158 results on '"Reproductive Issues"'
Search Results
2. A Novel Integrative Non-invasive Embryo Selection Approach for in Vitro Fertilization Based on Artificial Intelligence Enhanced Morphokinetic Analysis and Raman Spectra in Spent Culture Media
- Author
-
Chung Pui Wah Jacqueline, Associate Professor
- Published
- 2024
3. Towards Optimal Fertility, Fathering and Fatherhood studY (TOFFFY)
- Published
- 2024
4. Serum Antimullerian Hormone Levels Among Epileptic Patients
- Author
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Ali Cenk, Medical Doctor, Associate Professor
- Published
- 2024
5. Maternal KIR and Fetal HLA Influence Reproductive Success in ART-oocyte Donor.
- Author
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Diana Alecsandru
- Published
- 2024
6. The Stanford Egg Freezing Study
- Author
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Ruth Bunker Lathi, Professor of Obstetrics & Gynecology
- Published
- 2023
7. Advance Provision of Postpartum Emergency Contraception and Its Effects on Reproductive Autonomy
- Author
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Society of Family Planning and Ashley Turner, MD, Assistant professor obstetrics and gynecology
- Published
- 2023
8. Sperm Preparation Prior to Intrauterine Insemination Study (PIoUS)
- Published
- 2023
9. Hysteroscopic Isthmocele Repair on IVF Outcome
- Author
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Ahmed Elsayed Hassan Hamed Elbohoty, Reproductive medicine consultant
- Published
- 2023
10. CHWs' Challenges and Job Satisfaction
- Author
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Doneez Amir Adly Eskander, Demonstrator
- Published
- 2023
11. The Therapeutic Effects of Bu Shen Yi Jing Pill on Semen Quality in Sub Fertile Males: a Randomized Controlled Trial
- Published
- 2022
12. Evaluating MyPath to Enhance Reproductive Autonomy and Liberate Decision-making (EMERALD)
- Author
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Society of Family Planning and Beatrice Chen, Associate Professor
- Published
- 2022
13. An Observational Study of Follitropin Alpha Biosimilar: the Real-world Data
- Author
-
Institute for Preventive and Social Medicine
- Published
- 2021
14. Reproductive Issues and Pregnancy Implications in Systemic Sclerosis.
- Author
-
Lazzaroni, Maria-Grazia, Crisafulli, Francesca, Moschetti, Liala, Semeraro, Paolo, Cunha, Ana-Rita, Neto, Agna, Lojacono, Andrea, Ramazzotto, Francesca, Zanardini, Cristina, Zatti, Sonia, Airò, Paolo, Tincani, Angela, Franceschini, Franco, and Andreoli, Laura
- Abstract
Systemic sclerosis (SSc) is a rare systemic autoimmune disease that can influence reproductive health. SSc has a strong female predominance, and the disease onset can occur during fertility age in almost 50% of patients. Preconception counseling, adjustment of treatment, and close surveillance during pregnancy by a multidisciplinary team, are key points to minimize fetal and maternal risks and favor successful pregnancy outcomes. The rates of spontaneous pregnancy losses are comparable to those of the general obstetric population, except for patients with diffuse cutaneous SSc and severe internal organ involvement who may carry a higher risk of abortion. Preterm birth can frequently occur in women with SSc, as it happens in other rheumatic diseases. Overall disease activity generally remains stable during pregnancy, but particular attention should be paid to women with major organ disease, such as renal and cardiopulmonary involvement. Women with such severe involvement should be thoroughly informed about the risks during pregnancy and possibly discouraged from getting pregnant. A high frequency of sexual dysfunction has been described among SSc patients, both in females and in males, and pathogenic mechanisms of SSc may play a fundamental role in determining this impairment. Fertility is overall normal in SSc women, while no studies in the literature have investigated fertility in SSc male patients. Nevertheless, some considerations regarding the impact of some immunosuppressive drugs should be done with male patients, referring to the knowledge gained in other rheumatic diseases. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
15. Retrospective Analysis of Results of Surgery for Deep Bowel Endometriosis
- Author
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Dr. med. Sebastian Daniel Schäfer, Head of Gynecology
- Published
- 2020
16. Long-term Outcome of Children Born to Women with Autoimmune Rheumatic Diseases: A Multicentre, Nationwide Study on 299 Randomly Selected Individuals.
- Author
-
Andreoli, Laura, Nalli, Cecilia, Lazzaroni, Maria Grazia, Carini, Chiara, Dall'Ara, Francesca, Reggia, Rossella, Rodrigues, Marília, Benigno, Carolina, Baldissera, Elena, Bartoloni, Elena, Basta, Fabio, Bellisai, Francesca, Bortoluzzi, Alessandra, Campochiaro, Corrado, Cantatore, Francesco Paolo, Caporali, Roberto, Ceribelli, Angela, Chighizola, Cecilia B., Conigliaro, Paola, and Corrado, Addolorata
- Abstract
The concern about the offspring's health is one of the reasons for a reduced family size of women with rheumatic diseases (RD). Increased risk of autoimmune diseases (AD) and neurodevelopmental disorders (ND) has been reported in children born to patients with RD. Within a nationwide survey about reproductive issues of women with RD, we aimed at exploring the long-term outcome of their children. By surveying 398 patients who received their diagnosis of RD during childbearing age (before the age of 45), information about the offspring were obtained from 230 women who declared to have had children. A total of 148 (64.3%) patients were affected by connective tissue diseases (CTD) and 82 (35.7%) by chronic arthritis. Data on 299 children (156 males, 52.1%; mean age at the time of interview 17.1 ± 9.7 years) were collected. Twelve children (4.0%), who were born to patients with CTD in 75% of the cases, were affected by AD (8 cases of celiac disease). Eleven children had a certified diagnosis of ND (3.6%; 6 cases of learning disabilities); 9 of them were born to mothers with CTD (5 after maternal diagnosis). No association was found between ND and prenatal exposure to either maternal autoantibodies or anti-rheumatic drugs. Absolute numbers of offspring affected by AD and ND were low in a multicentre cohort of Italian women with RD. This information can be helpful for the counselling about reproductive issues, as the health outcomes of the offspring might not be an issue which discourage women with RD from having children. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
17. Childhood ovarian nonseminomatous germ cell tumors: A highly curable disease with few long‐term treatment‐related toxicities—Results of the French TGM95 study.
