Дисертації з теми "Gynecology Diagnosis"
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Bakour, Shagaf Haj. "Evaluation of ambulatory diagnosis of abnormal uterine bleeding." Thesis, University of Birmingham, 2003. http://etheses.bham.ac.uk//id/eprint/42/.
Повний текст джерелаDrury, Sarah L. "Molecular, morphological, and kinetic diagnosis of human preimplantation embryo vitality." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88622/.
Повний текст джерелаKhan, Hamed N. "Serum autoantibodies as tumour markers in breast cancer : their role in screening, diagnosis and prognosis." Thesis, University of Nottingham, 2009. http://eprints.nottingham.ac.uk/10876/.
Повний текст джерелаWilne, Sophie Helen. "The Pathways Project : developing guidelines to facilitate the diagnosis of childhood brain tumours." Thesis, University of Birmingham, 2011. http://etheses.bham.ac.uk//id/eprint/2881/.
Повний текст джерелаStrange, Heather. "Non-invasive prenatal diagnosis and testing : perspectives on the emergence and translation of a new prenatal testing technology." Thesis, Cardiff University, 2015. http://orca.cf.ac.uk/90887/.
Повний текст джерелаСумцов, Георгій Олексійович, Георгий Алексеевич Сумцов, Heorhii Oleksiiovych Sumtsov, Дмитро Георгійович Сумцов, Дмитрий Георгиевич Сумцов та Dmytro Heorhiiovych Sumtsov. "Пути улучшения цитологической диагностики в онкогинекологии". Thesis, Издательство СумГУ, 2009. http://essuir.sumdu.edu.ua/handle/123456789/5721.
Повний текст джерелаKarnaki, Panagiota. "Attitudes, practices and knowledge regarding cervical cancer screening among Greek women in the area of Perth." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1373.
Повний текст джерелаJulian, Claire. "Mortalité fœtale et périnatale : performance d'un protocole de diagnostic." Thesis, McGill University, 1989. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61788.
Повний текст джерелаCette thèse se divise en trois chapitres écrits dans le cadre d'une étude d'évaluation de la performance d'un protocole de diagnostic des causes initiales de mortalité foetale précoce et périnatale. Le premier chapitre est constitué d'une revue de la littérature sur les causes initiales de mortalité et sur l'informativité des examens clinique et paracliniques à la naissance d'un enfant mort-né. Le deuxième chapitre est un manuscrit d'article décrivant la performance réelle d'un protocole de diagnostic mis en place en 1982 dans une zone géographique délimitée du sud est de la France couvrant 23 000 naissances annuelles. Cette étude descriptive porte sur 1019 décès consécutifs. Elle montre l'importance de l'information clinique et de l'autopsie parmi l'ensemble des examens. Elle est précédée d'une présentation du contexte et des objectifs. Le troisième chapitre est rédigé non plus sous la forme d'un article scientifique mais comme un chapitre de thèse classique. Il présente un arbre de décision évaluant la performance théorique de chaque combinaison des différents éléments du protocole. Le codage de l'informativité théorique de chaque élement inclus dans le protocole a été réalisé en collaboration avec deux experts en génétique médicale. Cette performance a été considérée uniquement pour la détermination des causes fœtales de mortalité. En effet, ce protocole mis en place à l'initiative d'une équipe de médecins pédiatres et généticiens, avait seulement pour objectif initiai le dépistage des causes fœtales de décès d'origine génétique et non celles d'origine maternelle ou obstétricale.
YOU, JEAN-ERIC. "Apport de la voie vaginale dans le diagnostic echographique en gynecologie et en obstetrique." Lyon 1, 1990. http://www.theses.fr/1990LYO1M330.
Повний текст джерелаHonest, H. "Accuracy of tests for predicting spontaneous preterm birth : Systematic reviews of diagnostic research." Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/542/.
Повний текст джерелаPatek, Kyla J. "Posterior fossa anomalies diagnosed with fetal MRI: Associated anomalies and neurodevelopmental outcomes." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1305892532.
