scholarly journals Acceptability and Satisfaction of Contraceptive Vaginal Rings in Clinical Studies: A Systematic Review and Narrative Synthesis

2021 ◽  
Vol 2 ◽  
Author(s):  
Thérèse Delvaux ◽  
Vicky Jespers ◽  
Lenka Benova ◽  
Janneke van de Wijgert
Keyword(s):  
Sexual Satisfaction ◽  
Male Partner ◽  
Cultural Norms ◽  
Limited Information ◽  
Sexually Transmitted ◽  
Actual Use ◽  
Vaginal Rings ◽  
Current Context ◽  
Experiences Of Women

Introduction: Acceptability of and satisfaction with contraceptive methods are paramount for uptake and continuation. In the current context of multipurpose prevention of pregnancy and sexually transmitted diseases/HIV development, it is critical to have a better understanding of acceptability of and satisfaction with the contraceptive vaginal ring (CVR) including sexual satisfaction. The objective of this study was to review the evidence about acceptability of CVRs and general and sexual satisfaction of users.Methods: We searched PubMed, CINAHL, and Web of Science (until December 31, 2020) and selected original studies documenting actual use of hormonal CVR and explicitly addressing any of the 3 outcomes.Results: Of a total of 1,129 records screened, 46 studies were included. Most studies (n = 43, 93%) were prospective, conducted in high-income settings (n = 35), and reported on NuvaRing® use (n = 31). Overall, 27 (59%) studies included a comparison group, 38 (82%) studies used exclusively quantitative questionnaires, with qualitative only (n = 4, 9%), or mixed methods (n = 4, 9%) studies being less common. Ease of CVR insertion/removal/reinsertion was high in all the settings and improved with time of use, with qualitative studies supporting these findings. When mentioned, ring-related events were associated with discontinuation, and results on continuation of use were mixed. Among NuvaRing® studies, general satisfaction (being satisfied or very satisfied) was between 80 and 90% and tended to mirror continuation. Sexual satisfaction was less commonly reported and results were mixed. Overall, limited information was provided on actual CVR experiences of women (and men) and cultural norms that may affect sexuality and CVR use.Conclusion: Positive aspects of acceptability of and satisfaction with CVRs were reported, but ring-related events and factors, which may affect long-term CVR use, deserve further study. More information is needed on actual experiences of women using CVRs, relationship aspects, male partner opinions, and contextual norms to better understand the acceptability of and satisfaction with CVRs.

scholarly journals Acceptability and satisfaction of contraceptive vaginal rings in clinical studies: a systematic review and narrative synthesis

2021 ◽  
Author(s):  
Therese Delvaux ◽  
Vicky Jespers ◽  
Lenka Benova ◽  
Janneke van de Wijgert
Keyword(s):  
Sexual Satisfaction ◽  
Male Partner ◽  
Cultural Norms ◽  
Limited Information ◽  
Contraceptive Methods ◽  
Sexually Transmitted ◽  
Actual Use ◽  
Vaginal Rings ◽  
Current Context ◽  
Experiences Of Women

Introduction Acceptability of and satisfaction with contraceptive methods are paramount for uptake and continuation. In the current context of multipurpose prevention of pregnancy and sexually transmitted diseases /HIV development, it is critical to have a better understanding of acceptability of and satisfaction with the contraceptive vaginal ring (CVR), including sexual satisfaction. The objective of this study was to review the evidence about CVRs acceptability, and users general and sexual satisfaction. Methods We searched PubMed, CINAHL and Web of Science (until December 31th, 2020) and selected original studies documenting actual use of hormonal CVR and explicitly addressing any of the three outcomes. Main Results Of a total of 1129 records screened, 46 studies were included. Most studies (n=43, 93%) were prospective, conducted in high-income settings (n=35) and reported on NuvaRing use (n=31). Overall, 27 (59%) studies included a comparison group, 38 (82%) used exclusively quantitative questionnaires, with qualitative only (n=4, 9%) or mixed methods (n=4, 9%) studies being less common. Ease of CVR insertion/removal/reinsertion was high in all setting and improved with time of use, with qualitative studies supporting these findings. When reported, results on continuation of use were mixed and ring-related events were associated with discontinuation. Among NuvaRing studies, general satisfaction (being satisfied or very satisfied) was between 80 and 90% and tended to mirror continuation. Sexual satisfaction was less commonly reported and results were mixed. Overall, limited information was provided on actual CVR experiences of women (and men) and cultural norms that may affect sexuality and CVR use. Conclusion Positive aspects of acceptability of and satisfaction with CVRs were reported but continuation rates and ring-related events deserve further study. More information is needed on actual experiences of women using CVRs, relationship aspects, male partner opinions, and contextual norms to better understand the acceptability of and satisfaction with CVRs.

scholarly journals Hidradenoma papilliferum of the hymen: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ozer Birge ◽  
Mehmet Sait Bakır ◽  
Ceyda Karadag ◽  
Zivar Eldarova ◽  
Tayup Simsek
Keyword(s):  
Benign Neoplasm ◽  
Surgical Removal ◽  
Apocrine Glands ◽  
Sexually Transmitted ◽  
Anogenital Region ◽  
Hidradenoma Papilliferum ◽  
Anogenital Area ◽  
Slow Growing

