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Are we managing our patients correctly following treatment for cervical glandular intra-epithelial neoplasia (CGIN): a review of practice at the Jessop Wing Colposcopy Unit.

Cytopathology 2021 Jul 31. Epub 2021 Jul 31.

Consultant Gynaecological Oncologist, Sheffield Teaching Hospitals NHS Foundation Trust.

Objective: Women diagnosed with CGIN remain at risk of further pre-malignant and malignant disease hence post-treatment follow-up must be rigorous. We assess the effectiveness and safety of community cervical sampling follow-up in women treated for CGIN.

Methods: Retrospective cohort study of women diagnosed with CGIN between 1 April 2013 - 31 March 2019, Jessop Wing Colposcopy Unit, Sheffield, UK. Read More

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Group B Streptococcus Colonisation, Prevalence, Associated Risk Factors and Antimicrobial Susceptibility Pattern Among Pregnant Women Attending Antenatal Care at Dschang District Hospital, West Region of Cameroon: A hospital-based Cross-Sectional Study.

Int J Clin Pract 2021 Jul 31:e14683. Epub 2021 Jul 31.

Research Unit of Microbiology and Antimicrobial Substances, Department of Biochemistry, University of Dschang, Cameroon.

Background: Group B Streptococcus (GBS), also known as Streptococcus agalactiae, is a Gram-positive bacterium known for its ability to colonise the vaginal and rectal areas of the mother and is a leading cause of neonatal mortality and morbidity. This study aimed at determining the prevalence, associated risk factors and antimicrobial susceptibility of GBS colonization among pregnant women attending antenatal Care (ANC) at Dschang District Hospital.

Methods: This hospital-based cross-sectional study used a multistage sampling method to recruit a total of 621 consented pregnant women who attended ANC in Dchang District Hospital. Read More

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Expectant management versus multifetal pregnancy reduction in dichorionic triamniotic (DCTA) triplets: Single centre experience.

Eur J Obstet Gynecol Reprod Biol 2021 Jul 13;264:200-205. Epub 2021 Jul 13.

Queen Charlotte's and Chelsea Hospital, Imperial Healthcare NHS Trust, UK; Institute of Reproductive and Developmental Biology, Imperial College London, UK; Department of Development and Regeneration, KU Leuven, Belgium. Electronic address:

Objectives: In trichorionic triplet pregnancies, multifetal pregnancy reduction (MFPR) reduces the risk of preterm birth, neonatal morbidity and mortality without increasing miscarriage. A similar benefit has been suggested in dichorionic triamniotic (DCTA) pregnancy, but multiple methods are currently used. This study investigates if the method of reduction used in DCTA triplet pregnancy influences the evidence of benefit from MFPR. Read More

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Behavior of pregnant women regarding physical activity in gestational diabetes mellitus: secondary analysis of a descriptive cross-sectional study.

J Matern Fetal Neonatal Med 2021 Jul 30:1-6. Epub 2021 Jul 30.

Department of Social Medicine, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.

The purposeof this study was to compare the physical activity of pregnant women with and without gestational diabetes mellitus regarding the physical activity domains and to verify possible associations between socio-demographic characteristics, nutritional status, and lifestyle with gestational diabetes. Consists in a study including 798 adult pregnant women attended by the Unique Health System in Ribeirão Preto, Brazil from 2011 to 2012. The variables studied were recorded using questionnaires, as well as frequency (weekly), duration (minutes) and the metabolic equivalent. Read More

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Provider Perspectives on Navigating Relationship Challenges in Assisting HIV-Affected Couples to Meet Their Reproductive Goals: Lessons Learned from a Safer Conception Counseling Intervention in Uganda.

AIDS Behav 2021 Jul 29. Epub 2021 Jul 29.

Schools of Medicine and Pharmacy, Childrens Mercy Research Institute, University of Missouri, Kansas, MO, USA.

In Uganda, 60% of HIV-affected couples are serodiscordant, many of whom want children. There is a need to assess their reproductive intentions and provide appropriate services that limit transmission risks while meeting reproductive goals. Our Choice intervention engaged male and female HIV-infected clients and their partners in safer conception counseling (SCC) or family planning based on their childbearing decision. Read More

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Patterns and predictors of gestational weight gain in Addis Ababa, Central Ethiopia: a prospective cohort study.

