Comparative Study of the Antioxidant Activity of the Plasma of Healthy Subjects and those with Uterine Myomas by Scavenging the ABTS Radical+

Introduction: The oxidative stress and the deterioration of the antioxidant system demonstrated by the dosage of antioxidant enzymes and the by-products of lipid peroxidation are involved in the occurrence of uterine myomas. Objectives: To measure the antioxidant activity of the plasma of patients with uterine myoma and that of the plasma of their age-matched controls by trapping the free radical ABTS+. The study aims to confirm by another assessment technique. Results: The anti-free radical activities of the plasmas of patients with myomas and those of their respective controls vary from 1.3 to 6%. In addition, two cases were observed: either the anti-radical activity of the control subjects turned out to be slightly higher than that of the patients; or the anti-free radical activity of patients with uterine myomas was slightly stronger than those of their controls. In addition, our results showed that the anti-free radical activity of patients aged over 40 years is slightly higher than that of patients aged less than or equal to 40 years. Finally, the anti-free radical activity decreases with an increase in BMI and increases with the number of gestities and parity. Conclusion: Assessment of the total antioxidant capacity of blood by trapping the ABTS+ radical can be used to assess, at a certain threshold, the oxidative stress involved in the development of uterine myoma. This method can also be used to assess the effect of age, BMI, pregnancy and parity on the occurrence of myomas.

A Fictitious Replicated Display about the Effect of Physiotherapy and Health Education Programs on the Surgical Repair of Vesico-Vaginal Fistula

Objectives: Surgery is the only effective therapy for the majority of Vesico-Vaginal (V-V) fistulae. The current research assessed the effect of a planned program of pre- and postoperative physiotherapy and health education on the outcome of V-V fistula surgery. Methods: We examined the postoperative outcomes of two groups of women with V-V fistulae recruited and followed up on by two local nonprofit organizations at a hospital in Saudi Arabia on April-October 2021. The first group of women (n = 99) underwent fistula repair using conventional procedures. The second group (n = 112) had a standardized surgical technique as well as a systematic pre- and postoperative health education and physiotherapy regimen. Results: The training had a strong favorable influence on overall recovery and urine incontinence in particular. The chances of recovery after physiotherapy were 2.7 times higher for women in the physiotherapy group than for control patients, and the likelihood of postoperative stress incontinence was significantly higher for patients in the control group than for those in the physiotherapy group (P value 0.001). Conclusion: A planned program of health education and physiotherapy provided by skilled nurses and physiotherapists increases the chance of a satisfactory result after V-V fistula repair surgery.

Giant Fibrothecoma of the Ovary in a Young Patient a Case Report

Fibrothecomas are benign ovarian stromal tumors, they are rare tumors of gonadal stromal cell origin that represent 3-4% of all ovarian tumors. It commonly occurs in post-menopausal women. The clinical presentation is often nonspecific, whereas patients more frequently present with a pelvic mass, metrorrhagia, and pelvic pain. We present a 35-year-old patient, nulli-pregnant, with no personal or family pathological history, who attended a medical consultation for presenting progressive abdominal distention of 6 months of evolution in addition to abdominal pain in the last 2 months type colic which increased during her menstrual periods concomitantly alteration in your defecatory habits. Abdominal ultrasound was performed, finding a solid intrapelvic mass of approximately 14x10x10 cm in diameter of probable left ovarian origin, free fluid in the Douglas space, compression and displacement of intestinal loops and bladder. The patient underwent surgery and an exploratory laparotomy was performed, finding a pelvic tumor adhered to the tube and left ovary, in addition to ascites fluid in the abdominal cavity, complete resection of the tumor, ovary and left salpingue was performed.

