Pattern of Morphological Anomalies of Uterus as Observed by Modern Investigation Techniques

Abstract Background: Due to the high prevalence and possible impact on the reproductive health of the of woman, congenital uterine malformation of female genital tract is a challenge for the therapeutic decision-making process. The current study aimed to evaluate the morphological anomalies of the uterus as observed by modern investigation techniques. Methods: This cross-sectional observational study was done in Prathima Institute of Medical Sciences, Nagnoor, Karimnagar, Telangana state. Women who were infertile and anxious to conceive and women were subjected to 2D ultrasound Screening followed by Hysterosalpingography. Those women who were fertile and found to have uterine anomalies and needed reconfirmation of the provisional diagnosis were subjected to Hysterosalpingography. Results: Out of n=300 cases studied n=288 (96%) were with normal uterine anatomy and n=12 (4%) cases were detected with uterine malformations as seen by USG. N=5 (40.5%) had a Bicornuate Uterus. While uterus didelphys and unicornuate uterus were seen in n=2 (16.67%) each. Arcuate uterus, uterine septum, uterine Aplasia/Hypoplasia were seen in n=1(8.33%) women each respectively. Conclusion: Due to the psychological consequences associated with infertility, the effects of uterine anomalies on the life of women are very important. It is critical to know the exact nature of the anomaly, to plan for the most appropriate treatment modality. As most of these anomalies cannot be rectified by medical management, they need surgical correction. For optimal results, it is important to know the exact type of anomaly for surgical correction. The 2D USG can be recommended as the basic modality to evaluate uterine anomalies. HSG/MRI may be used to delineate detail of anomalies if initially detected by the 2D scan.

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PSEUDO UNICORNUATE UTERUS: CLINICAL CASE AND LITERATURE REVIEW

International Journal of Advanced Research ◽

10.21474/ijar01/12745 ◽

2021 ◽

Vol 9 (4) ◽

pp. 649-652

Author(s):

Rana Watfeh ◽

◽

Rania Nejjar ◽

A. Ansari Chenguiti ◽

M. Yousfi ◽

...

Keyword(s):

Health Center ◽

Clinical Case ◽

Breech Presentation ◽

Primiparous Woman ◽

Developmental Arrest ◽

Unicornuate Uterus ◽

Uterine Malformation ◽

Uterine Anomalies ◽

Scarred Uterus ◽

H 30

The pseudo unicornuate uterus is a rare uterine malformation resulting from incomplete unilateral MÃ¼llerian aplasia and is estimated to occur in about 10-14% of all uterine anomalies. It is the consequence of a developmental arrest of one of Mullers ducts, which results in a normal hemi-uterus and a rudimentary horn with or without a cavity. We present a case that illustrates this pathology: This is Mrs. S. H, 30 years old, without any notable history, G2P2, G1: the first pregnancy was followed normally at the health center and the delivery took place by cesarian section for breech presentation in a primiparous woman at term, G2: The second pregnancy was followed up until 39 weeks of amenorrhea at the health center, admitted in early labor, obstetrical ultrasound revealed a single fetal pregnancy with breech presentation, the indication for extraction by the high route was indicated for breech presentation in a scarred uterus. On exploration we noted the presence of a right hemi-uterus in which the pregnancy had developed with a homolateral horn and adnexa, and a small rudimentary remnant on the left continuing with a tube.

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Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

BMC Women s Health ◽

10.1186/s12905-021-01404-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Iori Kisu ◽

Kanako Nakamura ◽

Tetsuro Shiraishi ◽

Tomoko Iijima ◽

Moito Iijima ◽

...

Keyword(s):

Quality Of Life ◽

Uterine Wall ◽

Septate Uterus ◽

Case Presentation ◽

Surgical Interventions ◽

Unicornuate Uterus ◽

Uterine Malformation ◽

Mullerian Anomaly ◽

Future Pregnancy

Abstract Background Robert’s uterus is a rare Mullerian anomaly, which can be described as an asymmetric, septate uterus with a non-communicating hemicavity. Herein, we present the case of a misdiagnosed Robert’s uterus, resulting in an invasive and disadvantageous surgery. Case presentation A 16-year-old woman was referred to our department because of dysmenorrhea and suspicion of uterine malformation. We misdiagnosed Robert’s uterus as a unicornuate uterus with a non-communicating rudimentary horn and hematometra, and performed laparoscopic hemi-hysterectomy. Although the patient’s symptoms were relieved, our surgical procedure left the lateral uterine wall weak, making the patient’s uterus susceptible to uterine rupture in any future pregnancy. Conclusions Although the early diagnosis of Robert’s uterus is challenging, it is important in order to determine appropriate surgical interventions and management for maintaining the quality of life and ensuring safety in future pregnancies.