- Author
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Pavone, Rossana, Pacquement, Hélène, Pasquet, Marlène, Sudour‐Bonnange, Hélène, Hameury, Fédéric, Sarnacki, Sabine, Chastagner, Pascal, Faure‐Conter, Cécile, Poirée, Marilyne, Taque, Sophie, Patte, Catherine, and Fresneau, Brice
- Subjects
GERM cell tumors ,PRECOCIOUS puberty ,ACUTE myeloid leukemia ,JUVENILE diseases ,PROGNOSIS ,DIAGNOSIS ,TERATOMA - Abstract
We report survival and late effects analysis of TGM95 study for childhood (≤18 years) ovarian nonseminomatous germ cell tumors (NS‐GCT). Patients with localized tumors (FIGO‐stage IA) had no adjuvant treatment (low‐risk, LR). Patients with advanced‐stage received 3‐5 VBP (vinblastin‐bleomycin‐cisplatin) in intermediate‐risk group (IR: FIGO‐stage IC‐II‐III and AFP < 15 000 ng/mL) or 4‐6 VIP (etoposide‐ifosfamide‐cisplatin) in high‐risk group (HiR: metastatic or AFP ≥ 15 000 ng/mL). Seventy‐seven patients were included (median age = 12 years): 14 LR (13 FIGO‐stage IA, 1 retrospectively IC), 26 IR (12 IC, 12 II‐III, 2 not‐available) and 37 HiR (2 IA with AFP ≥ 15 000 ng/mL, 27 II‐III, 8 IV). After a median follow‐up of 13.4 years, 12 events (eight relapses) and six deaths (two GCT‐related, two due to acute myeloid leukemia and two noncancer related) occurred. All relapses (6 LR, 1 IR) occurred within 2 years. Four contralateral mature teratomas were observed within 8 years. Five‐year EFS and OS were 88.2% (95%CI = 79‐94%) and 94.6% (95%CI = 87‐98%). Seven patients (9%) had bilateral gonadectomy. Among 51 survivors at 2 years aged >15 years (median = 26 years) with remaining ovarian tissue, all had developed spontaneous puberty and 21 (41%) had at least one pregnancy (including two with infertility treatment). Among 69 patients treated with platinum‐based chemotherapy, chronic‐kidney‐disease was diagnosed in four patients (three after VIP) and significant ototoxicity occurred in three (all grade‐2). Childhood ovarian NS‐GCTs have an excellent prognosis with few late effects. The low‐intensive etoposide‐free VBP regimen could be an alternative in children with IR disease especially in cases of tumor rupture. The risk of contralateral mature teratoma needs regular monitoring of the remaining ovary. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
18. "Disease knowledge index" and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases.
- Author
-
Andreoli, Laura, Lazzaroni, Maria Grazia, Carini, Chiara, Dall'Ara, Francesca, Nalli, Cecilia, Reggia, Rossella, Rodrigues, Marília, Benigno, Carolina, Baldissera, Elena, Bartoloni-Bocci, Elena, Basta, Fabio, Bellisai, Francesca, Bortoluzzi, Alessandra, Campochiaro, Corrado, Cantatore, Francesco Paolo, Caporali, Roberto, Ceribelli, Angela, Chighizola, Cecilia B., Conigliaro, Paola, and Corrado, Addolorata
- Subjects
- *
RHEUMATISM , *AUTOIMMUNE diseases , *MATERNAL age , *CONNECTIVE tissue diseases , *FAMILY size - Abstract
Objective: The reproductive choices of women affected by rheumatic diseases (RD) can be influenced by several factors, including the quality of physician-patient communication. We conducted a survey on reproductive issues aiming at exploring the unmet needs of women with RD during childbearing age.Methods: We administered 65 multiple-choice and 12 open-answer questions about pregnancy counselling, contraception, use of drugs during pregnancy and other women reproductive issues to 477 consecutive women with RD aged 18-55 years followed-up in 24 rheumatology centres in Italy. Analysis was restricted to 398 patients who received their diagnosis of RD before the age of 45. According to the RD diagnosis, patients were subdivided into 2 groups: connective tissue diseases (n = 249) and chronic arthritis (n = 149).Results: At the time of interview, women in both groups had a mean age of 40 years. Nearly one third of patients in each group declared not to have received any counselling about either pregnancy desire nor contraception. A smaller family size than desired was reported by nearly 37% of patients, because of concerns related to maternal disease in one fourth of the cases. A "Disease Knowledge Index" (DKI) was created to investigate the degree of patients' information about the implications of their RD on reproductive issues. Having received counselling was associated with higher DKI values and with a positive impact on family planning.Conclusion: Italian women of childbearing age affected by RD reported several unmet needs in their knowledge about reproductive issues. Strategies are needed to implement and facilitate physician-patient communication. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
19. ADOLESCENTS ENGAGING IN SEXUAL ACTIVITY: AN OVERVIEW
- Author
-
Dr.Sharmini Siva Vikaraman, Dr.Ganesan Shanmugavelu, Kanaisan Kanapathy, Manimaran Vadivelu, Dr.M. Nadarajan Manickam, Amuta Arumugam, and Jagdave Singh Avtar Singh
- Subjects
Substance abuse ,Reproductive Issues ,Sexual initiation ,medicine ,Context (language use) ,Health outcomes ,Psychology ,Multiple risk factors ,medicine.disease ,Depression (differential diagnoses) ,Clinical psychology - Abstract
The purpose of this study is to determine the prevalence of risky sexual activities among adolescents within the context of other behavioural factors that contribute to compromised health outcomes, for both sexes, those who initiated sexual activity at an early age were more likely to engage in a variety of significant risks behaviours factor. Possibility engaging in sexual activity is associated with age, low academic performance, substance abuse, violence, depression, and suicidal tendencies. The more regular occurrence of these risk factors, the higher the chances of engaging in sexual activity. The aim of various examining is to find efforts on how specific ways of conceptualizing to reduce multiple risk factors and to determine how adolescents’ views on reproductive issues influence may develop sexual initiation and patterns of behaviour in sexual activity over the time. KEYWORD: Adolescent, Healthy, Sexual Activity, Therapy, Emotional, Multiple Risk
- Published
- 2021
20. A neglected population: Sexual and reproductive issues among adolescent and young Venezuelan migrant women at the northwestern border of Brazil
- Author
-
Leila Rocha, Luis Bahamondes, Fernanda Garanhani Surita, Maria Laura Costa, and Rachel Esteves Soeiro
- Subjects
Adult ,Health Knowledge, Attitudes, Practice ,Adolescent ,Sexual Behavior ,Population ,Prenatal care ,Young Adult ,Pregnancy ,Pandemic ,Humans ,Medicine ,Childbirth ,Child ,education ,Reproductive health ,Transients and Migrants ,education.field_of_study ,Descriptive statistics ,business.industry ,Obstetrics and Gynecology ,General Medicine ,Reproductive Issues ,Cross-Sectional Studies ,Reproductive Health ,Female ,Sexual Health ,Healthcare service ,business ,Brazil ,Demography - Abstract
OBJECTIVE Adolescent and young women (10-24 years old) are a neglected group in humanitarian settings and their sexual and reproductive health (SRH) needs are habitually ignored. Our study aims to assess main SRH issues affecting migrant Venezuelan adolescents and young women in Boa Vista, Roraima at the northwestern border of Venezuela-Brazil. METHODS A cross-sectional study with a self-responded questionnaire with information about SRH was conducted in 153 Venezuelan adolescent and young migrant women at Boa Vista, from January 18 to 23, 2021. A descriptive analysis was performed. RESULTS Mean age was 17.7 years and two-thirds were under 20 years old. The majority (84%) were living on the streets. Most of them (54%) reported that they had at least one previous childbirth, 10% were pregnant at the time of the interview, 30% of them were not attending prenatal care. The main SRH concern was contraception (35%); however, 75% of those interviewed who went to a healthcare service were unable to obtain the method of their choice and for 91% no other contraceptive was offered. CONCLUSION Migrant Venezuelan adolescents and young women in Boa Vista have their SRH needs overlooked. Efforts to address these SRH needs, especially during the pandemic, require urgent attention.
