13,770 results match your criteria Pelvic Inflammatory Disease


Trends in Pelvic Inflammatory Disease Among American Indian and Alaska Native Women, Indian Health Service, 2001-2015.

Am J Public Health 2018 Sep 25:e1-e8. Epub 2018 Sep 25.

Andria Apostolou is with the Division of Epidemiology and Disease Prevention, Indian Health Service, Rockville, MD, and is also with SciMetrika LLC, Research Triangle, NC. Christina Chapman and Marissa Person are with the Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA. Kristen Kreisel is with Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. Jeffrey McCollum is with Division of Epidemiology and Disease Prevention, Indian Health Service.

Objectives: To describe trends in rates of pelvic inflammatory disease (PID) encounters among American Indian/Alaska Native (AI/AN) women aged 15 to 44 years in the United States receiving care within the Indian Health Service (IHS).

Methods: We analyzed IHS discharge data sets for PID encounters during 2001 to 2015 with International Classification of Diseases, Ninth Revision, Clinical Modification, diagnosis codes. We calculated rates of PID encounters per 100 000 women overall and stratified by age group, region, and health care setting. Read More

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September 2018

The Additive Value of Pelvic Examinations to History in Predicting Sexually Transmitted Infections for Young Female Patients With Suspected Cervicitis or Pelvic Inflammatory Disease.

Ann Emerg Med 2018 Jul 2. Epub 2018 Jul 2.

Department of Emergency Medicine, Newark Beth Israel Medical Center, Newark, NJ; Children's Hospital of New Jersey, Newark, NJ. Electronic address:

Study Objective: We evaluate the additive value of pelvic examinations in predicting sexually transmitted infection for young female patients with suspected cervicitis or pelvic inflammatory disease in a pediatric emergency department (ED).

Methods: This was a prospective observational study of female patients aged 14 to 20 years who presented to an urban academic pediatric ED with a complaint of vaginal discharge or lower abdominal pain. Enrolled patients provided a urine sample for chlamydia, gonorrhea, and trichomonas testing, which served as the criterion standard for diagnosis. Read More

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Uncommon cause of pelvic inflammatory disease leading to toxic shock syndrome.

BMJ Case Rep 2018 Sep 23;2018. Epub 2018 Sep 23.

Post Osteopathic Medical Education, Nova Southeastern University, Fort Lauderdale, Florida, USA.

A 44-year-old Caucasian female with a history of endometriosis is admitted to the intensive care unit due to severe left lower quadrant abdominal pain, nausea and vomiting. With patients' positive chandelier sign on pelvic examination, leucocytosis, elevated erythrocyte sedimentation rate and elevated C-reactive protein indicated that she had pelvic inflammatory disease (PID). PCR tests were negative for and ; however, her blood and urine cultures grew Group A streptococci (GAS) with a negative rapid throat swab and no known exposure to On further review, patient met criteria for GAS toxic shock syndrome based on diagnostic guidelines. Read More

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September 2018

ACOG Committee Opinion No. 754: The Utility of and Indications for Routine Pelvic Examination.

Authors:

Obstet Gynecol 2018 Oct;132(4):e174-e180

The pelvic examination has long been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as an opportunity to discuss sexual and reproductive health issues. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician-gynecologists and patients consider it important in detecting subclinical disease, despite evidence to the contrary. Given changes in screening recommendations and the ability to screen for sexually transmitted infections using less-invasive methods, reevaluation of the role of the pelvic examination for asymptomatic, nonpregnant women is warranted. Read More

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October 2018

ACOG Committee Opinion No. 754 Summary: The Utility of and Indications for Routine Pelvic Examination.

Authors:

Obstet Gynecol 2018 Oct;132(4):1080-1083

The pelvic examination has long been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as an opportunity to discuss sexual and reproductive health issues. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician-gynecologists and patients consider it important in detecting subclinical disease, despite evidence to the contrary. Given changes in screening recommendations and the ability to screen for sexually transmitted infections using less-invasive methods, reevaluation of the role of the pelvic examination for asymptomatic, nonpregnant women is warranted. Read More

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October 2018

Chronic Medical Conditions and CA125 levels among Women without Ovarian Cancer.

