The Relationship of Antral Follicle Count (AFC) with Levels of Estradiol Serum and Mature Ovarian Follicles in Women Undergoing the IVF Program at the Graha Amerta Fertility Clinic of General Hospital of Dr. Soetomo in the Period 2018

1970 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Michael Hostiadi ◽  
Alif Mardijana ◽  
Edi Nurtjahja

Asthma is a chronic inflamation of respiratory tract which cause bronchial hypereactivity to some triggers with dispneu as the main symptomp. Stress and emotional disturbance like anxiety can be the trigger of asthma attack. This research is to find out the relationship between anxiety level and the frequency of dispneu in asthma bronchial patients at SMF Pulmo, dr. Soebandi General Hospital, Jember. This research used a cross sectional observational analytical method and HARS questionare. Based on our observation to 30 patients, Chi square analytical test showed 0,000 significancy level with p < 0,05. It means that there is a relationship of anxiety levels with the frequency of dispneu in asthma bronchial patients at SMF Pulmo, dr.Soebandi General Hospital, Jember. Keywords: anxiety, dispneu, asthma bronchial


2017 ◽  
Vol 14 (Suppl. 1) ◽  
pp. 1307-1311
Author(s):  
Fernanda Zandonadi Machado ◽  
Larissa Zamparone Bergamo ◽  
Camila Bizarro-Silva ◽  
Fábio Morotti ◽  
Katia Cristina Silva-Santos ◽  
...  

2020 ◽  
Vol 9 (12) ◽  
pp. 4076
Author(s):  
Stefano Cosma ◽  
Andrea Roberto Carosso ◽  
Martina Moretto ◽  
Fulvio Borella ◽  
Domenico Ferraioli ◽  
...  

Background: The assessment of ovarian reserve in the case of endometrioma is of pivotal importance for planning a tailored management. However, both the antral follicle count (AFC) and the antimüllerian hormone (AMH) dosage are subject to a fair degree of variability in ovarian endometriosis. This study aimed to identify a sonographic parameter of ovarian reserve that could implement current available markers in patients with unilateral endometrioma. Methods: Patients with unilateral endometrioma admitted to our Endometriosis Center between March 2018 and April 2019 were enrolled. Transvaginal ultrasonography for the evaluation of eight sonographic indicators and AMH level determination were performed. The relationship between AMH level and each indicator was assessed. Results: Thirty-four women were included. There was a positive significant correlation between AMH level and the healthy ovary AFC (HO-AFC) (r = 0.36 p = 0.034). A stronger, negative correlation between AMH level and the ratio between the volume of the affected and the healthy ovary (affected ovary relative volume, AORV) (r = −0.47; p = 0.005) was evidenced. AORV had a satisfactory accuracy (AUC 0.73; CI 0.61–0.90; p = 0.0008), and the cut-off value of 5.96 had the best balance of sensitivity/specificity in distinguishing between patients with a good ovarian reserve (AMH ≥ 2 ng/mL) and those at risk of ovarian reserve depletion after excisional surgery. Conclusion: AORV may be a useful tool to assess ovarian reserve in patients with unilateral endometrioma without previous surgery and to guide physicians in clinical management.


2021 ◽  
Vol 24 (5-esp.) ◽  
pp. 455-461
Author(s):  
Maria Eduarda Scheel Bomtempo ◽  
Marcela Bortoletto Cerezetti ◽  
Fábio Lucas Zito de Moraes ◽  
Renan Carlos Vicentin de Campos Silva ◽  
Elis Lorenzetti ◽  
...  