Phenomenological Study of the Role of Sentani Women in the Family in Jayapura Regency in 2021

This research is motivated by the role of women in the household environment, so this role is considered an obligation that must be done hereditary by women. It can be described that the role of women in life ranging from pregnancy, childbirth and breastfeeding children, maintaining the survival of children to adulthood is a nature that must be lived by a woman. This study examined the role of Papuan women in the Sentani tribe as a family booster and health resilience for the community from the cultural point of view of the Sentani tribe, Papua. This research uses qualitative research methods of phenomenology in May - October 2021. The data collection was conducted with interviews with 14 informants consisting of tribal chiefs, community leaders, fathers, mothers and young women sentani. The results showed sentani women began their role in the household by preparing all the needs of family members as an early education for young women about their obligations as women. Mothers have an important responsibility to keep young women in a pattern of association and behave with boys. Sentani women have a dual role, in addition to shouldering the responsibility of being a mother who gives birth and prepares all the needs of children and her husband, they also play a role to prepare foodstuffs such as gardening or looking for fish in the lake. This role is always attached and passed down to their daughters.

Value of Nuchal Translucency in Detection of Chromosomal Aberration in Vietnam Population

Objective: To examine the sensitivity and specificity of different thresholds of nuchal translucency in diagnosis of chromosomal defects. Study Design: This is a longitudinal study of pregnant women have first trimester screening and ultrasound in center of diagnostic antenatal of national hospital of obstetrics and gynecology. A follow-up was made to identify, in all singleton pregnancies in both group of which fetal karyotyping was made and group of normal fetuses. The threshold for nuchal translucency was divided in to above the 95th percentile, the 99th percentile, the 3.0mm and 2.5 MoM of nuchal translucency. The sensitivity and specificity ware calculated in order to diagnosis the chromosomal abbreviation. Results: The research identified 2645 fetuses, 743 amniocentesis (28%). There is 32.4% fetus has NT ≥ the 95th percentile, 28.6% ≥ 2.5mm percentile, 22.3% ≥ 3.0mm, 16.6% above 2.5 MoM. The fetal karyotype was abnormal in 157 (5.8%) pregnancies. The popular conditions were found including trisomy 21(52.2%). Then structural rearrangements occupied 31.2%. Other chromosomes like 13,18,21 occupied 12.7%. The abnormal of sex chromosome was smallest proportion with only 3.8%. At the 95th percentile of nuchal translucency has the highest sensitivity in detection of chromosomal defects (99.4%) but the threshold 2.5mm has a better detection rate (20.4%). The cut off 3.0mm has a better positive prediction rate (22.3%) but could detect less defects (only 132/157 abbreviation). The threshold 2.5xMoM had the highest specificity (86.4%) but lowest sensitivity (only 65%). Conclusion: In fetuses with increased nuchal translucency, more than a half of the chromosomally abnormal group is affected by defects other than trisomy 21 (52.2%). Using threshold 2.5mm helps detect more 23 chromosomal defects in comparison with the threshold 3.0mm and it had the highest average of sensitivity and specificity (87.25%).

To Find out the Value of Hypermobility in Down’s Syndrome

Background: Down syndrome, the result of trisomy of chromosome 21, is one of the most common chromosomal abnormalities. Patients have a characteristic 8 facial appearance, variable levels of intelligence and self-care skills, and a variety of associated medical conditions. Orthopaedic manifestations occur frequently; most are related to hypotonia, joint hypermobility, and ligamentous laxity. Objective: Aim of the study is to find out the value of hyper mobility in down’s syndrome. Methodology: 30 Subjects including in my study ,study duration is 4 weeks, study setting is Maithree Special School, NIEPMD, REC Centre SRM Hospital. Outcome Measures: Beighton Scale, Goniometre Results: This beighton scale consists of goniometer measurement of thumb, metacarcophalangeal joints ,elbow joint , knee joints,trunk flexion .total point (9) point.50%of sample was scored 9 point.10%of sample was scored 8 point.7%of sample was s cored 7 points.35%of sample was scored 6 points. Conclusion: This study concluded that Down’s Syndrome children has hypermobility which needs to be investigated early and treated for better quality of life.