Reprod Health 2021 Jul 28;18(1):159. Epub 2021 Jul 28.

School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, Sydney, NSW, Australia.

Introduction: Gaining excessive or inadequate gestational weight is associated with many adverse maternal and fetal outcomes. Inadequate gestational weight gain (GWG) increases the risk of fetal growth restriction, pre-term birth, and low birth weight. It is a public health concern in sub-Saharan Africa. Read More

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Experiences engaging in a group-based physiotherapist-led exercise programme for adults living with HIV and complex multimorbidity: a qualitative study.

BMJ Open 2021 Jul 27;11(7):e045158. Epub 2021 Jul 27.

Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

Objective: To explore experiences participating in a group-based physiotherapist (PT)-led exercise programme among people living with HIV and complex multimorbidity.

Design: We conducted a qualitative descriptive study using semistructured interviews.

Recruitment And Setting: We recruited community-dwelling adults living with HIV who engaged in a group-based PT-led exercise programme within an HIV-specialty hospital in Toronto, Canada. Read More

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First evidence for the existence of Simkania negevensis in the genitalia of human females.

Enferm Infecc Microbiol Clin 2021 Jul 24. Epub 2021 Jul 24.

Department of Biological Sciences, School of Science, the University of Jordan, Amman, Jordan. Electronic address:

Introduction: Simkania negevensis has been linked to some respiratory and non-respiratory diseases. However, there is still a serious lack of clinical investigations that attempt to determine possible body sites that could be inhabited by this microorganism and evaluate its true pathogenic capacity. The goal of this study was to examine the potential presence of Simkania and its prevalence in the genital tract of human adult females. Read More

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Oral health status and behaviors of pregnant migrant workers in Bangkok, Thailand: a cross-sectional study.

BMC Oral Health 2021 Jul 27;21(1):379. Epub 2021 Jul 27.

Department of Dentistry, Rajavithi Hospital, 2, Phyathai Road, Bangkok, 10400, Thailand.

Background: There is evidence to show that immigrants have poorer oral health status than their local counterparts, and low-skilled migrant workers may also be more prone to poor oral health. This study aims to evaluate the oral health status and oral health behaviors of pregnant migrant workers compared to those of local pregnant women.

Methods: A hospital-based cross-sectional study was conducted in a public general hospital in Bangkok. Read More

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Self-assessment of attitudes towards conditions to provide safe abortion among new medical graduates in Thailand, 2018: an application of cross-sectional survey with factor analysis.

BMC Womens Health 2021 Jul 27;21(1):273. Epub 2021 Jul 27.

International Health Policy Program, Ministry of Public Health, Nonthaburi, 11000, Thailand.

Background: Unsafe abortion is one of the major public health problems in Thailand. Although the penal code of Thailand and the Thai Medical Council permit doctors to perform safe abortion in certain conditions, little is known about the attitudes that new medical doctors have towards abortion. The objectives of this article are to explore the attitudes towards abortion in certain conditions among new medical graduates and to identify factors related to those attitudes. Read More

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Characterisation of pregnant women in a maternity hospital in Brazil who ever suffered domestic violence.

Eur J Contracept Reprod Health Care 2021 Jul 27:1-6. Epub 2021 Jul 27.

Hospital Municipal Universitário, São Bernardo, Brazil.

Domestic violence against women is a violation of women's rights and is a public health issue. Knowledge by all society sectors about the clinical and social characteristics of women who suffer violence is fundamental for the development of preventive actions.: Data on clinical, perinatal, and socioeconomic characteristics of women attended in the municipal hospital of São Bernardo do Campo, Brazil, in 2018 and 2019 who reported ever suffering domestic violence collected and compared with to women who denied exposure to violence. Read More

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Individualism without full individualization? The compressed life trajectories of the Tibetan graduates of an English training program.

Authors:
Lin Yi Zhuoma Gadou

Br J Sociol 2021 Jul 27. Epub 2021 Jul 27.

Independent Researcher.