Melhorar o desempenho reprodutivo é importante para aumentar a lucratividade das propriedades. Assim, nós avaliamos a contagem de folículos antrais (CFA), o escore de condição corporal (ECC), o peso vivo e o comportamento animal sobre à taxa de concepção de vacas Brahman submetidas à inseminação artificial em tempo-fixo (IATF). Vacas (n=122) receberam um protocolo convencional de IATF de três manejos (D0, 8 e 10) a base de estrógeno e progesterona, além do monitoramento da expressão de estro antes da inseminação. O ECC e o comportamento animal foram avaliados em todos os dias do protocolo, o peso foi mensurado no D0 e no diagnóstico de gestação (D40) e a CFA no D0. Para análise, estabeleceu-se os grupos de CFA (baixa, intermediária e alta), do comportamento (calma, inquieta e agitada), do peso (ganhando, mantendo e perdendo) e do ECC (ganhando, mantendo e perdendo). A taxa de concepção geral foi de 50%, e não esteve associada (p>0,05) a classificação da CFA (baixa/52,6%, intermediária/50,9% e alta/45,4%), do peso (ganhando/43,0%, mantendo/54,7% e perdendo/47,1%), do ECC (ganhando/44,0%, mantendo/54,3% e perdendo/37,5%) e do comportamento (calma/43,0%, inquieta/54,7% e agitada/47,1%). No entanto, a baixa CFA apresentou maior (p=0,05) proporção de animais com alta intensidade de estro (94,7%) e foi observado maior escore de reatividade (p=0,001) no primeiro dia de manejo da IATF em relação aos outros dias. Vacas com baixa CFA resultaram em maior proporção de expressão de estro e o primeiro dia de manejo da IATF determinou uma maior reatividade animal em relação aos outros dias do protocolo.   Palavras-chave: Condição Corporal. Inseminação Artificial. Performance Reprodutiva. Peso Vivo.    Abstract Improving reproductive performance is important to increase farm profitability. The  relationship of antral follicle count (AFC), body condition score (BCS), weight, and animal behavior on the conception rate in cows submitted to timed artificial insemination (TAI). Cows (n=122) received a conventional TAI protocol of three managements (D0, 8, and 10) based on estrogen and progesterone, in addition to monitoring estrus expression before insemination. The BCS and behavior score were assessed every day of the TAI protocol. Weight was measured at D0 and in the pregnancy diagnosis (D40), and AFC was determined at D0. For analysis, the groups were established according to AFC (low, intermediate, and high), behavior animal (calm, restless, and agitated), weight variation (gaining, maintaining, and losing), and BCS variation (gaining, maintaining, and losing). The overall conception rate was 50%, and it was not associated with (P>0.05) the AFC classification (low/52.6%, intermediate/50.9%, and high/45.4%), weight variations (gaining/43.0%, maintaining/54.7%, and losing/47.1%), BCS variations (gaining/44.0%, maintaining/54.3%, and losing/37.5%) and animal behavior (calm/43.0%, restless/54.7%, and agitated/47.1%). However, the low AFC showed a higher (P=0.05) proportion of animals with high intensity of estrus expression (94.7%). In addition, a higher score for animal reactivity (P=0.001) was noted on the first day of the management of TAI protocol than to the other days of the hormonal protocol. The low AFC resulted in a higher proportion of cows with high estrus expression and the management practices for TAI determined a greater animals reactivity at the beginning of the breeding program.   Keywords: Body Condition. Artificial Insemination. Reproductive Performance. Live Weight.


2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Annisa Oktaria Shalihat ◽  
Novialdi Novialdi ◽  
Lili Irawati

Abstrak Tonsilitis kronis adalah infeksi berulang yang paling sering terjadi pada tenggorok terutama pada usia anak anak dan remaja. Ukuran tonsil dan adenoid cenderung kecil pada usia <7 tahun, bertambah besar pada usia 7-15 tahun dan cenderung mengecil pada usia tua. Tujuan penelitian ini adalah menentukan hubungan umur, jenis kelamin dan perlakuan penatalaksanaan dengan ukuran tonsil pada penderita tonsilitis kronis di bagian THT-KL RSUP DR. M. Djamil Padang tahun 2013. Penelitian bersifat analitik dengan menggunakan teknik non probability sampling yaknipurposive sampling sehingga didapatkan 149 penderita tonsilitis kronis dari data  rekam medis RSUP Dr. M. Djamil Padang tahun 2013. Data yang diperoleh diolah secara komputerisasi. Hasil penelitian ini didapatkan distribusi frekuensi penderita tonsilitis kronis terbanyak berdasarkan umur pada kelompok umur 11-20 tahun 70 penderita (47,0%), jenis kelamin perempuan 84 penderita (56,4%), ukuran tonsil T3-T3 82 penderita (55%) dan penatalaksanaan operatif 93 penderita (62,4%). Ada hubungan yang bermakna antara umur dengan ukuran tonsil (p=0,000), tidak adahubungan yang bermakna antara jenis kelamin dengan ukuran tonsil (p=0,806) dan ada hubungan yang bermakna antara perlakuan penatalaksanaan dengan ukuran tonsil (p=0,010) pada penderita tonsilitis kronis di bagian THT-KL RSUP DR. M. Djamil Padang tahun 2013.Kata kunci: tonsilitis kronis, ukuran tonsil, tatalaksana Abstract Chronic tonsillitis is recurrent infections in the throat, especially in the age of children and adolescents. The size of the tonsils and adenoids tend to be small at age <7 years, large increases in the age of 7-15 years and tends to shrink in old age. The objective of this study was to determine the relationship of age, gender and management treatment with tonsil size in patients with chronic tonsillitis in departement of ENT-HN at the DR. M. Djamil Padang General Hospital in 2013. Analytic research using non probability sampling technique that is purposive sampling to obtain 149 patients with chronic tonsillitis from data taken in the medical records department of DR. M. Djamil Padang General Hospital in 2013. Data were processed with computer. Results of this study showed that the distribution of most patients with chronic tonsillitis based on age in the age group 11-20 years 70 patients (47.0%), female gender 84 patients (56.4%), tonsil size T3-T3 82 patients (55%) and operative management of 93 patients (62.4%), There is significant relationship between age with tonsil size (p = 0.000), there is no significant relationship between gender withtonsil size (p = 0.806) and there is significant relationship between management treatment with tonsil size (p = 0.010) in patients with chronic tonsillitis in departement of ENT-HN at the DR. M. Djamil Padang General Hospital in 2013. Keywords:  chronic tonsillitis, tonsil size, treatment


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