Abstract Background Hidradenoma papilliferum is a rare benign neoplasm arising from apocrine glands. It occurs commonly on the anogenital region of middle-aged women. It usually presents as a slow growing, solitary asymptomatic, skin colored or red nodule less than 1 cm in diameter. Case presentation The case is a 38-year-old, white woman who presented with a painful nodule occurring within a month in the himenal region of the posterior vaginal introitus. The nodule was excisied and the histology revealed a hidradenoma papilliferum. The diagnosis and treatment of hidradenoma papilliferum is possible with surgical removal and histopathological evaluation of nodules. Conclusion When an adult woman presents with a noduler lesion in the anogenital area, sexually transmitted diseases and other benign and malignant vulvar lesions, as well as malignant transformation is very rare but,should be kept in mind; however because it has been reported and long-term clinical follow-up is suggested

scholarly journals Effect of Non-Thermal Atmospheric Plasma on Micro-Tensile Bond Strength at Adhesive/Dentin Interface: A Systematic Review

Materials ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 1026
Author(s):  
Mohamed M. Awad ◽  
Feras Alhalabi ◽  
Abdullah Alshehri ◽  
Zaid Aljeaidi ◽  
Ali Alrahlah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bond Strength ◽  
Atmospheric Plasma ◽  
Tensile Bond Strength ◽  
Cochrane Library ◽  
Limited Information ◽  
Short Term ◽  
Etch And Rinse ◽  
Medium Risk

Objective: The objective of this review was to evaluate the effect of non-thermal atmospheric plasma (NTAP) on adhesives resin–dentin micro-tensile bond strength (μTBS) in previously published studies. Methods: Electronic search was conducted using the Medline, Cochrane library, and Scopus databases. The included studies were laboratory studies that investigated the effect of NTAP on adhesives μTBS to coronal dentin. Studies that evaluated the effect of NTAP on bond strength to indirect substrates, enamel or root dentin, were excluded. The methodological quality of included studies was assessed. Results: Thirteen studies were included in this systematic review. All the included studies were considered to have a medium risk of bias. NTAP significantly improved μTBS at 24 h or after short-term aging in five studies (38.5%) and both immediate and after long-term aging in 5 studies (38.5%). In two studies (15.4%), NTAP resulted in a short-term material-dependent effect that was not stable after long-term aging. Interestingly, in one study (7.7%), NTAP had a positive effect only in the etch-and-rinse (ER) mode after long-term aging. Conclusion: Within the limitations of this systematic review, NTAP application could enhance resin–dentin μTBS of ER adhesives or universal adhesives (UAs) applied in the ER mode. In the ER mode, the rewetting step after NTAP seems to be unnecessary. Because of the limited information currently available in the literature, further studies are required to evaluate the effect of the NTAP application on self-etch (SE) adhesives or UAs applied in the SE mode.

Esthetic Restorative Options for Pulpotomized Primary Molars: A Review of Literature

2011 ◽  
Vol 36 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Marcio Guelmann ◽  
Joseph Shapira ◽  
Daniela Silva ◽  
Anna Fuks
Keyword(s):  
Hybrid Composites ◽  
Primary Molars ◽  
Glass Ionomer ◽  
Limited Information ◽  
Resin Modified Glass Ionomer ◽  
Alternative Materials ◽  
Long Term Follow Up ◽  
Better Than

Objective: The goal of this manuscript was to review the existing literature in regards to esthetic options to restore pulpotomized primary molars. Study design: A pubmed literature search has been performed and all relevant studies were assessed. Results: Two laboratory, 3 restrospective and 4 prospective clinical studies were found, reviewed and analyzed. Conclusions: Based on the limited information available, we concluded that tooth colored and bonded restorations showed promising results as alternative materials to replace stainless steel crowns after pulpotomies in primary molars. Hybrid composites tend to perform better than compomers. Resin modified glass ionomer cements demonstrated excellent marginal seal and retention. More long-term follow up studies are necessary until more definitive recommendations can be made.

Detection and residence time of bisphosphonates in bone of horses

2021 ◽  
Vol 34 (1) ◽  
pp. 23-27
Author(s):  
Heather K. Knych ◽  
Jennifer Janes ◽  
Laura Kennedy ◽  
Daniel S. McKemie ◽  
Rick M. Arthur ◽  
...  
Keyword(s):  
Synovial Fluid ◽  
Residence Time ◽  
Bone Fractures ◽  
Limited Information ◽  
Long Term Effects ◽  
Normal Bone ◽  
Postmortem Blood ◽  
Affect Bone Healing ◽  
Postmortem Sample

