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  1 / 391 MEDLINE  
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[PMID]:28004450
[Au] Autor:Rupani MP; Pawar AB; Bansal RK; Dalal M; Vachhani A; Parikh KD
[Ad] Endereço:Department of Community Medicine, Government Medical College, Bhavnagar, Gujarat, India.
[Ti] Título:Cross-sectional study to assess the need to commence opportunistic screening of women for cervical cancer presenting with sexually transmitted disease in Western India.
[So] Source:Eur J Cancer Care (Engl);26(1), 2017 Jan.
[Is] ISSN:1365-2354
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study examines the prevalence of suspected cervical cancer (established through the use of visual inspection with Lugol's Iodine - VILI) among outpatients attending Surat Municipal Institute of Medical Education & Research Hospital, India. A cross-sectional study was conducted on 356 patients; 178 with an established sexually transmitted disease (STD) and 178 patients without. Patients with positive results were investigated with cervical biopsy; out of 356 patients, 21.91% patients with STD and 12.35% patients without STD tested positive for VILI respectively (p = .017). The factors found to be significantly associated with a positive VILI test were STD, marital status, oral contraceptive pill use, a complaint of PV bleeding, white discharge on speculum examination (PS) and cervical erosion on PS. On applying multiple logistic regression, STD, age of patient in years, parity, OC pill use, a complaint of PV bleeding and cervical erosion on PS were found to be significant predictors of VILI positivity among the patients. STD patients are 2.5 times more likely to test positive for VILI than patients without STD. In Indian populations comparable to ours, opportunistic screening should be considered in gynaecology outpatient clinics for women presenting with complaints related to STDs.
[Mh] Termos MeSH primário: Detecção Precoce de Câncer
Programas de Rastreamento/organização & administração
Doenças Sexualmente Transmissíveis/prevenção & controle
Neoplasias do Colo do Útero/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Anticoncepcionais Orais
Estudos Transversais
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Índia
Iodetos
Estado Civil
Meia-Idade
Determinação de Necessidades de Cuidados de Saúde
Fatores Socioeconômicos
Erosão do Colo do Útero/etiologia
Hemorragia Uterina/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptives, Oral); 0 (Iodides); T66M6Y3KSA (Lugol's solution)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170623
[Lr] Data última revisão:
170623
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.1111/ecc.12626


  2 / 391 MEDLINE  
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[PMID]:27287120
[Au] Autor:Chen Y; Yang Y; Liao Q; Yang W; Ma W; Zhao J; Zheng X; Yang Y; Chen R
[Ad] Endereço:School of Materials Science and Engineering, Beijing Institute of Technology, Beijing 100081, P.R. China.
[Ti] Título:Preparation, property of the complex of carboxymethyl chitosan grafted copolymer with iodine and application of it in cervical antibacterial biomembrane.
[So] Source:Mater Sci Eng C Mater Biol Appl;67:247-258, 2016 Oct 01.
[Is] ISSN:1873-0191
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Cervical erosion is one of the common diseases of women. The loop electrosurgical excisional procedure (LEEP) has been used widely in the treatment of the cervical diseases. However, there are no effective wound dressings for the postoperative care to protect the wound area from further infection, leading to increased secretion and longer healing time. Iodine is a widely used inorganic antibacterial agent with many advantages. However, the carrier for stable iodine complex antibacterial agents is lack. In the present study, a novel iodine carrier, Carboxymethyl chitosan-g-(poly(sodium acrylate)-co-polyvinylpyrrolidone) (CMCTS-g-(PAANa-co-PVP), was prepared by graft copolymerization of sodium acrylate (AANa) and N-vinylpyrrolidone (NVP) to a carboxymethyl chitosan (CMCTS) skeleton. The obtained structure could combine prominent property of poly(sodium acrylate) (PAANa) anionic polyelectrolyte segment and good complex property of polyvinylpyrrolidone (PVP) segment to iodine. The bioactivity of CMCTS could also be kept. The properties of the complex, CMCTS-g-(PAANa-co-PVP)-I2, were studied. The in vitro experiment shows that it has broad-spectrum bactericidal effects to virus, fungus, gram-positive bacteria and gram-negative bacteria. A CMCTS-g-(PAANa-co-PVP)-I2 complex contained cervical antibacterial biomembrane (CABM) was prepared. The iodine release from the CABM is pH-dependent. The clinic trial results indicate that CABM has better treatment effectiveness than the conventional treatment in the postoperative care of the LEEP operation.