- Published
- 2021
21. Reproduction between Health and Sickness : Doctors’ Attitudes to Reproductive Issues in Interwar Czechoslovakia
- Author
-
Veronika Lacinová Najmanová
- Subjects
eugenics ,lékaři ,Reproduction (economics) ,interwar Czechoslovakia ,eugenika ,reproduction ,reprodukce ,Reproductive Issues ,antikoncepce ,medikalizace ,meziválečné Československo ,Sociology ,medicalization ,doctors ,birth control ,Demography - Abstract
The study examines how doctors in interwar Czechoslovakia intervened in reproductive issues and related areas of life in an attempt to combat the declining birthrate, a trend that was considered a threat to society. Inspired by Foucault’s concept of medicalization and biopower, through the analysis of medical literature and articles from the press in the interwar period, I will demonstrate how Czechoslovak doctors, not only but especially under the influence of eugenics, foregrounded the categories of health and sickness in order to assert definitions of “correct” forms of reproduction while attempting to stigmatize and discourage forms of reproduction that they considered detrimental to the health of society or the nation. The aim of the study is not only to expand the body of knowledge about the activities and attitudes of Czechoslovak doctors in the interwar period but also to call attention to the still current topic of the political background of reproductive policy Studie zkoumá, jak lékaři v meziválečném Československu zasahovali do oblasti reprodukce a souvisejících oblastí, ve snaze bojovat s klesající porodností, tedy trendem, který byl považován za jednu z hrozeb tehdejší společnosti. Inspirována Foucaultovými koncepty medikalizace a biomoc, se prostřednictvím analýzy lékařské literatury a tisku z meziválečného období, pokusím ukázat, jak českoslovenští lékaři (nejen, ale především) pod vlivem eugeniky, usilovali o prosazení „správných“ forem reprodukce a stigmatizaci a těch forem reprodukce, které považovali za škodlivé zdraví společnosti nebo národa, a to prostřednictvím zdůrazňování kategorie zdraví a nemoci. Cílem studia není pouze rozšíření znalostí o činnosti a postojích československých lékařů v meziválečném období, ale také upozornit na stále aktuální téma politického pozadí reprodukční politiky.
- Published
- 2021
22. Reproductive Issues and Pregnancy Implications in Systemic Sclerosis
- Author
-
Maria-Grazia Lazzaroni, Francesca Crisafulli, Liala Moschetti, Paolo Semeraro, Ana-Rita Cunha, Agna Neto, Andrea Lojacono, Francesca Ramazzotto, Cristina Zanardini, Sonia Zatti, Paolo Airò, Angela Tincani, Franco Franceschini, and Laura Andreoli
- Subjects
Fertility ,Pregnancy ,Reproductive issues ,Immunology and Allergy ,Systemic sclerosis ,Preconception counseling ,General Medicine - Abstract
Systemic sclerosis (SSc) is a rare systemic autoimmune disease that can influence reproductive health. SSc has a strong female predominance, and the disease onset can occur during fertility age in almost 50% of patients. Preconception counseling, adjustment of treatment, and close surveillance during pregnancy by a multidisciplinary team, are key points to minimize fetal and maternal risks and favor successful pregnancy outcomes. The rates of spontaneous pregnancy losses are comparable to those of the general obstetric population, except for patients with diffuse cutaneous SSc and severe internal organ involvement who may carry a higher risk of abortion. Preterm birth can frequently occur in women with SSc, as it happens in other rheumatic diseases. Overall disease activity generally remains stable during pregnancy, but particular attention should be paid to women with major organ disease, such as renal and cardiopulmonary involvement. Women with such severe involvement should be thoroughly informed about the risks during pregnancy and possibly discouraged from getting pregnant. A high frequency of sexual dysfunction has been described among SSc patients, both in females and in males, and pathogenic mechanisms of SSc may play a fundamental role in determining this impairment. Fertility is overall normal in SSc women, while no studies in the literature have investigated fertility in SSc male patients. Nevertheless, some considerations regarding the impact of some immunosuppressive drugs should be done with male patients, referring to the knowledge gained in other rheumatic diseases.
- Published
- 2022
23. Long-term Outcome of Children Born to Women with Autoimmune Rheumatic Diseases: A Multicentre, Nationwide Study on 299 Randomly Selected Individuals
- Author
-
Carolina Benigno, Elena Bartoloni, Roberto Caporali, Maria Favaro, Chiara Tani, Armin Maier, Angela Ceribelli, M Vadacca, Carlo Salvarani, M. Meroni, Elisa Visalli, Amelia Ruffatti, Alessandra Bortoluzzi, S. Peccatori, Pier Luigi Meroni, Francesco Paolo Cantatore, Salvatore D'Angelo, Giuseppe Paolazzi, Eleonora Valentini, Gian Domenico Sebastiani, Marta Mosca, Elena Generali, Elena Baldissera, Angela Tincani, Giulia Pazzola, Véronique Ramoni, Melissa Padovan, L Zuliani, M Rodrigues, Francesca Serale, Maddalena Larosa, Cecilia Beatrice Chighizola, Rossella Reggia, Valentina Picerno, Rosario Foti, Maria Grazia Lazzaroni, Addolorata Corrado, Francesca Bellisai, Nazzarena Malavolta, Francesca Dall'Ara, Armando Gabrielli, Roberto Gerli, Cecilia Nalli, Elena De Stefani, Giorgio Pettiti, Luigi Sinigaglia, C Carini, Laura Andreoli, Maria Gerosa, Carlomaurizio Montecucco, Fabio Basta, Paola Conigliaro, Roberto Perricone, Maurizio Cutolo, I. Prevete, Corrado Campochiaro, Andrea Doria, Carlo Selmi, N Romeo, M Trevisani, Guido Valesini, Colomba Fischetti, and E Vivaldelli
- Subjects
0301 basic medicine ,Male ,Pediatrics ,medicine.medical_specialty ,Offspring ,Disease ,Autoimmune Diseases ,NO ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Rheumatic diseases ,Pregnancy ,Reproductive issues ,medicine ,Immunology and Allergy ,Humans ,Child ,Prenatal exposure ,Autoantibodies ,030203 arthritis & rheumatology ,business.industry ,Neurodevelopmental disorders ,General Medicine ,Maternal autoantibodies ,Counselling ,Reproductive Issues ,030104 developmental biology ,Increased risk ,Antirheumatic Agents ,Childbearing age ,Cohort ,Female ,business - Abstract
The concern about the offspring’s health is one of the reasons for a reduced family size of women with rheumatic diseases (RD). Increased risk of autoimmune diseases (AD) and neurodevelopmental disorders (ND) has been reported in children born to patients with RD. Within a nationwide survey about reproductive issues of women with RD, we aimed at exploring the long-term outcome of their children. By surveying 398 patients who received their diagnosis of RD during childbearing age (before the age of 45), information about the offspring were obtained from 230 women who declared to have had children. A total of 148 (64.3%) patients were affected by connective tissue diseases (CTD) and 82 (35.7%) by chronic arthritis. Data on 299 children (156 males, 52.1%; mean age at the time of interview 17.1 ± 9.7 years) were collected. Twelve children (4.0%), who were born to patients with CTD in 75% of the cases, were affected by AD (8 cases of celiac disease). Eleven children had a certified diagnosis of ND (3.6%; 6 cases of learning disabilities); 9 of them were born to mothers with CTD (5 after maternal diagnosis). No association was found between ND and prenatal exposure to either maternal autoantibodies or anti-rheumatic drugs. Absolute numbers of offspring affected by AD and ND were low in a multicentre cohort of Italian women with RD. This information can be helpful for the counselling about reproductive issues, as the health outcomes of the offspring might not be an issue which discourage women with RD from having children.
