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Number of results: 9
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Abstract

Up to 2% of pregnancies may be extrauterine. Despite reproductive problems, they might increase the risk of serious complications. We present a case report of a 31-year-old woman with two extrauterine pregnancies — tubal and ovarian, which occurred at the same side with little time difference. In addition, we aimed to examine possible reasons underlying this rare pathology. Thus, surgically removed tissue specimens were morphologically assessed and further compared with specimens from healthy control patients. Telocytes were analysed in detail due to their pivotal role in the female repro-ductive system. Our study had observational character and obvious limitations typical for a clinical case. Yet, such a clinical case of two ectopic pregnancies has not been previously reported in the literature.
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Authors and Affiliations

Anna Wrona
1
Veronika Aleksandrovych
2
Anna Gil
3
Magdalena Kurnik-Łucka
2
Jerzy A. Walocha
3
Krzysztof Gil
2

  1. Gynecology and Obstetrics Ward with Gynecologic Oncology Subdivision, J. Śniadecki’s Specialistic Hospital, Nowy Sącz, Poland
  2. Department of Pathophysiology, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
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Abstract

Ectopic pregnancy constitutes 2% of all pregnancies. In the last decades, due to the rising amount of caesarean sections, new localization of ectopic pregnancy has been observed — caesarean scar pregnancy (CSP). Cesarean scar pregnancy is an iatrogenic disease and a life-threatening condition which frequency will systematically rise. Because of possible serious complications, CSP should be swift ly diagnosed and treated. Th e purpose of this retrospective study was to demonstrate diff erent methods of CSP treatment performed between 2015–2018 in the Clinic of Endocrinological Gynaecology and Gynaecology Jagiellonian University Medical College in Cracow. Th e clinical characteristics, diagnosis, various methods of treatment and clinical outcomes were analysed. Defi nitive algorithm of CSP treatment is still not established. Pharmacological and operative methods are approved while expectant observation is considered unsafe due to possible risk of complications for the patient, including death.

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Authors and Affiliations

Katarzyna Doroszewska
Tomasz Milewicz
Tomasz Bereza
Anna Horbaczewska
Justyna Komenda
Estera Kłosowicz
Robert Jach
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Abstract

One of the effective reproductive management programs in dairy cattle is the accurate detection of pregnancy. A total of 204 non-descriptive cows were examined for pregnancy before slaughter in Sulaimani abattoir. Examinations were done by rectal palpation and enzyme-linked immunosorbent assay (ELISA) to measure the levels of progesterone and bovine pregnancy-associated glycoproteins (bPAGs) in their blood. Detection of a live conceptus in the uterus of slaughtered cows was used as the gold standard to determine the accuracy of the three pregnancy detection methods. The results showed that the accuracies of rectal palpation, progesterone assay, and bPAGs assay in the diagnosis of pregnancy were 87.2%, 84.8%, and 97.05%, respectively. The bPAGs assay scored the highest sensitivity (100%) for detection of pregnancy, followed by the progesterone assay (92.3%) and rectal palpation (84.6%). In addition, the specificity of the bPAGs assay was the highest (96.0%), while progesterone assay exhibited the lowest specificity (80.1%) and rectal palpation showed a specificity rate of (88.8%). In conclusion, the best method for the detection of either for early or late pregnancy in cows was the bPAGs assay, which gave the lowest number of false-positive and false-negative results.

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Authors and Affiliations

M.T. Ghaidan
O.I. Dana
H.O. Dyary
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Abstract

This study analysed the influence of montelukast (MON; 10-8 - 10-4 M), a cysteinyl leukotriene receptor 1 (CysLTR1) antagonist, on the contractility of the porcine uterine smooth muscle in the luteal phase of the oesterous cycle (n=8) and in early pregnancy (n=8). Stimulation of uterine strips in the luteal phase with MON has been shown to significantly reduce the amplitude of con- tractions, but not to affect the tension or frequency of contractions. A statistically significant tension increase and decrease in the frequency and amplitude of contractions was observed in pigs in early pregnancy. This suggests that MON has a different effect on the parameters under study in cyclic and pregnant pigs.

