Thesis (M.S.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references. / vii, 23 leaves, bound ill. 29 cm

No description available.

El objetivo del estudio fue determinar la incidencia y los principales factores de riesgo para complicaciones del bloqueo tubárico bilateral en Hospital de Apoyo de Puente Piedra de Lima – Perú durante el período comprendido entre enero y diciembre de 1997. Se realizó un estudio observacional analítico de tipo casos y controles comparando 17 pacientes sometidas a bloqueo tubárico bilateral por minilaparotomía que desarrollaron complicaciones con 271 pacientes quienes no presentaron complicaciones durante el período de estudio. La tasa de complicaciones fue 5,9 por 100 procedimientos. Las principales complicaciones del bloqueo tubárico bilateral fueron infección de herida operatoria, desgarro de mesosalpinx, hematoma de pared abdominal y hemorragia no prevista. La edad, paridad y tipo de anestesia no fueron factores de riesgo para complicaciones por bloqueo tubárico blateral. Los factores que incrementaron el riesgo de complicaciones del bloqueo tubárico bilateral fueron: obesidad (OR = 2,9; 95% IC 1,2 – 7,5), historia de cirugía abdominal y/o pélvica (OR = 7,1; 95% IC 2,2 – 22,4); uso reciente de anticonceptivos orales (OR = 1,4; 95% IC 1,1 – 2,6 y la historia de enfermedad inflamatoria pélvica (OR = 2,6; 95% IC 1,6 – 4,1). Se concluyó que el bloqueo tubárico bilateral es un procedimiento seguro, que sus complicaciones no representan morbilidad seria, y que los factores de riesgo para complicaciones del bloqueo tubárico bilateral más frecuentes fueron obesidad, historia de cirugía abdominal y/o pélvica, uso reciente de anticonceptivos orales e historia de enfermedad inflamatoria pélvica.

El objetivo del estudio fue determinar la incidencia y los principales factores de riesgo para complicaciones del bloqueo tubárico bilateral en Hospital de Apoyo de Puente Piedra de Lima – Perú durante el período comprendido entre enero y diciembre de 1997. Se realizó un estudio observacional analítico de tipo casos y controles comparando 17 pacientes sometidas a bloqueo tubárico bilateral por minilaparotomía que desarrollaron complicaciones con 271 pacientes quienes no presentaron complicaciones durante el período de estudio. La tasa de complicaciones fue 5,9 por 100 procedimientos. Las principales complicaciones del bloqueo tubárico bilateral fueron infección de herida operatoria, desgarro de mesosalpinx, hematoma de pared abdominal y hemorragia no prevista. La edad, paridad y tipo de anestesia no fueron factores de riesgo para complicaciones por bloqueo tubárico blateral. Los factores que incrementaron el riesgo de complicaciones del bloqueo tubárico bilateral fueron: obesidad (OR = 2,9; 95% IC 1,2 – 7,5), historia de cirugía abdominal y/o pélvica (OR = 7,1; 95% IC 2,2 – 22,4); uso reciente de anticonceptivos orales (OR = 1,4; 95% IC 1,1 – 2,6 y la historia de enfermedad inflamatoria pélvica (OR = 2,6; 95% IC 1,6 – 4,1). Se concluyó que el bloqueo tubárico bilateral es un procedimiento seguro, que sus complicaciones no representan morbilidad seria, y que los factores de riesgo para complicaciones del bloqueo tubárico bilateral más frecuentes fueron obesidad, historia de cirugía abdominal y/o pélvica, uso reciente de anticonceptivos orales e historia de enfermedad inflamatoria pélvica.