[Mh] Termos MeSH primário: Antibacterianos/farmacologia
Colo do Útero/efeitos dos fármacos
Quitosana/análogos & derivados
Iodo/farmacologia
Polímeros/farmacologia
[Mh] Termos MeSH secundário: Adulto
Animais
Antivirais/farmacologia
Bactérias/efeitos dos fármacos
Quitosana/síntese química
Quitosana/química
Quitosana/farmacologia
Feminino
Seres Humanos
Concentração de Íons de Hidrogênio
Cinética
Masculino
Membranas/efeitos dos fármacos
Testes de Sensibilidade Microbiana
Meia-Idade
Coelhos
Reto/efeitos dos fármacos
Reto/patologia
Simplexvirus/efeitos dos fármacos
Pele/efeitos dos fármacos
Temperatura Ambiente
Erosão do Colo do Útero/patologia
Cicatrização/efeitos dos fármacos
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Antiviral Agents); 0 (Polymers); 0 (carboxymethyl-chitosan); 9012-76-4 (Chitosan); 9679TC07X4 (Iodine)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170812
[Lr] Data última revisão:
170812
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160612
[St] Status:MEDLINE


  3 / 391 MEDLINE  
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[PMID]:26043841
[Au] Autor:Braithwaite SR; Givens A; Brown J; Fincham F
[Ad] Endereço:a Department of Psychology , Brigham Young University , Provo , USA.
[Ti] Título:Is pornography consumption associated with condom use and intoxication during hookups?
[So] Source:Cult Health Sex;17(10):1155-73, 2015.
[Is] ISSN:1464-5351
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In order to examine whether pornography consumption is associated with risky sexual behaviour among emerging adults, we examined two large samples of those who reported hooking up in the past 12 months (combined n =  1216). Pornography use was associated with a higher likelihood of having a penetrative hookup; a higher incidence of intoxication during hookups for men (but a lower incidence of intoxication during hookups for women); increasing levels of intoxication during hookups for men but decreasing levels of intoxication for women; and a higher likelihood of being in the riskiest category of having a penetrative hookup, without a condom, while intoxicated. For each of these outcomes, our point estimates for Study 2 fell within the 95% confidence intervals from Study 1. Controlling for trait self-control, binge drinking frequency, broader problematic patterns of alcohol use, openness to experience, and attitudes toward casual sex did not change the pattern of results. Implications for interventions to reduce sexual risk are discussed.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/psicologia
Coito/psicologia
Preservativos/estatística & dados numéricos
Literatura Erótica/psicologia
Assunção de Riscos
Estudantes/psicologia
Sexo sem Proteção/psicologia
[Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas/epidemiologia
Feminino
Seres Humanos
Masculino
Autoimagem
Fatores Sexuais
Parceiros Sexuais
Estudantes/estatística & dados numéricos
Sexo sem Proteção/estatística & dados numéricos
Erosão do Colo do Útero
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:150922
[Lr] Data última revisão:
150922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150606
[St] Status:MEDLINE
[do] DOI:10.1080/13691058.2015.1042920


  4 / 391 MEDLINE  
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[PMID]:25539789
[Au] Autor:Wright KO; Mohammed AS; Salisu-Olatunji O; Kuyinu YA
[Ad] Endereço:Department of Community Health and Primary Health Care, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria. loladewright@yahoo.com.
[Ti] Título:Cervical Ectropion and Intra-Uterine Contraceptive Device (IUCD): a five-year retrospective study of family planning clients of a tertiary health institution in Lagos Nigeria.
[So] Source:BMC Res Notes;7:946, 2014 Dec 23.
