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Littérature scientifique sur le sujet « Gynecology – Egypt »
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Articles de revues sur le sujet "Gynecology – Egypt"
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Gharib, Mahmoud Ahmed, Mahmoud Hussein El-Shoeiby, Nagy Mohammed Metwally et Yostina Maher Rashid. « Epidemiology of ovarian cancer in Assiut Governorate, Egypt ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no 11 (25 octobre 2018) : 4575. http://dx.doi.org/10.18203/2320-1770.ijrcog20184510.
Texte intégralRésumé :
Background: The aim of this study is to assess ovarian cancer epidemiology and detect its prognostic factors in Assuit, Egypt.Methods: This retrospective study was performed between January 2010 and December 2015, on all cases attending to Obstetrics and Gynecology Outpatient Clinic in all central hospitals in Assiut. 378 females (≥40 years old) came to Obstetrics and Gynecology Outpatient Clinic from January 2010 to December 2015. Inclusion criteria: All females (≥40 years old), history of current acute or chronic pelvic pain, mass; fixed, hard consistency, history of previous similar condition.Results: Mean age for whole ovarian cancer cases in this study was 56.44±10.08 (range, 40-85). Nulliparity was found in one case (0.3%), while multiparity was found in 252 cases (66.7%). Grand multiparity was found in 113 cases (29.9%). Twelve cases (3.2%) were virgin. Vaginal ultrasound can find all ovarian cancer cases. Regarding the serum levels of the tumor biomarker, CA-125, the average level of CA-125 is 300-1000 U/ml with 34.9% of cases had readings below to 300-1000 U/ml and 6.1% of cases had readings above to this average level. Regarding treatment, treatment combining surgery with chemotherapy was the main line of management in present study (46.3%). About 33.3% of cases underwent surgery, while only 18.3% took the chance of chemotherapy. Eight cases (2.1%) had no treatment.Conclusions: Epithelial ovarian cancer is a lethal disease. The age incidence of ovarian cancer in present patients is ten years younger than what is re¬ported in US SEER data and other Western countries. CA-125 level and ultrasonography are increasing the rate of suspicious for diagnosis of malignant tumors.
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Saleh, S., W. F. Saleh, H. I. Abdelmoty, A. N. Raslan, U. M. Fouda, M. N. Mohesen et M. A. Youssef. « Reproductive Health and HIV Awareness among Newly Married Egyptian Couples Without Formal Education ». Klinička psihologija 9, no 1 (13 juin 2016) : 102. http://dx.doi.org/10.21465/2016-kp-op-0070.
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Objective: To assess awareness of several reproductive health and HIV issues and to determine the sources of reproductive health knowledge. Design and Method: A cross-sectional survey of 150 randomly recruited, newly married couples without formal education attending gynecology or andrology outpatient clinics in Cairo, Egypt, was conducted from January 2012 to January 2013. Participants were interviewed separately and asked to respond to a semistructured questionnaire on reproductive health and HIV awareness. Results: Most participants had not received premarital counseling or undergone premarital testing. Awareness about HIV was relatively high: 117 (78.0%) women and 128 (85.3%) men had heard of HIV and had some awareness of the modes of HIV transmission. Only 24 (16.0%) women had ever used a condom compared with 36 (24.0%) men. Only two men out of the 150 couples questioned were aware of the free HIV hotline. Television and friends were the main sources of reproductive health knowledge. Conclusions: Routine premarital counseling and testing by reproductive health, gynecology, and andrology specialists need to be enforced. Mass media is an essential source of knowledge about HIV and reproductive health. Premarital, reproductive health, and HIV education programs need to be improved.
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Shabana, Ayman, Hesham Salah, Mohamed Kandil, Emad Soliman et Dalia Morsi. « Termination of mid-trimester pregnancies : misoprostol versus concurrent weighted Foley catheter and misoprostol ». F1000Research 1 (28 novembre 2012) : 36. http://dx.doi.org/10.12688/f1000research.1-36.v2.
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Objective: To investigate whether the use of a weighted trans-cervical fluid-filled Foley’s catheter would improve the effectiveness of 400µg vaginal misoprostol regimen in terminating mid-trimester pregnancies.Methods: This study was conducted at the department of Obstetrics and Gynecology, Menofyia University Hospital in Egypt. Fifty eligible primigravidae were allocated into 2 groups. Termination was carried out in group I using vaginal misoprostol while in group II, a weighted fluid-filled intra-uterine Foley’s catheter was inserted and a similar misoprostol regimen was followed as in group I.Results:The combined group showed shorter induction to termination interval (15.6 ± 4.9 versus 21.9 ± 5.4 hours; P<0.05). There was no significant difference in the occurrence of side effects between the groups.Conclusion: A combination of a weighted Foley’s catheter and 400µg of vaginal misoprostol every 4 hours is more effective than misoprostol alone in terminating mid-trimester gestations.
