Fetiform Teratoma (Homunculus) Coexist with Intrauterine Foetus: A Case Report
Rasheed Mumini Wemimo,
Afolayan Enoch Abiodun,
Nasir Abdulrasheed Adegoke,
Odetayo Omolara Foluke,
Abdulmajeed Abdulrafiu Ayinde
Issue:
Volume 8, Issue 2, April 2022
Pages:
15-18
Received:
27 January 2022
Accepted:
17 March 2022
Published:
29 March 2022
Abstract: Fetiform teratoma is also known as a homunculus, a rare form of mature cystic teratoma with a good prognosis. We report a case of fetiform teratoma that coexist with a female neonate in a 27-year-old woman. She presented with 2 days history of abdominal pain and generalized body weakness of 3 days at 38 weeks gestation. On clinical examination, gravid enlarged uterus with twin foetus palpated on a transverse lie and imminent foetal distress. Emergency Ultrasound done showed twin gestation at 39 weeks +5 days. The patient underwent an emergency caesarean section delivered of a female baby with a foetus like mass attached to the palate of the live female baby by a stalk. The clinical diagnosis of parasitic twin gestation was made and the mass was sent for histopathological analysis. On gross examination, a skin bearing mass with 2 limbs buds reminiscent of homunculus without demonstrable vertebrae or bony tissue on cross-section. Histopathology analysis showed tumour tissue composed of haphazard arrangement mature tissue comprising derivative from ectoderm namely skin tissue, sebaceous gland, hair follicle, mesodermal derivative are cartilage and adipose tissue. Endodermal differentiation is intestinal glands lined by columnar epithelial cells admixed with goblets cells. In summary, a diagnosis of fetiform teratoma was made and the baby that coexisted with the mass was adequately follow-up without any complications.
Abstract: Fetiform teratoma is also known as a homunculus, a rare form of mature cystic teratoma with a good prognosis. We report a case of fetiform teratoma that coexist with a female neonate in a 27-year-old woman. She presented with 2 days history of abdominal pain and generalized body weakness of 3 days at 38 weeks gestation. On clinical examination, gra...
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Influence of Environmental Barrier on Participation Among Persons with Spinal Cord Injury in Bangladesh
Rasel Howlader,
Farhana Akter Pipasa,
Md. Rafiqul Islam
Issue:
Volume 8, Issue 2, April 2022
Pages:
19-22
Received:
2 November 2021
Accepted:
22 November 2021
Published:
9 April 2022
Abstract: Introduction: Persons with SCI experience limitations of activity and inabilities in their early age in comparison with non-injured individual and also experience difficulties in participation in personal and social life. The participation has significant relationship with environment that’s why improving participation in the socio-cultural context can advance their personal satisfaction adequately for people with spinal cord injury. Disability, individual and environmental factors are considered as indicators of participation. Objectives: To explore the perceive impact of environmental barriers on participation of community dwelling individuals with spinal cord injury in Bangladesh. Methodology: A qualitative study design was selected by the researcher to carry out the research. All dimensions of each individual were completed at one theme in time. Data were collected within a short period of time. The target population was the persons with spinal cord injury discharged from a rehabilitation center and living in the community and data collected by purposive sampling. Results: From the transcriptions, researcher identified 15 environmental factors that influenced participation among individuals with SCI. Approximately there are some causes which straightly influence the participation and some causes through others. Conclusion: Participation have to ensure throw ensure accessibility and removing barrier. The participation of persons with disabilities in the formulation and application of public strategy is perceived as indispensable in dropping poverty and confirming their rights. Exclusionary guidelines not only put burden on the country socio-economically, but also create psychological barricades for people with disabilities to explore full potential.
Abstract: Introduction: Persons with SCI experience limitations of activity and inabilities in their early age in comparison with non-injured individual and also experience difficulties in participation in personal and social life. The participation has significant relationship with environment that’s why improving participation in the socio-cultural context...