Resumo: A mortalidade materna é um dos melhores meios de avaliação da assistência médica prestada em um país. Dessa forma, o planejamento familiar torna-se um importante instrumento de prevenção da morbidade e mortalidade materna, principalmente em mulheres com alto risco reprodutivo. Em todo o mundo, a laqueadura tubária é o método contraceptivo mais utilizado, entre mulheres que já completaram a formação familiar desejada. Com o aumento expressivo do número de laqueaduras nas últimas décadas, relatos sobre possíveis repercussões do procedimento, tais como alterações do padrão menstrual, da produção hormonal pelos ovários e efeitos sobre a saúde física e mental de pacientes submetidas à laqueadura tubária tiveram um grande impacto. O conhecimento sobre o uso de métodos contraceptivos temporários previamente à cirurgia, o tipo de técnica cirúrgica empregada, o tempo transcorrido após o procedimento e a presença de comorbidades associadas a estas pacientes parecem influenciar nos achados pós-cirúrgicos e no desenvolvimento de uma possível Síndrome Pós-Laqueadura. O objetivo deste estudo foi avaliar as repercussões clínicas e psíquicas em mulheres submetidas à laqueadura tubária por videolaparoscopia. Trata-se de estudo retrospectivo, longitudinal, com amostra de conveniência de 130 mulheres, entre 19 e 49 anos, submetidas à laqueadura tubária Repercussões Clínicas e Psíquicas da Laqueadura Tubária Videolaparoscópica - Dias D.S. et. al. 27 videolaparoscópica, segundo as técnicas de eletrocoagulcação bipolar seguida de secção das tubas uterinas e a inserção do anel tubário de silastic (Yoon), entre o período de janeiro de 1999 e dezembro de 2007. Por meio de protocolo pré-estabelecido foram avaliados: intervalo do ciclo menstrual, intensidade e duração do sangramento,...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Maternal mortality is one of the best means of assessing the healthcare in a country. Thus, the family planning becomes very important to prevent the morbidity and mortality of women with high risk of reproduction. Worldwide, the tubal ligation is the most widely used contraceptive method among women who have completed their family planning. As the number of sterilizations increased in the last decades, reports concerning possible repercussions of the procedure, including signs and symptoms of menstrual disorders, changing in hormonal profile and effects in physical and psychical health of patients submitted to tubal ligation had a large impact. Knowledge about the contraceptives methods utilized previously, the age of patient in the moment of tubal ligation, the type of technique employed, the time elapsed after the procedure and the presence of comorbidities associated with these patients seems to influence in post-surgical findings and the development of the so called Post Tubal Ligation Syndrome. This study aimed to evaluate the clinical and psychical repercussions of the videolaparoscopic tubal ligation. This is a retrospective, longitudinal study, with a convenience sample of 130 women, between 19 and 49 years, submitted to videolaparoscopic tubal ligation, according the tubal ring and bipolar coagulation techniques, during the period of January 1999 to December 2007. Disorders in menstrual cycle period, amount of bleeding, duration of menstruation, presence of pre-menstrual distress, dysmenorrhea, dyspareunia, pelvic pain and satisfaction with sexual life were reported through a pre-established questionnaire. Each women served as her own control and comparison with the period pre and post tubal ligation was established, utilizing the Wilcoxon test, the McNemar test and Chi-square or Fisher's exact...(Complete abstract click electronic access below) / Orientador: Jorge Nahás Neto / Coorientador: Eliana A. P. Nahás / Banca: Gilberto Uemura / Banca: Antonio Hélio Oliani / Mestre

