Publications by authors named "Neila Maria Gois Speck"

Article Synopsis
  • - The study aimed to investigate how common human papillomavirus (HPV) infections are among girls aged 12 and younger, analyzing data from 29 studies published between 1992 and 2018.
  • - Results showed that 25% of girls with suspected sexual abuse had HPV, while only 8% of those without such a history tested positive, with low-risk HPV types being the most prevalent.
  • - The review highlights that while HPV infections are relatively rare in this age group, more research is needed to better understand HPV prevalence, especially among vulnerable children, such as those who may have been sexually abused.
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This study aimed to evaluate the vagina clinically, cytologically, and histologically before and after treating genitourinary syndrome of menopause (GSM) with fractional microablative carbon dioxide LASER (COL), radiofrequency (RF), and estrogen vaginal cream (CT). Women with moderate-to-severe symptoms of GSM, denoted by a GSM Visual analog scale (VAS) score of >4, were eligible for this study. The patients were randomized into treatment groups.

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Article Synopsis
  • Genitourinary syndrome of menopause (GSM) affects over half of postmenopausal women, prompting a study to compare the effectiveness of microablative CO laser, radiofrequency treatments, and intravaginal estrogen therapy.
  • The study involved postmenopausal women with moderate-to-severe GSM complaints, assessing vulvar pain and satisfaction levels after undergoing treatments over four months.
  • All treatments showed significant improvement in vulvar condition and high satisfaction rates, with no reported adverse effects, highlighting their potential as effective treatments for GSM.
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This study aimed to examine the impact of fractional CO laser treatment of pelvic symptoms in women who have undergone perineal trauma from vaginal delivery. It was a retrospective, monocentric analysis that encompassed all women assessed for pelvic discomfort or signs of vulvovaginal atrophy following vaginal delivery between 2013 and 2018. The severity of symptoms was assessed using the Visual Analogue Scale (VAS).

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This pilot study intended to assess the feasibility of a large-scale randomized clinical trial designed to analyze the effectiveness of microablative fractional CO laser (COL) and microablative fractional radiofrequency (RF) compared with vaginal estriol (VE) as treatments for women with moderate-to-severe Genitourinary Syndrome of Menopause (GSM). Participants were randomized into VE, COL, or RF groups. In the VE group, women were required to use vaginal estriol cream for 14 days and then twice a week for 4 months.

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Background: To compare the efficacy of CO fractional laser with that of topical estriol for treating genitourinary syndrome of menopause and to investigate the relationship between epithelial thickness and vaginal atrophy.

Methods: Twenty-five menopausal women were randomized to receive either laser or estrogen treatment. Vaginal biopsies before and after treatment were compared to assess the amount and distribution of estrogen and progesterone receptors.

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Introduction: Xingu Indigenous Park (XIP) currently protects 16 ethnic Indigenous groups and is located in the central area of Brazil. XIP is the first and the largest Indigenous land to be recognized in the country. Community access is limited and restricted for the non-Indigenous population, and the Indigenous women are constantly dealing with shortages of medical care.

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Article Synopsis
  • * A study was conducted on five patients with RVFs who underwent intravaginal CO2 fractional laser treatment, which involved five monthly sessions and evaluations through clinical exams and pelvic MRI.
  • * Results showed that three patients completely resolved their symptoms, two had significant improvements, and all patients' fistulas were closed as confirmed by MRI, indicating that this laser therapy may be a safe and effective complementary treatment option for RVFs.
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Objective: To compare the efficacy of fractional CO2 laser therapy with topical estrogen therapy for the treatment of postmenopausal genitourinary syndrome of menopause.

Methods: We conducted a randomized controlled clinical trial involving 25 postmenopausal women. Participants were aged between 50 and 65 years with at least 1 year of amenorrhea and follicle-stimulating hormone levels of >40 IU/L.

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Aim: To evaluate cyclin-dependent kinase inhibitor 2A (CDKN2A) and cytokeratin 7 (CK7) expression in cervical intraepithelial neoplasia (CIN) formalin-fixed samples.

Materials And Methods: Staining with antibody clones G175-405 for CDKN2A and OV-TL 12/30 for CK7 were evaluated and the detection of protein expressions were compared in 147 patients with CIN.

Results: Clinical follow-up of patients with CIN1 and CIN2 showed that most patients had a favorable outcome.

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VEGF and podoplanin (PDPN) have been identified as angiogenesis and/or lymphangiogenesis regulators and might be essential to restrict tumor growth, progression, and metastasis. In the present study, we evaluate the association between the expression of these markers and CIN grade. Immunohistochemistry was performed in 234 uterine cervical samples using conventional histologic sections or TMA with the monoclonal antibodies to VEGF (C-1 clone) and podoplanin (D2-40 clone).

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