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Amin Hassan Fahmy Elsaba, Howaida, et Amal Samir Ahmed Abd El-Maksoud. « Relationship of fear and fatalism with breast cancer screening among women using health belief model ». International Journal of Advanced Nursing Studies 9, no 2 (20 septembre 2020) : 52. http://dx.doi.org/10.14419/ijans.v9i2.30970.
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Despite the potential benefits of screening in discovering breast cancer, many women still do not follow recommended screening regimens. Fear of cancer detection and fatalistic beliefs were identified by previous studies as the main reasons given by women for noncompliance with breast cancer screening. The aim of this descriptive study is to explore relationship of fear and fatalism with breast cancer screening among a convenience sample of 136 women recruited during their visit to the Gynecology Clinic at the Maternity University Hospital in Alexandria, Egypt. The study tool consists of four parts: (1) Bio-sociodemographic information; (2) Champion Breast Cancer Fear Scale (CBCFS); (3) Powe Fatalism Inventory (PFI); (4) abridged version of the Champion Health Belief Model Scale (CHBMS). The findings revealed that only 3.7% and 14.7% of women practiced regular breast self-examination and had previously had mammography, respectively. Negative correlations were found between fatalism and health beliefs; and between fear and health belief. A positive correlation was found between fatalism and fear. The findings of this study add some experimental support for the relationships between fear, fatalism, and breast cancer screening behavior.
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Abdulla, Mostafa, et Elsayed Mahmoud. « PREVALENCE OF SUBCLINICAL AND UNDIAGNOSED OVERT HYPOTHYROIDISMIN HABITUAL ABORTION ». International Journal of Advanced Research 9, no 08 (31 août 2021) : 150–56. http://dx.doi.org/10.21474/ijar01/13242.
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Background:Hypothyroidism is the second most common endocrine disorder in women of childbearing age with an increased risk of pregnancy loss.Pregnancy loss associated with subclinical hypothyroidism (SCH), defined as elevatedthyroid-stimulating-hormone level, with normal free thyroxine. In overt hypothyroidism (OH), the free thyroxine is low. Materials and methods:Cases recruited from those attending high risk pregnancy unit of obstetrics and gynecology department of Benha university hospital Egypt from 2019 till 2020. We examined theprevalence of subclinical and undiagnosed overt hypothyroidism in women with recurrent miscarriage, late miscarriageand stillbirth.Cases with sporadic miscarriages, autoimmune disorders, thrombophilias and known hypothyroidism were excluded. Sample size: Two-hundredwomen were included. Median maternal age was 35 years (range 18-47). Subclinical andundiagnosed overt hypothyroidism was found in 24 cases (12%) of women. Sixteen women (8%) had subclinical hypothyroidism,eight (4%) had undiagnosed overt hypothyroidism. Results were compared to women with ongoing pregnancies. Results: The prevalence of subclinical and undiagnosed overt hypothyroidism in the pregnancy loss population was 12% (24 /200), where 8 %( 16/200) were subclinical, and 4% (8/200) were undiagnosed overt. In the control population, prevalence of hypothyroidism was 1.5% (3/200).
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El-Feky, Elham AM, Doa’a A. Saleh, Jehan El-Kholy, Ahmed Mahmoud Sayed, Yasmeen Mansi et Mohamed Hashem. « Use of personal digital assistants to detect healthcare-associated infections in a neonatal intensive care unit in Egypt ». Journal of Infection in Developing Countries 10, no 11 (24 novembre 2016) : 1250–57. http://dx.doi.org/10.3855/jidc.7789.
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Introduction: Personal digital assistants (PDAs) used in electronic laboratory-based surveillance are a promising alternative to conventional surveillance to detect healthcare-associated infections (HAIs). The aim of the study was to monitor, detect, and analyze HAIs using PDAs in a neonatal intensive care unit (NICU). Methodology: In this descriptive study, 1,053 neonates admitted to the NICU in the obstetrics and gynecology ward at the Cairo University hospital were included and evaluated for HAIs by collecting data using PDAs programmed by Naval Medical Research Unit 3, Cairo, with the definitions for HAIs provided by the National Healthcare Safety Network of the Centers for Disease Control and Prevention. Case records were reviewed three times a week over 19 months, from March 2012 to September 2013. Results: Of 124 suspected episodes of infection recorded in PDAs, 89 confirmed episodes of infection were identified. HAI and NICU infection rates were 7.4 and 2.72/1,000 patient-days, respectively. Primary bloodstream infection was detected in 81 episodes and pneumonia in 8 episodes. The majority of infections (62%) were acquired in the ward before NICU admission. Klebsiella spp. was isolated most frequently (42%), followed by coagulase-negative Staphylococci (31%). Conclusions: This study is the first to report the use of PDAs in surveillance to detect HAIs in the NICU in our hospital. The majority of infections were acquired at the obstetric care department, indicating the importance of implementing rigorous prevention and control programs and a more detailed surveillance to identify other risk factors for infections.