- Published
- 2022
24. Attitudes Towards Assisted Reproductive Technology (ART) and Abortion: Evidence from Europe
- Author
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Baltzersen, Eli Sofie
- Subjects
Attitudes ,assisted reproductive technology ,ART ,abortion ,gender and politics ,reproductive rights ,reproductive issues - Abstract
This thesis explores attitudes towards different forms of reproductive rights in Europe, both variation in such attitudes and what factors can help us explain this variation. The gender and politics literature has begun disaggregating women’s issues into sub- categories. Due to the varied nature of the reproductive issues, I argue needs this important sub-category needs to be disaggregated further. One important reproductive issue is abortion, and the relevant factors for explaining variation in individual attitudes are well-established. In comparison, much less is known about what explains variation in attitudes toward assisted reproductive technology (ART), which is an emerging issue in the field of reproductive rights. Drawing on explanations identified for abortion attitudes, I rely on party explanations and cultural and religious explanations to explain individual attitudes towards ART. Employing the most comprehensive survey data available (European Values Study), I test what country-level explanations account for variation in aggregated attitudes toward assisted insemination (AI) and in vitro fertilization (IVF) compared to abortion in Europe. I find that political orientation has a relatively little explanatory power for AI/IVF and abortion attitudes, while religiosity is a substantial predictor of negative attitudes towards AI/IVF and abortion. I draw on data from the EVS as well as the Norwegian National Election Study (NNES), which includes variables on both surrogacy and abortion attitudes, to disaggregate attitudes towards reproductive rights further. The results suggest Christian Democratic Party support and religiosity are strong predictors of negative attitudes toward AI/IVF, surrogacy and abortion. My findings point to the importance of disaggregating the sub-category of reproductive issues even further, as the explanatory power of political orientation and religiosity differ between AI/IVF and abortion attitudes, as well as AI/IVF and surrogacy attitudes.
- Published
- 2022
25. Gestantes de alto risco: uma análise da autoestima e fatores associados em uma maternidade de referência na cidade do Recife, PE, Brasil
- Author
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Fernanda da Mata Vasconcelos Silva, Roberta Rosas Trigueiro Gomes, Luana Camila Alves da Silva, Antonio José de Vasconcelos Neto, Liniker Scolfild Rodrigues da Silva, Ana Paula Maurício da Silva, and Eliana Lessa Cordeiro
- Subjects
Pregnancy ,Reproductive Issues ,Health professionals ,Higher education ,business.industry ,Materials Science (miscellaneous) ,Primary education ,medicine ,medicine.disease ,business ,Socioeconomic status ,Demography - Abstract
A pesquisa tem como objetivo correlacionar com os padrões de autoestima e fatores associados em gestantes de alto risco em uma maternidade de referência na cidade do Recife, Pernambuco, Brasil. Trata-se de um estudo descritivo, transversal, com abordagem quantitativa. A população amostral incluiu 112 mulheres, gestantes, adultas. Na coleta de dados foi utilizado um formulário adaptado da versão no Brasil da Escala de Autoestima de Rosenberg (EAR), acrescido de questões socioeconômicas, obstétricas e reprodutivas. Observou-se que escolaridade foi í única variável com associação significativa com autoestima (p < 0,05) e para a referida variável se destaca que o percentual com autoestima insatisfatória reduziu com o grau de escolaridade, sendo 96,0% entre as que tinham até fundamental incompleto, 75,0% entre as que ensino fundamental e 61,0% entre as que tinham ensino médio/superior. Reconhece-se que as maternidades funcionam muitas vezes como porta de acesso para identificação e acolhimento dessas gestantes sendo necessária a atualização/capacitação dos profissionais de saúde para o atendimento adequado e direcionado, uma vez que poucas mulheres têm acesso í avaliação de seu estado emocional durante a gestação.
- Published
- 2020
26. Sexual and Reproductive Issues II: Departures from Binary Sexual and Gender Viewpoints
- Author
-
Allan J. Jacobs
- Subjects
Reproductive Issues ,Sexual differentiation ,Essentialism ,Normal people ,Biological sex ,Psychology ,Viewpoints ,Social psychology ,Systems philosophy - Abstract
This chapter addresses phenomena seen in children that represent departure from a gender essentialist viewpoint. This is the idea that normal people can be categorized as male or female, and that social behavior should ordinarily follow from biological sex. Gender essentialism is integral to most traditional religious and philosophical systems, but is now almost excluded from many academic and professional forums. This chapter discusses gender incongruity, and disorders of sexual differentiation, as examples of challenges to the gender essentialist viewpoint.
- Published
- 2021
27. Uterine Tissue Engineering: Where We Stand and the Challenges Ahead
- Author
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Maria Angélica Miglino, Ana Claudia Oliveira Carreira, Celso Vitor Alves Queiroz Calomeno, Erika Xavier Santos, Rebeca Piatniczka Iglesia, Michelle Silva Araujo, and Gustavo Henrique Doná Rodrigues Almeida
- Subjects
BIOMATERIAIS ,Engineering ,Tissue Engineering ,Tissue Scaffolds ,business.industry ,Uterine tissue ,Uterus ,Biomedical Engineering ,Bioengineering ,Biocompatible Materials ,Tissue repair ,Regenerative Medicine ,Biochemistry ,Regenerative medicine ,Extracellular Matrix ,Biomaterials ,Reproductive Issues ,medicine.anatomical_structure ,Tissue engineering ,Risk analysis (engineering) ,medicine ,Animals ,Female ,business - Abstract
Tissue engineering is an innovative approach to develop allogeneic tissues and organs. The uterus is a very sensitive and complex organ, which requires refined techniques to properly regenerate and even, to rebuild itself. Many therapies were developed in 20th century to solve reproductive issues related to uterus failure and, more recently, tissue engineering techniques provided a significant evolution in this issue. Herein we aim to provide a broad overview and highlights of the general concepts involved in bioengineering to reconstruct the uterus and its tissues, focusing on strategies for tissue repair, production of uterine scaffolds, biomaterials and reproductive animal models, highlighting the most recent and effective tissue engineering protocols in literature and their application in regenerative medicine. In addition, we provide a discussion about what was achieved in uterine tissue engineering, the main limitations, the challenges to overcome, and future perspectives in this research field. Impact Statement This review presents the applications of tissue engineering in uterine reconstruction and in regenerative therapies of uterine wall injuries.
- Published
- 2021
28. Reproductive justice: A radical framework for researching sexual and reproductive issues in psychology
- Author
-
Tracy Morison
- Subjects
Power (social and political) ,Social psychology (sociology) ,Reproductive Issues ,Social Psychology ,Criminology ,Reproductive justice ,Psychology ,Social justice - Published
- 2021
29. Reproductive issues in women on direct oral anticoagulants
- Author
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Jan Beyer-Westendorf and Sandra Marten
- Subjects
medicine.medical_specialty ,embryotoxicity ,medicine.drug_class ,DOAC ,direct oral anticoagulants ,HMB ,Female patient ,medicine ,Diseases of the blood and blood-forming organs ,Dosing ,Intensive care medicine ,Pregnancy ,business.industry ,Anticoagulant ,Warfarin ,Hematology ,medicine.disease ,heavy menstrual bleeding ,Reproductive Issues ,Menstrual bleeding ,pregnancy ,RC633-647.5 ,business ,State of the Art Isth 2020 ,Venous thromboembolism ,medicine.drug - Abstract
Direct oral anticoagulants (DOACs) are replacing warfarin and other vitamin K antagonists for a wide range of indications. Advantages of DOAC therapy are fewer food and drug interactions and fixed dosing without routine laboratory monitoring, making DOACs the perfect choice especially for younger patients, in whom the main indication for anticoagulation is prevention and treatment of venous thromboembolism (VTE). Although DOACs are safer and much more convenient than other anticoagulant alternatives, their profile may have drawbacks, especially for younger female patients in whom reproductive issues need special considerations. These may include the issue of heavy menstrual bleeding (HMB) during anticoagulant therapy, the embryotoxicity risk from inadvertent DOAC exposure during pregnancy, and the prevention or planning of pregnancies during DOAC therapy. This review summarizes the most relevant evidence in this increasingly important field of women’s health.