Cancer Epidemiol Biomarkers Prev 2018 Sep 20. Epub 2018 Sep 20.

Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School.

Background: Randomized trials using the biomarker CA125, with or without pelvic ultrasound, have failed to show a clear benefit of general population screening for ovarian cancer. In part this may be due to a lack of information about conditions, besides ovarian cancer, that can alter CA125 levels and affect specificity or sensitivity. We evaluated the association between common medical conditions and CA125 levels among women without ovarian cancer. Read More

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September 2018

Capsid protein Vp1 from chlamydiaphage φCPG1 effectively alleviates cytotoxicity induced by .

Exp Ther Med 2018 Oct 20;16(4):3286-3292. Epub 2018 Aug 20.

Dermatology and Venereology Department, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.

is the leading cause of sexually transmitted bacterial infections. genital infection may lead to pelvic inflammatory disease, ectopic pregnancy and tubal infertility, which are major public health problems. However, the pathogenic mechanisms of this bacterium remain unclear, and the efficacy of clinical therapeutics is unsatisfactory. Read More

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October 2018

Rare cause of ovarian mass.

BMJ Case Rep 2018 Sep 19;2018. Epub 2018 Sep 19.

Department of Surgical Oncology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India.

Pelvic actinomycosis is a rare entity that occurs almost exclusively in women, the presentation of which is usually non-specific and variable. Pelvic actinomycosis is almost always associated with the use of an intrauterine contraceptive device (IUD). Pelvic actinomycosis unrelated to IUD use is almost always associated with previous surgical procedures. Read More

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September 2018

[Síndrome de Fitz-Hugh-Curtis en un paciente varón anciano. Caso y revisión de la literatura].

Cir Cir 2018 ;86(5):455-458

Servicio de Cirugía del Aparato Digestivo, Hospital HM Rosaleda, Santiago de Compostela, La Coruña, España.

El síndrome de Fitz-Hugh-Curtis (FHCS) es la inflamación de la cápsula hepática sin afectación del parénquima asociada a una enfermedad pélvica inflamatoria. Hay muy pocos casos descritos en varones. El síntoma característico es el dolor abdominal en el cuadrante superior derecho, que hace que se confunda el cuadro con una enfermedad de la vía biliar. Read More

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January 2018
2 Reads

Relationship Status and Sexual Behaviors in Post-Pelvic Inflammatory Disease (PID) Affected Urban Young Women: A Sub-Study of a Randomized Controlled Trial.

Int Arch Nurs Health Care 2018 10;4(1). Epub 2018 Jan 10.

Division of General Pediatrics and Adolescent Medicine, School of Medicine, Johns Hopkins University, USA.

Adolescent and young adult women disproportionately experience Pelvic Inflammatory Disease (PID) as a complication of Sexually Transmitted Infections (STIs). This study seeks to understand the relationship context, changes in sexual behavior, and impact of partner sexual behavior on recurrent STI diagnoses at 3-months post-diagnosis. Adolescents and young adult women 13-25 were recruited from an outpatient disposition from an outpatient clinic, and pediatric and adult emergency rooms. Read More

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January 2018

Engulfment and Cell Motility Protein 1 Protects Against DSS-induced Colonic Injury in Mice via Rac1 Activation.

J Crohns Colitis 2018 Sep 14. Epub 2018 Sep 14.

Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Background And Aims: Mucosal healing is an emerging therapeutic goal that could result in clinical remission of inflammatory bowel disease (IBD). We sought to determine the role of engulfment and cell motility protein 1 (ELMO1) in wound healing in vitro and in vivo and to investigate the underlying pathways.

Methods: RNA transcriptome sequencing was performed to detect the expression profiles of mRNA between inflamed tissues and corresponding non-inflamed tissues of IBD patients, followed by GEO datasets and western blot analysis. Read More

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September 2018
1 Read

The impact of chronic pelvic ischemia on LUTS and urinary levels of neuro-inflammatory, inflammatory and oxidative stress markers in elderly men: a case-control study.

Urology 2018 Sep 13. Epub 2018 Sep 13.

