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Involvement of Urease-Producing Bacteria on Genital Skin in Community-Dwelling Women with Incontinence-Associated Dermatitis: A Cross-Sectional Study.
J Multidiscip Healthc
December 2024
Research Center for Implementation Nursing Science Initiative, Fujita Health University, Toyoake, Aichi, Japan.
Purpose: Elevated skin pH facilitates the number of pathogenic bacteria increase, leading to the skin barrier dysfunction. This phenomenon is typically observed in individuals with Incontinence-associated dermatitis (IAD), which imposes a substantial physical and psychological burden on the afflicted individuals. We evaluated the association between the development of IAD in community-dwelling women with urinary incontinence and cutaneous urease-producing bacteria, as these bacteria may be involved in elevating skin pH by chemical reaction with urea in urine.
View Article and Find Full Text PDFHyaluronidase for reducing perineal trauma.
Cochrane Database Syst Rev
November 2024
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.
Background: Perineal trauma after vaginal birth is common and can be associated with short- and long-term health problems. Perineal hyaluronidase (HAase) injection has been widely used to reduce perineal trauma, perineal pain and the need for episiotomy since the 1950s. The administration of HAase is considered to be a simple, low risk, low cost and effective way to decrease perineal trauma without causing adverse effects.
View Article and Find Full Text PDFA randomized controlled trial comparing two antenatal care regimes in the management of mild to moderate gestational diabetes in a low-middle income country.
J Family Med Prim Care
September 2024
Department of Obstetrics and Gynaecology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
Context: The prevalence of gestational diabetes mellitus (GDM) in the Indian subcontinent has increased exponentially, especially after new diagnostic criteria. Identifying women who need close monitoring is a challenge. Ultrasound has been used to guide therapy but its use in the management of GDM has been used indiscriminately due to paucity of information.
View Article and Find Full Text PDFCould a simple manual technique performed by a midwife reduce the incidence of episiotomy and perineal lacerations? A non-randomized pilot study.
Eur J Midwifery
September 2024
Faculty of Health, University of Canberra, Bruce, Australia.
Introduction: Women experience medical interventions, episiotomy, and perineal lacerations during childbirth, impacting their physical, psychological, and sexual well-being. This study compares the perineal status of prospective women who had the midwifery intervention of perineal myofascial release during childbirth, to a matched retrospective control sample of women who received standard care during childbirth.
Methods: A non-randomized pilot study with prospective data collected for 50 women after informed verbal consent was obtained to having the midwifery intervention of perineal myofascial release during childbirth, and the matched retrospective data for the control group of 49 women were collected from a random sample generated from the medical records.
Outcome of Fournier's gangrene in relation to Fournier Gangrene Severity Index (FGSI) score.
J Family Med Prim Care
August 2024
PG Resident, Department of Surgery, VMMC and Safdarjung Hospital, Delhi, India.
Article Synopsis
- Fournier's gangrene is a severe, fast-spreading infection primarily affecting the genital area, and the study aims to improve management by understanding its causes, treatments, and outcomes.
- A retrospective analysis included 156 patients treated from January 2012 to December 2018, revealing that diabetes is a common risk factor, with a mortality rate of 9%.
- The study found that a lower Fournier Gangrene Severity Index (FGSI) indicates better survival rates, and early intervention with surgery and antibiotics is crucial for reducing risks associated with this condition.
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