检索结果-南通市图书馆

Cesarean Sections according to the Robson’s Classification in Two University Hospitals of Yaoundé: Indications and Maternofetal Outcome

引用

Open Journal of Obstetrics and Gynecology 2023年第11期13卷 1791-1806页

作者： noa Ndoua Claude cyrille Ndongo Ivan Alfred Essiben Felix Toukam Louise Kemfang Ngowa Jean Dupont Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of YaoundéI Yaoundé Cameroon

Introduction: Cesarean section is a surgical intervention which consists in the extraction of a fetus from the uterus after its incision. The rate of cesarean section varies depending on the country and the health facility. For this reason, in 2015, the World Health Organization (WHO) recommended the use of Robson’s classification to evaluate the practice of cesarean sections in order to identify the groups of women who had abnormally high rates. The objective of our study was to evaluate cesarean sections using the Robson’s classification in CHRACERH and in the Yaoundé Central Hospital (YCH). Methodology: We carried out a retrospective cross sectional and descriptive study in two (02) university hospitals in Yaoundé which took place from December 2017 to May 2018. We included in our study all women who gave birth over a period of two (02) years from January 2016 to December 2017 in these two health facilities. Our sampling was exhaustive over the study period. The parturients’ information was collected using an anonymous and pretested questionnaire. The Robson’s group of every parturient was determined. Descriptive parameters like mean and proportions were calculated. We compared the rates and indications of cesarean sections between the both hospitals using Chi2 test. Results: Out of 330 deliveries realized in CHRACERH, we had 90 cesarean sections;hence, a rate of 27.2%. Out of 1863 deliveries carried out at the YCH, 462 were by cesarean section, hence a rate of 24.8%. The women who belonged to groups 1, 3 and 5 contributed to the highest rates of cesarean sections in both hospitals: in CHRACERH, group 5 (31.1%), group 3 (20%) and group 1 (15.6%), at YCH: group 3 (22.5%), group 1 (21.6%) and group 5 (17.3%). The indications of the cesarean sections varied depending on the Robson’s group and the hospital, the principal indication in group 1 was acute fetal distress (28.6%) in CHRACERH and cephalopelvic disproportion (36.7%) at YCH. Cephalopelvic dispropo

关键词： Robson’s Classification Indication for Cesarean Section Materno-Fetal Outcome

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde

引用

Open Journal of Obstetrics and Gynecology 2019年第12期9卷 1595-1603页

作者： noa Ndoua Claude cyrille Belinga Etienne Wirwah Tardzenyuy Festus Mangala Nkwele Fulbert Kasia Jean Marie Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1 Yaounde Cameroon Gynaecological Endoscopic Surgery and Human Reproduction Teaching Hospital Yaounde Cameroon General Hospital of Douala Douala Cameroon

Introduction: Fibroid benign tumour of the uterus can be operated either by laparotomy or laparoscopy. Laparoscopy is not well vulgarised in our settings. Objective: The main objective was to compare the surgical and post-operative outcomes of laparoscopic versus abdominal myomectomy. Methods: We performed a comparative analytical cross sectional study from 1st January 2016 to 31st March 2018 consisted of two groups: group 1 of women who underwent laparoscopic myomectomy (LM) and group 2 of women who underwent abdominal myomectomy (AM). The data collected was entered in Epi Info 7.2 version and exported to IBM SPSS Statistics version 22 for analysis. We used alpha error margin of 5% and confidence interval of 95%. Results: We enrolled 50 cases of myomectomy consisted of 33 (66.0%) files for AM and 17 (34.0%) files for LM. The clinical presentation of fibroid was similar in both groups. The main operation time (H) was (1.27 ± 0.13) for laparoscopy which is much less than (2.05 ± 0.07) for laparotomy group (p = 0.006). In AM group we had 04 post-operatory complications against zero complications in LM group but the difference was not statistically significant (p = 0.387). In the second look laparoscopy, the types of adhesions were not statistically significant (p = 0.471). Conclusion: Laparoscopic offers advantages compared to abdominal myomectomy.