Department of Urology, Hospital de S. João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal; Instituto de Investigação e Inovação em Saúde, Translational Neuro-Urology Group, University of Porto, Porto, Portugal; Instituto de Biologia Molecular e Celular, University of Porto, Porto, Portugal.

Objective: To investigate LUTS and urinary levels of neuro-inflammatory, inflammatory and oxidative stress markers in elderly men with chronic pelvic ischemia (CPI) caused by significant aorto-iliac disease.

Methods: Thirteen men aged over 60 years, with aorta, unilateral or bilateral common/internal iliac artery occlusion documented by computed tomography angiography or angiography, were enrolled from the vascular surgery department. Twelve sex and age-matched controls, without significant aorto-iliac disease were used for comparison. Read More

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September 2018
2 Reads

Imaging and Surgical Management of Anorectal Vaginal Fistulas.

Radiographics 2018 Sep-Oct;38(5):1385-1401

From the Department of Radiology (W.M.V., S.P.S., M.C.W., J.G.F.), Department of Surgery (A.L.L.), and School of Medicine (S.T.K.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; and Department of Radiology, Mayo Clinic, Scottsdale, Ariz (C.O.M.).

Anorectal vaginal fistulas (ARVFs) can result in substantial morbidity and potentially embarrassing symptoms in adult women of all ages. Despite having what may be obvious clinical manifestations, the fistulas themselves can be difficult to identify with imaging. MRI is the modality of choice for the diagnosis and characterization of ARVFs. Read More

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September 2018
1 Read

Modelling-based evaluation of the costs, benefits and cost-effectiveness of multipathogen point-of-care tests for sexually transmitted infections in symptomatic genitourinary medicine clinic attendees.

BMJ Open 2018 Sep 10;8(9):e020394. Epub 2018 Sep 10.

HIV/STI Department, National Infection Service, Public Health England, 61 Colindale Avenue, London, UK.

Objectives: To quantify the costs, benefits and cost-effectiveness of three multipathogen point-of-care (POC) testing strategies for detecting common sexually transmitted infections (STIs) compared with standard laboratory testing.

Design: Modelling study.

Setting: Genitourinary medicine (GUM) services in England. Read More

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September 2018
2 Reads
2.06 Impact Factor

Pasteurella multocida multiple intrapelvic abscesses in a young woman with uterine cervical cancer.

J Infect Chemother 2018 Sep 5. Epub 2018 Sep 5.

Division of Infection Control and Prevention, Osaka University Hospital, Japan.

Pasteurella multocida, a zoonotic pathogen in humans, is known to be associated with skin and soft tissue infections following animal bites, but rarely causes visceral infections. We report a case of P. multocida-associated multiple intrapelvic abscesses in a young woman with uterine cervical cancer. Read More

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September 2018
1 Read

Extended Venous Thromboembolism Prophylaxis After Elective Surgery for IBD Patients: Nomogram-Based Risk Assessment and Prediction from Nationwide Cohort.

Dis Colon Rectum 2018 Oct;61(10):1170-1179

Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Identification of risk factors for postoperative venous thromboembolism is an important step to reduce the morbidity associated with this potentially preventable complication after elective surgery for patients with IBD.

Objective: This study aimed to determine the risk factors for 30-day venous thromboembolism after abdominal surgery for patients with venous thromboembolism, identify potential indications for extended thromboprophylaxis, and develop a nomogram for prediction of risk.

Design: This is a retrospective cohort study from a prospectively collected database. Read More

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October 2018

MMP-8 single-nucleotide polymorphisms are related to ankylosing spondylitis in Chinese Han population.

Medicine (Baltimore) 2018 Aug;97(35):e12136

Department of Pediatric Orthopedics, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.

Ankylosing spondylitis (AS) is an extreme form of inflammatory arthritis which always leads to bony fusion of vertebral and chronic pain of back. A lot of genes including interleukin, matrix metalloproteinases (MMPs), and endoplasmic reticulum aminopeptidase were found associated with AS. MMP family members were involved in the autoimmune disease and orthopedic diseases such as rheumatoid arthritis and osteoarthritis, while few studies concentrated on the correlation between single-nucleotide polymorphisms (SNPs) in MMP and AS. Read More

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August 2018
4 Reads

Incidence and risk factors for incisional surgical site infection in patients with Crohn's disease undergoing bowel resection.