Повний текст джерелаMalin, Gemma. "The diagnostic/prognostic value of neonatal findings for predicting childhood and adult morbidity : systematic reviews, meta-analysis and decision analytic modelling." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4156/.
Повний текст джерелаPICHON, DANGLARD EDITH. "Diagnostic et prise en charge des malformations foetales : a propos de 289 cas en 5 ans dans le service de gynecologie obstetrique 1 (maternite de l'hotel-dieu) de clermont-ferrand." Clermont-Ferrand 1, 1989. http://www.theses.fr/1989CLF11007.
Повний текст джерелаTurandar, Jasmine. "Polycystisk ovarialsyndrom: Se kvinnan bakom diagnosen : En kvalitativ metasyntes." Thesis, Högskolan Dalarna, Sexuell, reproduktiv och perinatal hälsa, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:du-35647.
Повний текст джерелаBackground: Polycystic ovary syndrome (PCOS) is the most common hormonal condition amongst fertile women, yet it is still unknown for many. There are several symptoms that may vary from woman to woman. Ignorance of polycystic ovary syndrome occurs in healthcare and in society and can be difficult to detect.Living with the symptoms of PCOS can have a negative effect both physically andmentally. How women with the diagnosis experience PCOS needs to be highlighted and the understanding of them needs to be increased, both inhealthcare and for the women with PCOS. With increased understanding, bettertreatment and care can be provided. Aim: The purpose was to describe women’sexperiences of living with Polycystic ovary syndrome. Method: Qualitative meta synthesis with meta ethnographic analysis method. A total of 16 articles wereincluded and all passed through a quality critique checklist. The articles werecollected from three databases: Cinahl, Medline and PubMed. Findings: It couldtake a long time for a diagnosis to be made and sometimes the women had to be persistent, while others could be diagnoses as an incidental finding. Some womendid not know that their symptoms were not normal and therefore did not seekmedical care. Information about PCOS from the health care did not always meetthe patient’s needs. The fertility aspect was thought to be the main focus from the health care providers and that the phycological aspects were forgotten. Symptoms like overweight and hirsutism affected the social life in a negative way and mental illness was common. Conclusion: Polycystic ovary syndrome needs to be brought more attention to and to be normalized. A more holistic care where not only the main focus is on the medical aspects of PCOS, but instead also sees that the individuals need for support and information can be met.
Anto, Enoch Odame. "Evaluation of suboptimal health status and prospective levels of oxidative stress biomarkers and angiogenic growth mediators with placental anatomy and pathology in normotensive and preeclamptic births." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2020. https://ro.ecu.edu.au/theses/2317.
Повний текст джерелаVieira, Carlos Henrique Fontana. "Estudo da hidrolaparoscopia transvaginal com novo instrumental de acesso à cavidade pélvica." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-07102014-094837/.
Повний текст джерелаINTRODUCTION: Transvaginal hydrolaparoscopy (THL) is a technique for pelvic exploration in patients without pelvic pathology. The procedure consists of accessing the pelvic cavity with a trocar and introduction of an optic coupled to a videodocumentation system. The exam is performed in outpatient under local anesthesia. Visualization is achieved through hydroflotation of the pelvis\'s structures, following instillation of saline or Ringer\'s lactate solution. It is one of the most recently described gynecological videoendoscopic techniques in the literature and still in trial phase. This method enables the diagnosis of alterations in the posterior pelvis, such as endometriosis; ovarian cysts; adhesions; hydrosalpinx; myomas; and evaluation of the distal tube in patient with tubal ligation. The objective of the study was to evaluate the technique itself, as well as the findings using this method and the efficiency of the new instrument, in particular the modified Veress needle that has been developed specifically for this procedure. This instrument differs from others described in the literature because it has a safety device in its base designed to fix the inner part of needle\'s tip, thereby offering greater safety during blind insertion into the pelvic cavity through the posterior