scholarly journals A hospital based study on comparative assessment of sonosalpingography (SSG) and diagnostic laparoscopy for determination of tubal patency in cases of primary and secondary subfertility

Author(s):  
Dr. C Rajani ◽  
Dr. S Vanitha
Author(s):  
Richa Choudhary ◽  
Rishikant Sinha

Objectives: Hysterosalpingography and laparoscopy both are the diagnostic methods for assessment of female infertility.  The present study was to compare the evaluation of hysterosalpingography (HSG) versus laparoscopy in determination of tubal factors in female infertility. Methods: Detailed assessment, physical examination and clinical investigations were performed in all 100 infertile female with age 20 years to 40 years. All patients were advised to perform digital HSG. Patients with an abnormal HSG underwent laparoscopy without delay, whereas in patients with a normal HSG, laparoscopy was performed three months after HSG. HSG is best scheduled during the 2nd -5th day interval immediately following the end of menstruation, to minimize risk for infection, avoid interference from intrauterine blood and clot, and to prevent any possibility that the procedure might be performed after conception. Results: Data was analysed by using IBM SPSS version 23 software.  All data was tabulated and percentages were calculated. Mean ± standard deviation was observed. Conclusions: Diagnostic laparoscopy is the gold standard in diagnosing tubal pathology and other intra-abdominal causes of infertility. Other hand, Hysterosalpingography is a frequently utilized diagnostic tool in the assessment of tubal status and detection of uterine anatomical defects in infertility. Hysterosalpingography and laparoscopy are not alternatives but complimentary investigations. But, inadequacy of hysterosalpingography (HSG) in determining the state of tubal patency, emphasizes the need for laparoscopy. Laparoscopy provides both a panoramic view of the pelvic reproductive anatomy and a magnified view of pelvic organs and peritoneal surfaces. Keywords: Female infertility, Tubal patency, HSG, Laparoscopy


Author(s):  
E.A. Derkach , O.I. Guseva

Objectives: to compare the accuracy of equations F.P. Hadlock and computer programs by V.N. Demidov in determining gestational age and fetal weight in the third trimester of gestation. Materials: 328 patients in terms 36–42 weeks of gestation are examined. Ultrasonography was performed in 0–5 days prior to childbirth. Results: it is established that the average mistake in determination of term of pregnancy when using the equation of F.P. Hadlock made 12,5 days, the computer program of V.N. Demidov – 4,4 days (distinction 2,8 times). The mistake within 4 days, when using the equation of F.P. Hadlock has met on average in 23,1 % of observations, the computer program of V.N. Demidov — 65,9 % (difference in 2,9 times). The mistake more than 10 days, took place respectively in 51,7 and 8,2 % (distinction by 6,3 times). At a comparative assessment of size of a mistake in determination of fetal mass it is established that when using the equation of F.P. Hadlock it has averaged 281,0 g, at application of the computer program of V.N. Demidov — 182,5 g (distinction of 54 %). The small mistake in the mass of a fetus which isn't exceeding 200 g at application of the equation of F.P. Hadlock has met in 48,1 % of cases and the computer program of V.N. Demidov — 64,0 % (distinction of 33,1 %). The mistake exceeding 500 g has been stated in 18 % (F.P. Hadlock) and 4,3 % (V.N. Demidov) respectively (distinction 4,2 times). Conclusions: the computer program of V.N. Demidov has high precision in determination of term of a gestation and mass of a fetus in the III pregnancy.


Author(s):  
B.G. Tsugkiev ◽  
◽  
L.Ch. Gagieva ◽  
T.V. Tsugkieva ◽  
M.M. Chegaev ◽  
...  

The paper presents a comparative assessment of the nutritional value depending on the phenological phase of Onobrychis viciifolia Scop., as well as the determination of the regularity of the accumulation of biologically active substances and heavy metals in the herb of the species. The yield of green mass of plants was determined. From each hectare of sowing, 9,7 centners of protein can be obtained; the yield of fiber is 13 centners, BEV is 22,9 centners, fat is 1,6 centners, ash is 4 centners and carotene is 13.0 kg. Depending on the growing season, the chemical composition in the grass of Onobrychis viciifolia changes. The content of calcium, phosphorus increases, and the presence of iron, copper, cobalt, zinc, manganese and molybdenum and amino acids decreases.


2016 ◽  
Vol 11 (2) ◽  
pp. 163-170
Author(s):  
Барбашова ◽  
Ekaterina Barbashova ◽  
Лясковская ◽  
Olga Lyaskovskaya ◽  
Абрамова ◽  
...  