Bisphosphonates are potent anti-resorptive agents that have the potential to adversely affect bone healing in equine athletes, and normal bone adaption in young racehorses. A concern exists that bisphosphonate inhibition of normal bone metabolism could lead to increased bone fractures during high-intensity exercise. We found only a single report describing concentrations of tiludronate in the bone of horses, and no studies describing clodronate. Knowledge of the residence time in bone could allow for a better understanding of the long-term effects of these compounds. Our objectives were to develop a method for detection of bisphosphonates in bone and add to the limited information available regarding the disposition of these drugs in the bone of horses. Two horses received clodronate and 2 tiludronate disodium. Postmortem collection of bones and teeth occurred either 4 or 30 d post drug administration. Additionally, postmortem blood, synovial fluid, aqueous humor, and bone samples from racehorses with various histories of bisphosphonate administration were collected, and concentrations determined using the developed LC-MS/MS method. Bisphosphonates were detected in bones and teeth tested at 4 and 30 d. In a postmortem sample, clodronate was detected in bone from a horse with reported administration 18 mo prior; clodronate was not detected in other sample types collected from this horse. Bisphosphonates reside in bone for extended periods of time, which could lead to potential long-term effects, increasing the potential for bone fractures in young and/or athletic horses.

scholarly journals The dynamics of questing ticks collected for 164 consecutive months off the vegetation of two landscape zones in the Kruger National Park (1988–2002). Part III. The less commonly collected species

2011 ◽  
Vol 78 (1) ◽  
Author(s):  
Gordon J. Gallivan ◽  
Andrea Spickett ◽  
Heloise Heyne ◽  
Arthur M. Spickett ◽  
Ivan G. Horak
Keyword(s):  
National Park ◽  
Development Stage ◽  
Kruger National Park ◽  
Ixodid Ticks ◽  
Limited Information ◽  
Host Seeking ◽  
Haemaphysalis Elliptica ◽  
Questing Ticks ◽  
Landscape Zone

Despite many studies regarding tick ecology, limited information on long-term changes in tick populations exist. This study assessed the long-term population dynamics of the less frequently collected questing ixodid ticks in the Kruger National Park (KNP). From 1988 to 2002, monthly dragging of the vegetation was performed in three habitats (grassland, woodland and gully) at two sites in the KNP (Nhlowa Road, Landscape Zone 17, and Skukuza, Landscape Zone 4). Amblyomma marmoreum and Rhipicephalus evertsi evertsi were collected as larvae most commonly. Most A. marmoreum larvae were collected at Skukuza and numbers peaked from March to July. More R. evertsi evertsi larvae were collected at Nhlowa Road and numbers peaked in summer and in winter, while at Skukuza there was a single peak in spring. Haemaphysalis elliptica, Rhipicephalus simus and Rhipicephalus turanicus were collected as adults most commonly. More Ha. elliptica and R. turanicus were collected at Nhlowa Road than at Skukuza, while R. simus numbers from the two sites were approximately equal. Ha. elliptica were collected most often between February and June, and R. simus and R. turanicus during February and March. All three species were collected more frequently in gullies than in grassland or woodland. Their numbers increased in 1994/1995 following an eruption of rodents, the preferred hosts of the immature stages. The different host-seeking strategies of ticks largely determine the development stage at which they are likely to be collected during vegetation dragging and reflect a complex interaction between ticks, their hosts and the environment.

scholarly journals Change and Continuity in Vaping and Smoking by Young People: A Qualitative Case Study of a Friendship Group

2018 ◽  
Author(s):  
Neil McKeganey ◽  
Marina Barnard
Keyword(s):  
Young People ◽  
Electronic Cigarettes ◽  
Cigarette Use ◽  
Friendship Group ◽  
Quantitative And Qualitative Research ◽  
Short Period ◽  
Actual Use ◽  
Substantial Change

This paper explores as a case study the development of e-cigarette use and smoking within small friendship group (n=8) in Glasgow, Scotland. Interviewed twice at six months apart these 16/17 year olds reported substantial change in their use of and attitudes towards e-cigarettes and tobacco. At time 1 vaping generated much excitement and interest, with 6/8 having their own vape device. At time 2 only two young people still vaped, with the others no longer professing any interest in continued vaping. The two regular smokers, who had been smoking before they first vaped, now only vaped privately and to reduce their tobacco intake. This small case study illustrates plasticity in the use of electronic cigarettes; just as young people can initiate using these devices so too can they more away from their use- with such changes in actual use occurring within a relatively short period of time. These findings demonstrate more than anything else the volatility in young peoples’ substance use behaviour. If we are to better understand these behaviours we require both quantitative and qualitative research studies that are capable of both monitoring changes in individual and group behaviour over time but which are also able to elucidate the nuance of individual behaviour differentiating between long term, frequent, consistent use and more episodic, experimental and infrequent use by young people.

scholarly journals Observation of female-male mounting in the carrion crow

2020 ◽  
Author(s):  
Claudia A.F. Wascher ◽  
Friederike Hillemann
Keyword(s):  
Male Partner ◽  
Carrion Crow ◽  
Quantitative Studies ◽  
Sexual Behaviours ◽  
Corvus Corone ◽  
Term Pair

AbstractWe report an observation of a female carrion crow, Corvus corone corone, mounting her long-term, pair-bonded, male partner. The report highlights the importance of more systematic quantitative studies of rare socio-sexual behaviours, which could provide important insights into the evolution of non-conceptive socio-sexual behaviours.

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