34 research outputs found

    Association of postmenopausal bleeding with endometrial cancer

    Get PDF
    Background: Uterine cancer, also clinically referred to as endometrial cancer, stands out as the most prevalent cancer within the reproductive system of women. Notably, approximately 80% of women experiencing postmenopausal bleeding (PMB) with an endometrial thickness of ≥4 mm exhibit localized pathological lesions in the uterine cavity. This study aimed to assess the association of PMB with endometrial cancer. Methods: This prospective study was conducted at the department of obstetrics and gynecology, delta medical college and hospital, Dhaka, Bangladesh from July 2018 to June 2019. The study comprised 1000 patients selected through purposive sampling, adhering to specific inclusion and exclusion criteria. Microsoft office tools were employed for data processing and analysis. The analytical approach employed was descriptive in nature. Results: The study revealed that the highest percentage of patients (20.20%) exhibited abnormal endometrial hyperplasia, followed by carcinoma cervix (19.2%) and endometrial cancer (16.7%). Additionally, a significant portion of the participants, constituting 40.30%, had co-existing hypertension, while 38.1% had diabetes mellitus, and 34.0% had dyslipidemia. Notably, 65.9% of patients diagnosed with endometrial carcinoma displayed an endometrial thickness exceeding 4 mm. Conclusions: PMB is not statistically significant for endometrial cancer, but prompt evaluation is essential to exclude malignancy. Transvaginal ultrasonography (TVUS) is a reasonable first-line approach, and invasive sampling is recommended when the endometrial thickness exceeds 4 mm

    Male superiority and famale resistance in Indonesian fairytales themed Seven Nymphs

    Get PDF
    Story of Seven Nymphs spread in Indonesia implies many similarities starting from the introduction of stories, conflicts, the peak of conflict, and settlement. Story of seven nymphs always describes them as helpless before men when their shawls stolen. The aim of this study is to show how male superiority and resistance of women represented in folklore stories themed seven nymphs. The method used in this study is the content analysis method with comparative literature and sociological literature technique. The data taken from story titled Jaka Tarub, Telaga Bidadari, Arya Menak, Raja Omas, and Mahligai Keloyang. The story have similar lines, but comes from different regions. The results of the research and analysis show that the superiority of men has begun to seen from the actions in the story that took the nymph’s shawl (wings). With that event, the nymphs figure told in all research data described as having no power to fight, so that without other choices, they must be willing to be the wife of a man who stole their shawl. However, in women (nymphs), there is the potential for strength and endurance in facing their new life in the world. All men who intend to marry nymphs in the story made helpless and obey all kinds of conditions and restrictions proposed by the nymphs if they want to marry them. Finally, in the analysis, the overall story ends in the separation between the man and his wife (the nymphs) because the agreement at the beginning violated by the male character

    Diagnostic Performance of Procalcitonin and C-Reactive Protein in Pediatric Acute Pyelonephritis: A Hospitalbased Study

    Get PDF
    Background and Aim: Urinary Tract Infection (UTI) is a common bacterial infection in children causing permanent renal damage. Differentiation between Acute Pyelonephritis (APN) and lower UTI is vital due to the involvement of renal parenchyma in APN. This study aimed to assess the efficiency of Procalcitonin (PCT) with C-Reactive Protein (CRP) to predict APN in children with UTI in a tertiary care hospital. Methods: This analytical cross-sectional study was conducted in a tertiary care hospital between March 2013 and July 2014. Children aged 1 month to 16 years with febrile UTI were included in the study Sensitivity, specificity, positive predictive value, negative predictive value, and receiver operating characteristic (ROC) curve were used to assess quantitative variables for diagnosing APN. Results: The Mean±SD age values in the APN group were 73.11±52.29 months, while it was 76.25±47.23 months in the lower UTI group. The Area Under the Curve (AUC) for fever, White Blood Cell (WBC), CRP, and PCT of the respondent showed that CRP was at the cut-off point of 5.0 mg/L, resulting in a sensitivity of 82.4% and a specificity of 80.0%, respectively. PCT was at the cut-off point of 1300 pg/mL, resulting in a sensitivity of 76.5% and a specificity of 100.0%, respectively. By comparing the Receiver Operating Characteristic (ROC) curve, PCT had a significantly higher Area Under the Curve (AUC) than CRP for differentiating APN and lower UTI. Conclusion: Serum CRP and PCT are good markers for diagnosing APN in febrile UTI in children. However, the study showed that PCT is a better marker to differentiate APN and lower UTI compare to CRP

    Larsen syndrome

    Get PDF
    Larsen syndrome is a rare inherited disorder characterized by congenital dislocation of multiple joints along with other anomalies of heart, face, hands and bones. Larsen syndrome was first described in 1950 by Larsen, Schottstaedt and Bost. In the present report, we describe a 10 year old girl who presented with mid facial hypoplasia with depressed nasal bridge, high arched palate, bilateral talipes equinovarus and high arched feet. On examination, she had short stature (HAZ -3.5 SD) with hyperextension of knee joint, fixed flexion of elbow joint. Awareness of this condition and associated complications may help in management and follow up of these patients.
    corecore