Background: Mounting evidence suggests the fallopian tube as the origin for ovarian high grade serous carcinoma (HGSC). We attempted to identify the tubal cytological features that allow us to distinguish malignant from benign conditions. Methods: Tubal specimens (n = 56) were collected from patients who underwent bilateral salpingo-oophorectomy (BSO) due to various clinical indications. A standard procedure to collect fallopian tube brushings from freshly received surgical specimens was developed. Cytological diagnoses were classified into three categories: benign, atypical, and suspicious for malignancy/malignant. Cytological variables of individual cells and epithelia were subjected to statistical analysis. The fallopian tube histology was used as diagnostic reference for confirmation of cytology diagnosis. Results: Among the 56 fallopian tube specimens, 2 (3.7 %) showed inadequate cellularity preventing further evaluation, 11 (20.4 %) were diagnosed as malignant or suspicious of malignancy, 7 were atypical, and 36 were benign. The presence of three dimensional clusters (p < 0.0001, Fisher's Exact Test), or prominent nucleoli (p = 0.0252, Fisher Exact test) was highly correlated with the diagnosis of malignancy. The suspicious malignant/malignant cytological diagnosis was also highly correlated with presence of HGSC with or without serous tubal intraepithelial carcinoma (STIC). Conclusions: Tubal cytology may be useful for ovarian cancer screening and early detection.

Thesis (M. Phil.)--University of Sydney, 2007. / Title from title screen (viewed Oct. 16, 2007). Includes tables. Submitted in fulfilment of the requirements for the degree of Master of Philosophy to the School of Public Health, Faculty of Medicine. Degree awarded 2007; thesis submitted 2006. Includes bibliography. Also issued in print.

After the forced sterilizations of low-income and minority women were exposed in the 1970’s, new Medicaid policies were put into place in order to protect vulnerable populations. The revised policy included a mandatory consent form and a waiting period of 30 days between consent and procedure, as well as a presentation of the form at time of procedure. Although these policies were enacted to protect vulnerable populations, research has shown they are ineffective and act as barrier to women receiving the post-partum tubal sterilization that they desire. The policy has been shown to have a disproportionate detrimental impact on minority populations, and it has created a two-tiered health care system in terms of sterilization. The unfulfilled requests lead to many inadvertent consequences, including higher rates of unintended pregnancies, abortions, loss of self-efficacy, and higher costs for the Medicaid system. In order to ensure equitable treatment of Medicaid patients in regards to tubal sterilization, the 30-day waiting period should be rescinded. Additionally, to confirm that patients are fully knowledgeable of the implications of the tubal sterilization, the form and any ensuing consent should be rewritten to meet literacy standards for the target demographic. This analysis will include a history of the issue, an examination of relevant research, a policy analysis and recommendations to enhance healthcare equity.

