scholarly journals Análise de achados histeroscópicos em mulheres com espessamento endometrial à ultrassonografia transvaginal em um hospital público em Minas Gerais: um estudo observacional / Analysis of hysteroscopic findings in women with endometrial thickness seen in transvaginal ultrasonography seen in a public hospital in Minas Gerais: an observational study

2021 ◽  
Vol 7 (10) ◽  
pp. 95366-95379
Author(s):  
Izabella Avelin Ribeiro ◽  
Ana Luiza Gonçalves Silva ◽  
Walter Antônio Prata Pace ◽  
Júlia Barroso Chiari ◽  
Lorena Ribeiro Padrão ◽  
...  
Keyword(s):  
Observational Study ◽  
Public Hospital ◽  
Endometrial Thickness ◽  
Minas Gerais ◽  
Transvaginal Ultrasonography

scholarly journals Use of portable air cleaners to reduce aerosol transmission on a hospital COVID-19 ward

2021 ◽  
Author(s):  
Kirsty Lee Buising ◽  
Robyn Schofield ◽  
Louis Irving ◽  
Melita Keywood ◽  
Ashley Stevens ◽  
...  
Keyword(s):  
Observational Study ◽  
Public Hospital ◽  
Respiratory Viruses ◽  
Hospital Ward ◽  
Single Patient ◽  
Patient Room ◽  
Air Cleaners ◽  
The Impact ◽  
Study Setting ◽  
Over Time

Objective To study the airflow, transmission and clearance of aerosols in the clinical spaces of a hospital ward that had been used to care for patients with COVID-19, and to examine the impact of portable air cleaners on aerosol clearance. Design Observational study Setting A single ward of a tertiary public hospital in Melbourne Australia Intervention Glycerine-based aerosol was used as a surrogate for respiratory aerosols. The transmission of aerosols from a single patient room into corridors and a nurses station in the ward was measured. The rate of clearance of aerosols was measured over time from the patient room, nurses station and ward corridors with and without air cleaners (also called portable HEPA filters). Results Aerosols rapidly travelled from the single patient room into other parts of the ward. Air cleaners were effective in increasing the clearance of aerosols from the air in clinical spaces and reducing their spread to other areas. Conclusion Air cleaners may be useful in clinical spaces to help reduce the risk of healthcare acquired acquisition of respiratory viruses that are transmitted via aerosols.

scholarly journals Analysis of endometrial thickness measured by transvaginal ultrasonography in obese patients

2014 ◽  
Vol 12 (2) ◽  
pp. 164-167 ◽  
Author(s):  
Isabela Corrêa Barboza ◽  
Daniella de Batista Depes ◽  
Ilzo Vianna Júnior ◽  
Marisa Teresinha Patriarca ◽  
Raquel Martins Arruda ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Endometrial Thickness ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
The Body ◽  
Transvaginal Ultrasonography ◽  
Obese Patients ◽  
Cross Sectional ◽  
Endometrial Thickening

Objective To compare the endometrial echo values obtained by transvaginal ultrasonography with the body mass index of postmenopausal patients; to verify if there is higher prevalence of endometrial thickening in women with body mass index ≥30.Methods This is an analytical and cross-sectional study that evaluated 294 patients. Postmenopausal women were included, and those on hormone therapy were excluded. The variables evaluated were body mass index (considering obesity if >30), number of pregnancies, years since menopause, and age. These variables were correlated with endometrial echography.Results There was a statistically significant correlation between overweight and obese patients and increased endometrial thickness (p=0.0236). The correlation between age and endometrial echo was negative and statistically significant, that is, the older the woman, the lower the endometrial thickness (p=0.0478). Pregnancies and years since menopause showed no statistical significance in relation to endometrial echo, with p=0.0614 and p=0.115, respectively.Conclusion There was positive and significant correlation between body mass index ≥30 and endometrial thickeness.

Headache triggered by sleep deprivation: an observational study

2020 ◽  
pp. 44-47
Author(s):  
Matheus Saraiva Valente Rosado ◽  
Raimundo Silva-Néto
Keyword(s):  
Observational Study ◽  
Sleep Deprivation ◽  
Public Hospital ◽  
Tension Type Headache ◽  
Night Work ◽  
Primary Headaches ◽  
Cross Sectional ◽  
Type Headache ◽  
Night Shifts ◽  
At Home

IntroductionSleep deprivation is one of the main triggers of primary headaches, especially in migraine patients.ObjectiveTo determine the prevalence of headache triggered by sleep deprivation in night workers.MethodsThe study was cross-sectional, observational, non-random and convenience. We interviewed 71 night workers of a public hospital with diagnosis of primary headaches and presence of headache the day after night shift.ResultsThe 71 night workers (50 women and 21 men) had a mean age of 36.7±7.7 years, ranging from 22 to 50 years. Of these workers, 83.2% were diagnosed with migraine and 16.9% with tension-type headache (TTH). The number of monthly night shifts was greater than 10, in 50.8% of migraine patients and in 58.3% of those with TTH. It was observed that 91.5% of migraine patients and 83.3% of patients with TTH slept ≥ 6 hours a night when they were at home, but when they were at work, they all slept ≤ 4 hours a night. Headache occurred the following day of night work in 83.1% of migraine patients and in 41.7% of those with TTH (p=0.005).ConclusionHeadache triggered by sleep deprivation was highly prevalent, predominating in migraine patients.