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Authors and Affiliations

W. Markiewicz
A. Wiśniewska
H. Madej-Śmiechowska
A. Burmańczuk
J.J. Jaroszewski
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Abstract

Dieldrin and DDE are environmental metabolites of the organochlorine pesticides aldrin and DDT, respectively. During pregnancy, these chemicals can quickly infiltrate through the placental barrier, accumulate in amniotic fluid and fetus, and act as endocrine disruptors (EDs). The aim of this study was to investigate the effect of DDE and dieldrin and their parental substances at concentrations of 1 and 10 ng/ml on secretion of PGE2 and PGF2α from bovine endometrial explants (120-150 and 151-180 days of pregnancy) after 24 hr of incubation with EDs. The mRNA expression of COX2, PGES and PGFS and the concentrations of PGE2 and PGF2α were measured. EDs did not affect (p>0.05) COX2 gene expression, but DDT and DDE decreased (p<0.05) PGES expression and PGE2 secretion in the explants from 120-150 days of pregnancy. Depending on the dose, DDT and DDE increased (p<0.05) PGFS expression and PGF2α secretion from the explants from 120-150 days and decreased PGF2α secretion (p<0.05) from the explants from 151-180 days of pregnancy. Aldrin and dieldrin decreased (p<0.05) PGFS expression and PGF2α secretion from all explants. In summary, EDs disrupt the secretion of PGE2 and PGF2α by influencing the gene expression of PGES and PGFS.
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Authors and Affiliations

J. Mlynarczuk
1
M.H. Wrobel
1
K. Dobrzyn
1

  1. Institute of Animal Reproduction and Food Research Polish Academy of Sciences, Department of Physiology and Toxicology of Reproduction, Tuwima 10, 10-747 Olsztyn, Poland
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Abstract

This study was carried out to determine the time-dependent changes in the ultrasonographic image of the ovary with computer-assisted analysis programs at certain intervals after ovulation and to determine whether computer-assisted analysis programs and ovulation programs can be managed in cases where the ovulation time is unknown. The study included 40 purebred Arab mares. The study was subdivided into 4 different time periods of 6 (Group 1), 12 (Group 2), 18 (Group 3) and 24 (Group 4) hours following ovulation. In addition, after ovulation and ultrasonographic examination, natural insemination was performed at 6, 12, 18 and 24 hours, and pregnancy examination and follow-up were performed at 15-30-45 days. In the echotexture analysis, mean grayness value (MGV) and contrast (CON) measurements were at different levels according to the time groups (p<0.001). Homogeneity (HOM) measurements were at different levels according to the time groups (p<0.001). A very strong, significant negative correlation was determined between MGV and pregnancy rates (r=-0.91, p=0.01, p<0.05). No significant relationship was observed between HOM values and pregnancy rates (r=0.19, p=0.23, p>0.05). A very strong, significant negative correlation was determined between CON and pregnancy rates (r=-0.92, p=0.01, p<0.05). It was concluded that the use of ultrasonographic echotexture in mares after ovulation provided very important information. In cases where the time of ovulation was not known, by looking at the values of echotexture parameters, it was seen that the highest pregnancy rates were at the 6th hour and the lowest pregnancy rates were at the 24th hour. As the echotexture parameters MGV and CON increased, it was determined that pregnancy rates decreased, but there was no relationship between them and the HOM value.
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Authors and Affiliations

T. Akkus
1
Ö. Korkmaz
1
B. Emre
1
A.K. Zonturlu
1
Ö. Yaprakci
1

  1. Department of Obstetrics and Gynecology, Faculty of Veterinary Medicine, Harran University, Akcakale Street, Eyyübiye Campus 255 AN, P.O. Box 63200, Eyyübiye/Şanlıurfa, Turkey
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Abstract

