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Anal incontinence, is defined as voluntary loss of the control of
intestinal contents, covers from slight traces of stool in the
underwear during the loss of wind to marked episodes of
uncontrollable evacuation of soft or hard faeces. The causes for
this humiliating symptoms can be multiple and complex. Medical
practitioners do often not realize that anal incontinence can be
prevented and treated. Quality of life of these women can be
significantly improved after the appropriate diagnostic tests and
subsequent individual therapy. This study aimed to observe the
prevalence of anal incontinence in gynaecology patients with
uterovaginal prolapse and how it affects quality of life of these
women. Anal incontinence also has a significant lifestyle impact on
these patients, disabling them from carrying out daily activities,
prayers and traveling.
Labisia pumila (Kacip Fatimah) is a traditional herb commonly used
by Malay women during peripartum period to make the process of
childbirth easier and also during postpartum period to improve
general condition of mother. Earlier research on Labisia pumila
showed that it has estrogenic-like effect. This randomized, placebo
controlled study was designed to look at the safety profile of
Labisia pumila water extract on postmenopausal women. Pre-study
screening and assessment was done and if subject is eligible,
informed consent taken and baseline investigation was taken
including hematological, liver and renal function, chest x-ray,
ECG, mammography and pap smear. The study duration was six month
and all participants were required to come for visit every two
month. During each visit participants were asked regarding any side
effects of medication or occurrence of per vaginal bleeding. Vital
signs, body mass index and waist hip ratio were measured on every
visit. On visit 4 or last visit, all blood investigations, chest x-
ray, ECG and pap smear were repeated. As a conclusion we found that
Labisia pumila water extract was safe for consumption.
There has been a move towards using alternative medicine as a
treatment for menopausal problems. The objectives of the study are
to investigate the effects of Tualang Honey on the safety profiles,
cardiovascular risk factors, change in hormones and also bone
density among menopausal women. A randomized, controlled trial
comparing the effects of Tualang Honey 20 gm/day for a 4-month
intervention period was conducted. Tualang honey compared with low
dose HRT had no demonstrable effects on the blood pressure
measurement, body mass index and waist circumference.There was no
significant change in biochemical parameters, lipid profile and
blood sugar profile between the two groups. A significantly lower
level of the FSH and LH levels were seen in the HRT group. Majority
reported vaginal spotting and 35.7% reported actual per vaginal
bleeding from the HRT group. There was no significant changes seen
in the bone density. Daily intake of Tualang Honey at 20 mg/day for
four month was found to be safe to use and have the same effect on
bone densitometry.
The menopause, the last menses, marks the end of female's
reproductive capacity. It is a normal developmental process,
resulting decline in the estrogen level and lead to a various
clinical sequential including physiology, psychology and social
aspects of the women. The purpose of the study was to determine the
knowledge, attitudes and the symptoms experienced among menopausal
women attending menopausal clinic in HUSM. The relationship of the
selected sociodemographic factors with knowledge and attitudes
toward menopause were also tested. A cross-sectional study was
conducted on women who came for treatment in HUSM. Knowledge of
menopause was assessed using a self-administered questionnaire
(SAQ) base on the Dichotomous Responses. From the study we found
that the levels of knowledge of menopause were still lacking and
the attitudes were in the neutral level. The study revealed the
important of awareness on menopause process to change the levels of
knowledge and attitudes among menopausal women toward menopause.
Knowing more about menopause might empower women to cope better
with menopausal changes.
Triglycerides have been shown to be a biochemical predictor of
newborn weight and risk of large for gestational age (LGA) in a few
previous small studies. The objective of this study is to ascertain
whether mid-pregnancy fasting serum triglycerides can predict the
risk of developing LGA and newborn weight in non-diabetic pregnant
mothers.Universal sampling of pregnant mothers attending the
antenatal clinic at the Hospital Universiti Sains Malaysia (HUSM)
and nearby clinics between 24 to 32 weeks gestation was carried
out. Expectant mothers were screened for exclusion criteria
including diabetes, hypertension, pre-eclampsia, fetal anomaly and
multiple gestations. Those who were sure of dates and consented for
the study were enrolled. Modified oral glucose tolerance test
(MOGTT) was performed and fasting serum triglycerides and total
cholesterol were analysed. The subjects were followed up at
delivery when the period of gestation, the birth weight and the sex
of newborn were noted. In NGT subjects, mid-pregnancy high FPG and
high triglycerides value could be used to predict risk of getting
LGA newborn.
Infertility is defined as inability to conceive after one year of
unprotected sexual intercourse. It is associated with substantial
level of stress. Studies have reported infertility women at an
increased risk of developing sexual dysfunction compared to
controls. The aim of the study were to determine the prevalence of
anxiety, depression and sexual dysfunction in women seeking
infertility treatment. The level of anxiety, depression and female
sexual dysfunction were low in women seeking infertility treatment.
It appeared that the level of anxiety and depression have not led
to clinical impairment. However there were significant correlations
between anxiety and depression with female sexual dysfunction.
There were also significant difference in depression between
different races, education level, income and also duration of
marriage.
Wound healing is a complex and dynamic process of restoring
cellular structures and tissue layers. The study was conducted to
compare the effectiveness of cyanoacrylate tissue adhesive with
conventional suture in closing laparoscopic abdominal incision.
They were randomly assigned to receive either tissue adhesive or
suture. Main outcome measures were time taken for skin closure and
post operative outcome. Both groups were comparable with respect to
age, parity, education level, type of occupation and number of
holes. In the study, there was a significant difference in time
taken for skin closure where tissue adhesive was much more faster
compared to suture. The use of tissue adhesive is easy and safe
with complications comparable to suture and results in equally good
cosmesis. Therefore tissue adhesive is a suitable alternative to
suture in small wounds and low tension areas.
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