[Is] ISSN:1756-0500
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cervical ectropion (also known as cervical erosion) is a common finding on routine pelvic examination during the fertile years. The decision to treat or not remains controversial. According to studies in support of routine treatment of cervical erosion, there is a possible relationship between squamous metaplasia and squamous cell carcinoma of the cervix. To determine the prevalence of cervical ectropion and associated risk factors among clients with intra-uterine contraceptive devices (IUCDs) attending a family planning clinic of a tertiary health institution in Lagos, Nigeria. METHODS: A 5-year retrospective study was conducted by assessing existing clinic records from years 2007-2011. Clients with IUCDs undergo routine pelvic examination during check-up visits. A total of 628 clients' records were seen within the stated time frame. This study was approved by the ethical committee of the Lagos State University Teaching Hospital (LASUTH) and the collected data were analyzed using SPSS version 19.0. RESULTS: The mean age of the IUCD users was 34.7±6.52 years, while 517 (82.3%) had secondary education. On routine pelvic examination, seventy-nine clients (12.6%) had cervical ectropion. Thirty-nine (6.2%) clients had presented with a history of abnormal vaginal bleeding while 12.1% had vaginal discharge. Treatments offered to cases of cervical ectropion include cervical painting with gentian violet (89.9%) and antibiotics prescription (58.2%). On bivariate analysis, previous hormonal contraceptive use (P=0.041) and vaginal discharge (P<0.001) were significantly associated with developing cervical ectropion. Clients with ectropion were significantly more likely to receive prescriptions for antibiotics (P<0.001). CONCLUSION: Less than one fifth of the clients had cervical erosion. However, routine pelvic examination could aid the detection and control of latent reproductive health problems such as cervical ectropion which may require further investigations for example, pap smears, to exclude potentially lethal conditions and to determine appropriate treatment modality.
[Mh] Termos MeSH primário: Serviços de Planejamento Familiar
Dispositivos Intrauterinos/efeitos adversos
Erosão do Colo do Útero/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Nigéria
Estudos Retrospectivos
Erosão do Colo do Útero/induzido quimicamente
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:151028
[Lr] Data última revisão:
151028
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141226
[St] Status:MEDLINE
[do] DOI:10.1186/1756-0500-7-946


  5 / 391 MEDLINE  
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[PMID]:24552442
[Au] Autor:Passos VF; Melo MA; Silva FF; Rodrigues LK; Santiago SL
[Ad] Endereço:1 Post-graduation Program, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará , Brazil .
[Ti] Título:Effects of diode laser therapy and stannous fluoride on dentin resistance under different erosive acid attacks.
[So] Source:Photomed Laser Surg;32(3):146-51, 2014 Mar.
[Is] ISSN:1557-8550
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This in vitro study aimed to evaluate the effect of a low intensity diode laser (λ=808 nm; 60 J/cm2) associated with stannous fluoride on the inhibition of dentin erosion by assessing percentage of superficial hardness loss (%SHL) and calcium release into the acid solution. MATERIALS AND METHODS: Human root dentin slabs were assigned to eight groups (n=10), according to treatments (control, stannous fluoride, diode laser therapy, and the combination of stannous fluoride and laser therapy), and acid challenge (hydrochloridric or citric acid). All slabs were subjected to a previous 2 h acquired pellicle formation; laser and fluoride treatments were performed according to the groups. Subsequently, the slabs were exposed to erosive challenge (0.01 M hydrochloridric acid or citric acid 1% for 60 sec). Additionally, calcium released into the acid solution during erosive challenge was analyzed by photometric test. Data were analyzed by ANOVA followed by Tukey's test (p<0.05). RESULTS: Mean values (±SD) for %SHL of treated groups did not present statistically significant differences, regardless of the erosive challenge. However, in relation to released calcium concentration, groups treated with laser presented statistically significant lower calcium loss under hydrochloridric acid challenge (p<0.001). To groups under citric acid attack, only the combination of treatments (p=0.037) was able to show a protective effect on dentin. CONCLUSIONS: Under the conditions of this study, 808 nm diode laser with or without stannous fluoride could effectively reduce dentin surface loss under both acid exposures. Only calcium concentration analysis was sensitive enough to measure the effects under the tested conditions.