scholarly journals Newborns' temperature submitted to radiant heat and to the Top Maternal device at birth

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Rosemeire Sartori de Albuquerque ◽  
Corintio Mariani Neto ◽  
Ana Aparecida Sanches Bersusa ◽  
Vanessa Macedo Dias ◽  
Maria Izabel Mota da Silva
Keyword(s):  
Observational Study ◽  
Public Hospital ◽  
Radiant Heat ◽  
Case Control ◽  
Place Of Birth ◽  
Normal Delivery ◽  
Contact Group ◽  
Skin Contact ◽  
New Knowledge ◽  
Skin To Skin

ABSTRACT Objective: to compare the axillar temperatures of newborns that are put immediately after birth in skin-to-skin contact under the Top Maternal device, as compared to those in a radiant heat crib. Methods: comparatives observational study of the case-control type about temperature of 60 babies born at the Obstetric Center and Normal Delivery Center of a public hospital of the municipality of Sao Paulo, being them: 29 receiving assistance in heated crib and 31 in skin-to skin contact, shielded by a cotton tissue placed on mother's thorax, called Top Maternal. Results: the temperature of the babies of the skin-to-skin contact group presented higher values in a larger share of the time measures verified, as compared to those that were placed in radiant heat crib, independently from the place of birth. Differences between the two groups were not statistically significant. Conclusion: the study contributes to generate new knowledge, supporting the idea of keeping babies with their mothers immediately after birth protected with the Maternal Top, without harming their wellbeing, as it keeps the axillar temperature in recommendable levels.

scholarly journals Evaluation of endometrial thickness with transvaginal ultrasonography in perimenopausal women presenting with abnormal uterine bleeding and correlation with its histopathological findings

2019 ◽  
Vol 8 (11) ◽  
pp. 4496
Author(s):  
Noor Ayesha Begum ◽  
Lokesh Chandra H. C. ◽  
Ravindra S. Pukale
Keyword(s):  
Endometrial Thickness ◽  
Uterine Cavity ◽  
Invasive Procedure ◽  
Abnormal Uterine Bleeding ◽  
Endometrial Biopsy ◽  
Uterine Bleeding ◽  
Transvaginal Ultrasonography ◽  
Common Finding ◽  
Histopathological Findings ◽  
Perimenopausal Women

Background: Abnormal uterine bleeding is the most common presenting menstrual complaint in women of perimenopausal age group. Most frequently used diagnostics tests to investigate the causes of abnormal bleeding are Transvaginal ultrasonography (TVS) and endometrial biopsy. Uterine curettage is an invasive procedure and is performed with anaesthesia. TVS is a non-invasive method that has been used to evaluate the endometrium and uterine cavity. The objectives of this study were to measure and evaluate the role and accuracy of endometrial thickness by transvaginal ultrasonography study to detect endometrial pathology in perimenopausal women presenting with Abnormal Uterine Bleeding. To correlate the transvaginal sonographic results with the Histopathological findings to discriminate normal from pathological endometrium.Methods: Prospective study including 150 perimenopausal women with abnormal uterine bleeding. Endometrial thickness was measured by TVS and then D and C was performed for all the patients.Results: Out of 150 women, 128 (85.3%) had normal and 22 (15%) had an abnormal endometrium. 43.3% were of 41-45 years and 65.3% patients presented with complaint of heavy menstrual bleeding. Majority of the patients in the study group were para 2 or more. Fibroid uterus (24%) was the commonest uterine pathology detected on TVS. 53.3% of patients had endometrial thickness in the range 10-14.9 mm. Most common finding on HPE was secretory endometrium (44.6%). Endometrial carcinoma was found in 3%. Endometrial thickness <14mm was associated with least abnormal endometrial pathology.Conclusions: Endometrial thickness of less than 14 mm need not be indicated for D and C in perimenopausal abnormal uterine bleeding. In perimenopausal women with AUB, TVS should be the investigation of choice due to its convenience, accuracy and non- invasiveness.

scholarly journals Endometrial assessment by transvaginal ultrasonography and correlation with histopathology among post menopausal women

2020 ◽  
Vol 10 (1) ◽  
pp. 1613-1617
Author(s):  
Hari Kishor Shrestha ◽  
Ram Chandra Adhikari ◽  
Khadga Bahadur Shrestha
Keyword(s):  
Positive Predictive Value ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Endometrial Thickness ◽  
Transvaginal Ultrasonography ◽  
Menopausal Women ◽  
History Of ◽  
Post Menopausal ◽  
Sensitivity Specificity ◽  
Age Range