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G. Mostafa, Rasha, Reem Μ. Elkholy, Amany T. Elfakhrany, Safa H. Elkhalsh et Amira H. Elkhyat. « Study of Virulence and Antibiotic Resistance of the Most Common Bacterial Species Causing Aerobic Vaginitis ». Egyptian Journal of Medical Microbiology EJMM29, no 4 (1 octobre 2020) : 101–8. http://dx.doi.org/10.51429/ejmm29413.
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Background: Vaginitis is one of the most common causes of women's visits to a family physician and gynecologist. If untreated it may lead to serious complications. Objectives: To detect the prevalence of aerobic vaginitis among women of reproductive age attending at Family Medicine and Gynecology Clinics in Menoufia University Hospital, Egypt and determine the most common bacterial isolate and its virulence profile in both pregnant and non- pregnant women. Methodology: High vaginal swabs were obtained from 350 women (200 pregnant and 150 non pregnant) who visited Family Medicine and Gynecology Clinics in Menoufia University Hospital during the study period and suspected of having vaginitis. Identification of isolated micro-organisms was done by standard microbiological methods. Identification and antimicrobial susceptibility testing of the most common aerobic bacterial species isolated from vaginal samples were performed. Also, 15 fecal E. coli strains were isolated from healthy women. The prevalence of Virulence genes fim H, iucC, hly F, papC, afa, ibe A and cnf among Escherichia coli (E. coli) isolates was examined by multiplex PCR. Results: The prevalence of aerobic vaginitis was 43% in pregnant women and 26% in non-pregnant women. E. coli was the most common isolated aerobic bacterial spp. Antibiotic resistance of E. coli isolated from non-pregnant women was higher than those isolated from pregnant women with a highly statistically significant difference. Higher rate of virulence genes was detected among E.coli isolated from pregnant women when compared with those isolated from non-pregnant women with a highly statistically significant difference (P<0.001). Comparing virulence factors of total vaginal E. coli isolates (50) with fecal E. coli isolates (15), the vaginal E. coli strains harbored higher percentage of virulence genes than did fecal E. coli strains with a highly statistically significant difference (P<0.001). Conclusions: Escherichia coli from pregnant women with aerobic vaginitis is more virulent than those from non-pregnant women, thereby increasing possible maternal and neonatal complications.
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Mitwaly, Abo Bakr A., Ahmed M. Abbas, Amal Fathy Mohammed, Alaa M. Ismail, Ayman H. Shaamash et Alaa El Din A. Youssef. « Knowledge, attitude and practice of long acting reversible hormonal contraception (LARHC) among women in urban upper Egypt ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no 4 (26 mars 2019) : 1373. http://dx.doi.org/10.18203/2320-1770.ijrcog20191184.
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Background: The current study aims to assess the knowledge, attitude and practice of long acting reversible hormonal contraception (LARHC) among women in urban upper Egypt.Methods: A cross sectional study which included 902 married women, in the reproductive age, attending the outpatient clinics (Gynecology and family planning) of: 1-Assiut University Maternity Hospital, 2- Sohag University Hospital, and 3-Gehina General Hospital (MOH hospital) with current or previous use of any method of LARHC methods. A Questionnaire file was designed to assay knowledge attitude and practice of clients towards contraceptive methods. All data collected from clients reviewed separately to assess knowledge, attitude and practice of women towards contraceptive methods.Results: The most popular contraceptive method is COCs followed by IUD then DMPA. 99% of studied sample heard with good description about different types of LARHC. 54.9% of studied sample most popular/famous LARHC DMPA, most sources of information on LARHC were, Hospital, Relative/friends and health workers. 94.24% of the studied sample were in favor to use of LARHC, 94.2% of them agree to take a space between births, about 55.4% of them were health child and 61% comfortable lifestyle benefit from birth spacing, 33% of studied sample were maternal health, 68% of them were think/prefer to use implants, 64.5% of them didn’t pregnant while breastfeeding. 11% of sample women never used any contraception before and most reasons for not using contraception are fear of side effects, desire for more children, irregular sexual relationship, and husband opposition. Only 16.6 % of studied sample used LARHC before and most of them used DMPA, however 3 women who used DMPA get pregnant while using it.Conclusions: There is a good level of knowledge between upper Egypt women about LARHC methods.
