982 resultados para Uterine Prolapse
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Medicina Veterinária - FMVZ
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Pós-graduação em Patologia - FMB
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Pós-graduação em Medicina Veterinária - FMVZ
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The aim of this study was to evaluate, by means of ultrasound exam, acupuncture effects on uterine involution during the postpartum period in bitches with electroacupuncture. The phenomenon of eutocic uterine involution was studied in 16 bitches, randomly divided into two groups of eight animals each. Group 1 (G1) was treated with electric stimulation (electroacupuncture) of the needle at the points SP6, L3, Bai Hui, TB1, B23, B26, and group 2 (G2), the control group, received treatment in Sham points (placebo points), also with electrical stimuli. The monitoring of the phenomenon of uterine involution was performed by ultrasonography on days 0 (partum), 1, 3, 7 and 14 postpartum. We used SAS statistical analysis method, in order to compare the groups. The results of ultrasound examinations (mean and standard deviations in cm) for the period of observation were as follows: G1: 0.30 ± 0.01 (P), 2.08 ± 0.21 (LU), 4.13 ± 0.23 (DU) and G2: 0.31 ± 0.01 (P) 1.82 ± 0.09 (LU), 3.92 ± 0.11 (DU). We concluded that electroacupuncture affected uterine tone (lasting and uniform at the end of treatment). Electroacupuncture produces a positive tone in the uterus, aiding at the prevention of puerperal diseases.
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Pós-graduação em Biologia Geral e Aplicada - IBB
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Pós-graduação em Medicina Veterinária - FMVZ
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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OBJECTIVE: To evaluate treatment of Brazilian patients with gestational trophoblastic disease (GTD).STUDY DESIGN: A retrospective cohort study with analysis of medical reports performed in 10 Brazilian referral centers from January 2000 to December 2011.RESULTS: Of 5,250 patients 3 died (0.06%) at the time of uterine evacuation. Spontaneous remission of GTD (group G1) was observed in 4,103 cases, and 1,144 (21.8%) progressed to gestational trophoblastic neoplasia (GTN) (G2). In G1 2,716 (66.2%) had complete hydatidiform mole (HM) and 1,210, partial HM (29.5%); 3,772 patients (92.7%) recovered as noted in December 2012. In G2, of 1,118 patients treated, initial histopathological results of previous gestation were complete HM (77.5% [n = 886]), partial HM (8.8% [n = 100]), and choriocarcinoma (8.0% [n = 92]); 930 (81.3%) were low-risk, 200 (17.5%) were high-risk GTN, and 14 had placental site trophoblastic tumor (PSTT) (1.2%); cure was achieved in 1,078 cases (96.4%), but 26 patients (2.3%) died (4 low-risk [0.4%], 19 high-risk [9.5%], and 3 PSTT [21.4%]).CONCLUSION: The highest death rates were due to high-risk GTN and PSTT. Patients with molar pregnancy should be referred to a referral center for an early diagnosis and prompt treatment of GTN in order to reduce the morbidity and mortality found in advanced stages.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Knowledge of the effectiveness of prostaglandins in uterine involution process led to the development of protocols with its analogues in postpartum period. However, this hormone mechanism of action is not yet fully elucidated. Thus, the objective of this study was to verify if chloprostenol administration, at early or intermediary puerperium, can induce changes on progesterone, PGFM and oestradiol plasma concentrations. 30 Murrah postpartum buffaloes were randomly divided into three groups: CONT (saline, n = 10); CLO2 (chloprostenol at days 2 and 5 postpartum, n = 10) and; CLO15 (chloprostenol at days 15 and 20 postpartum, n = 10). Blood samples were collected from jugular vein to measure progesterone, PGFM and oestradiol plasma concentrations at days 2, 7, 14, 21 and 28 postpartum. CLO2 group presented lower progesterone and PGFM plasma concentrations in relation to CONT and CLO15 groups (0.23 +/- 0.00 and 0.32 +/- 0.11, 0.19 +/- 0.00 and 0.23 +/- 0.11, 0.23 +/- 0.00 and 0.30 +/- 0.19, for groups CONT, CLO2 and CLO15, respectively; P < 0.05). There was no significant difference in oestradiol plasma concentration between experimental groups (P > 0.05). Prostaglandin synthetic analogue administration induced hormonal changes in postpartum buffaloes, which can partially explain its positive effect under reproductive function of this specie.