scholarly journals Role of the chosen general practitioner in educating women on the importance of regular gynecological examinations

2011 ◽  
Vol 64 (9-10) ◽  
pp. 486-489 ◽  
Author(s):  
Zlatka Markov ◽  
Dragana Bosic-Zivanovic
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
General Practitioner ◽  
Health Centre ◽  
Malignant Diseases ◽  
Abnormal Finding ◽  
Regular Screening ◽  
Novi Sad ◽  
Do So

Introduction. Since regular screening is the best way of preventing the development of cervical cancer, the objective has been set to assess the motivation of women to have regular gynecological examinations and to estimate the role of the chosen general practitioner. Material and Methods. The survey was performed on the basis of the prospective study done at the Health Centre ?Novi Sad? in 2009 during the systematic regular examinations carried out by general practitioners. Results. It was found that 60.8% of the examined women had regular checkups; 21.5% visited their doctor once in the period of two to five years and 4.9% had undergone the examination in a period > 10 years, whereas 1.9 women had never had an examination. Other examinees had occasional check-ups with various time laps between them. Discussion. The reasons for not visiting a gynecologist were fear of the examination, absence of discomforts and lack of time. However, 87.2% of the examinees visited a gynecologist after they had been advised to do so by their general practitioner. Gynecological finding was good in 87.6% of the women, 3.4% were found to have carcinoma and 8.9% had some other abnormal finding. Conclusion. According to the obtained results, it has been concluded that the chosen general practitioner has a very important role in motivating women to have regular gynecological examinations and in educating them on the risk factors for developing malignant diseases and on the possible prevention.

scholarly journals The Role of Tobacco-Derived Carcinogens in Pancreas Cancer

ISRN Oncology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Rajiv Lochan ◽  
Helen L. Reeves ◽  
Anne K. Daly ◽  
Richard M. Charnley
Keyword(s):  
Risk Factors ◽  
Molecular Mechanisms ◽  
Pancreas Cancer ◽  
Hereditary Diseases ◽  
Compelling Evidence ◽  
Tobacco Carcinogens ◽  
Multifactorial Causation ◽  
Tobacco Usage ◽  
Do So

The extremely poor outcome from pancreas cancer is well known. However, its aetiology less well appreciated, and the molecular mechanisms underlying this are poorly understood. Tobacco usage is one of the strongest risk factors for this disease, and this is a completely avoidable hazard. In addition, there are well described hereditary diseases which predispose, and familial pancreas cancer. We have sought here to summarise the role of tobacco-derived carcinogens and the mode of their tumorigenic action on the pancreas. There is compelling evidence from animal and human studies (laboratory including cell line studies and epidemiologic) that tobacco derived carcinogens cause pancreas cancer. However, the manner in which they do so is not entirely apparent. There is also compelling evidence that synergism with genetic and other life-style factors—like diet obesity—results in a multifactorial causation of the disease. Ascertaining the role of tobacco carcinogens in the development of this cancer and their interaction with other risk factors will enable novel therapeutic and preventative strategies to improve outcome from this appalling malignancy.

scholarly journals KESEDIAAN IBU DALAM PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA)

2021 ◽  
Vol 7 (3) ◽  
pp. 481-488
Author(s):  
Sri Juliani ◽  
Nurrahmaton Nurrahmaton ◽  
Sahyuni Sari Marbun
Keyword(s):  
Cervical Cancer ◽  
Health Workers ◽  
Health Centre ◽  
Signs And Symptoms ◽  
B Value ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional

Background: Cervical cancer is cancer with the highest prevalence in women in Indonesia. VIA examination is done to check for early signs and symptoms of cervical cancer. In Sunggal Health centre, out of 10,616 women of childbearing age (WCA) who underwent 451 (4.25%) suspected VIA examinations. Objective: This study aimed to determine the factors that affect the availability of WCA to undergo VIA examinations at Sunggal Health centre in 2020.Method:  This study was an analytic survey with a cross-sectional approach. The populations were 47 women. The sample was 32 people by accidental sampling. Data were analyzed by performing Chi-square and binary logistic tests.Results: The results showed that it was found that a relationship between willingness of WCA to undergo VIA examination and; knowledge with a sig. value of .01; attitudes with a sig. value of .005. and the role of health workers with a sig. value of 0.000. Meanwhile, the job variable had no relationship with the willingness of WCA to undergo VIA examinations with a sig. value of .166. The most dominant variable in VIA examination is the role of health workers with the EXP (B) value of 19.257.Conclusion: The conclusion is a relationship between knowledge, attitudes and roles of health workers in VIA examinations at Sunggal Health centre in 2020 found. Suggestion that health workers be more active in providing counselling about VIA examinations in order to increase motivation to carry out examinations. Keywords: Knowledge, attitudes, health workers, occupation, VIA examination ABSTRAK Latar Belakang: Kanker serviks merupakan kanker yang tertinggi prevalensinya pada perempuan di Indonesia. Pemeriksaan IVA dilakukan untuk mendeteksi secara dini tanda dan gejala kanker serviks. Di Puskesmas Medan Sunggal dari 10.616 WUS yang melakukan pemeriksaan IVA berjumlah 451 (4,25%). Menunjukkan rendahnya cakupan pemeriksaan IVA di Puskesmas Sunggal.Tujuan: Penelitian ini untuk mengetahui determinan kesediaan WUS dalam pemeriksaan IVA untuk mendeteksi dini kanker leher rahim di Puskesmas Sunggal tahun 2020.Metode: Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian adalah WUS yang berkunjung ke Puskesmas sebanyak 47 orang. Sampel dalam penelitian sebanyak 32 orang, tehnik pengambilan sampel dengan cara accidental sampling. Data dianalisis dengan melakukan uji analisis Chi-square dan binary logistik. Hasil: penelitian menunjukkan ada hubungan pengetahuan dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,01; ada hubungan sikap dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,005. Ada hubungan peran petugas kesehatan dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,000. Sedangkan variabel pekerjaan tidak ada hubungan dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,166. Variabel paling dominan dalam pemeriksaan IVA yaitu peran petugas kesehatan  yaitu dengan nilai EXP(B) sebesar 19. 257.Kesimpulan: ada hubungan pengetahuan, sikap dan peran petugas kesehatan dalam pemeriksaan IVA di Puskesmas Sunggal tahun 2020.Saran: Disarankan kepada petugas kesehatan lebih meningkakan promosi kesehatan dan menjadwalkan penyuluhan tentang pemeriksaan IVA dalam mendeteksi dini kanker leher rahim. Kata Kunci : Pengetahuan, sikap, peran petugas kesehatan, pekerjaan, Pemeriksaan IVA 

