2 nd International conference "Personalized medicine and Global Health"

Preterm premature rupture of membranes (PPROM) is one of the leading causes of perinatal morbidity and mortality. Intrauterine continuous amnioinfusion via a subcutaneously implanted port system for PPROM is an attempt to improve the perinatal outcomes

La Rioja : diario político: Año II Número 291 - 1890 enero 3

Preterm premature rupture of membranes (PPROM) is one of the leading causes of perinatal morbidity and mortality. Intrauterine continuous amnioinfusion via a subcutaneously implanted port system for PPROM is an attempt to improve the perinatal outcomes

Validation of Pipelle endometrial biopsy in patients with abnormal uterine bleeding in Kazakhstani healthcare setting

Background: Abnormal uterine bleeding is a common sign which cover various conditions e/o pathologies. Different approaches are used to evaluate this condition. The aim of this study was to investigate the validity of Pipelle biopsy for endometrial sampling in Kazakhstani women with abnormal uterine bleeding. For this reason, we carried out a prospective study of 120 patients who underwent endometrial sampling due to abnormal uterine bleeding in a tertiary hospital setting in Kazakhstan. Methods: Statistics included descriptive analysis to evaluate the frequency of various endometrial conditions. The validity of Pipelle biopsy sampling was calculated by estimating sensitivity, specificity, accuracy, and positive and negative predictive values. For the Pipelle sampling validity assessment, we analyzed 120 samples, as 21 patients with insufficient samples were excluded. Results: Overall, concordance in histopathologic results was 92.93%. Pipelle sampling identified two cases of adenocarcinoma in our group. Moreover, endometrial hyperplasia was detected with 71.43% sensitivity, 98.82% specificity, PPV of 90.91% and NPV of 95.45%. However, the Pipelle reliability was low in cases of endometrial polyps. In conclusion, the Pipelle method was found to be valid for the diagnosis of endometrial hyperplasia and adenocarcinoma with high SN, SP, PPV and NPV. Conclusions: The Pipelle technique for evaluation of abnormal uterine bleeding in the Kazakhstani health care setting is a useful method with the highest efficacy in ruling out endometrial hyperplasia and diagnosing adenocarcinoma. If endometrial polyp was suspected under ultrasound scan in patients with abnormal uterine bleeding, physicians should consider other tools for endometrial sampling

The influence of advanced age and obesity on pregnancy course and outcome in patients with diabetes mellitus

Introduction: Older women are at greater risk of suffering from a series of comorbidities such as obesity, diabetes, and hypertension that could negatively affect pregnancy course and outcomes. This study aims to investigate the impact of maternal age and pre-pregnancy body mass index (BMI) on pregnancy outcomes of women with diabetes mellitus (DM). Material and methods: The study included 323 diabetic pregnant women. All complications throughout pregnancy and the early neonatal period were noted. The women were divided into groups according to age decade and BMI. Results: 84.8% of women reported pregnancy complications, with a higher prevalence in obese women (p = 0.003). However, most children had a good outcome with few early neonatal complications (36.85%). Old and obese women with DM often showed complications, and their newborns had higher birth weight (p = 0.003) and more neonatal complications (p = 0.041). Maternal BMI (p = 0.016; OR = 1.064), but not age (p = 0.801), was found to be a significant predictor of pregnancy complications. Conclusions: Pregnant women with DM should be considered as high-risk patients. Advanced age and increased BMI prior to pregnancy are risk factors for pregnancy complications. Maternal obesity is the most important predictor of pregnancy complications in women with DM. Pregnancy outcome can be good for both mothers and children with a timely and adequate approach

Climate Change and the Risk of Desertification with a Focus in the United States

The rapidly intensifying climate change is an impending threat to mankind. Rising temperatures over the past century have resulted in more frequent and intense droughts and increased dust activity. North Africa is major hub of dust generation followed by central Asia and China. The source of dust is not only the local droughts, but it is also transported over long distances. Dust can significantly impact health of exposed population. While PM10 is inhalable, PM2.5 can penetrate the epithelium and sit in the tissues and PM1.0 can enter systemic circulation translocating to different organs. Dust exposure has been implicated in increased incidence and exacerbation of cardiopulmonary conditions including, pneumonia, pro-thrombotic state, and myocardial ischemia. Chronic exposure is associated with condition including silicosis, asthma, cognitive decline, Alzheimer’s disease, and arsenic toxicity. Dust exposure is also associated with spikes in endemic infections including valley fever in the United States, meningitis in North Africa, and tuberculosis in India. African dust activity has been observed to accelerate algal blooms on the southeast coast of the United States, causing harm to marine and human life. In summary, the health effects of dust are far and wide in time and distance and significantly affect the health of exposed population