Background: Transvaginal ultrasonography has increased the reliability of imaging diagnosis of women with endometrial pathologies and this technique has become widely used to evaluate endometrial thickness in women with postmenopausal bleeding. Materials and methods: 359 women presenting with history of at least three months amenorrhea were undergone transvaginal ultrasonography with measurement of endometrial thickness and uterine size. Endometrial biopsies were taken in 69 cases (19.2%) only. Results: The median age of patients was 53 years with the age range of 42 years to 81 years. Abdominal pain was the commonest symptoms followed by backache. 3/69 cases with histopathological diagnoses had normal sized uterus, while 66 cases had bulky (>6.0 cm) uterus. 58/69 cases showed > 5 mm thick endometrium and the endometrium was abnormal in 31/69 cases. The sensitivity, specificity, positive predictive value and negative predictive value of transvaginal ultrasonography to detect abnormal endometrium were 91.2%, 22.9%, 53.4% and 72.7% respectively. The sensitivity, specificity, positive predictive value and negative predictive value of transvaginal ultrasonography to detect endometrial hyperplasia and carcinoma were 100%, 17.5%, 10.3% and 100% respectively. Conclusions: Transvaginal sonographic evaluation of endometrial thickness and uterine size is useful for exclusion of endometrial pathology and to avoid unnecessary invasive surgical procedures.

scholarly journals Does Transvaginal Ultrasonography Have Good Diagnostic Value in Endometrial Pathology?

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Moradan S ◽  
Ghorbani R ◽  
Far M
Keyword(s):  
Endometrial Thickness ◽  
Diagnostic Value ◽  
Endometrial Biopsy ◽  
Uterine Bleeding ◽  
Transvaginal Ultrasonography ◽  
Predictive Values ◽  
Menopausal Women ◽  
Post Menopausal ◽  
Abnormal Pathology ◽  
Endometrial Pathology

Introduction: Endometrial biopsy is usually considered unnecessary in post-menopausal uterine bleeding when the endometrial thickness (ET) is less than 5 mm because the risk of endometrial hyperplasia or cancer is low. However, there is still much controversy from this as some believe that the diagnostic value of ET in diagnosis of endometrial pathology (EP) in postmenopausal bleeding is necessary. In this study, the diagnostic value of ET for diagnosis of EP in post-menopausal bleeding was evaluated. Materials and methods: Sixty post-menopausal women with uterine bleeding were evaluated. Transvaginal ultrasonography (TVS) was used for measurement of ET followed by dilatation and curettage in a one-day interval. According to the EP, patients were divided in two groups, normal and abnormal. Endometrial atrophy was considered as normal and hyperplasia, polyps and carcinoma was considered as abnormal. Results: Twenty nine cases had ET more than 6 mm, among them, 25 cases had abnormal pathology (hyperplasia, polyp, cancer) and 4 cases were normal (atrophy). Thirty-one patients had ET equal or less than 6mm, among them, 26 cases were normal (atrophy) and 5 cases had abnormal pathology. The sensitivity, specifi ty, positive and negative predictive values of TVS in the diagnosis of uterine pathology were 83.3%, 86.7%, 86.2%, 83.9% respectively. Conclusion: We suggest that an ET of less than 6 mm in TVS is unlikely to indicate EP in post-menopausal women with uterine bleeding.

scholarly journals Frequency of Common Histopathological Findings among Patients Having Endometrial Thickness ≥5mm

2021 ◽  
Vol 15 (9) ◽  
pp. 2236-2238
Author(s):  
Sadia Sharif ◽  
Ayesha Sajjad ◽  
Amna Kazi ◽  
Ayesha Masood ◽  
Nazish Javaid
Keyword(s):  
Body Mass Index ◽  
Endometrial Carcinoma ◽  
Body Mass ◽  
Rural Areas ◽  
Endometrial Thickness ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Transvaginal Ultrasonography ◽  
Cross Sectional ◽  
Histopathological Findings

Aim: To determine the frequency of common histopathological findings among patients having endometrial thickness >5mm and having atypical bleeding of uterus. Study design: Descriptive and cross sectional study Study settings: Department of Obstetrics & Gynaecology, Kishwer Fazal Teaching Hospital, Sheikhupura from 1st October 2020 to 31st March 2021. Methodology: One hundred and twenty patients were enrolled. Patients were aged between 45 to 60 years. Patient’s detailed demographics including age, parity, socioeconomic grade and body mass index were recorded post written informed consentreceival. Patients having endometrial thickness >5mm with abnormal uterine bleeding were included in this study.All the patients were undergone for transvaginal ultrasonography (TVS). Outcomes were histopathological findings observed. Results: The patients mean age was found to be 51.16±4.88 years with mean body mass index 27.24±4.63 kg/m2. Thirty five (29.2%) patients had parity I and 85 (70.8%) patients had parity II. Forty two (35%) patients had high socioeconomic status and 78(65%) were from low socio economic status. Majority of the patients 80(66.7%) were from rural areas. Secretory and proliferative were the most common histopathological findings found in (45.83% and 26.7%) patients. Frequency of endometrial carcinoma was found among 97(80.8%) cases. Conclusion: The most common histopathological findings were secretory and proliferative and frequency of endometrial carcinoma was too high. Endometrial anomalies can be excluded by transvaginal ultrasonography and is strongly useful in the evaluation of abnormal bleeding from the uterine. Keywords: Endometrial, Transvaginal ultrasonography, Uterine bleeding

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