Gastroenterol Rep (Oxf) 2018 Aug 30;6(3):189-194. Epub 2018 Apr 30.

Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Background: Patients with Crohn's disease (CD) are often reported to be at a high risk for incisional surgical site infection (SSI). The aim of this study was to identify the risk factors associated with post-operative incisional SSI in CD patients after bowel resection.

Method: CD patients undergoing bowel resection between 2007 and 2015 were enrolled. Read More

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The two-sided role of the vaginal microbiome in Chlamydia trachomatis and Mycoplasma genitalium pathogenesis.

J Reprod Immunol 2018 Aug 22;130:11-17. Epub 2018 Aug 22.

Laboratory of Immunogenetics, Department Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands; Tubascan, Spin-Off at the Department of Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands.

Sexually transmitted infections (STI) can have major consequences for the reproductive health of women. Mycoplasma genitalium is a STI that is not as well studied but causes pelvic inflammatory disease (PID) among other complications. Another well-known STI is Chlamydia trachomatis, notorious for its capability to cause infertility. Read More

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August 2018
3 Reads

Hysterosalpingogram findings among subfertile women undergoing assisted reproductive technology.

Int J Womens Health 2018 14;10:431-436. Epub 2018 Aug 14.

Faculty of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.

Purpose: The objectives of our study included comparing reproductive histories and causes of infertility between patients with and without a hysterosalpingogram (HSG) investigation, and summarizing the prevalence and extent of tubal abnormalities among patients who underwent HSG. Outcomes following assisted reproductive technology (ART) were compared between HSG and non-HSG groups.

Materials And Methods: A cross-sectional study was conducted to review the medical records of 200 Saudi women with subfertility. Read More

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August 2018
4 Reads

Spinal epidural abscess caused by and .

Infect Dis Clin Pract (Baltim Md) 2018 Jul;26(4):237-239

Department of Infectious Diseases, University of Pennsylvania, Philadelphia, PA, USA.

We report a case of spinal epidural abscess (SEA) in a 58-year-old woman who had recently been diagnosed with gonococcal infection, but did not receive guideline-recommended therapy. She presented with back pain and signs and symptoms of pelvic inflammatory disease (PID). MRI of the spine demonstrated epidural abscess extending from L4-L5 to T10. Read More

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July 2018
1 Read

Suspected gonorrhea and chlamydia: Incidence and utilization of empiric antibiotics in a health system emergency department setting.

Am J Emerg Med 2018 Aug 7. Epub 2018 Aug 7.

Cleveland Clinic Akron General, 1 Akron General Avenue, Akron, OH 44307, United States of America. Electronic address:

Background: In the ED, patients are treated empirically for suspected gonorrhea and/or chlamydia (GC). Limited studies have evaluated the treatment of sexually transmitted diseases (STDs) in conjunction with predictor variables. This study will allow providers to better identify patients with potential GC to streamline antibiotic treatment. Read More

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August 2018
7 Reads

Entero-neovesical fistula after radical cystectomy and orthotopic ileal neobladder: A report of two cases requiring surgical management.

Urologia 2018 Mar 1:391560318758939. Epub 2018 Mar 1.

1 Department of Human Pathology in Adult and Developmental Age 'Gaetano Barresi', Urologic Section, University of Messina, Messina, Italy.

Introduction: Entero-neovesical fistula is a rare complication after radical cystectomy and orthotopic ileal bladder substitution. Typical presenting symptoms are faecaluria, pneumaturia, recurrent urinary tract infections and abdominal pain. Risk factors include history of pelvic radiation, chemotherapy and abdominal surgery, as well as diverticular colonic disease, inflammatory bowel disease and traumatic pelvic injury. Read More

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March 2018
8 Reads

A challenging case of pelvic inflammatory disease due to miliary tuberculosis.

Int J Gynaecol Obstet 2018 Aug 17. Epub 2018 Aug 17.

Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

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August 2018
1 Read

Characterization of pelvic and cervical microbiotas from patients with pelvic inflammatory disease.

J Med Microbiol 2018 Aug 16. Epub 2018 Aug 16.

3​Institute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, PR China.

Purpose: The aims of this work were: (i) to profile and compare pelvic and cervical microbiota from patients with pelvic inflammatory disease (PID); (ii) to test the ascending infection hypothesis that the microbes in the vagina or cervix spread to the upper genital tract and cause PID.

Methodology: Thirty-eight PID patients and 19 control patients were enrolled in this study and received salpingectomy or salpingo-oophorectomy. Both pelvic and cervical samples were collected during surgery, which were subject to culture diagnosis and next-generation sequencing (NGS)-based 16S rRNA profiling. Read More

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August 2018
1 Read
2.25 Impact Factor

Pelvic Inflammatory Disease: Possible Catches and Correct Management in Young Women.

Case Rep Obstet Gynecol 2018 11;2018:5831029. Epub 2018 Jul 11.

Department of Gynecological and Obstetric Sciences, and Urological Sciences, University of Rome "Sapienza", Umberto I Hospital, Rome, Italy.

The incidence of adnexal masses increases exponentially with age and the most frequent causes in young women are physiologic cysts and pelvic abscesses with pelvic inflammatory disease (PID). Clinical examination can direct physicians to an appropriate management of adnexal mass, but the role of transvaginal ultrasound is crucial for diagnosis and treatment decision, even if it sometimes can be misleading, especially in young women. Ca 125, blood count, and CRP are useful to clarify suspected etiology of a pelvic mass, but specificity and positive predictive value are low because elevation of laboratory tests may occur in several benign conditions. Read More

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July 2018
2 Reads

Relationships between female infertility and female genital infections and pelvic inflammatory disease: a population-based nested controlled study.

Clinics (Sao Paulo) 2018 08 9;73:e364. Epub 2018 Aug 9.

Department of Obstetrics and Gynecology, Min-Sheng General Hospital, Taoyuan, Taiwan.

Objectives: Our purpose was to examine the associations of female genital infections and certain comorbidities with infertility.

Methods: The Taiwan National Health Research Database was searched for women with a new diagnosis of infertility between 2000 and 2013. Women without a diagnosis of infertility served as a control group and were matched with the infertility cases by age (±3 years) and index year. Read More

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August 2018
2 Reads

The Role of Lipoproteins in Mycoplasma-Mediated Immunomodulation.

Front Microbiol 2018 31;9:1682. Epub 2018 Jul 31.

David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.

Mycoplasma infections, such as walking pneumonia or pelvic inflammatory diseases, are a major threat to public health. Despite their relatively small physical and genomic size, mycoplasmas are known to elicit strong host immune responses, generally inflammatory, while also being able to evade the immune system. The mycoplasma membrane is composed of approximately two-thirds protein and one-third lipid and contains several lipoproteins that are known to regulate host immune responses. Read More

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July 2018
1 Read

The link between immunity, autoimmunity and endometriosis: a literature update.

Autoimmun Rev 2018 Oct 11;17(10):945-955. Epub 2018 Aug 11.

Department of Obstetrics and Gynaecology, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong; Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong; School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong. Electronic address:

Endometriosis (EMS), an estrogen-dependent inflammatory disorder affects approximately 5-10% of the general female population of reproductive age and 20-90% of women with pelvic pain and infertility. Many immunological factors are known to contribute significantly to the pathogenesis and pathophysiology of EMS, and both chronic local inflammation and autoantibodies in EMS shares many similarities with autoimmune diseases (AD). However, the autoimmune etiology in EMS remains controversial, and its evidence on autoimmune basis may be limited. Read More

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October 2018
2 Reads

Short-term Toxicity of High Dose Rate Brachytherapy in Prostate Cancer Patients with Inflammatory Bowel Disease.

Clin Oncol (R Coll Radiol) 2018 Sep 30;30(9):534-538. Epub 2018 Jun 30.

Sussex Cancer Centre, Brighton & Sussex University Hospitals NHS Trust, Brighton, UK.

