ 5 sonographic signs of adenomyosis had more than twice the risk of experiencing infertility (OR = 2.31, p = 0.012, 95% CI; 1.20–4.45). Sonographic signs of adenomyosis are more prevalent in women with symptomatic endometriosis who underwent surgery compared with those who continued conservative management. Women with 5+ findings have a significantly increased risk of infertility. Adenomyosis on ultrasound should be considered in the management decisions regarding these patients.

Effect Of Cluster Intervention Strategy Combined with Targeted Nursing on Prevention of Ventilator-Associated Pneumonia in Icu Patients

2021 ◽  
Vol 7 (6) ◽  
pp. 6395-6401
Author(s):  
XueQin Li ◽  
XiuYing Chen
Keyword(s):  
Mechanical Ventilation ◽  
Detection Rate ◽  
Pathogenic Bacteria ◽  
Nursing Intervention ◽  
Apache Ii Score ◽  
Control Group ◽  
Study Group ◽  
Ventilator Associated Pneumonia ◽  
Icu Patients ◽  
Mechanical Ventilation Time

Background VAP is a common complication of ventilator maintenance therapy. The occurrence of VAP is related to many factors such as long duration of breathing, invasive operation, pollution of respiratory tubes and instruments, and low immunity of patients. The prevention of VAP in critically ill patients I the primary problem for clinical medical staff. Avoiding exogenous bacteria invading the respiratory tract and endogenous bacterial infection is the main method. Objective To investigate the value of optimized cluster nursing intervention combined with targeted nursing measures in reducing the incidence of ventilator-associated pneumonia (VAP) in patients with mechanical ventilation in intensive care unit (ICU). Methods 200 patients with mechanical ventilation in ICU of our institute from January 2017 to June 2020 were selected and randomly divided into study group and control group, with 100 cases in each group. The study group was treated with cluster nursing intervention combined with targeted nursing measures optimized by muItL criteria decision analysis method, and the control group was treated with targeted nursing measures. The incidence of VAP, the detection rate of pathogenic bacteria in sputum specimens and the effect of nursing execution were compared between the two groups. 200 patients were divided into VAP group and non-VAP group according to whether VAP occurred. Multivariate Logistic regression model analysis was used to explore the risk factors of VAP in AECOPD patients. Results A total of 4 strains were detected in the study group and 18 strains were detected in the control group. The detection rate of pathogenic bacteria in the study group was higher than that in the control group (y2=10.010, P=0.002<0.05). The incidence of VAP in the study group was 4.00% lower than 17.00% in the control group, and the difference was statistically significant (P<0.05). Compared with VAP group and non-VAP group, the proportion of patients with serum albumin<30g/L, diabetes mellitus rate, APACHE II score>15 points, tracheotomy rate and mechanical ventilation time≥5 days in VAP group were significantly higher than those in non-VAP group, which had statistical significance (P<0.05). The results of logistic regression model snowed that serum albumin ≥30g/L and optimized cluster nursing could effectively reduce the risk of VAP in ICU patients with mechanical ventilation (P<0.05). The risk of VAP in ICU patients with mechanical ventilation was increased by the combination of diabetes rate. APACHE II score≥15 points, tracheotomy and mechanical ventilation time ≥ 5 days (P<0.05). Conclusion The risk of VAP in ICU patients with mechanical ventilation is high, and the optimized cluster nursing intervention combined with targeted nursing measures can effectively reduce the incidence of VAP.

scholarly journals Plasma Fibulin-3 as a Potential Biomarker for Patients with Asbestos-Related Diseases in the Han Population

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Zhaoqiang Jiang ◽  
Shibo Ying ◽  
Wei Shen ◽  
Xianglei He ◽  
Junqiang Chen ◽  
...  
Keyword(s):  
Operating Characteristic ◽  
Asbestos Exposure ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Early Screening ◽  
Receiver Operating Characteristic Curves ◽  
Chinese Populations ◽  
Pleural Plaques ◽  
Potential Biomarker ◽  
Group A

Fibulin-3 has been reported as a potential biomarker for mesothelioma. However, little is known about the diagnostic efficacies of fibulin-3 for asbestos-related diseases (ARDs) in China. This study was to investigate the utility of fibulin-3 for asbestos exposure and ARDs. A total of 430 subjects were recruited from Southeast China, including healthy individuals, asbestos-exposed (AE) individuals, and patients with pleural plaques (PP), asbestosis, and malignant pleural mesothelioma (MPM). Plasma fibulin-3 was measured using the enzyme-linked immunosorbent assay. Linear regression analyses were applied to explore the influencing factors of fibulin-3. Receiver operating characteristic curves were used to determine the cutoff values. The median fibulin-3 level of subjects in the mesothelioma group was higher than that in other groups. Subjects in the asbestosis group had higher median fibulin-3 level than those in the control group. A higher fibulin-3 level was found in the group with ≥10 years of asbestos exposure as compared with control groups. The AUCs of fibulin-3 for distinguishing MPM subjects from control, AE, PP, and asbestosis subjects were 0.92, 0.88, 0.90, and 0.81, respectively. Our study provided evidence that fibulin-3 could be a potential biomarker for the early screening of MPM, but not of other nonmalignant ARDs in Chinese populations.

Sign in / Sign up

Export Citation Format

Share Document