Drawing upon fieldwork data collected among a group of Tibetan graduates who attended an internationally linked English training program that dramatically and fundamentally altered their life trajectories, this study argues that these Tibetans acquired individualism prior to individualization practice. Their pathway is in contrast with the tendency found among Korean women "toward individualization without individualism, a region-wide phenomenon in East Asia'. Different scenarios exactly reveal complicatedness and complexity in compressed modernity of East Asia. Read More

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Diagnosis and treatment of sexually transmitted infections in male partners of pregnant women in Brazil.

Int J STD AIDS 2021 Jul 26:9564624211032759. Epub 2021 Jul 26.

Department of Internal Medicine, Division of Infectious Disease, David Geffen School of Medicine, 8783UCLA, Los Angeles, CA, USA.

Sexually transmitted infections (STIs) can adversely affect a woman's pregnancy and the health of the developing fetus. The source of these infections may be the male sexual partner who remains under-diagnosed and un-treated due to a combination of lack of symptoms, decreased access to health care, and poor health-seeking behaviors. From September 2018 to November 2019, we offered a cohort of pregnant women (gestational age range: 4. Read More

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The importance of the 'family clock': women's lived experience of fertility decision-making 6 years after attending the Fertility Assessment and Counselling Clinic.

Hum Fertil (Camb) 2021 Jul 23:1-13. Epub 2021 Jul 23.

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

This study explored women's lived experience of making fertility decisions six years after attending the Fertility Assessment and Counselling (FAC) clinic in Copenhagen, Denmark, which is a personalised fertility awareness intervention. We conducted a qualitative interview study with 24 women who attended the FAC clinic 6 years earlier. Interviews were semi-structured and broadly examined the women's perceptions and experience of the intervention during follow-up. Read More

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Influencers of women's choice and experience of exclusive formula feeding in hospital.

Midwifery 2021 Jul 14;103:103093. Epub 2021 Jul 14.

Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Perth, Western Australia 6008, Australia; School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia 6102, Australia.

Objectives: Explore what influenced women's decision to exclusively formula feed, and their experiences with formula feeding within a maternity hospital environment.

Design: This mixed methods study used a cross-sectional exploratory survey design. Short surveys were administered by telephone in the postpartum period. Read More

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Women's progression through the maternal continuum of care in Guinea: Evidence from the 2018 Guinean Demographic and Health Survey.

Trop Med Int Health 2021 Jul 26. Epub 2021 Jul 26.

Centre National de Formation et de Recherche en, Santé Rurale de Maferinyah, Forécariah, Guinea.

Objective: To examine women's progression through the antenatal, birth, and postpartum maternal care in Guinea in 2018 METHODS: Using the Guinea Demographic and Health Survey of 2018, we analysed data on most recent live births in the 24 months preceding the survey among women aged 15-49 and the determinants (health system, quality of care, reproductive and sociodemographic factors) of women's progression through three steps of the continuum of care, using multivariable logistic regression.

Results: In the sample of 3,018 women, 87% reported at least one ANC visit (ANC1) with a health professional and 36% reported ANC4+, at least one of which was with a health professional. 26% of women reported ANC4+ plus birth in a health facility, and 20% reported ANC4+, birth in a health facility, plus postpartum checkup. Read More

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Factors and Causes of Puerperal Sepsis in Kilimanjaro, Tanzania: A Descriptive Study among Postnatal Women who Attended Kilimanjaro Christian Medical Centre.

East Afr Health Res J 2020 26;4(2):158-163. Epub 2020 Nov 26.

Faculty of Medicine, Department of Microbiology and Immunology, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

Background: Puerperal sepsis is the major cause of maternal morbidity and mortality worldwide. About 94% of maternal mortality occur in low and middle-income countries including Tanzania.

Objective: To estimate the prevalence, document factors and causes of puerperal sepsis among postnatal women who attended postnatal care in Kilimanjaro Christian Medical Centre Hospital in the year 2015. Read More

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November 2020

Anti-müllerian hormone levels and antral follicle count in women with a BRCA1 or BRCA2 germline pathogenic variant: A retrospective cohort study.

Breast 2021 Jul 12;59:239-247. Epub 2021 Jul 12.

Centre Léon Bérard, Department of Surgical Oncology, 28 rue Laënnec, 69008, Lyon, France; Hospices Civils de Lyon, Lyon Sud University Hospital, Department of Obstetrics and Gynecology, 165 Chemin Du Grand Revoyet, 69310, Pierre-Bénite, France; Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, France. Electronic address:

Background: Some studies suggested a decreased ovarian reserve among BRCA1/2 pathogenic variant carriers, with conflicting results.