Aims: Inflammatory bowel disease (IBD) has historically been considered a risk factor for increased bowel toxicity in patients receiving pelvic external beam radiotherapy. The risk is reduced in intensity-modulated radiotherapy compared with three-dimensional conformal radiotherapy. The effect of brachytherapy has been less extensively researched. Read More

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September 2018
2 Reads

Functional gastrointestinal symptoms in patients with inflammatory bowel disease: A clinical challenge.

Clin Gastroenterol Hepatol 2018 Aug 9. Epub 2018 Aug 9.

Department of Gastroenterology, Monash University and Alfred Hospital, Melbourne, Victoria, Australia.

Description: The purpose of this clinical practice update review is to describe key principles in the diagnosis and management of functional gastrointestinal (GI) symptoms in patients with inflammatory bowel disease (IBD).

Methods: The evidence and best practices summarized in this manuscript are based on relevant scientific publications, systematic reviews, and expert opinion where applicable. BEST PRACTICE ADVICE 1: A stepwise approach to rule-out ongoing inflammatory activity should be followed in IBD patients with persistent GI symptoms (measurement of fecal calprotectin, endoscopy with biopsy, cross-sectional imaging). Read More

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August 2018
1 Read

Cervicovaginal microbiota, women's health, and reproductive outcomes.

Fertil Steril 2018 Aug;110(3):327-336

School of Life Sciences, University of Technology Sydney, Sydney, New South Wales, Australia. Electronic address:

The human microbiome project has shown a remarkable diversity of microbial ecology within the human body. The vaginal microbiota is unique in that in many women it is most often dominated by Lactobacillus species. However, in some women it lacks Lactobacillus spp. Read More

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August 2018
1 Read

Pneumoperitoneum caused by tubo-ovarian abscess in an elderly patient.

J Surg Case Rep 2018 Aug 6;2018(8):rjy191. Epub 2018 Aug 6.

Department of Surgery, BronxCare Hospital, Bronx, NY, USA.

Perforation of the gastrointestinal tract may present with abdominal pain and imaging demonstrating pneumoperitoneum. These findings usually require exploratory laparotomy for diagnosis and treatment. Tubo-ovarian abscess (TOA) is a complication of pelvic inflammatory disease presenting as an encapsulated inflammatory mass, but it can occasionally involve other pelvic organs. Read More

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August 2018
2 Reads

Schistosomiasis.

Nat Rev Dis Primers 2018 Aug 9;4(1):13. Epub 2018 Aug 9.

National Institute of Parasitic Diseases, Shanghai, People's Republic of China.

Schistosomiasis (bilharzia) is a neglected tropical disease caused by parasitic flatworms (blood flukes) of the genus Schistosoma, with considerable morbidity in parts of the Middle East, South America, Southeast Asia and, particularly, in sub-Saharan Africa. Infective larvae grow in an intermediate host (fresh-water snails) before penetrating the skin of the definitive human host. Mature adult worms reside in the mesenteric (Schistosoma mansoni and Schistosoma japonicum) or pelvic (Schistosoma haematobium) veins, where female worms lay eggs, which are secreted in stool or urine. Read More

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August 2018
4 Reads

Reintervention Rates After Myomectomy, Endometrial Ablation, and Uterine Artery Embolization for Patients with Uterine Fibroids.

J Womens Health (Larchmt) 2018 Aug 7. Epub 2018 Aug 7.

3 Colorado Center for Reproductive Medicine , Lone Tree, Colorado.

Background: Women with uterine fibroids (UF) may undergo less invasive procedures than hysterectomy, including myomectomy, endometrial ablation (EA), and uterine artery embolization (UAE); however, long-term need for reintervention is not well characterized. We estimated reintervention rates for 5 years and identified predictors of reintervention.

Materials And Methods: A longitudinal retrospective cohort study was conducted in women in MarketScan Commercial Claims and Encounters (Truven Health Analytics) aged 18-49 years with UF diagnosis before myomectomy, EA, or UAE from 2008 to 2014. Read More

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August 2018
1 Read

Malignant and Nonmalignant Complications of the Rectal Stump in Patients with Inflammatory Bowel Disease.

