15 research outputs found

    The correlation between histopathological and ultrasound findings regarding Cesarean section scars – A three-year survey study

    Get PDF
    The cesarean operation represents a major surgery, with a higher risk of postoperative complications and longer postoperative recovery than vaginal delivery. Due to the increasing frequency of cesarean sections, the ultrasound imaging of the uterine scar has become a particularly useful tool in identifying its potential long-term complications. This should be done pre-conceptively and quarterly or whenever necessary during pregnancy. Currently, there are only few histopathological studies on the uterine scar, trying to assess the myometrial repair and certain factors that influence the quality of the scar. The study was performed on a batch of 123 patients with previous C-sections, with multiple ultrasound exams during pregnancy and post-operative pathologic evaluation of the uterine scar in order to assess the possibility of a new prognostic score by correlating these two factors. Our study found solid evidence related to possible correlations between histopathological and ultrasound data on the cesarean section scar, which could lead to a possible predictive algorithm with implications for both prognostic and therapeutic fields

    Cesarean scar defect- obstetric consequences

    Get PDF
    Scope. This review aims to achieve a parallelism between literature studies on imaging diagnosis, the characteristics of cesarean scar defect and its evolution during pregnancy, and the obstetric consequences that can lead to increased maternal morbidity. Materials and Methods. There have been many literature studies published in recent years aimed to identify the methods of diagnosis for cesarean scar defect, the characteristics and the main changes of it during pregnancy, and the risks undertaken by pregnant women undergoing labor for vaginal delivery after a previous cesarean surgery. Results and Discussions. The most commonly used method for visualizing and evaluating uterine scar is transvaginal ultrasound in the first trimester of pregnancy, and abdominal ultrasonography in the II and III trimesters. The two areas characteristic of uterine scarring: "niche" and "thickness of the residual myometrium" undergo changes during the three trimesters of pregnancy. Some studies in the literature reported a higher incidence of uterine rupture, especially when the lower uterine segment fell below 2.3 mm, and a mean thickness of 3.2 mm, higher among multiparous women. A question that still does not have a generally valid answer refers to the hysterorrhaphy technique. There are different opinions among the authors, but most of them consider that after a double layer suture the thickness of the residual myometrium is higher. However, data from the literature show that the incidence of complications such as uterine rupture, dehiscence of the uterine trance are similar, regardless of the type of suture used. Another complication that occurs due to uterine scar is the pregnancy inserted at this level, which in the case of expectancy, leads to an increase in maternal and fetal morbidity. 50% of them evolve to spontaneous abortion in the first trimester, and almost all full-term pregnancies result in hysterectomy of necessity. Conclusions. Due to the many obstetrical and gynecological complications that occur on a uterine scar, an evaluation in dynamics is essential. There are no standardized protocols yet, but the identification and measurement of the uterine scar area in the third trimester may predict the chance of success of the labor test for vaginal delivery after cesarean surgery

    The correlation between histopathological and ultrasound findings regarding Cesarean section scars – A three-year survey study

    Get PDF
    The cesarean operation represents a major surgery, with a higher risk of postoperative complications and longer postoperative recovery than vaginal delivery. Due to the increasing frequency of cesarean sections, the ultrasound imaging of the uterine scar has become a particularly useful tool in identifying its potential long-term complications. This should be done pre-conceptively and quarterly or whenever necessary during pregnancy. Currently, there are only few histopathological studies on the uterine scar, trying to assess the myometrial repair and certain factors that influence the quality of the scar. The study was performed on a batch of 123 patients with previous C-sections, with multiple ultrasound exams during pregnancy and post-operative pathologic evaluation of the uterine scar in order to assess the possibility of a new prognostic score by correlating these two factors. Our study found solid evidence related to possible correlations between histopathological and ultrasound data on the cesarean section scar, which could lead to a possible predictive algorithm with implications for both prognostic and therapeutic fields