- Published
- 2021
30. Development and validation of extension strategies for effective management of reproductive problems of dairy animals
- Author
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Diksha Patel and Kuppusamy Ponnusamy
- Subjects
Reproductive Issues ,Agricultural science ,Schedule (workplace) ,Structured interview ,Sustainability ,Profitability index ,Effective management ,Information delivery ,Biology ,Simple random sample - Abstract
Reproductive problems in dairy animals emerged as prime concern for farmers due to their significant effect on the profitability and sustainability of dairy ventures in India. The present study was undertaken to assess the major reproductive problems of dairy animals as well as to develop and validate the extension strategies for managing reproductive problems. A total of 60 respondents from three villages viz Dilawara, Chundipur and Dhakwada of Karnal district were selected through simple random sampling. Data were gathered through structured interview schedule from dairy farmers who had at least one milch animal. Study revealed that repeat breeding, anestrous, retention of fetal membrane and prolapse were the major reproductive problems of dairy animals as perceived by 46.67, 36.67, 28.33 and 26.67 per cent of respondents respectively. Among 14 selected extension strategies, development and demonstration of video on specific reproductive issues with Rank Based Quotient (RBQ) value of 81.19 and preparation of extension literature with RBQ value of 72.38 were found to be the two best strategies for faster dissemination of information onmanagement of reproductive problems. The mean knowledge gain was found to be 10.75 per cent, 13.28 per cent and 15.23 per cent after exposure to different treatments i.e. booklet, video and both (video+booklet) respectively in the studyvillages. This explains the effectiveness of extension strategies and warrants the extension personnel to contextualise and deploy appropriate combinations of different extension strategies in order toimprove the information delivery system.
- Published
- 2019
31. Knowledge and attitude towards sexual and reproductive health rights and associated factors among Adet Tana Haik College students, Northwest Ethiopia: a cross-sectional study
- Author
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Dabere Nigatu, Mulat Ayalew, Ayal Debie, and Getachew Sitotaw
- Subjects
0301 basic medicine ,Adult ,Male ,Health Knowledge, Attitudes, Practice ,Universities ,Cross-sectional study ,lcsh:Medicine ,Human sexuality ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Humans ,Sexual and reproductive health rights ,030212 general & internal medicine ,Students ,lcsh:Science (General) ,lcsh:QH301-705.5 ,Reproductive health ,Reproductive Rights ,business.industry ,lcsh:R ,General Medicine ,Reproductive Issues ,Research Note ,030104 developmental biology ,Cross-Sectional Studies ,Reproductive Health ,Knowledge ,Attitude ,lcsh:Biology (General) ,Respondent ,Female ,Ethiopia ,Sexual Health ,Psychology ,business ,Demography ,lcsh:Q1-390 - Abstract
Objective Sexual and reproductive health rights are the rights of all people regardless of their age, sex and other characteristics to make choices about their own sexuality and reproductive issues. However, little is known about the knowledge and attitude towards SRH rights in Ethiopia. Therefore, this study aimed to assess knowledge and attitude towards SRH rights and associated factors among Adet Tana Haik college students in northwest Ethiopia. Results Overall, about 59.6% students were knowledgeable and more than half (53.4%) had favorable attitude towards SRH rights. In this study, students attending third-year class (AOR = 2.20;95% CI 1.29, 3.33), discussion with parents (AOR = 3.35;95% CI 1.61, 6.96), respondent’s mothers attended secondary/above school (AOR = 3.01; 95% CI 1.28, 7.13), participation in RH clubs (AOR = 1.72; 95% CI 1.09, 2.70) and favorable attitude towards SRH rights (AOR = 2.41; 95% CI 1.56, 3.74) were significantly associated with knowledge of participants. On the other hand, knowledge of students (AOR = 2.33; 95% CI 1.36, 7.07), participation in RH clubs (AOR = 1.41;95% CI 1.09, 2.20) and discussion with parents (AOR = 2.50; 95% CI 1.15, 5.47) were the predictors for the attitude of students towards SRH rights. Hence, strengthening women’s education, encouraging discussions with parents and participation in RH clubs may improve the knowledge and attitude of students towards SRH rights. Electronic supplementary material The online version of this article (10.1186/s13104-019-4116-4) contains supplementary material, which is available to authorized users.
- Published
- 2019
32. Genetic Counseling in Reproductive Issues: Emphasis on the Genetic Aspects
- Author
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Venkatachalam D Parvathi, Rukmini Talagadadeevi, and Aishwarya P Pargaonkar
- Subjects
Reproductive Issues ,Reproductive Medicine ,business.industry ,Genetic counseling ,Medicine ,Engineering ethics ,business ,Emphasis (typography) - Published
- 2019
33. Modification of montmorillonite clay with Cymbopogon citratus for the decontamination of zearalenone in millet
- Author
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Isiaka A. Lawal, Obinna C. Nwinyi, Patrick Berka Njobeh, B. K. Olopade, and Solomon U. Oranusi
- Subjects
biology ,millet ,zearalenone ,montmorillonite ,Human decontamination ,biology.organism_classification ,lcsh:S1-972 ,Agricultural and Biological Sciences (miscellaneous) ,law.invention ,Cymbopogon citratus ,chemistry.chemical_compound ,Reproductive Issues ,Montmorillonite ,chemistry ,law ,binding agents ,Food science ,Genus Fusarium ,lcsh:Agriculture (General) ,Mycotoxin ,Zearalenone ,Decontamination ,Essential oil ,Food Science - Abstract
Montmorillonite clay due to its abundance and environmental friendliness, has several industrial applications among which is the adsorption of mycotoxins in foods and feeds as binding agents. Fungal species from the genus Fusarium produce zearalenone (ZEA); an oestrogenic compound, which has been implicated in hormonal and reproductive issues for both animal and man. In this study, various nanoformulations from montmorillonite clay and Cymbopogon citratus (lemongrass) extracts were developed for the decontamination of ZEA in millet. The various formulations developed included montmorillonite clay and essential oil of Cymbopogon citratus (Mont-LGEO), montmorillonite clay mixed with C. citratus (lemongrass) powder (Mont-LGP) and montmorillonite clay washed with 1 mM NaCl (Mont-Na). Unmodified montmorillonite clay (Mont) and C. citratus (lemongrass powder) (LGP) served as the negative controls for the treatment. Each of the formulations was exposed to millet grains at concentrations of 8 and 12% and stored for 4 weeks. All the formulations were effective in the decontamination of ZEA in millet after 4 weeks with LGP exposed at 12% recording the highest reduction of 98.3% while the second most effective formulation, Mont-LGP exposed at 12% showed a 66% reduction of ZEA in millet (p = 0.05).