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Divergent effects of social media use on meaning in life via loneliness and existential isolation during the coronavirus pandemic

Journal of Social and Personal Relationships ◽

10.1177/02654075211066922 ◽

2022 ◽

pp. 026540752110669

Author(s):

Peter J. Helm ◽

Tyler Jimenez ◽

Madhwa S. Galgali ◽

Megan E. Edwards ◽

Kenneth E. Vail ◽

...

Keyword(s):

United States ◽

Social Media ◽

Meaning In Life ◽

Media Use ◽

The United States ◽

Psychological Consequences ◽

Social Media Use ◽

Cross Sectional ◽

Media Usage ◽

Emotional Loneliness

Stay-at-home orders issued to combat the growing number of infections during the coronavirus pandemic in 2020 had many psychological consequences for people including elevated stress, anxiety, and difficulty maintaining meaning in their lives. The present studies utilized cross-sectional designs and were conducted to better understand how social media usage related to people’s subjective isolation (i.e., social loneliness, emotional loneliness, and existential isolation) and meaning in life (MIL) during the early months of the pandemic within the United States. Study 1 found that general social media use indirectly predicted higher MIL via lower existential isolation and social isolation. Study 2 replicated these patterns and found that social media use also predicted lower MIL via higher emotional loneliness, and that the aforementioned effects occurred with active, but not passive, social media use. Findings suggest social media use may be a viable means to validate one’s experiences (i.e., reduce existential isolation) during the pandemic but may also lead to intensified feelings concerning missing others (i.e., increased emotional loneliness). This research also helps to identify potential divergent effects of social media on MIL and helps to clarify the relationships among varying types of subjective isolation.

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Psychological Coping with Job Loss. Empirical Study to Contribute to the Development of Unemployed People

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081787 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1787 ◽

Cited By ~ 8

Author(s):

Yolanda Navarro-Abal ◽

José Climent-Rodríguez ◽

María López-López ◽

Juan Gómez-Salgado

Keyword(s):

Coping Strategies ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Psychological Consequences ◽

Cross Sectional ◽

Unemployed People ◽

Service Centre ◽

Public Employment Service ◽

Career Service ◽

And Coping

Having a job is an essential part of people’s development. Unemployment, on the contrary, is one of the most frustrating experiences of life with greater psychological consequences for people’s lives. In this sense, psychology has contributed to an increase in knowledge about the personal and social experience of unemployment. This article discusses indicators of anxiety and depression in unemployed people, modulating socio-demographic variables, and coping strategies involved in the higher and lower levels of anxiety and depression. For this, a sample of 244 unemployed people who are users of the Career Service Centre of the Andalusian Public Employment Service of the city of Huelva is used for a descriptive and analytical cross-sectional study. The results show that only 5.7% of the participants do not have depressive symptoms. With regards to anxiety levels, 41.3% of participants have no anxiety. Unemployed people with high anxiety and depression scores have developed maladaptive coping strategies such as substance use, self-blaming, or denial. It is necessary to assess the importance of the unemployment process and the incorporation of appropriate coping strategies that facilitate new integration in the labour market, such as planification, emotional or social support and self-distraction between others.

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Income Inequality Affects the Psychological Health of Only the People Facing Scarcity

Psychological Science ◽

10.1177/0956797618798620 ◽

2018 ◽

Vol 29 (12) ◽

pp. 1911-1921 ◽

Cited By ~ 6

Author(s):

Nicolas Sommet ◽

Davide Morselli ◽

Dario Spini

Keyword(s):

Income Inequality ◽

Low Income ◽

Psychological Health ◽

National Income ◽

World Values Survey ◽

Psychological Consequences ◽

Cross Sectional ◽

The People ◽

The World ◽

The Status

Following the status-anxiety hypothesis, the psychological consequences of income inequality should be particularly severe for economically vulnerable individuals. Oddly, however, income inequality is often found to affect vulnerable low-income and advantaged high-income groups equally. We argue that economic vulnerability is better captured by a financial-scarcity measure and hypothesize that income inequality primarily impairs the psychological health of people facing scarcity. First, repeated cross-sectional international data (from the World Values Survey: 146,034 participants; 105 country waves) revealed that the within-country effect of national income inequality on feelings of unhappiness was limited to individuals facing scarcity (≈25% of the World Values Survey population). Second, longitudinal national data (Swiss Household Panel: 14,790 participants; 15,595 municipality years) revealed that the within-life-course effect of local income inequality on psychological health problems was also limited to these individuals (< 10% of the Swiss population). Income inequality by itself may not be a problem for psychological health but, rather, may be a catalyst for the consequences of financial scarcity.