fornix. MATERIAL AND METHODS: A total of 38 patients with tubal ligation were selected that had expressed the desire to become pregnant. Patients with other pelvic alteration and whose partner presented abnormal semen analisys with indication for in vitro fertilization were excluded. The procedure was performed in gynecologic position. After antisepsis of the vulva and vagina, 2 ml of lidocaine with adrenaline was perfomed of posterior fornix at midline, approximately 1.5 cm below the insertion of the vaginal wall in the uterine cervix. After this, the Veress needle previously covered with a cannula that is similar a trocar, was inserted through the anesthetized area until it reached the pelvic cavity. A hundred milliliter of saline or Ringer\'s lactate solution with 2% lidocaine, without adrenaline and diluted to 1:100 was introduced. After removal of the Veress needle, a rigid 2,9 mm endoscope with a 30º optical angle coupled to a videodocumentation system was inserted trough the cannula to confirm the access into pelvic cavity. The liquid has continued instilled and the inspection was undertaken. RESULTS: 1) the pelvic cavity was accessed in 36 (94.7%) patients; 2) the distention media volume used was 300 to 1500 ml; 3) the mean score for pain using the visual analog pain scale was 2.3. This score for the patients that received 600 ml was 2.7 and 1.7, respectively; 4) the most common findings during the procedure were filamentous pelvic adhesions, besides hydrosalpinx and distal salpingectomy in some cases 5) there were no complications in any of the 38 cases studied. CONCLUSIONS: 1)The new transvaginal hydrolaparoscopy instrument (modified Veress needle) is effective to access the pelvic cavity, safe and easy handle; 2) transvaginal hydrolaparoscopy is feasibility in outpatient basis and is reproducible, well tolerated, inexpensive and offers a good diagnostic capacity
Vieira, Carlos Henrique Fontana. "Hidrolaparoscopia transvaginal no prognóstico cirúrgico de mulheres laqueadas candidatas à reversão da esterilização tubária." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-12022008-133621/.
Повний текст джерелаBackground: The rate of post sterilization regret in women is about 2% to 26% de-pending on the moment of life they are living. Surgical reversibility can be carried out with the use of laparotomy, minilaparotomy or laparoscopy. However, tubal condi-tions must be assessed for the surgical prognosis. Hysterosalpingography is useful for assessing the proximal surgical scar of the ligated tube, and laparoscopy is used for evaluating the distal portion. Distal portion of ligated tubes were evaluated by transvaginal hydrolaparoscopy (THL) as an alternative to laparoscopy in this investi-gation. Method: Between August 2001 and April 2004, 38 female candidates for sterilization reversal without any other pelvic disease, aged up to 40 years old, pre-senting body mass index <35 kg/m2, whose partners did not present abnormal es-permogram, and without indication for in vitro fertilization were submitted to outpa-tient THL under local anesthesia. Surgical reversal was accomplished in 30 patients with minilaparotomy, considered the golden-pattern for analyzing the accuracy of THL findings. Results: 1) Pelvic cavity was achieved in 36 (94.7%) patients, and the access failed in the other two (5.3%). 2) Out of the 30 patients who were kept in the study, failure in achieving the pelvic cavity occurred in two (6.7%) of them. In the remaining 28 (93.3%) women or 56 tubes, THL diagnosis was correct in 25 (89.3%) and unsatisfactory in the other three (10.7%). Prognosis failure was result of hy-drosalpinge, and one of these three patients presented two points ligated in both tubes as well. 3) There were no THL complications in all cases. Conclusion: THL is a technique useful for allowing visualization of fimbriae and distal stump of ligated tubes, and for accurately previewing the possibility of surgical reversal, although the presence of hydrosalpinge can interfere in the THL prognosis for tubal reversibility.
LIDEREAU, WEINSTEIN ROSETTE. "La variabilite genetique des proto-oncogenes ras, myc et mos comme marqueur de predisposition et d'evolution dans le cancer du sein." Paris 7, 1987. http://www.theses.fr/1987PA077129.
Повний текст джерелаΛαδόπουλος, Ιωάννης. "Η συμβολή της ενδοσκόπησης σε συνδυασμό με την υστεροσαλπιγγογραφία στην αντιμετώπιση της γυναικείας στειρότητας". Thesis, 1989. http://nemertes.lis.upatras.gr/jspui/handle/10889/3058.