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Sweed, Mohamed S., Hassan A. Mostafa, Hazem M. Sammour, Hisham A. Ashour, Mahmoud A. Nadim et Osama I. Ibrahim. « Modified technique for sacrospinous-sacrotuberous ligament complex colpopexy in apical prolapse : preliminary results of a pilot randomized study ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no 12 (26 novembre 2020) : 4785. http://dx.doi.org/10.18203/2320-1770.ijrcog20204995.
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Background: Apical prolapse is frequently encountered following vaginal hysterectomy either or as a primary finding in patients with pelvic organ prolapse. This pilot comparative study introduces a modified sacrospinous sacrotuberous ligament fixation with biologic mesh augmentation which necessitates no special kits to be performed.Methods: This study was conducted at Department of Obstetrics and gynecology, Ain Shams University, Cairo, Egypt, and Department of Women Health of Bethanien Hospital, Iserlöhn, Germany from March 2018 to May 2020. 40 women with either utero-vaginal or vaginal vault prolapse were randomized to either; group (A): 20 women scheduled for modified sacrospinous-sacrotuberous fixation procedure, or group (B): 20 women scheduled for conventional sacrospinous-sacrotuberous fixation procedure.Results: Improvement of the Pelvic organ prolapse quantification system (POP-Q) stage from the base line pre-operative stage was 1 stage higher in the modified SS/ST-F group compared to the conventional SSF group (3 stage improvement from baseline in SS/ST-F group versus 2 stage improvement only in conventional SSF group).Conclusions: This pilot study provides a modified sacrospinous sacrotuberous ligament colpopexy technique which is easier to be performed and mastered, does not need the use of special devices, provides better improvement of grade of prolapse and less complications compared to the conventional technique.
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Sallam, Hany F., et Nahla W. Shady. « Adjunctive sublingual misoprostol for secondary prevention of post-partum hemorrhage during cesarean delivery : double blind placebo randomized controlled trial ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no 2 (23 janvier 2018) : 495. http://dx.doi.org/10.18203/2320-1770.ijrcog20180161.
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Background: Cesarean delivery is the most frequently performed major operative procedure worldwide. Objective of present study was to evaluate randomized evidence regarding efficacy and safety of sublingual misoprostol for secondary prevention of post-partum hemorrhage during and after cesarean delivery in women receiving prophylactic oxytocin as primary preventive tools and bleed around 500ml by visual analogue estimation.Methods: A prospective, randomized, double-blind, placebo-controlled trial was performed at an obstetrics and gynecology department Aswan university hospital, Egypt, between October 2015 and September 2017. Women were eligible if they were undergoing elective cesarean under spinal anesthesia and were bleed around 500ml by visual analogue estimation. All participants received 10 IU oxytocin after delivery of the newborn. Participants were randomly assigned (1:1) to receive 400 μg misoprostol or matched placebo sublingually using a computer-generated random number sequence. Participants and providers were masked to assignment. The primary outcomes were intraoperative and postoperative blood loss.Results: There was high significant reduction in intraoperative blood loss in misoprostol group (711.0±188.41) compared with placebo group (915.33±293.72) (P=0.0001). The all estimated blood loss during CS and 24 hours postoperative was significant lower in misoprostol group (890.39±194.49) than that in placebo group (1096.9±300.05) (p=0.0001).Conclusions: Misoprostol as an adjunct to oxytocin as secondary prevention of pot partum hemorrhage seemed to be more effectively reduce blood loss than did placebo with oxytocin alone.
Thèses sur le sujet "Gynecology – Egypt"
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Bouwer, Debra Susan. « Ancient Egyptian health related to women : obstetrics and gynaecology ». Diss., 2013. http://hdl.handle.net/10500/8786.
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The success of any civilisation rests on a number of factors, to include their ability to
procreate and produce heirs. This given, the health of women in any society is of most
importance given their primary role in both birth and raising children. The study of
medicine dedicated to the care of women in ancient Egypt is of vital importance and to
this end, various archaeological finds have been consulted and analysed. Information in
the field gynaecology shows a relatively advanced discipline with many overlaps with
modern medicine and modern pharmacopoeia. Information on obstetrics is more limited
with reliance on mythological texts, inscriptions, artifacts, conjecture and deductive
reasoning required. A lot of areas still require exploration in the field and the study raises
issues for future researchBiblical and Ancient Studies
M.A. (Ancient Near Eastern Studies)