    Radon Concentration in Three Florida Caves: Florida, Jennings, and Ocala

    No full text
    This study reports the first radon concentration measurements within three frequently visited caves in Florida: one touristic (Florida Caverns), one private (Ocala Caverns), and one private, but publicly accessible (Jennings Cave). To measure the radon concentration, 18 CR-39 solid-state alpha track detectors were placed along the main passages of these caves for a period of 2 months (between December 2016 and February 2017). The results show that the radon concentration throughout all caves greatly exceeds the recommended safety action level. The highest concentrations of 2737 and 2958 Bq m−3 were recorded in Ocala and Jennings caves, respectively; whereas in Florida Caverns, the concentration reached a value as high as 1050 Bq m−3. To aid in ventilation, allowing the built-up gas to disperse, it is suggested that at Florida Caverns, the entry doors to be periodically opened for several hours. In locations with high concentrations where additional ventilation is not possible, such as Ocala and Jennings, it is recommended that the exposure time to be limited. Although radon values measured in the surveyed caves are high, the occasional cave visits are generally safe as the overall exposure time is minimal. However, cave guides and workers may have an increased risk as they spend many hours a day during which they are exposed to these high radon concentrations

    Radon Measurements and Radon Remediationin Băiţa-Ştei Pronearea

    No full text
    Băiţa-Ştei was the largest uranium reserve in Romania with estimated reserves of 450,000 tons of high grade metal. It was a large open pit mine in the northwest of Romania (West Carpathian Mountains), situated at 123 km south-east of Oradea, the capital of Bihor County. The transport during the time of sediment by Crişul Băiţa water course increased the uranium and radium content in the river meadow. The building material from Crişul Băiţariver bed (stone, gravel, sand) was used as construction material for the houses. In addition, some people living on this valley and surroundings after the opening exploitation used as building material the uranium waste from this mine. Preliminary indoor radon measurement (grab samples) in the villages situated on the route of ore transport (BăiţaPlai -Ştei) shown high radon concentrations, until 5000 Bq m−3. The new result obtained in this work in springer season 252 Bq m−3 is comparable with the annual means of 241 Bq m−3 and 229 Bq m−3 respectively, previously obtained, but more than twice times higher than the average value of 126 Bq m−3, computed for Romania. About 3000 of etched CR-39 track detectors were used followed by a selection of 20 houses proposed for remediation where a systematic investigation regarding radon sources was performed. The measured indoor radon concentration in the surveyed buildings ranged from 40 to 4000 Bq m−3. For experimental research, a representative pilot house was chosen. This house represents an example of a typical building from this area, with complex and various radon entry pathways which are correlated with the geology of soil. This building was chosen as pilot house due to the fact that it requires different ventilation systems or other remedial measures to be installe

    Radon Levels in Romanian Caves: An Occupational Exposure Survey

    No full text
    A comprehensive radon survey has been carried out in seven caves located in the western half of Romania’s most significant karst regions. Touristic and non-touristic caves were investigated with the aim to provide a reliable distribution of their radon levels and evaluate the occupational exposure and associated effective doses. Radon gas concentrations were measured with long-term diffusion-type detectors during two consecutive seasons (warm and cold). All investigated caves exceed the European Union reference level of radon gas at workplaces (300 Bq/m3). The radon concentration in these caves ranges between 53 and 2866 Bq/m3, reflecting particular cave topography, season-related cave ventilation, and complex tectonic and geological settings surrounding each location. Relatively homogeneous high radon levels occur in all investigated touristic caves and in Tăuşoare and Vântului along their main galleries. Except for Muierii, in all the other caves radon levels are higher during the warm season, compared to the cold one. This suggests that natural cave ventilation largely controls the underground accumulation of radon. The results reported here reveal that the occupational exposure in Urşilor, Vadu Crişului, Tăuşoare, Vântului, and Muierii caves needs to be carefully monitored. The effective doses to workers vary between an average of 0.25 and 4.39 mSv/year depending on the measuring season. The highest values were recorded in show caves, ranging from 1.15 to 6.15 mSv/year, well above the European recommended limit, thus posing a potential health hazard upon cave guides, cavers, and scientists
    corecore