关键词： Laparoscopic Abdominal Myomectomy Surgical and Post-Operative Outcomes

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Ectopic Molar Pregnancy with Coexistent Normal Intrauterine Pregnancy: A Report of an Unusual Diagnosis managed in Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon

引用

Open Journal of Obstetrics and Gynecology 2023年第5期13卷 874-881页

作者： Tompeen Isidore Ekono Michel Roger Guy Mendouga Menye Coralie Belinga Etienne noa Ndoua cyrille Foumane Pascal Department of Gynecology and Obstetrics Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaounde Cameroon Department of Gynecology and Obstetrics Faculty of Medicine and Pharmaceutical Sciences The University of Douala Douala Cameroon Department of Morphologic Sciences and Anatomopatology Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaounde Cameroon Department of Clinical Sciences Faculty of Medicine and Pharmaceutical Sciences The University of Ebolowa Ebolowa Came-roon

Background: Heterotopic pregnancy is a very rare event in a natural cycle. Its incidence is rising mostly due to induction of ovulation or Assisted Reproductive Technique. Most ectopic in heterotopic pregnancies are localized in the fallopian tubes. The occurrence of molar tubal ectopic pregnancy coexisting with intrauterine pregnancy is uncommon and consequently not often considered a diagnostic possibility. Case Report: We report the case of a 25-year-old woman, gravida 4 para 1, who complained of vaginal spotting and lower abdominal pain after 6 weeks of amenorrhea following clomiphene citrate ovarian stimulation. Transvaginal Ultrasonography revealed an intrauterine pregnancy and an unruptured left tubal ectopic pregnancy. She underwent successful laparoscopic salpingectomy while the intra-uterine pregnancy was allowed to continue. The ectopic pregnancy tissue histology reported an ectopic partial molar pregnancy. She subsequently had a normal vaginal delivery at 39 weeks and 3 days and her follow-up was uneventful. Conclusion: Heterotopic pregnancy is a rare but life-threatening condition. It should be suspected in a pregnant woman with a risk factor of multiple gestations who presents vaginal bleeding and lower abdominal pain in the context of early pregnancy. Laparoscopic surgery is effective for confirming the diagnosis and treating the ectopic component. Routine histological examination of tubal specimens must be taken very seriously because some findings like molar pregnancies may require specific management.

关键词： Ectopic Molar Pregnancy Heterotopic Pregnancy Laparoscopy Surgery YGOPH

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Pregnancy and Congenital Uterine Anomalies: Case Series

引用

Open Journal of Obstetrics and Gynecology 2023年第4期13卷 802-813页

作者： Ako Annabel Mangwi Akoh Simon Nji Mpono Pascale Mendibi Sandrine Belinga Etienne noa Ndoua Claude cyrille Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon ANAKO Mother and Child Medical Center Yaoundé Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Endoscopic Surgery and Human Reproductive Teaching Hospital Yaoundé Cameroon

Background: Congenital Uterine Anomalies are malformations of the Uterus which occur during embryonic life and result from the abnormal formation, fusion or resorption of the Mullerian ducts. Most of them are asymptomatic and diagnosis is done incidentally or during examinations performed for other purposes. We report three cases of women with pregnancies in malformed uteri. Aim: To depict the diagnostic challenges and therapeutic aspects of management of pregnancies in congenitally malformed Uteri. Case Presentation: The first case was a 22-year-old student who came to consult for a second opinion on the management of an ectopic pregnancy. A 2D Ultrasound done prior revealed an ectopic pregnancy but failed to specify its location in a rudimentary uterine horn. Management with a Multi-dose Methotrexate regimen was initiated but progress was not favorable. She came to us for a second opinion on management. Diagnostic laparoscopy was done and revealed an ectopic pregnancy in a rudimentary uterine horn. This was confirmed by histopathology. Management consisted of resection of the rudimentary horn and a right total salpingectomy. The second case was that of a woman who presented with spotting in early pregnancy. An Obstetric 2D ultrasound done revealed a bicornuate Uterus with a Gestational sac in one horn. She was placed on progesterone supplementation for 2 weeks, with regular antenatal contacts. She had an elective cesarean section at 39 weeks. Surgery revealed a complete Bicornuate Uterus. The post-operative period was uneventful with no complications. The third case was that of a woman with a past history of five successive spontaneous abortions, who presented with spotting at about 8 weeks of gestation. An Obstetric Ultrasound done revealed a Bicornuate Uterus and an embryo in one cornus. She was admitted, given her poor obstetric history, for about 14 days and placed on progesterone supplementation till 20 weeks of gestation. Antenatal contacts were regular and