[Mh] Termos MeSH primário: Dentina
Terapia com Luz de Baixa Intensidade
Fluoretos de Estanho/farmacologia
Erosão do Colo do Útero/prevenção & controle
[Mh] Termos MeSH secundário: Dentina/efeitos dos fármacos
Feminino
Seres Humanos
Técnicas In Vitro
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Tin Fluorides)
[Em] Mês de entrada:1505
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140221
[St] Status:MEDLINE
[do] DOI:10.1089/pho.2013.3629


  6 / 391 MEDLINE  
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Linhares, Iara Moreno
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[PMID]:24166971
[Au] Autor:Junior JE; Giraldo PC; Gonçalves AK; do Amaral RL; Linhares IM
[Ad] Endereço:Maternal and Child Health Department, Federal University of Ceará, Fortaleza, Brazil.
[Ti] Título:Uterine cervical ectopy during reproductive age: cytological and microbiological findings.
[So] Source:Diagn Cytopathol;42(5):401-4, 2014 May.
[Is] ISSN:1097-0339
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cervical ectopy is common in adolescents, pregnant women, and those taking high doses of estrogen-containing contraceptives. The majority of cases have spontaneous reversion, but some cases can be persistent. Studies suggested that the adequacy of a Pap smear could be affected and there is an increased risk cervical infections. This study is a cross-sectional study conducted from December 2009 to February 2011 with 457 women with cervical ectopy and 736 without ectopy. Cervical samples were collected in vials for analysis by ThinPrep cytology (Hologic, Marlborough, MA). The Mann-Whitney test and Fisher's exact test (95% CI) were applied. The study was approved by the ethics committee of the Federal University of Ceará. The mean ages of the study group and control group were 28.7 (±14.8) and 33.6 (±7.5) years old, respectively (P < 0.0001). Negative diagnosis for malignancy and intraepithelial lesion was present in 399 (87%) cases and 705 (96%) in the study and control groups, respectively (P < 0.0001). Shift in the flora suggestive of bacterial vaginosis (BV) was observed more frequently in the study group: 74 (16.2%) than in the control group: 86(11.7%) (P = 0.017). The differences among the other morphotypes showed no significance. The smears were atypical in 12.7% (58/457) of the patients from the study group and in 4.2% (31/736) in the control group (P < 0.001; RR = 3 [2.033-4.712]). The association between ectopy and inflammatory cytology, the presence of the shift in the flora suggestive of BV and cytological atypia is evident.
[Mh] Termos MeSH primário: Neoplasia Intraepitelial Cervical/patologia
Erosão do Colo do Útero/patologia
Neoplasias do Colo do Útero/patologia
Vaginose Bacteriana/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Bactérias Anaeróbias/crescimento & desenvolvimento
Estudos de Casos e Controles
Neoplasia Intraepitelial Cervical/diagnóstico
Neoplasia Intraepitelial Cervical/microbiologia
Colo do Útero/microbiologia
Colo do Útero/patologia
Estudos Transversais
Feminino
Seres Humanos
Microscopia
Teste de Papanicolaou
Gravidez
Erosão do Colo do Útero/diagnóstico
Erosão do Colo do Útero/microbiologia
Neoplasias do Colo do Útero/diagnóstico
Neoplasias do Colo do Útero/microbiologia
Vaginose Bacteriana/diagnóstico
Vaginose Bacteriana/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1412
[Cu] Atualização por classe:140422
[Lr] Data última revisão:
140422
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:131030
[St] Status:MEDLINE
[do] DOI:10.1002/dc.23053


  7 / 391 MEDLINE  
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[PMID]:24283166
[Au] Autor:Zhu T; Chen Z; Xia Q; Jiang S; Jin Q; Farahani MR; Cai L
[Ad] Endereço:Department of Biopharmaceutics, School of Pharmacy, Wenzhou Medical College, Zhejiang, Wenzhou, China.
[Ti] Título:A suppository for treating cervical erosion and its preparation method.
[So] Source:Clin Exp Obstet Gynecol;40(3):361-6, 2013.
