Rola ultrasonografii trójwymiarowej z punktu widzenia kobiety ciężarnej

Objectives: The role and applicability of three-dimensional ultrasound (3D-US) in perinatology has been repeatedly discussed in the literature. Regardless, our knowledge about patient expectations remains limited. We aimed at determining the expectations, perception and knowledge of pregnant women about 3D-US. Material and Methods: Upon admission to the labor unit, the women filled out a questionnaire, with the help of a doctor, investigating sociodemographic data, pregnancy and delivery history, previous experiences and expectations for US imaging. Results: A total of 644 pregnant women were included in the study. Respondents declared that approximately 70% of all kinds of structural abnormalities could be detected by 3D-US and estimated its reliabilityat nearly 70%. While 60% of the participants underwent 3D-US, 70% of them believed that every pregnant woman should undergo such test. Also, 457 (70.9%) of the participants were of the opinion that every pregnant woman must undergo 3D-US imaging, whereas 173 (26.8%) did not think 3D-US imaging was necessary. Conclusions: To the best of our knowledge, this has been the first study on patient opinions regarding the need for 3D-US imaging during pregnancy. Although the participants were not certain about the harmful effects of 3D-US, the majority believed that it was necessary for every pregnant woman to undergo such testing. Obviously, patients must be instructed on the limitations of US imaging before the examination to clarify any misunderstandings about the possibilities such a technique may offer.Cel: Rola i zastosowanie ultrasonografii trójwymiarowej (3D-US) w perinatologii jest częstym tematem dyskusji w literaturze. Mimo to nasza wiedza na temat oczekiwań pacjentek pozostaje ograniczona. Naszym celem było określenie oczekiwań, spostrzegania i wiedzy kobiet ciężarnych na temat 3D-US. Materiał i metoda: Podczas przyjęcia do oddziału porodowego pacjentki wypełniały kwestionariusz, z pomocą lekarza, dotyczący ich danych socjodemograficznych, wywiadu odnośnie ciąż i porodów, poprzednich doświadczeń i oczekiwań w związku z badaniem US. Wyniki: Do badania włączono 644 ciężarne. Kobiety oceniły, że około 70% wszystkich anomalii strukturalnych może być wykrytych w trakcie badania 3D-US i oszacowały ich wiarygodność na blisko 70%. Około 60% ciężarnych przeszło badanie 3D-US, z czego 70% uważa, że każda kobieta w ciąży powinna mieć takie badanie wykonane. Również, 457 (70,9%) respondentek uważało, że każda ciężarna powinna przejść badanie 3D-US, podczas gdy 173 (26,8%) nie uważa aby takie badanie było konieczne. Wnioski: Według naszej wiedzy jest to pierwsze badanie na temat opinii pacjentek na temat potrzeby wykonania badania 3D-US podczas ciąży. Chociaż pacjentki nie miały wiedzy na temat bezpieczeństwa 3D-US w ciąży, większość z nich uważała, że istnieje konieczność aby każda ciężarna przeszła takie badanie. Oczywiście pacjentki muszą być informowane o ograniczeniach badania US aby wyjaśnić nieporozumienia dotyczące możliwości jakie niesie ze sobą ta technika

Histological assessment of skin grafts stored in amniotic fluid and saline

We investigated the efficacy of amniotic fluid as a substance in which to store grafts; it is rich in nutrients, proteins, and growth factors, and has well-known antimicrobial features. We compared it with the widely-used and practical saline. Split-thickness grafts 4 x 4 cm were prepared from the back of 20 rats and divided into four groups (n = 5 each). The rolled grafts were wrapped in gauze dampened with saline or amniotic fluid and placed into refrigerators in sterile containers for storage. On days 7, 14, 21, and 28, histological examinations were made. A semiquantitative evaluation of the histological damage to the skin was made by scoring its degree of severity. Compared with saline, histological scores in the grafts stored in amniotic fluid were found to be significantly lower on the 14th, 21st, and 28th days (p values on days 14, 21, and 28; cell swelling: 0.014, 0.006, and 0.005, respectively; nuclear swelling: 0.003, 0.006, and 0.007, respectively; nuclear pleomorphism: 0.004, 0.005, and 0.003, respectively; nuclear haloes: 0.015, 0.005, and 0.005, respectively; nuclear pyknosis: 0.003, 0.005, and 0.003, respectively; dermo-epidermal clefting: 0.005, 0.003, and 0.003, respectively; eosinophilia and mitosis: 0.003, 0.006, and 0.004, respectively; dermal collagen: 0.003, 0.003, and 0.003, respectively). Amniotic fluid maintained preservation better for skin grafts than saline. Comparison with other modern storage media would be beneficial

Assessment of pulmonary functions and anthropometric measurements in women with polycystic ovary syndrome

Objectives. The aims of this study were to compare pulmonary function tests of patients with polycystic ovary syndrome (PCOS) versus healthy women, and to investigate correlations between pulmonary function tests and anthropometric measurements of them

Heart rate variability and heart rate turbulence in patients with polycystic ovary syndrome

Objective: Cardiac autonomic dysfunction may develop in patients with polycystic ovary syndrome (PCOS). Heart rate variability (HRV) and heart rate turbulence (HRT) are used in assessing cardiac autonomic functions. The goal of this study was to compare the cardiac autonomic functions in patients with PCOS and healthy controls. To our knowledge, this is the first study evaluating cardiac autonomic functions in patients with PCOS with respect to both HRV and HRT

Heart rate variability and heart rate turbulence in patients with polycystic ovary syndrome

Objective: Cardiac autonomic dysfunction may develop in patients with polycystic ovary syndrome (PCOS). Heart rate variability (HRV) and heart rate turbulence (HRT) are used in assessing cardiac autonomic functions. The goal of this study was to compare the cardiac autonomic functions in patients with PCOS and healthy controls. To our knowledge, this is the first study evaluating cardiac autonomic functions in patients with PCOS with respect to both HRV and HRT

Comparison of Four Different Pain Relief Methods during Hysterosalpingography: A Randomized Controlled Study

BACKGROUND: Hysterosalpingography (HSG) is the most commonly used method for evaluating the anatomy and patency of the uterine cavity and fallopian tubes, and is an important tool in the evaluation of infertility. The most frequent side effect is the pain associated with the procedure