Inflamm Bowel Dis 2018 Aug 1. Epub 2018 Aug 1.

Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, the Netherlands.

Background: Patients with refractory inflammatory bowel disease (IBD) might require a subtotal colectomy with construction of an ileostomy. Due to the risk of nerve damage and pelvic sepsis, the diverted rectum is often left in situ. Evidence on long-term complications of this rectal stump is limited, particularly in patients with Crohn's disease (CD). Read More

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August 2018
1 Read

Laparoscopy in Crohn Disease: Learning Curve and Current Practice.

Ann Surg 2018 Aug 3. Epub 2018 Aug 3.

Department of Surgery, Weill Cornell Medicine, New York, NY.

Objective: To identify preoperative characteristics to help in selecting laparoscopy or laparotomy in Crohn disease (CD).

Summary Background: Laparoscopy in CD is associated with high rates of conversion.

Methods: All patients undergoing abdominal surgery for CD in 2004 to 2016 by the senior author. Read More

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August 2018
2 Reads

Long-term physical health consequences of abortion in Taiwan, 2000 to 2013: A nationwide retrospective cohort study.

Medicine (Baltimore) 2018 Aug;97(31):e11785

Department of Medical Research, Tainan Municipal Hospital(Managed by Show Chwan Medical Care Corporation), Tainan, Taiwan (R.O.C.).

The aim of this study was to quantitatively estimate the long-term risk of abortion-related consequences and comorbidities.We identified 36,375 patients with at least 2 diagnosed abortions from 2000 to 2013 and included them in the abortion group. This group was further subdivided into 4 subgroups: spontaneous abortion, induced abortion, nonspecific abortion, and mixed-type abortion groups. Read More

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August 2018
2 Reads

Metabolic stress and endometritis in dairy cattle.

Authors:
I Martin Sheldon

Vet Rec 2018 07;183(4):124-125

Swansea University Medical School, Swansea University, Swansea, SA2 8PP, UK.

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July 2018
1 Read

Unusual case of chronic recurrent multifocal osteomyelitis.

Pediatr Rheumatol Online J 2018 Jul 27;16(1):49. Epub 2018 Jul 27.

The Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, Kaunas, Lithuania.

Background: Chronic recurrent multifocal osteomyelitis (CRMO) is a rare auto-inflammatory bone disorder that primarily affects young girls, with a mean age of 10 years at onset. Generally, it is a self-limited disease. However, recent data indicate that more than 50% of patients have a chronic persistent disease and about 20% a recurring course of this condition. Read More

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July 2018
5 Reads

Comparison of three serological assays to measure antibody response to Chlamydia antigen Pgp3 in adolescent and young adults with pelvic inflammatory disease.

Int J STD AIDS 2018 Jul 27:956462418785244. Epub 2018 Jul 27.

3 Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Antibody-based epidemiologic surveillance to determine population-level exposure to sexually transmitted infections could help inform public health fertility preservation strategies. We compared the performance of three platforms to detect antibodies against the Chlamydia trachomatis (CT) antigen Pgp3 - multiplex bead array (MBA), enzyme-linked immunosorbent assay (ELISA), and lateral flow assay (LFA) - on sera from adolescents and young adults (AYAs) with pelvic inflammatory disease (PID). Ninety-five of 118 AYAs diagnosed with PID (80. Read More

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July 2018
1 Read

Influence of Contraception Use on the Reproductive Health of Adolescents and Young Adults.

Linacre Q 2018 May 25;85(2):167-177. Epub 2018 Apr 25.

Western Health Center, Midfield, AL, USA.

Oral contraceptives (OCs) are often prescribed to adolescents and young adults for the treatment of health problems and to avoid unwanted pregnancies. We hypothesized that the use of OCs, among adolescents and young adults, is associated with a greater likelihood of pregnancy, abortion, sexually transmitted diseases (STDs), pelvic inflammatory disease (PID), and sexual behaviors that will enhance those problems (i.e. Read More

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Is There a Benefit to Culturing Intra-Uterine Devices in Pelvic Inflammatory Disease?