scholarly journals Epidemiology of pre invasive and invasive lesions of the cervix at tertiary health centre in Punjab

2021 ◽  
Author(s):  
Garima Bhardwaj ◽  
Amritpal Kaur ◽  
Permeet Kaur Bagga
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Socioeconomic Status ◽  
High Risk ◽  
Cervical Intraepithelial Neoplasia ◽  
Pap Smear ◽  
Health Centre ◽  
Intraepithelial Neoplasia ◽  
Squamous Intraepithelial Lesion ◽  
Intraepithelial Lesion

Background: Cervical cancer is the fourth most frequent cancer in women globally, next to breast, colorectal and lung cancer and it is also the fourth most common cause of cancer death in women. According to the Indian council of medical research (ICMR), in India one woman dies of cervical cancer every 9 minutes. This study used PAP smear and histopathology to find out about the epidemiology of pre invasive and invasive lesions of the cervix at tertiary health centre in Punjab and their correlation with various social and demographic features.Methods: This prospective clinical study was carried out in the Department of Obstetrics and Gynaecology in Amritsar Medical College from May 2018 to April 2020, after taking approval from the Institutional Ethical Committee. The study selected 500 women randomly among the patients attending the Gynaecology OPD who met the inclusion criteria. Detailed history and PAP smear was taken at first visit followed by cervical biopsy amongst women with abnormal cytology report or with frank lesions of cervix.Results: Out of 500 women included in the study, majority of women (82.5%) were Negative for intraepithelial lesion or malignancy (NILM), 4% women had Atypical squamous cells of undetermined significance (ASCUS), 6.1% had low grade squamous intraepithelial lesion (LSIL) and 16 (3.2%) had High grade squamous intraepithelial lesion (HSIL). Amongst the histopathology reporting 15.62% patients had cervical intraepithelial neoplasia 1 (CIN I), 6.25% patients had cervical intraepithelial neoplasia II (CIN II), 3.12% patients had cervical intraepithelial neoplasia III (CIN III), 6.3% patients had squamous cell carcinoma and 3.1% patient had adenocarcinoma of cervix. Age, low level of education, poor socioeconomic status, early marriage and multiparity are the risk factors found to be associated with pre invasive and invasive lesions of the cervix. (p<0.001).Conclusions: Though infection with human papilloma virus (HPV) is essential for the development of the disease, there are other high-risk factors like age, poor education, low socioeconomic status, early age at marriage and high parity which are significantly associated with the occurrence of the disease. Therefore, our primary and secondary preventive measures must include the women who come under these high-risk categories. 

scholarly journals A study on unhealthy cervix and its risk factors among currently married women of reproductive age group attending an urban health centre of Kolkata

2019 ◽  
Vol 6 (5) ◽  
pp. 2133
Author(s):  
Aparajita Dasgupta ◽  
Rabindra Nath Sinha ◽  
Bobby Paul ◽  
Lina Bandhopadhay ◽  
Rajarshi Banerjee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Urban Health ◽  
Health Centre ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Training Centre ◽  
Reproductive Age Group

Background: Cancer of cervix is the third most common cancer in women in India accounting for 21.7% of cancer deaths among women. Unhealthy cervix, characterized by presence of any abnormal growth, ulcer, or vasculature, is a clinically detectable early stage in the life history of cervical cancer. Very few studies have been conducted to determine risk factors of unhealthy cervix.Methods: A clinic-based cross-sectional study was conducted among currently married women of reproductive age group attending Urban Health Unit and Training Centre, Chetla, Kolkata. A total of 189 women attending the clinic was selected using systematic random sampling method was who were interviewed and examined using pre-designed pre-tested schedule. Analysis was done using (SPSS version 16).Results: Among 189 women, 45.5% were diagnosed with unhealthy cervix. Hierarchical logistic regression showed that educational status, PCI, frequency of cleaning external genitalia and extramarital relationship of the spouse were significantly associated with unhealthy cervical condition.Conclusions: Most of the risk factors of unhealthy cervix are behavioral and modifiable. Health education and behaviour change communication of women of reproductive age group would help in reducing their morbidity as well as mortality from cervix related conditions that includes cervical cancer.

Role of acquired and hereditary thrombotic risk factors in patients with ischemic colitis

2001 ◽  
Vol 120 (5) ◽  
pp. A282-A282
Author(s):  
I KOUTROUBAKIS ◽  
A SFIRIDAKI ◽  
A THEODOROPOULOU ◽  
A LIVADIOTAKI ◽  
P DIMOULIOS ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischemic Colitis ◽  
Thrombotic Risk
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