Methods: We conducted a retrospective single-center observational study of ovarian reserve and spontaneous fertility comparing BRCA1/2 pathogenic variant carriers to controls (women who attended consultations to discuss fertility preservation before gonadotoxic treatment). Measures of associations between plasma AMH concentration, AFC and BRCA1/2 status were modelled by nonlinear generalized additive regression models and logistic regressions adjusted for age at plasma storage, oral contraceptive use, body mass index, cigarette smoking, and the AMH assay technique. Read More

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Analysis of Healthy Lifestyle Habits and Oral Health in a Patient Sample at the Dental Hospital of the University of Barcelona.

Int J Environ Res Public Health 2021 Jul 14;18(14). Epub 2021 Jul 14.

Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute), IDIBELL, Department of Odontostomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, 08907 Barcelona, Spain.

The association between general health and oral health has been studied over recent years. In order to evaluate the lifestyle and the presence of healthy habits, a descriptive observational study was conducted from December 2018 to April 2019 with 230 patients, aged from 18 to 65 years old, that attended the Dental Hospital of the University of Barcelona for the first time. A total of 230 participants were considered, 98 (43%) were men and 132 (57%) were women, with a mean age of 37 years old. Read More

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Knowledge, Attitude and Practice Toward Corona virus Infection Among Pregnant Women Attending Antenatal Care at Public Hospitals in Three Wollega Zones, Ethiopia.

Int J Gen Med 2021 15;14:3563-3573. Epub 2021 Jul 15.

Departments of Pediatrics and Neonatology Nursing, School of Nursing and Midwifery, Wollega University, Nekemte, Ethiopia.

Background: Pregnancy is an immune-suppressed state which makes pregnant women generally more susceptible to COVID-19 infection and severe illness. Extensive precautions have been recommended to avoid exposure to the virus. Knowledge and attitude toward the disease play an integral role in readiness to accept public health measures. Read More

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Association of Temporomandibular Disorders with Pain Sensitivity: a cohort study.

Eur J Pain 2021 Jul 20. Epub 2021 Jul 20.

Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu.

Background: Pain related to temporomandibular disorders (TMD) can be linked with multiple site pain (MSP), and may associate with increased pain sensitivity, more frequently among women than men. The aim of the study was to examine the associations of pressure pain threshold (PPT) and tolerance (PPTo) with TMD and associated MSP in the Northern Finland Birth Cohort 1966 (NFBC1966) study.

Methods: Altogether 1961 NFBC1966 subjects attended clinical medical and dental examination at the Institute of Dentistry, University of Oulu in 2012-2013. Read More

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Contraception and reproductive planning from the perspective of women with sickle cell disease.

Rev Gaucha Enferm 2021 16;42:e20200109. Epub 2021 Jul 16.

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Programa de Pós Graduação, Doutorado em Saúde Integral. Recife, Pernambuco, Brasil.

Objective: To understand the perceptions of women with sickle cell disease (SCD) about reproductive planning in a public health service.

Method: This is a qualitative study conducted with 15 women with SCD attended at a public hospital in Recife, between August 2018 and May 2019. Bardin's content analysis technique was used. Read More

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[Mycoplasma genitalium in Primary Care: Prevalence and azithromycin resistance in Santiago de Compostela Health Care Area].

Rev Esp Quimioter 2021 Jul 21. Epub 2021 Jul 21.

María Rodríguez Velasco, Servicio de Microbiología, Complejo Hospitalario Universitario de Santiago de Compostela, Rúa da Choupana, s/n, 15706, Santiago de Compostela, Spain.

Objective: Mycoplasma genitalium is associated with persistent/recurrent sexually transmitted infections. The aim of this work was to estimate the prevalence and azithromycin resistance of M. genitalium in general population that was attended at Primary Care of Santiago de Compostela Health Care Area. Read More

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The "organic" descriptor and its association with commercial cigarette health risk expectancies, subjective effects, and smoking topography: a pilot human laboratory study.

Nicotine Tob Res 2021 Jul 21. Epub 2021 Jul 21.