[Is] ISSN:0390-6663
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To study a suppository for treating cervical erosion, its preparation method, and to observe its therapeutic effect on cervical erosion in animal models. METHODS: Twenty rats were divided into five groups: blank control group, model group, and three different therapeutic concentration groups. Phenol slurry was injected through the vagina to create cervical erosion animal models. After seven days of drug treatment, the difference of cervical histopathology was observed and compared between different groups. RESULTS: Compared with the control group, the model group showed obvious cervical erosion, inflammatory cell infiltration, vascular dilatation, and congestion. Among the administration group, the high administration group had the least inflammation and cell infiltration in the mucous membrane. CONCLUSIONS: There is a significant effect of therapeutic drugs in rats with cervical erosion, which is related to the concentration of drugs.
[Mh] Termos MeSH primário: Fator 2 de Crescimento de Fibroblastos/administração & dosagem
Erosão do Colo do Útero/terapia
[Mh] Termos MeSH secundário: Animais
Relação Dose-Resposta a Droga
Feminino
Coelhos
Ratos Sprague-Dawley
Supositórios
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Suppositories); 103107-01-3 (Fibroblast Growth Factor 2)
[Em] Mês de entrada:1401
[Cu] Atualização por classe:131128
[Lr] Data última revisão:
131128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:131129
[St] Status:MEDLINE


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[PMID]:21915876
[Au] Autor:Bayram A; Erkiliç S; Balat Ö; Eksi F; Ugur MG; Öztürk E; Kaya G
[Ad] Endereço:Department of Medical Microbiology, Gaziantep University School of Medicine, Gaziantep, Turkey. aysenbayram@hotmail.com
[Ti] Título:Prevalence and genotype distribution of human papillomavirus in non-neoplastic cervical tissue lesion: cervical erosion.
[So] Source:J Med Virol;83(11):1997-2003, 2011 Nov.
[Is] ISSN:1096-9071
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Human papillomavirus (HPV) infection is the commonest sexually transmitted infection, which is associated with various clinical conditions, ranging from asymptomatic infection to malignant disease of the cervix. The aim of this study was to evaluate the prevalence and genotypic distribution of HPV in women with cervical erosion and to compare the results with those in women with a clinically normal cervix. A further aim was to establish the association between HPV infection and cervical cytology results in women with and without cervical erosion. Cervical samples were collected by liquid-based method and consecutively evaluated for the presence of HPV DNA and for cervical cytology. HPV DNA was tested by a nested polymerase chain reaction (PCR) and typed by reverse dot blot genotyping. Cytological classification was made according to Bethesda 2001 criteria. The overall HPV prevalence was 16.9%; HPV DNA was positive in 20.2% of women with cervical erosion and 12.8% in women with normal cervix (P < 0.05). Multiple infections were found in 34.1% of the HPV-positive women. Commonest types were HPV 18 (32.9%), HPV 16 (29.5%), HPV 54 (20.5%), and HPV 6 (17%). Cervical cytology results were abnormal for 5.2% of women with cervical erosion and for 1.3% with clinically normal cervix (P < 0.05). This study detected a high prevalence of HPV infection in women with cervical erosion compared to women with a normal cervix. This data may contribute to the HPV epidemiology in the southeastern Turkey. It is recommended that women with cervical erosion should be given priority in HPV screening programs.
[Mh] Termos MeSH primário: Papillomaviridae/classificação
Papillomaviridae/isolamento & purificação
Infecções por Papillomavirus/epidemiologia
Infecções por Papillomavirus/virologia
Erosão do Colo do Útero/complicações
Erosão do Colo do Útero/virologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
DNA Viral/genética
Feminino
Genótipo
Seres Humanos
Meia-Idade
Tipagem Molecular
Papillomaviridae/genética
Infecções por Papillomavirus/patologia
Reação em Cadeia da Polimerase/métodos
Prevalência
Turquia/epidemiologia
Erosão do Colo do Útero/patologia
Esfregaço Vaginal
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (DNA, Viral)
[Em] Mês de entrada:1201
[Cu] Atualização por classe:110914
[Lr] Data última revisão:
110914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:110915
[St] Status:MEDLINE
[do] DOI:10.1002/jmv.22218


  9 / 391 MEDLINE  
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[PMID]:21574430
[Au] Autor:Aleksieienko OI
[Ti] Título:[Cytogenetic characteristics of the uterine cervical epithelium in inflammatory diseases].
[So] Source:Tsitol Genet;45(2):57-61, 2011 Mar-Apr.