关键词： Congenital Uterine Anomalies Diagnosis Pregnancy Management

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Motivation dimensions for running a marathon:A new model emerging from the Motivation of Marathon Scale(MOMS)

引用

Journal of Sport and Health Science 2017年第3期6卷 302-310页

作者： Sima Zach Yan Xia Aviva Zeev Michal Arnon noa Choresh Gershon Tenenbaum Zinman College for Physical Education and Sport Sciences Wingate InstituteNetanya 42902Israel Department of Educational Psychology and Learning Systems College of EducationFlorida State UniversityTallahasseeFL 32306-4453USA

Purpose：The aim of this study was to test and expand the Motivation of Marathoners Scale（MOMS） model（Masters et al.,1993）.Methods：The MOMS questionnaire was distributed to 306 male and female marathon runners（age range：20–77 years） with experience in marathon running（range：1–44 runs）.A confirmatory factor analysis（CFA） revealed that the original Purpose：The aim of this study was to test and expand the Motivation of Marathoners Scale（MOMS） model（Masters et al.,1993）.Methods：The MOMS questionnaire was distributed to 306 male and female marathon runners（age range：20-77 years） with experience in marathon running（range：1-44 runs）.A confirmatory factor analysis（CFA） revealed that the original model failed to fit the ***,exploratory factor analysis（EFA） was performed to test the best factorial solution for the current data,and a subsequent CFA was performed on the revised factorial ***,a series of EFAs using maximum likelihood factor extraction method were ***：The best structure solution for model-data fit resulted in 11 factors：psychological coping-emotional-related coping,psychological coping-everyday-life management,life meaning,self-esteem,recognition,affiliation,weight concerns,general health orientation-reduced disease prevalence and longevity,general health orientation-keep fit,competition,and personal goal ***：This study provides a sound and solid framework for studying motivation for physically demanding tasks such as marathon runs,and needs to be similarly applied and tested in studies incorporating physical tasks which vary in mental demands.

关键词： Exercise adherence Marathon Motives Psychological characteristics

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Endometriosis beyond the Pelvis: A Case Series of Cutaneous Endometriosis and Literature Review

引用

Open Journal of Obstetrics and Gynecology 2024年第1期14卷 77-88页

作者： Tompeen Isidore Nkoro Ombédé G. Anita Mendouga Menye Coralie Belinga Etienne noa Ndoua cyrille Foumane Pascal Department of Gynecology and Obstetrics Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaounde Cameroon Department of Internal Medicine and Specialities Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaounde Cameroon Department of Morphologic Sciences and Anatomopatology Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaounde Cameroon Department of Clinical Sciences Faculty of Medicine and Pharmaceutical Sciences The University of Ebolowa Ebolowa Cameroon