Gynecol Obstet Invest 2018 Jul 25:1-7. Epub 2018 Jul 25.

Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel-Aviv Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Aims: The study aimed to compare the clinical course and disease severity between culture positive and culture negative patients with intra-uterine devices (IUD)-associated pelvic inflammatory disease (PID).

Methods: A retrospective study of all IUD-associated PID patients admitted to tertiary medical center between 2010 and 2015. All patients received standard empiric antibiotic therapy upon admission. Read More

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July 2018
3 Reads

HIV and Syphilis Screening Among Adolescents Diagnosed With Pelvic Inflammatory Disease.

Pediatrics 2018 Aug;142(2)

Children's National Health System, Washington, District of Columbia; and

Background And Objectives: Women with pelvic inflammatory disease (PID) are at an increased risk for syphilis and HIV, but screening rates among adolescents have been understudied. Our objective is to measure the frequency of HIV and syphilis screening among adolescents who are diagnosed with PID and identify patient- and hospital-level characteristics associated with screening.

Methods: We performed a retrospective cohort study using the Pediatric Health Information System from 2010 to 2015. Read More

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August 2018
1 Read

Drug therapies for polymyalgia rheumatica: a pharmacotherapeutic update.

Expert Opin Pharmacother 2018 Aug 24;19(11):1235-1244. Epub 2018 Jul 24.

d Rheumatology Division , Hospital de La Princesa, IIS-Princesa, Universidad Autónoma de Madrid (UAM) , Madrid , Spain.

Introduction: Polymyalgia rheumatica (PMR), a common disease in individuals older than 50 in the western world, is characterized by bilateral inflammatory pain involving the shoulder girdle and less commonly the neck and pelvic girdle. The main goals of the currently available treatment are to induce remission and prevent relapse. Areas covered: This review briefly presents the main epidemiological and clinical features of PMR and discusses in depth both its classical management as well as new therapies used in PMR. Read More

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August 2018
8 Reads

Use of a Sentinel Lymph Node Biopsy Algorithm in a South African Population of Patients With Cervical Cancer and High Prevalence of Human Immunodeficiency Virus Infection.

Int J Gynecol Cancer 2018 Sep;28(7):1432-1437

Gynaecologic Oncology Unit, Department of Obstetrics & Gynaecology, and.

Objectives: Cervical cancer is common in resource-poor settings with high prevalence of tuberculosis, pelvic inflammatory disease, and human immunodeficiency virus (HIV) infection. There are no data regarding the sentinel lymph node (SLN) algorithm in these high-risk cancer populations. Our objectives were to establish the sensitivity, specificity, positive predictive value, and negative predictive value of the SLN algorithm in cervical cancer and to compare the detection rate of indocyanine green (ICG) versus blue dye versus technetium Tc 99m nanocolloid (Tc). Read More

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September 2018
3 Reads

Congenital Microphthalmic Syndrome in a Swine.

Case Rep Vet Med 2018 21;2018:2051350. Epub 2018 Jun 21.

Equine Department, Section of Ophthalmology, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057 Zürich, Switzerland.

A 17-week-old crossbred finishing pig was presented for lameness of approximately one week. Clinical evaluation, including ophthalmologic examination, revealed ataxia, partial flaccid paresis of the pelvic limbs, skin lesions at feet and claws, and severely reduced vision/blindness. Both eyes had multiple persistent pupillary membranes (iris-to-iris and iris-to-lens) and hypermature cataracts. Read More

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June 2018
8 Reads

Close rectal dissection in benign diseases of the rectum: A review.

Surgeon 2018 Jul 18. Epub 2018 Jul 18.

Department of Colorectal Disease, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. Electronic address:

Purpose: Total mesorectal excision (TME) is the gold standard resectional strategy for rectal cancer to minimize loco-regional recurrence and optimize oncological outcomes. This plane is described by many as 'bloodless' but it does contain important pelvic neural plexuses and dissection may be close to the ureters and major vascular structures, particularly in inflammatory conditions of the distal colon and rectum. In such benign diseases a more conservative excision, so-called close rectal dissection, has been advocated to minimize damage to these structures. Read More

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July 2018
6 Reads