- Published
- 2019
34. Communication With Adolescent Females About Reproductive Health Issues Related To Congenital Heart Disease
- Author
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Shannon M. Lyon, Mscr, Amy Katz, Anne G. Farrell, and Marcia L. Shew
- Subjects
medicine.medical_specialty ,Pregnancy ,Heart disease ,business.industry ,Offspring ,Female adolescent ,medicine.disease ,Recurrence risk ,Reproductive Issues ,Family medicine ,Pediatrics, Perinatology and Child Health ,Hormonal Birth Control ,medicine ,business ,Reproductive health - Abstract
Background: Reproductive issues as related to congenital heart disease (CHD) such as recurrence risk in offspring, safety of hormonal birth control, and safety of pregnancy for mother and baby must be discussed in the clinic and at home. Providers can ensure correct information to assist the adolescent in making informed decisions about reproductive health and allow the parent to provide proper support and guidance to the adolescent. The level to which these conversations occur is unknown. Methods: A survey distributed to female adolescent/mother dyads assessed …
- Published
- 2021
35. Effect of multiple sclerosis and its treatments on male fertility: Cues for future research
- Author
-
Irene Gazzo, Paola Anserini, Matilde Inglese, Claudia Massarotti, Elvira Sbragia, and Sara Stigliani
- Subjects
Gerontology ,Infertility ,business.industry ,Fertility and multiple sclerosis ,Gonadotoxicity ,Male fertility ,Multiple sclerosis ,Reproduction and chronic diseases ,Sperm analysis ,media_common.quotation_subject ,Fertility ,Review ,General Medicine ,medicine.disease ,Reproductive Issues ,Chronic disease ,Quality of life (healthcare) ,medicine ,Medicine ,business ,media_common - Abstract
Multiple sclerosis is a chronic disease that may lead to different types of symptoms and disabilities. with the better quality of life and decreased disability due to early diagnosis and the availability of disease-modifying therapies (DMTs), the treating physician is increasingly asked to counsel patients on its effects on fertility and reproduction. In particular, reproductive issues are still scarcely studied and discussed in men. Among the still open questions are the following: (a) Does multiple sclerosis cause infertility per sè? (b) Is multiple sclerosis correlated with conditions that increase the risk of infertility? (c) Do DMTs or other therapies for multiple sclerosis impact gonadal function in men? The aim of this review is to provide an overview on the available literature data about the reproductive issues unique to men with multiple sclerosis, underlining the numerous areas where evidence is lacking and, therefore, the priorities for future research.
- Published
- 2021
36. Social Media as a Platform for Participating in Sexual and Reproductive Issues for People with Disabilities
- Author
-
Tafadzwa Rugoho
- Subjects
business.industry ,media_common.quotation_subject ,education ,Face (sociological concept) ,Public relations ,Reproductive Issues ,Politics ,Feeling ,Reproductive rights ,Social media ,Psychology ,business ,media_common ,Reproductive health - Abstract
The majority of the over one billion people with disabilities (PWDs) around the world face challenges related to sexual and reproductive health (SRH) information. The main causes are cultural, legal, political and social practices that continue to marginalize people with disabilities when it comes to sexual and reproductive health. Literature shows that societies do not approve for PWDs to engage in sexual and reproductive issues. PWDs were regarded as people without sexual feelings. Women with disabilities were sterilized without their consent. PWDs were seen as people who cannot make decisions when it comes to sexual and reproductive rights. PWDs are also systemically denied the opportunity to access SRH information. Social media is providing alternative sources of information and learning platforms to women with disabilities. The chapter will also discuss how women with disabilities are benefitting from social media platforms in the area of SRH.
- Published
- 2020
37. Endometrioma and reproductive issues: a well-informed patient may be the driver for change
- Author
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Matheus Roque, Mauro Cozzolino, Juan A. Garcia-Velasco, and Gustavo N. Cecchino
- Subjects
medicine.medical_specialty ,media_common.quotation_subject ,Endometriosis ,Fertility ,Context (language use) ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Quality (business) ,Fertility preservation ,Ovarian Diseases ,Intensive care medicine ,Ovarian reserve ,Ovarian Reserve ,media_common ,Ovarian Endometrioma ,030219 obstetrics & reproductive medicine ,business.industry ,Reproduction ,Ovary ,Obstetrics and Gynecology ,Fertility Preservation ,medicine.disease ,Reproductive Issues ,030220 oncology & carcinogenesis ,Female ,business - Abstract
Endometriosis affects a great proportion of women during their reproductive years and may impair female fertility in several ways. Ovarian endometrioma (OE) is the most frequent phenotype and growing evidence suggest an endometrioma-mediated damage to the ovary, ovarian reserve and oocyte quality. Traditionally, surgery has been the first-line treatment in cases of OE. Great advances in assisted reproduction and fertility preservation techniques opened new possibilities towards a more conservative approach. Herein we discuss multiple mechanisms responsible for the deterioration of the reproductive capacity in cases of OE as well as the pros and cons of different treatment options. The management of endometrioma-related subfertility remains controversial and it will depend on patient's intentions and priorities. In the "internet era" patients tend to be hyper-informed and more participative, but they are often misguided and misinformed. Thus, doctors should be able to convert these individuals into well-informed patients in order to facilitate the process of shared decision making, which is extremely relevant in the context of OEs.
- Published
- 2020
38. Knowledge, attitudes, and practices of adolescents regarding sexuality and reproductive issues in the Cordillera administrative region of the Philippines
- Author
-
Petelyne Pangket, Judith Odanee G Magwilang, and Eddieson Pasay-an
- Subjects
reproductive ,knowledge ,lcsh:R5-920 ,Reproductive Issues ,attitudes ,practices ,Gender studies ,Human sexuality ,adolescents ,Sociology ,lcsh:Medicine (General) ,sexuality - Abstract
Background: This study investigates the knowledge, attitudes, and practices (KAP) concerning reproductive health (RH) and sexuality among in- and out-of-school adolescents in the Cordillera Administrative Region (CAR), Philippines. Methods: Using a quantitative, cross-sectional approach, this study examined 739 in- and out-of-school adolescents who were recruited through snowball and simple random sampling. Results: Statistically significant differences were noted in the knowledge, attitudes, and practices regarding sexuality based on age. Age was associated with knowledge, attitudes, and practices concerning RH. Educational attainment toward sexuality also caused statistically significant changes in knowledge, attitudes, and practices. The KAP regarding sexuality and sex only showed statistically significant differences in attitudes and RH and sex to attitudes. Schooling produced statistically significant differences in knowledge, attitudes, and practices regarding sexuality; for RH, statistically significant differences were found only in knowledge and attitudes. Conclusion: The results can inform educational campaign development, which can be used when devising appropriate behavioral change materials suitable for and responsive to the needs and demands of the CAR adolescents.
- Published
- 2020
39. Reframing Reproductive Rights on a Transnational Scene
- Author
-
Audrey Lebret and Janne Rothmar Herrmann
- Subjects
Argumentative ,Faculty of Law ,Human rights ,media_common.quotation_subject ,Environmental ethics ,Cognitive reframing ,reproductive rights ,human rights ,Reproductive Issues ,Order (exchange) ,Political science ,Reproductive rights ,Frame (artificial intelligence) ,media_common - Abstract
Despite its strong affirmation on the international scene, reproductive liberty has not been very successful in realizing reproductive rights under European human rights law. The aim of this article is to examine two possible argumentative avenues for reframing reproductive rights, the market and the health frameworks. The authors argue that those approaches to reproductive issues enrich reproductive rights and should be better considered by the European Court of Human Rights in order to frame a European concept of reproductive rights. Despite its strong affirmation on the international scene, reproductive liberty has not been very successful in realising reproductive rights under European human rights law. The aim of this article is to examine two possible argumentative avenues for reframing reproductive rights, the market and the health frameworks. The authors argue that those approaches to reproductive issues enrich reproductive rights and should be better considered by the European Court of Human Rights in order to frame a European concept of reproductive rights.
- Published
- 2020
40. Use of Administrative Databases to Assess Reproductive Health Issues in Rheumatic Diseases
- Author
-
Eliza F. Chakravarty, Megan E.B. Clowse, Julia F. Simard, and Evelyne Vinet
- Subjects
medicine.medical_specialty ,Databases, Factual ,Big data ,computer.software_genre ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Pregnancy ,Administrative database ,Rheumatic Diseases ,Epidemiology ,medicine ,Humans ,030212 general & internal medicine ,Reproductive History ,Reproductive health ,030203 arthritis & rheumatology ,Database ,business.industry ,United States ,Pregnancy Complications ,Important research ,Reproductive Issues ,Reproductive Health ,Female ,Observational study ,business ,computer - Abstract
Administrative databases, registers, and other sources of big data can be interesting sources to address important research questions on reproduction in women with rheumatic diseases. There are many different types of administrative datasets worldwide, and it is important to understand the type of data present and unavailable in each dataset, validity and potential misclassification of data, and the ability to link maternal data with infant data. This article discusses the advantages and methodologic issues associated with administrative database use for the conduct of observational studies on reproductive issues in women with rheumatic diseases.