Introduction: Cutaneous endometriosis is an uncommon but well-known skin disorder that represents about 0.5% to 1% of all endometriosis. The objective of this case series is to report clinical presentation, diagnosis, and management of various forms of cutaneous endometriosis. Material and Methods: It was an observational, retrospective and descriptive review of cases presenting with cutaneous endometriosis among Cameroonian women managed at the gynaecological outpatient department of Yaounde Gynaeco-Obstetric and Pediatric Hospital. All the following parameters were analysed: age, parity, previous pelvic surgery, presenting symptoms and duration, associated symptoms, localizations, imaging, size of the lesion, other localization of endometriosis, management and histopathological results. Results: we reported 4 cases of cutaneous endometriosis, with 3 umbilical endometriosis and 1 abdominal scar endometriosis. Patient age ranged from 28 to 39 years with an average of 33 years. All patients described infertility (two primary and two secondary) and two had a history of abdominal surgery. All patients presented local cyclical signs such as pain, swelling, color change and bleeding. The duration of symptoms varied from 2 to 3 years and the size of lesions ranged from 2 to 3.5 cm for umbilical lesions and was 9 cm for abdominal scar endometriosis. In all cases, no imaging was required for the diagnosis, which was suspected on the basis of patient’s history and the cyclical nature of local signs, followed by wide surgical excision and confirmation on histopathology. Conclusion: Cutaneaous endometriosis is a rare benign condition. Umbilical endometriosis seems to be the main cutaneous localization and can be described as primary or secondary. Even if its diagnosis must be confirmed by histopathology, it should be considered in patient with cutaneous cyclic signs such as pain, swelling or bleeding with or without history of abdominal surgery.

关键词： Endometriosis Cutaneous Endometriosis Umbilical Endometriosis Cyclic Umbilical Swelling Cameroon

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Rare Case of a Left Ovarian Remnant Syndrome Associated with a Symptomatic Right Ovarian Cyst

引用

Open Journal of Obstetrics and Gynecology 2023年第1期13卷 103-107页

作者： noa Ndoua Claude cyrille Metogo Ntsama Junie Annick Mbarga Jules Anthony Belinga Etienne Mapina Madola Alice Elvire Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Endoscopy Surgery and Human Reproductive Teaching Hospital Yaounde Cameroon

Ovarian Remnant syndrome (ORS) is the presence of residual ovarian tissue after an oophorectomy was performed whether associated with a hysterectomy or not. We report the case of a 39-year-old woman with a past surgical history of total abdominal hysterectomy and left salpingo-oophorectomy with an indication of placenta accreta incidentally discovered during a caesarian section. The patient presented with pelvic pain and was diagnosed with ORS. She was successfully managed by laparoscopy with removal of the cyst and the surrounding ovarian tissue, confirmed by histopathological analysis. The post operative period was uneventful, and the patient was discharged after 2 days of good evolution. In our context, surgery remains the main treatment option, however, other treatment options including radiotherapy or medical management need to be considered as either adjunct or main therapy.

关键词： Pelvic Pain Ovarian Remnant Syndrome Laparoscopy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Evolving role of endoscopy in inflammatory bowel disease:Going beyond diagnosis

引用

World Journal of Gastroenterology 2021年第20期27卷 2521-2530页

作者： Paulina Núñez F noa Krugliak Cleveland Rodrigo Quera David T Rubin Department of Gastroenterology Inflammatory Bowel Disease ProgramClinica Universidad de los AndesSantiago 7620157RMChile Department of Gastroenterology Hospital San Juan de DiosSantiago 8350488RMChile University of Chicago Medicine Inflammatory Bowel Disease Center ChicagoIL 60637United States

Inflammatory bowel disease,encompassing Crohn’s disease(CD)and ulcerative colitis,are chronic immune-mediated inflammatory bowel diseases(IBD)that primarily affect the gastrointestinal tract with periods of activity and *** body of evidence exist to strengthen the prognostic role of endoscopic evaluation for both disease activity and severity and it remains the gold standard for the assessment of mucosal *** healing has been associated with improved clinical outcomes with prolonged remission,decreased hospitalization,IBD-related surgeries and colorectal cancer ***,endoscopic objectives in IBD have been incorporated as part of standard *** the known increased risk of colorectal cancer in IBD,although prevention strategies continue to develop,regular surveillance for early detection of neoplasia continue to be paramount in IBD patients’*** is thanks to evolving technology and visualization techniques that surveillance strategies are continuously *** endoscopic options in IBD have also been expanding,from surgery sparing therapies such as balloon dilation of fibrostenotic strictures in CD to endoscopic mucosal resection of neoplastic *** this review article,we discuss the current evidence on the use of endoscopy as part of standard of care of IBD,its role in surveillance of neoplasia,and the role of interventional endoscopic therapies.