Made available in DSpace on 2014-06-11T19:29:52Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-02-13Bitstream added on 2014-06-13T18:39:56Z : No. of bitstreams: 1 dias_ds_me_botfm.pdf: 430093 bytes, checksum: 60ba14caa1322c9b14889de796cecd44 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A mortalidade materna é um dos melhores meios de avaliação da assistência médica prestada em um país. Dessa forma, o planejamento familiar torna-se um importante instrumento de prevenção da morbidade e mortalidade materna, principalmente em mulheres com alto risco reprodutivo. Em todo o mundo, a laqueadura tubária é o método contraceptivo mais utilizado, entre mulheres que já completaram a formação familiar desejada. Com o aumento expressivo do número de laqueaduras nas últimas décadas, relatos sobre possíveis repercussões do procedimento, tais como alterações do padrão menstrual, da produção hormonal pelos ovários e efeitos sobre a saúde física e mental de pacientes submetidas à laqueadura tubária tiveram um grande impacto. O conhecimento sobre o uso de métodos contraceptivos temporários previamente à cirurgia, o tipo de técnica cirúrgica empregada, o tempo transcorrido após o procedimento e a presença de comorbidades associadas a estas pacientes parecem influenciar nos achados pós-cirúrgicos e no desenvolvimento de uma possível Síndrome Pós-Laqueadura. O objetivo deste estudo foi avaliar as repercussões clínicas e psíquicas em mulheres submetidas à laqueadura tubária por videolaparoscopia. Trata-se de estudo retrospectivo, longitudinal, com amostra de conveniência de 130 mulheres, entre 19 e 49 anos, submetidas à laqueadura tubária Repercussões Clínicas e Psíquicas da Laqueadura Tubária Videolaparoscópica – Dias D.S. et. al. 27 videolaparoscópica, segundo as técnicas de eletrocoagulcação bipolar seguida de secção das tubas uterinas e a inserção do anel tubário de silastic (Yoon), entre o período de janeiro de 1999 e dezembro de 2007. Por meio de protocolo pré-estabelecido foram avaliados: intervalo do ciclo menstrual, intensidade e duração do sangramento,... / Maternal mortality is one of the best means of assessing the healthcare in a country. Thus, the family planning becomes very important to prevent the morbidity and mortality of women with high risk of reproduction. Worldwide, the tubal ligation is the most widely used contraceptive method among women who have completed their family planning. As the number of sterilizations increased in the last decades, reports concerning possible repercussions of the procedure, including signs and symptoms of menstrual disorders, changing in hormonal profile and effects in physical and psychical health of patients submitted to tubal ligation had a large impact. Knowledge about the contraceptives methods utilized previously, the age of patient in the moment of tubal ligation, the type of technique employed, the time elapsed after the procedure and the presence of comorbidities associated with these patients seems to influence in post-surgical findings and the development of the so called Post Tubal Ligation Syndrome. This study aimed to evaluate the clinical and psychical repercussions of the videolaparoscopic tubal ligation. This is a retrospective, longitudinal study, with a convenience sample of 130 women, between 19 and 49 years, submitted to videolaparoscopic tubal ligation, according the tubal ring and bipolar coagulation techniques, during the period of January 1999 to December 2007. Disorders in menstrual cycle period, amount of bleeding, duration of menstruation, presence of pre-menstrual distress, dysmenorrhea, dyspareunia, pelvic pain and satisfaction with sexual life were reported through a pre-established questionnaire. Each women served as her own control and comparison with the period pre and post tubal ligation was established, utilizing the Wilcoxon test, the McNemar test and Chi-square or Fisher’s exact...(Complete abstract click electronic access below)

BACKGROUND:Serous tubal intraepithelial carcinoma (STIC) and the p53 signature in tubal mucosa have been supported to be precursor lesions in high-grade serous carcinoma (HGSC) of the fallopian tube, ovary, and peritoneum. It remains critical to find biomarkers for precursor lesions in order to detect HGSCs efficiently. IMP3 is an oncoprotein that has been explored in human malignancies. No studies have specifically addressed the expression of IMP3 in precursor or early lesions of HGSC. The main purposes of this study are to evaluate if IMP3 plays any role in the process of pelvic serous carcinogenesis by examining its expression in HGSC precursor lesions, to examine the relationship between IMP3 and p53 in those precursor lesions, and to check if IMP3 can be used as a biomarker for early diagnosis.METHODS:Immunohistochemistry for IMP3 and p53 was performed and evaluated in 48 HGSCs with STIC, 62 HGSCs without STIC, and 60 benign cases as negative controls. Sections of fallopian tubes with or without STIC , as well as cancers within the ovaries, were studied. IMP3 signature was defined as strong IMP3 cytoplasmic staining in 10 or more consecutive benign-looking tubal epithelial cells. The relationship between IMP3 and p53 overexpression was examined.RESULTS:In the 48 HGSC patients with STIC, IMP3 was positive in 46% of STIC lesions and had a similar positive rate in the invasive components of HGSC. IMP3 was also expressed in normal appearing tubal epithelia (IMP3 signature) in 15 (31%) of 48 HGSC cases with STIC and 10 (16%) of 62 cases without STIC. In contrast, no single IMP3 signature was found in the benign control group. Concordant expression of IMP3 and p53 signatures in the STIC group was found in up to one-third of the cases. There were also five (10%) STIC cases with positive IMP3 and negative p53.CONCLUSIONS:We conclude that IMP3 may be involved in the process and progression of pelvic HGSC and may serve as a complimentary biomarker in diagnosing STIC.