- Published
- 2018
41. Drug delivery strategies for management of women’s health issues in the upper genital tract
- Author
-
Guru Raghavendra Valicherla, Lisa C. Rohan, Amanda Catherine Micklo, and Sravan Kumar Patel
- Subjects
medicine.medical_specialty ,Mucous Membrane ,business.industry ,Uterus ,Pharmaceutical Science ,Genitalia, Female ,digestive system ,Reproductive Issues ,Drug Delivery Systems ,medicine.anatomical_structure ,Genital tract ,Drug delivery ,medicine ,Animals ,Humans ,Women's Health ,Female ,Disease management (health) ,Intensive care medicine ,business ,Genital Diseases, Female ,Cervix ,Organ system - Abstract
The female upper genital tract (UGT) hosts important reproductive organs including the cervix, uterus, fallopian tubes, and ovaries. Several pathologies affect these organ systems such as infections, reproductive issues, structural abnormalities, cancer, and inflammatory diseases that could have significant impact on women's overall health. Effective disease management is constrained by the multifaceted nature of the UGT, complex anatomy and a dynamic physiological environment. Development of drug delivery strategies that can overcome mucosal and safety barriers are needed for effective disease management. This review introduces the anatomy, physiology, and mucosal properties of the UGT and describes drug delivery barriers, advances in drug delivery technologies, and opportunities available for new technologies that target the UGT.
- Published
- 2021
42. De Materia Medica Versus Codex Alimentarius for the Reinforcement of the Gynecologic Immune System: the Case of Endometriosis.
- Author
-
Vassiliadis, Simon
- Abstract
Since the first Pharmacopoeia under the title "De Materia Medica," the importance of the utilization of plants and herbs has been an invaluable medicinal tool successfully employed for strengthening the immune system for combating a number of diseases in general, or assisting fertility and reproductive issues in particular. The beneficial use of herbal extracts, constituting the basis of modern medicines, is lately under the shadow of Codex Alimentarius that threatens, if not properly applied, serious immunity features rendering the host defenseless for intercepting harmful invaders, one of which is the mesenchymal endometriotic stem cell causing endometriosis. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
43. Renal Association Clinical Practice Guideline on Post-operative Care of the Kidney Transplant Recipient.
- Author
-
Baker, R., Jardine, A., and Andrews, Peter
- Subjects
- *
KIDNEY transplantation , *CLINICAL medicine , *POSTOPERATIVE care , *PATIENTS , *HOMOGRAFTS - Abstract
The article presents the practice guidelines for post-operative care of the kidney transplant recipient (KTR) in the U.S. It includes clinic infrastructure for follow-up for KTR, uncomplicated patients should be reviewed less frequently in clinic, and patients should have access to services and results. It also suggests the treatment of chronic allograft injury.
- Published
- 2011
- Full Text
- View/download PDF
44. Subjective views of motherhood in women with mental illness – a sociological perspective.
- Author
-
Krumm, Silvia and Becker, Thomas
- Subjects
- *
WOMEN'S mental health , *MENTAL illness , *BIRTH control , *PEOPLE with mental illness , *CARE of people , *MOTHERS , *WOMEN'S health - Abstract
Background: Women with mental disorder perceive decisions on reproductive issues as a central domain of personal autonomy. Family planning issues in women with mental disorders are often neglected in psychiatric practice and research. Aims: Developing a comprehensive understanding of family planning in women with mental disorders. Method: Some factors are introduced which impact on family planning among women with mental disorders. A sociological perspective is used; structural and individual factors are considered. Results: Following factors are likely to influence women's decisions in the field of reproduction: stigma of mentally ill mothers, increase in self-responsibility for reproductive behaviour, growing impact of genetic counselling for future mental health care, knowledge about adverse effects of pregnancy, consequences of childbearing and motherhood on the course of maternal illness, and the risks for children. Conclusions: While many women may feel empowered to take autonomous reproductive decisions, they may feel overwhelmed at times by decisions on a complex matter without adequate support. Professionals should bear in mind that reproductive behaviour and motherhood are central aspects in female biographies. They should be aware that family planning aspects are not restricted to adequate birth control. In research, the inclusion of sociological concepts and methods is a promising approach. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
45. What will become of reproductive issues in Trump’s America?
- Author
-
Carole Joffe
- Subjects
060303 religions & theology ,Presidency ,Politics ,Obstetrics and Gynecology ,Abortion, Induced ,06 humanities and the arts ,Public administration ,Abortion ,0603 philosophy, ethics and religion ,United States ,03 medical and health sciences ,Reproductive Issues ,Shock (economics) ,0302 clinical medicine ,Reproductive Medicine ,Pregnancy ,Political science ,Humans ,Female ,030212 general & internal medicine ,Administration (government) - Abstract
The election of Donald Trump to the presidency came as a severe and unexpected shock to the already beleaguered pro-choice movement in the US. This article will review what the president-elect said during the campaign about abortion and what his administration is likely to do after his inauguration.
- Published
- 2017
46. The Forgotten Female: Pediatric and Adolescent Gynecological Concerns and Their Reproductive Consequences
- Author
-
Elford, K.J. and Spence, J.E.H.
- Subjects
- *
REPRODUCTION , *ADOLESCENT gynecology - Abstract
Future reproductive performance is not often addressed in pediatric and adolescent gynecological conditions. This overview reviews conditions that present in childhood and adolescence and discusses what is known about the future fertility in these women. The following topics are selected: STD exposure, dysfunctional uterine bleeding, eating disorders, adolescent athletics, polycystic ovarian syndrome, premature ovarian failure, childhood cancer survivors, Mullerian duct anomalies, congenital adrenal hyperplasia, cystic fibrosis, and epilepsy. [Copyright &y& Elsevier]