关键词： Inflammatory bowel disease Endoscopy Crohn’s disease Ulcerative colitis Therapeutic endoscopy Surveillance

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Cytokinin but not gibberellin application had major impact on the phenylpropanoid pathway in grape

引用

Horticulture Research 2021年第1期8卷 599-613页

作者： Kamal Tyagi Itay Maoz Bettina Kochanek noa Sela Larry Lerno Susan EEbeler Amnon Lichter Department of Postharvest Science Agricultural Research OrganizationThe Volcani CenterRishon LeZionIsrael Department of Viticulture and Enology University of CaliforniaDavisCA 95616USA Department of Plant Pathology Agricultural Research OrganizationThe Volcani CenterRishon LeZionIsrael Food Safety and Measurement Facility University of CaliforniaDavisCA 95616USA

Cytokinin and gibberellic acid(GA)are growth regulators used to increase berry size in seedless grapes and it is of interest to understand their effects on the phenylpropanoid pathway and on ripening *** 3 and synthetic cytokinin forchlorfenuron(N-(2-chloro-4-pyridyl)-N′-phenylurea,CPPU)and their combination were applied to 6 mm diameter fruitlets of‘Sable Seedless’,and berries were sampled 51 and 70 days(d)following *** treatments increased berry size and delayed sugar accumulation and acid degradation with a stronger effect of ***,but not GA,reduced berry color and the levels of *** CPPU reduced the levels of anthocyanins by more than 50%,the combined treatment of GA+CPPU reduced the levels by about 25%at 51 *** treatment had minor effects on flavonols content but increased the levels of monomeric flavan-3-ols by more than *** analysis using HPLC showed that proanthocyanidin content was significantly increased by CPPU,whereas mean degree of polymerization was reduced from 26 to *** analysis by GC-MS showed changes in composition with CPPU or GA treatment with potential impact on ***-seq analysis showed that GA had a minor overall effect on the transcriptome whereas CPPU had pronounced effects on gene expression at both 51 and 70 *** the control and CPPU at similar Brix of ca.19.7°,a reduced expression of stilbene synthases(STSs)including their regulators MYB14 and MYB15,and other phenylpropanoid-related genes was observed in CPPU-treated ***,our study shows that CPPU had a major influence on the phenylpropanoid pathway and affected multiple ripening-related processes.

关键词： CPPU impact treatment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Finding predictive models for singlet fission by machine learning

引用

npj Computational Materials 2022年第1期8卷 669-678页

作者： Xingyu Liu Xiaopeng Wang Siyu Gao Vincent Chang Rithwik Tom Maituo Yu Luca M.Ghiringhelli noa Marom Department of Materials Science and Engineering Carnegie Mellon UniversityPittsburghPA15213USA Qingdao Institute for Theoretical and Computational Sciences Shandong UniversityQingdaoShandong266237People’s Republic of China Department of Physics Carnegie Mellon UniversityPittsburghPA15213USA NOMAD Laboratory at the Fritz Haber Institute of the Max Planck Society and Humboldt University BerlinGermany Department of Chemistry Carnegie Mellon UniversityPittsburghPA15213USA

Singlet fission(SF),the conversion of one singlet exciton into two triplet excitons,could significantly enhance solar cell *** crystals that undergo SF are *** exploration may accelerate the discovery of SF ***,many-body perturbation theory(MBPT)calculations of the excitonic properties of molecular crystals are impractical for large-scale materials *** use the sure-independence-screening-and-sparsifying-operator(SISSO)machine-learning algorithm to generate computationally efficient models that can predict the MBPT thermodynamic driving force for SF for a dataset of 101 polycyclic aromatic hydrocarbons(PAH101).SISSO generates models by iteratively combining physical primary *** best models are selected by linear regression with *** SISSO models successfully predict the SF driving force with errors below 0.2 *** on the cost,accuracy,and classification performance of SISSO models,we propose a hierarchical materials screening *** potential SF candidates are found in the PAH101 set.

关键词： materials singlet independence

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：