[Is] ISSN:0564-3783
[Cp] País de publicação:Ukraine
[La] Idioma:ukr
[Ab] Resumo:Functional status of epithelial cells at inflammatory cervical pathologies has been studied with the use of cytogenetic method of detection of chromosome nucleolar organizer regions. The highest level of rRNA proliferation and synthesis has been detected in cylindrical epithelial cells using the indexes of compact and transitional nucleolonemic types of nucleolar organizer regions, a higher level--in squamous cells of intermediate type, and the lowest one in squamous epithelium of superficial type.
[Mh] Termos MeSH primário: Células Epiteliais/ultraestrutura
Epitélio/ultraestrutura
Região Organizadora do Nucléolo/ultraestrutura
Erosão do Colo do Útero/patologia
Cervicite Uterina/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos de Casos e Controles
Análise Citogenética
Feminino
Seres Humanos
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1106
[Cu] Atualização por classe:110516
[Lr] Data última revisão:
110516
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:110518
[St] Status:MEDLINE


  10 / 391 MEDLINE  
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[PMID]:21477026
[Au] Autor:Mohr S; Kuhn P; Mueller MD; Kuhn A
[Ad] Endereço:University Hospital of Bern and University of Bern-Department of Urogynaecology, Gynaecology, Frauenklinik, Inselspital, Bern, Switzerland.
[Ti] Título:Painful love-"hispareunia" after sling erosion of the female partner.
[So] Source:J Sex Med;8(6):1740-6, 2011 Jun.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Sling erosion/extrusion is a complication after suburethral sling insertion for female stress urinary incontinence that occurs in approximately 6% of patients. Symptoms may include vaginal discharge, infections, postcoital bleeding, and alterations of the sexual function. Little is known about the effect of sling erosion on the sexual function of the male partner. AIM: The aim of this study was to determine male sexual function in partners of women who had undergone sling insertion for stress urinary incontinence and who developed sling erosion postoperatively. MAIN OUTCOME MEASURES: Main outcome measures were the Brief Male Sexual Function Inventory (BMSFI) and visual analog scale (VAS) scores. METHODS: Male partners of patients who presented with sling erosion for various reasons were addressed and asked to fill in the BMSFI and assess sexual pain using the VAS before and 6 months after the sling erosion of their female partners was treated. Participants gave informed consent and those who had undergone prostate surgery during the past 12 months were excluded. For statistical analyses, SPSS version 10.0 (SPSS Inc., Chicago, IL, USA) was used. RESULTS: Thirty-two males were included in the study and produced a full set of data. VAS scores as a measurement for "hispareunia" improved from a median score of 8 before to a median score of 1 after intervention. Some domains of male sexual function (sexual interest, sexual drive, ejaculation, and erection) were significantly improved whereas the strength of erection, problems with ejaculation, and problems with lack of interest were not statistically significantly changed. CONCLUSIONS: Changes of male sexual function and particularly pain after sling insertion in their female partners may be due to sling exposure. Sexual interest and drive may be negatively influenced. Male dyspareunia is a complaint that can be treated effectively by correcting the sling exposure.
[Mh] Termos MeSH primário: Dispareunia/etiologia
Complicações Pós-Operatórias/etiologia
Disfunções Sexuais Fisiológicas/etiologia
Disfunções Sexuais Psicogênicas/etiologia
Slings Suburetrais/efeitos adversos
Incontinência Urinária por Estresse/cirurgia
Erosão do Colo do Útero/etiologia
[Mh] Termos MeSH secundário: Administração Intravaginal
Idoso
Idoso de 80 Anos ou mais
Terapia Combinada
Dispareunia/cirurgia
Desenho de Equipamento
Falha de Equipamento
Estradiol/administração & dosagem
Estradiol/análogos & derivados
Feminino
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Complicações Pós-Operatórias/cirurgia
Reoperação
Suíça
Erosão do Colo do Útero/cirurgia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
4TI98Z838E (Estradiol); OKG364O896 (estradiol valerate)
[Em] Mês de entrada:1111
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:110412
[St] Status:MEDLINE
[do] DOI:10.1111/j.1743-6109.2011.02261.x



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