Center for Interdisciplinary Research on Nicotine Addiction, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia,PA.

Introduction: The purpose of this mixed method pilot study was to (1) examine whether the "organic" descriptor affects smokers' health risk expectancies, subjective ratings of smoking, and topography, and (2) describe how smokers interpret the "organic" descriptor and relate it to their subjective smoking experience.

Methods: Twenty-two daily smokers (45.5% men, 81. Read More

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Determinants of Postponed Cancer Screening During the COVID-19 Pandemic: Evidence from the Nationally Representative COVID-19 Snapshot Monitoring in Germany (COSMO).

Risk Manag Healthc Policy 2021 14;14:3003-3011. Epub 2021 Jul 14.

Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Purpose: The COVID-19 pandemic is accompanied by various challenges for individual health and the health care system. However, preventive examinations such as cancer screenings should not be postponed during a pandemic. Because nationally representative studies describing postponed cancer screenings and identifying its determinants in Germany are lacking, our aim was to close this gap in knowledge. Read More

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PRENATAL IDENTIFICATION OF ABERRANT RIGHT SUBCLAVIAN ARTERY IN ISOLATION: THE NEED FOR FURTHER GENETIC WORK-UP?

Acta Clin Croat 2020 Dec;59(4):582-589

1Division of Perinatology, Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey; 2Division of Genetic Disease, Van Regional Training and Research Hospital, Van, Turkey; 3Division of Obstetrics & Gynecology, Van Regional Trainingand Research Hospital, Van, Turkey; 4Bahceci Infertility and IVF Center, Fulya, Istanbul, Turkey.

The objective of this study was to evaluate the association between aberrant right subclavian artery (ARSA) and chromosomal abnormalities. The study included 5211 women having attended our unit for fetal anatomic screening and fetal echocardiography from August 2016 until February 2019. After diagnosing ARSA, prenatal invasive testing was discussed with the patients. Read More

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December 2020

Toxoplasmosis infection among pregnant women in Africa: A systematic review and meta-analysis.

PLoS One 2021 20;16(7):e0254209. Epub 2021 Jul 20.

Malawi University, College of Medicine, Zomba, Malawi.

The epidemiology of toxoplasmosis in pregnancy is a major issue in public health. Toxoplasmosis is caused by the protozoan parasite. Toxoplasma parasite is at high risk for life-threatening diseases during pregnancy. Read More

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Knowledge and attitude about intrauterine contraceptive devices among patients attending the National Guard Hospital in Jeddah, Saudi Arabia: a cross-sectional study.

Eur J Contracept Reprod Health Care 2021 Jul 20:1-7. Epub 2021 Jul 20.

King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.

Objectives: To investigate women's knowledge and attitudes regarding the use of the intrauterine device (IUD) for contraceptive purposes and to explore eventual misconceptions about its benefits, and disadvantages.

Methods: A cross-sectional study was conducted in the Obstetrics and Gynaecology (OB/GYN) outpatient department at King Khalid National Guard Hospital in King Abdul-Aziz Medical City, Jeddah, Saudi Arabia. It involved women aged 15-55 years, who attended the outpatient OB/GYN clinic from July 2018 till May 2019. Read More

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Mobile Technology Improves Adherence to Cardiac Rehabilitation: A Propensity Score-Matched Study.

J Am Heart Assoc 2021 Jul 19:e020482. Epub 2021 Jul 19.

Department of Medicine, Cardiology Section Boston Medical Center Boston University School of Medicine Boston MA.

Background Despite its established effectiveness, adherence to cardiac rehabilitation remains suboptimal. The purpose of our study is to examine whether mobile technology improves adherence to cardiac rehabilitation and other outcomes. Methods and Results We identified all enrollees of the cardiac rehabilitation program at Boston Medical Center from 2016 to 2019 (n=830). Read More

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Current Orthopaedic Residency Letters of Recommendation Are Not Biased by Gender of Applicant.

JB JS Open Access 2021 Jul-Sep;6(3). Epub 2021 Jul 14.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Letters of recommendation (LORs) are highly influential in the residency selection process. Differences in language and length of LORs by gender have been demonstrated for applicants applying to surgical residencies and fellowships. This had yet to be studied in orthopaedic surgery. Read More

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