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The Relationship of Pregnant Women's Knowledge of COVID-19 Prevention with Ante Natal Care (ANC) Visits
Rotua Lenawati Tindaon,
Mestani Halawa
Issue:
Volume 8, Issue 2, April 2022
Pages:
23-26
Received:
16 December 2021
Accepted:
7 January 2022
Published:
14 April 2022
Abstract: ANC examination is an examination carried out on pregnant women which aims to improve the physical and mental health of pregnant women to the maximum so that they are able to face the delivery period, the transition period from the time after giving birth to when the uterus returns to normal as before pregnancy, as well as preparation for exclusive breastfeeding. ANC visits should be carried out four times during pregnancy, namely in the first and second trimesters, at least one visit each and in the third trimester at least 2 visits. However, the COVID-19 pandemic has hampered ANC visits for pregnant women due to the lack of knowledge of pregnant women about COVID-19. Objectives: To find out the knowledge of pregnant women about COVID-19 prevention, to find out ANC visits, to determine the relationship between knowledge of pregnant women about COVID-19 prevention and ANC visits. Design: A design using descriptive analytic method with a Cross Sectional design. Method: Total population is 39 people, with saturated sampling technique, the sample is 39 people. Findings: Most of respondents' Ante Natal Care Visits met the standards and that the majority of respondents had good knowledge about COVID-19 prevention. The result of the study is that there is a relationship between knowledge about COVID-19 prevention and ANC visits. Conclusion: During the pandemic, knowledge about preventing COVID-19 needs to be increased so that pregnant women continue to make ANC visits. Clinical Evidence: Each individual responds and has a different perception in dealing with the COVID-19 pandemic. Knowledge of COVID-19 prevention aims to encourage pregnant women to continue to visit ANC because they comply with health protocols.
Abstract: ANC examination is an examination carried out on pregnant women which aims to improve the physical and mental health of pregnant women to the maximum so that they are able to face the delivery period, the transition period from the time after giving birth to when the uterus returns to normal as before pregnancy, as well as preparation for exclusive...
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Feasibility of Applying Novel FDP Threshold Criteria to DIC Diagnostic Scoring Systems in Japanese Women with Placental Abruption
Katsuhiko Tada,
Yasunari Miyagi,
Kazumasa Kumazawa,
Saya Tsukahara,
Naoki Okimoto,
Mizuho Yoshida,
Naomi Ooka
Issue:
Volume 8, Issue 2, April 2022
Pages:
27-32
Received:
6 April 2022
Accepted:
20 April 2022
Published:
29 April 2022
Abstract: Objective: The diagnosis of disseminated intravascular coagulation (DIC) in obstetrics characterized by marked elevation of fibrin/fibrinogen degradation products (FDP) requires specific FDP criteria, however, no reference values are currently available. We previously reported the FDP criteria reflecting the degree of coagulation activity, determined by the quantitative relation between the distributions of FDP and fibrinogen. We aimed to evaluate the feasibility of applying the novel FDP criteria to four existing DIC diagnostic scoring systems, in a retrospective study of Japanese women with placental abruption. Materials and Methods: The study population was 68 pregnant women who had been diagnosed with placental abruption at Okayama Medical Center (Japan) between January 2008 and December 2020. DIC was clinically determined using the following four categories: plasma fibrinogen level < 100 mg/dl, hemorrhage amount at delivery ≥ 2000 g, blood product (red blood cells and fresh frozen plasma) transfusion, and renal dysfunction. Based on our previous report on the artificial intelligence analysis of the FDP distribution function, FDP criteria for the normal upper limit, moderate increase, and marked increase were defined as 20, 32, and 80 μg/ml, respectively. We applied the FDP criteria to compare four current and revised DIC diagnostic scoring systems: Japanese Ministry of Health and Welfare (JMHW), Japanese Association for Acute Medicine (JAAM), International Society on Thrombosis and Haemostasis (ISTH), and pregnancy-modified ISTH (PM-ISTH) DIC score. We used the Kruskal-Wallis test, Wilcoxon rank-sum test, and proportion test for statistical analysis. Results: Clinical DIC was observed in nine cases. Sensitivity was 1.00 in all DIC scoring systems. The current/revised sensitivity of the JMHW, JAAM, ISTH, and PM-ISTH systems was 1.00/1.00, 1.00/1.00, not available (NA)/1.00, and 1.00/NA, respectively. The current/revised specificity of the JMHW, JAAM, ISTH, and PM-ISTH systems was 0.864/0.864, 0.678/0.797, NA/0.864, and 0.424/NA, respectively. The specificity of the revised JMHW and revised ISTH systems was higher than for the current JAAM (P < 0.05) and current PM-ISTH (P < 0.0001) systems. The specificity of the revised JAAM improved from 0.678 to 0.797. Conclusion: Our novel proposed FDP criteria are potentially useful for diagnosis of DIC in placental abruption.
Abstract: Objective: The diagnosis of disseminated intravascular coagulation (DIC) in obstetrics characterized by marked elevation of fibrin/fibrinogen degradation products (FDP) requires specific FDP criteria, however, no reference values are currently available. We previously reported the FDP criteria reflecting the degree of coagulation activity, determin...
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