- Published
- 2002
- Full Text
- View/download PDF
47. Spousal communication and contraceptive use among the Yoruba of Nigeria.
- Author
-
Feyisetan, Bamikale
- Abstract
A noted feature of many less developed societies is that marital partnershardly discuss reproductive issues with the result that decisions on theseissues are usually taken by men and their kinsmen. Because of lack ofspousal communication, negotiation for individual reproductive preferenceshas been limited. Thus, the reproductive preferences of men who desirelarger family sizes and oppose contraceptive use have usually been foundto prevail. The need to encourage husband-wife communication aboutreproductive issues cannot be overemphasized. The present study examinesthe level of spousal communication and its impact on contraceptive useamong Yoruba couples in southwest Nigeria. Data for the study are obtainedfrom a survey on the Role of Men in Family Planning conducted in one of thestates inhabited by the Yoruba of Nigeria – Ondo. The sample for this study consists of 381 monogamously married couples. Multivariate analyses were used to determine the impact of background variables on dependent variables. The study shows that fairly high percentages of men and women perceive that decisions on reproductive issues are taken jointly by both partners. The significantly high proportion of women who perceive that they participate in decision making is particularly worth noting and is an indication that women's voices are heard in the study society. Although the impact decreases on controlling for other variables, spousal communication was found to affect contraceptive use: contraceptive is higher among marital partners who discuss and take joint decisions on contraception. The study also reveals that family planning counseling has a significant impact on contraceptive use. [ABSTRACT FROM AUTHOR]
- Published
- 2000
- Full Text
- View/download PDF
48. Disease Knowledge Index' and Perspectives on Reproductive Issues: a nationwide study on 398 Women with Autoimmune Rheumatic Diseases
- Author
-
Giuseppe Paolazzi, Roberto Caporali, Marta Mosca, Elena Baldissera, M Rodrigues, Carolina Benigno, Giorgio Pettiti, Roberto Gerli, Cecilia Nalli, Luigi Sinigaglia, Francesca Bellisai, Nazzarena Malavolta, Elena De Stefani, Elena Generali, Maria Favaro, Francesca Dall'Ara, Fabio Basta, Melissa Padovan, Armando Gabrielli, Angela Tincani, Giulia Pazzola, Véronique Ramoni, Laura Andreoli, Armin Maier, Rosario Foti, N Romeo, Francesca Serale, Maddalena Larosa, Carlo Salvarani, Elisa Visalli, I. Prevete, Amelia Ruffatti, Cecilia Beatrice Chighizola, M. Meroni, M Trevisani, Maurizio Cutolo, M Vadacca, Guido Valesini, S. Peccatori, Rossella Reggia, Andrea Doria, Salvatore D'Angelo, Carlo Selmi, Pier Luigi Meroni, Eleonora Valentini, Maria Grazia Lazzaroni, Francesco Paolo Cantatore, Colomba Fischetti, E Vivaldelli, Gian Domenico Sebastiani, Corrado Campochiaro, L Zuliani, Addolorata Corrado, Angela Ceribelli, Valentina Picerno, Chiara Tani, Alessandra Bortoluzzi, E Bartoloni-Bocci, Paola Conigliaro, Roberto Perricone, C Carini, Maria Gerosa, and Carlomaurizio Montecucco
- Subjects
Adult ,medicine.medical_specialty ,Health Knowledge, Attitudes, Practice ,Adolescent ,Disease ,Risk Assessment ,Severity of Illness Index ,NO ,Unmet needs ,Autoimmune Diseases ,Cohort Studies ,Interviews as Topic ,Young Adult ,Rheumatic diseases ,Rheumatology ,Pregnancy ,Internal medicine ,Surveys and Questionnaires ,Reproductive issues ,medicine ,Humans ,Contraception ,Counselling ,Drugs ,Retrospective Studies ,Practice ,Family Planning Services ,Female ,Italy ,Middle Aged ,Reproductive Health ,Rheumatic Diseases ,business.industry ,Health Knowledge ,Mean age ,Chronic arthritis ,medicine.disease ,Reproductive Issues ,Family medicine ,Attitudes ,Childbearing age ,Rheumatic diseases, Reproductive issues, Pregnancy, Contraception, Drugs, Counselling ,business - Abstract
Objective The reproductive choices of women affected by rheumatic diseases (RD) can be influenced by several factors, including the quality of physician-patient communication. We conducted a survey on reproductive issues aiming at exploring the unmet needs of women with RD during childbearing age. Methods We administered 65 multiple-choice and 12 open-answer questions about pregnancy counselling, contraception, use of drugs during pregnancy and other women reproductive issues to 477 consecutive women with RD aged 18–55 years followed-up in 24 rheumatology centres in Italy. Analysis was restricted to 398 patients who received their diagnosis of RD before the age of 45. According to the RD diagnosis, patients were subdivided into 2 groups: connective tissue diseases (n = 249) and chronic arthritis (n = 149). Results At the time of interview, women in both groups had a mean age of 40 years. Nearly one third of patients in each group declared not to have received any counselling about either pregnancy desire nor contraception. A smaller family size than desired was reported by nearly 37% of patients, because of concerns related to maternal disease in one fourth of the cases. A “Disease Knowledge Index” (DKI) was created to investigate the degree of patients’ information about the implications of their RD on reproductive issues. Having received counselling was associated with higher DKI values and with a positive impact on family planning. Conclusion Italian women of childbearing age affected by RD reported several unmet needs in their knowledge about reproductive issues. Strategies are needed to implement and facilitate physician-patient communication.
- Published
- 2019
49. The Effect of Endosulfan in GnRH and GtH Genes Expression of Male Hard-Lipped Barb (Osteochilus vittatus C.V.)
- Author
-
Pudji Astuti, Yulia Sistina, Norman Arie Prayogo, and Asrul Sahri Siregar
- Subjects
endocrine system ,Osteochilus vittatus ,General Chemistry ,Organochlorine insecticide ,Biology ,medicine.disease_cause ,Biochemistry ,Aquatic organisms ,lcsh:Chemistry ,Biomaterials ,chemistry.chemical_compound ,Reproductive Issues ,Animal science ,lcsh:QD1-999 ,chemistry ,medicine ,Environmental Chemistry ,%22">Fish ,Gene ,Endosulfan ,Genotoxicity - Abstract
The presence of pollutants in water makes the environment toxic to all living biota and affect s reproduction in fish . One of such pollutants is e ndosulfan , which is an off-patent organochlorine insecticide, widely used in various agricultural activities. Endosulfan is extremely toxic to fish and all other aquatic organisms, showing a range of chronic effects, including genotoxicity, and reproductive issues . Therefore , the aim of the research was to find the effect of endosulfan on c GnRH, sGnRH, GtH-I and GtH-II gene expression in male hard-lipped barb fish . These fish were kept in aquarium containing several levels of endosulfan (0 mg/L [control]; 0.88 mg/L [low level]; 1.76 mg/L [medium level]; and 2.64 mg/L [high] level) for 60 days. The effects of endosulfan on GnRH performance on the fish were evaluated by the expressions of these genes; cGnRH-II, sGnRH, GtH -I , and GtH-II . In the 8th week, there was a decrease in the expression of all the four genes in fish with high dose of endosulfan compared with the control group (P < 0.05). These findings showed that endosulfan in hibits the expression of c GnRH, sGnRH, GtH -I and GtH-II genes in male hard-lipped barb.
- Published
- 2020
50. Pregnancy in the Setting of Multiple Sclerosis
- Author
-
Michelle Fabian
- Subjects
Adult ,Postnatal Care ,0301 basic medicine ,Multiple Sclerosis ,MEDLINE ,Bioinformatics ,03 medical and health sciences ,0302 clinical medicine ,Text mining ,Pregnancy ,Secondary Prevention ,medicine ,Humans ,Genetics (clinical) ,biology ,business.industry ,Multiple sclerosis ,Antibodies, Monoclonal ,Interferon-beta ,medicine.disease ,Pregnancy Complications ,Reproductive Issues ,Breast Feeding ,030104 developmental biology ,biology.protein ,Female ,Neurology (clinical) ,Antibody ,business ,Breast feeding ,Immunosuppressive Agents ,030217 neurology & neurosurgery - Abstract
This article provides a review of the available data on reproductive issues that arise in patients with multiple sclerosis (MS).Recent findings have replicated earlier findings that pregnancy and possibly breast-feeding bring about a favorable immunomodulatory effect in patients with MS. Use of disease-modifying therapies prior to pregnancy may further decrease a patient's risk for postpartum disease activity.The annualized relapse rate in MS decreases during pregnancy, with a nadir in the third trimester, and rebounds significantly in the 3-month postpartum period. Exclusive breast-feeding may exert a beneficial effect in decreasing the postpartum risk for relapse. Certain assisted reproductive technology methods are thought to increase the risk for relapse. Disease-modifying therapies are generally discontinued during pregnancy and lactation with a few exceptions. The pregnancy course is usually routine without significant obstetric complications, and babies, although slightly smaller, are typically healthy.
- Published
- 2016
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