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Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population

Rational Pharmacotherapy in Cardiology ◽

10.20996/1819-6446-2018-14-4-552-557 ◽

2018 ◽

Vol 14 (4) ◽

pp. 552-557

Author(s):

V. S. Kaveshnikov ◽

V. N. Serebryakova ◽

I. A. Trubacheva ◽

S. A. Shalnova

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Carotid Atherosclerosis ◽

Population Level ◽

Educational Status ◽

Population Based ◽

High Density Lipoproteins ◽

Ultrasound Screening ◽

Cross Sectional ◽

Working Age

Material and methods. In the cross-sectional population-based study of general unorganized population of Tomsk aged 25-64 years ultrasound screening examination of the carotid arteries was done for detection of atherosclerotic plaques (plaque). As potential plaque determinants the following factors were studied: age, gender, smoking, low and high density lipoproteins (LDL-C and HDL-C), triglycerides, arterial hypertension, body mass index (BMI), low educational status (LES), high-sensitive C-reactive protein, glucose, diabetes mellitus, antihypertensive and hypolipidemic therapy. Study of relationships was carried out with logistic regression analysis. The error probability of less than 5% was considered statistically significant.Results. In the crude analysis most of the determinants under study showed statistically significant relationship with plaque presence. After adjustment for age and sex, LDL-C, smoking and LES were associated with CAS prevalence. In multivariable regression analysis 9 risk factors appeared to be independently associated with plaque presence, wherein age, male sex, LDL-C, BMI and HDL-C were the most significant. In the participants of 50 years and older the smoking effect was the next in significance after LDL-C.Conclusion. The results obtained focus attention on the comparative value of the major atherogenic risk factors and suggest that currently effective and timely control of LDL-C is of primary importance for prevention of carotid atherosclerosis in the general working-age population. As well the findings of the study evidence that at the population level smoking is still one of the leading atherogenic risk factors.

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Study of inter-relationship of depression, seizure frequency and quality of life of people with epilepsy in India

Mental Illness ◽

10.1108/mi.2014.5169 ◽

2014 ◽

Vol 6 (1) ◽

pp. 1-4

Author(s):

Shubham Mehta ◽

Alok Tyagi ◽

Richa Tripathi ◽

Mahesh Kumar

Keyword(s):

Quality Of Life ◽

Seizure Frequency ◽

Well Being ◽

Significant Negative Correlation ◽

Cross Sectional Study ◽

Psychological Consequences ◽

Clinical Predictors ◽

Cross Sectional ◽

Assess Quality

Epilepsy is a chronic neurological disorder that can have profound physical, social and psychological consequences. We aimed to assess the clinical predictors of quality of life of people with epilepsy. We recruited 31 patients suffering from epilepsy in this cross-sectional study. Their clinical profile was recorded. Quality Of Life in Epilepsy (QOLIE-31) was used to assess quality of life of our patients. Depression was screened by Neurological Disorders Depression Inventory in Epilepsy (NDDI-E). Among all the clinical variables, only seizure frequency significantly correlated with seizure worry (P=0.002), emotional well-being (P=0.026) and social functions (P=0.013) subscales of QOLIE-31. NDDIE score showed a significant negative correlation with all the subscales of QOLIE-31 except medication effects (P=0.993). A significant positive correlation was also noted between seizure frequency and NDDI-E score (r=0.417, P=0.020). Seizure frequency and depression are the most important predictors of quality of life in epilepsy patients. The management of patients with epilepsy should not only be aimed at just preventing seizures but the treating clinicians should also be cognizant about depression which itself can significantly affect the quality of life of patients.

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Back pain and depressive symptoms: A systematic review and meta-analysis

The International Journal of Psychiatry in Medicine ◽

10.1177/0091217420913001 ◽

2020 ◽

pp. 009121742091300 ◽

Cited By ~ 1

Author(s):

Sohrab Amiri ◽

Sepideh Behnezhad ◽

Esfandiar Azad

Keyword(s):

Back Pain ◽

Depressive Symptoms ◽

Confidence Interval ◽

Publication Bias ◽

Odds Ratio ◽

Meta Analysis ◽

Depression Symptoms ◽

Psychological Consequences ◽

Cross Sectional ◽

Effective Prevention

Background Low back pain is a common disorder that has many consequences. This study is an attempt to meta-analyze the risk of depression symptoms in back pain. Method Four databases were selected for review, and this search was conducted using key words. Eleven eligible articles were selected for review and meta-analysis was conducted. Subgroup analyses were continued with study design and the method of measuring depression. Also, the heterogeneity and publication bias were examined. Results Eleven cohort and cross-sectional articles are used in the meta-analysis between back pain and depressive symptoms. The odds ratio 2.07 was calculated for this relationship. In prospective-cohort studies, 1.71 (95% confidence interval = 1.24–2.36) results indicated that back pain is a risk factor for depression symptoms and in cross-sectional studies, pooled odds ratio (2.33; 95% confidence interval = 1.29–4.21) showed that back pain is associated with depression symptoms. Some degree of publication bias was not found in the study. Conclusions Back pain is an effective factor in increasing the likelihood of depression. Adoption of effective prevention and treatment approaches can play an important role in reducing the psychological consequences in these individuals.

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