Повний текст джерелаChang, Sung Keun. "Understanding the variations in fluorescence spectra of gynecologic tissue." Thesis, 2004. http://hdl.handle.net/2152/1204.
Повний текст джерелаMoodley, Premla. "An evaluation of transvaginal ultrasound in the assessment of endometrial thickness in black South African patients presenting with postmenopausal uterine bleeding." Thesis, 2004. http://hdl.handle.net/10321/2038.
Повний текст джерелаThe object of this study was to use Transvaginal ultrasound to evaluate the thickness of the endometrium to exclude endometrial abnormality in Black South African women with postmenopausal uterine bleeding. Transvaginal ultrasound is an excellent diagnostic method for assessing endometrial pathology. The study was carried out at the Gynaecological Ultrasound Department, King Edward VIII Hospital. The study included 76 Black women with postmenopausal uterine bleeding. The thickness of the endometrium was measured by Transvaginal ultrasound. The measurement included both endometrial layers (double-layer technique). The Transvaginal ultrasound measurement was compared with the histopathological diagnosis of the biopsy specimens. At the end of the investigation, findings obtained were 3.9% non-representative, 44.8% endometrial adenocarcinomas, 14.5% benign polyp, 3.9% chronic Endometritis, 17.1% benign endometrium, 5.3% endometrial hyperplasia, 9.2% atrophic endometrium, 3.9% myometrial invasion and 1.3% Malignant Mixed Mullerian Tumour. In this study, the thickness of the endometrial echo varied from 5mm to 35mm, with a mean of 18,2mm. When the thickness of the endometrial echo was compared with the histopathological results, the mean value for non-representative was 7.83mm, much lower than the thickness of an active endometrium (13.25mm). In cases with atrophic endometrium, the thickness ranged from 6mm to 30mm with a mean of 15.86mm. The mean value obtained for cases with endometrial adenocarcinoma was 20.32mm (range 11 to 35mm). The sensitivity, specificity and accuracy of Transvaginal ultrasound for detecting endometrial malignancy were 100% if the cutoff limit of 4mm was used In conclusion, this study using Transvaginal ultrasound demonstrated that a thickness limit greater than 8mm was considered in detecting malignancy. No malignant endometrium was thinner than 5mm. Therefore in women with postmenopausal uterine bleeding and an endometrium less than 4mm, it may be justified not to perform further investigations. Transvaginal ultrasound is a simple, well-tolerated safe and reliable method for identifying endometrial thickness in postmenopausal Black South African women.
M
Wang, Ssu-Meng, and 王思孟. "Clinical studies of nanochip array as a diagnostic platform for Gynecologic cancer." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/39540285531642131967.
Повний текст джерела國立交通大學
材料科學與工程學系奈米科技碩博士班
101
Gynecologic cancer is a clinically typical female cancer, usually has a poor prognosis. It is deadly because it lacks any clear early detection or screening test. Therefore, early detection of cancer provides the best opportunity for successful management. The diagnosis and prognosis of cancer is evaluated by cancer spreading, tissue staining and with the clinical database experience. The universally accepted prognostic factors for patients are stage, grade and volume of residual disease. But this method are still considered preliminary, large uncertainty still exists in the existing diagnostic methods, there is still much room for improvement. In this study, we established a novel platform that can be used to assess basic parameters of cell response for the rapid diagnosis of gynecologic cancer clinical stages, and enhance the assessment of prognosis. We collected the different stages of clinical ovarian cancer and endometrioid adenocarcinoma (EMCA) specimens which isolated from tumor tissues or ascites. Cancer cells were cultured on different sizes of nanodot arrays. CA125 staining was used to confirm the MUC16 expression of ovarian cancer cells. We observed the cell viability, adhesion, cytoskeletal organization, and cell area by scanning electron microscopy (SEM) and immunostaining to establish a database for cancer cell behavior. These SEM and immunostaining images result shows that there were different cell responses with different nanodot arrays in each clinical stage. After statistics, serous type of ovarian cancer could diagnose stages used cell viability methods on 50-nm nanodot array and could diagnose grades used cell area and focal adhesions methods on 100-nm and 300-nm nanodot arrays. Clear cell type of ovarian cancer could diagnose stages used cell viability method on 50-nm and 100-nm nanodot arrays and could diagnose grades used cell area and focal adhesions methods on 10-nm and 100-nm nanodot arrays. Above all ovarian cancer could diagnose stages and grades used cell area method on 10-nm and 300-nm nanodot arrays. EMCA could diagnose stages used actin filment method on 300-nm nanodot array and could diagnose grades used cell area, focal adhesions and actin filment methods on 300-nm, 100-nm and 50-nm nanodot arrays. In the prognosis results, we found above 70 % primary cancer cells revealed positive viability expression on poor prognosis patients compared to good prognosis patients. In cell attachment, both vinculin and actin revealed negative expression on poor prognosis patients compared to good prognosis patients. Therefore, we can evaluate clinical stages and prognosis of gynecologic cancer patients by using different nanodot arrays with various cell detections. We expected that the nanodot arrays can be used not only as the clinical stage of a rapid diagnostic platform, but also provide method for assessment of the clinical prognosis of gynecologic cancer patients in vitro.