The article proposes an approach to the determination of investment efficiency at the regional level and provides a comparative assessment of investment efficiency in different economic activities.The assessment of investment efficiency is preceded by the analysis of GRP structures and investments in the economy of the Central Federal District in the context of foreign trade, which allows to identify and then to give a comparative assessment of investment efficiency in fixed capital in the two leading types of economic activities on the share of GRP in the Central Federal District in 2005 and 2012: trade and processing production.The instruments for analysis became a package of statistical programs SPSS Statistics 22.


2017 ◽  
Vol 1 (1) ◽  
pp. 5-10
Author(s):  
BS Jodha ◽  
Preeti Chawla

ABSTRACT Objectives To study the role of combined diagnostic laparoscopy and hysteroscopy in evaluation of female infertility. To find out different factors associated with infertility. To provide concurrent therapeutic management. Materials and methods A total of 100 women underwent combined diagnostic laparoscopy and simultaneous diagnostic hysteroscopy during the period from January 2015 to December 2015 in the Obstetrics and Gynecology Department, Umaid Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India. Results Age ranged from 21 to 38 years, and mean age was 25.98 years. Abnormal laparoscopic findings were noted in 41% cases, abnormal hysteroscopy seen in 24% cases, and 17% cases showed abnormality in both. Bilateral tubal patency was demonstrated in 81% cases. Tubal blockage was bilateral in 5% and unilateral in 9% cases. In 2% cases, bilateral block with beaded appearance found suggestive of tuberculosis. Of total 100 cases, 12% cases were found to have endometriosis, 8% had polycystic ovarian syndrome (PCOS), chocolate cyst was found in 5% cases, and 7% had functional cyst of ovary. Pelvic adhesions were found in 15% patients. Myomas were found in 8% cases. Endometrial polyps were revealed in 5% and Asherman’s syndrome in 6% patients. Combined laparoscopy and hysteroscopy was diagnostic in 17% of cases, 41% were diagnosed through laparoscopy alone, 24% through hysteroscopy alone, while in 18% cases findings were normal. In our study, tuboperitoneal factors were responsible for infertility in 40% cases, ovarian factors in 26% cases, and PCOS in 8% cases. Conclusion In our study, 74% of the cases had some form of tubo-ovarian pathology, which makes laparoscopy an essential tool of infertility workup. Although hysteroscopy alone was diagnostic in 30% of cases, its simultaneous use with laparoscopy provides cost-effective, comprehensive, and single setup diagnostic aid in these kinds of patients. How to cite this article Jodha BS, Chawla P. Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility. Int J Gynecol Endsc 2017;1(1):5-10.


2018 ◽  
Vol 2018 (04) ◽  
pp. 30-45
Author(s):  
Oleksandr SERDIUK ◽  

TPPs in Ukraine need to be modernized in view of the inefficiency of their fuel consumption and high levels of pollutant emissions. As an option to solve the above problem, modernization of existing TPPs is proposed. Otherwise, renewable energy sources can become an alternative to its thermal generation. To develop a specific strategy for transition from traditional energy sources to renewable ones, it is necessary to carry out a quantitative estimation of effectiveness of each project for such a transition. One of the tools for solving this complex problem is the development of the information-analytical system for preliminary estimation of comparative effectiveness of various energy development trends. The developed scientific-methodical approach makes it possible to build an information-analytical system using the Python programming language for: (i) carrying out an automated preliminary estimation of comparative effectiveness of the modernization projects of the existing power units of the TPPs; (ii) construction and operation of WPPs; (iii) construction and operation of the SPPs. By analyzing the efficiency criteria, the program identifies the most economically attractive alternative for the analyzed thermal energy object. As an example, a comparative assessment of modernization project of Ladyzhуns’ka TPP and construction of a SPP of similar power is presented. The algorithm of comparative assessment includes: (i) determination of effective level of thermal power generation; (ii) evaluation of the effect of consumption of coal from different vendors; (iii) determination of cash flow of projects for modernization of TPPs and construction of renewable energy facilities; (iv) construction of cumulative straight lines of cash flow. According to the results of the program, it is determined that the SPP construction project is more efficient than the project of modernization of the power unit at Ladyzhуns’ka TPP. The developed information-analytical system can be used by the Ministry of Energy and Coal Industry of Ukraine as part of the process of digitization of managerial decisions in the field of energetics directions development.


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