Early embryonic death (EED) is one of the causes of infertility in the mare. We compared endometrial environment in 9 mares with EED and 13 mares in diestrus phase. Cotton swab (CS), cytobrush (CB) and uterine biopsy (B) samples were obtained for the cytological, bacteriological and histopathological examinations. In the first step we compared CS and CB methods to biopsy as a reference method, as B revealed the highest number of positive results in cytological and bacteriological examinations in both groups. In turn, we also compared cytological, bacteri- ological and histopathological findings between EED and control animals using the B sampling. Although the differences between these groups were not statistically significant (p≥0.05), there was a tendency to a higher prevalence of subclinical endometritis in the control group, than in the EED group (62% vs 22%). In general, positive bacteriological results were similar in both groups (62% vs 55%), whereas positive cytological results were higher in the control group (62% vs 22%; p≥0.05). In histopathological examination in EED mares endometrial degeneration was better expressed (all mares were with grades IIB and III on the Kenney-Doig scale); however, the differences between both groups were not statistically significant (p≥0.05). We could not confirm a clear difference in uterine environment between the two groups. Moreover, the uterine biopsy seemed to be the most reasonable sampling method for diagnosis of endometrial state.

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Authors and Affiliations

E. Długołęcka
D. Tobolski
T. Janowski
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Abstract

I n t r o d u c t i o n: During pregnancy, changes in the oral cavity occur due to fluctuations in hormone levels and changes in eating habits and hygiene.
O b j e c t i v e s: To evaluate pregnant women’s awareness of oral health prophylaxis. Material and Methods: An anonymous questionnaire was completed by 341 pregnant women from Malopolskie Voivodeship. The statistical analysis was carried out in the R program (v. 3.4.3); a p-value <0.05 was considered significant.
R e s u l t s: Over half of the respondents did not receive oral hygiene instruction and did not take part in any prophylactic program. The main sources of oral health knowledge were the internet (66.3%), dentist (43.1%) and gynaecologist (17.9%). Respondents willingly followed the advice of healthcare workers. Approximately 32% of the surveyed women were aware of the most appropriate period for dental treatment (second trimester). Over half of the women admitted that they would receive dental care more often if more procedures were reimbursed. Approximately 71% of the women were aware of the increased susceptibility to tooth decay during pregnancy. The relationship between the presence of caries in parents and that in children was known by 42.1% of respondents, but 45% admitted they did not know how to take care of their child’s teeth properly.
C o n c l u s i o n s: Women with a higher education level had better knowledge in the area of oral health. However, most of the respondents need to increase their knowledge in this area. Prophylactic programs should be broadly propagated, and healthcare workers should deliver essential information in daily practice.

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Authors and Affiliations

Anna Przeklasa-Bierowiec
1
Anna Jakubik
1
Katarzyna Szczeklik
1
Izabela Majewska
2
Antoni Marcinek
3
Jolanta Pytko-Polończyk
1

  1. Department of Integrated Dentistry, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. University Dental Clinic, Kraków, Poland
  3. “NZOZ Szpital na Siemiradzkiego im. R. Czerwiakowskiego” Hospital, Kraków, Poland
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Abstract

The chronic degenerative endometritis (CDE) is recognised as directly related to age and infertility in the mare. In this study, the 14 days post ovulation (PO) pregnancy rate was assessed in 60 barren mares affected by CDE, submitted to platelet-rich-plasma intrauterine infusion (PRPI) 24 hours PO. Data showed a significant positive effect of PRPI on the chance to become pregnant in mares affected by Kenney I-II CDE. The overall 14 days PO pregnancy rate was 75%. Sixty-nine % of the overall pregnancies was achieved with the 1st PRPI, but an additional 31% was obtained with the 2nd PRPI at the subsequent heat, increasing significantly the number of pregnancies. Although the 1st PRPI lead to a higher pregnancy rate than the 2nd PRPI (52 vs 23%), the repetition of the treatment had a significant positive effect on the overall pregnancies. Mare’s young age positively influenced the chance to become pregnant and was associated to endometritis Kenney I. Mares with endometritis Kenney I had better chance to become pregnant than those with endometritis Kenney II. The PRPI proved, therefore, to be beneficial in barren mares with CDE, and resulted in high overall pregnancy rate achievement in barren mares.

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Authors and Affiliations

A. Carluccio
M.C. Veronesi
D. Plenteda
A. Mazzatenta

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