Jean-Baptiste, Elisa. "Estimation de la macrosomie fœtale chez les populations Cris de l’Est de la Baie-James." Thèse, 2016. http://hdl.handle.net/1866/19155.
Повний текст джерелаObjective: Assess the impact of fetal macrosomia based on definitions (birth weight> 4000 g,> 4500g, ≥90ième percentile Kramer) currently used in Quebec and compare the prevalence of maternal and perinatal morbidity associated with macrosomia between the Cree populations of Eastern James Bay and the general population of Quebec. Specific postnatal curves for the Cree will be constructed. Design: Comparison of two prospective cohort Cree and Quebec. Cohort of Cree populations of eastern James Bay, has recruited 2546 women from 2000 to 2010, during the study of fetal macrosomia in the Cree of eastern James Bay. Quebec cohort consisted of 97,475 women and comes from the multicenter randomized clinical trial QUARISMA 2008-2010, this study promulgates the reduction of caesarean delivery rate. Methods: The risk of fetal macrosomia, maternal and perinatal morbidity, by ethnicity, Cree and Quebec, are evaluated by generalized estimating equations models (GEE). GEE models were adjusted to control for potentially confounding factors. The reference group is Quebec women. The specific growth curves of the Cree are built by quantile regression. Results: More than a third, 36.8%, of Cree populations of Eastern James Bay and 9.3% of newborns in Quebec have a birth weight> 4000g. For a birth weight> 4500g, the results show that 10.9% of the Cree, have a birth weight of more than 4500g, the rate is 1.2% in Quebec. The definition of fetal macrosomia by neonatal birth weight≥90th percentile of Kramer identifies 40.02% Cree’s for 8.8% of infants of Quebec as macrosomic. The Cree population are more at risk of fetal macrosomia, compared to the general population of Quebec, these associations were statistically significant: OR = 5.2; 95% CI (4.6 to 6.0) for birth weight> 4000g, OR = 8.1; 95% CI (6.2 to 10.7) for birth weight> 4500g and OR = 6.2; 95% CI (5.7 to 6.7) for birth weight percentile ≥90th Kramer. The risk of major perinatal morbidity associated with fetal macrosomia, is generally less important for the Cree than for the general population of Quebec: 0.76; 95% CI 0.62-0.94. Fetal macrosomia should be described by birth weight ≥95th percentile of Kramer, for the Cree, but preferably at the 90th percentile of the specific postnatal curves of Cree populations of Eastern James Bay. The specific Cree birth weight thresholds for diagnosing fetal macrosomia, at the 90th percentile of the 40th week of gestation, are 4 417g for the girls and 4 488g for the boys. Conclusion: Kramer’s curves diagnose systematically too much macrosomic Cree babies compare to the general population of Quebec. Futhermore, the risk of major maternal and perinatal morbidity is lower for these indigenous communities, at the different definitions of fetal macrosomia, suggesting the use of specific curves for the Cree, to reduce obstetrics interventions not required in large, but non macrosomic, Cree babies.