1. elektronické vydání 1 online zdroj (160 stran)
Přinášíme vám průvodce těhotenstvím, který podává komplexní pohled na danou problematiku a soustředí se na popis vývoje plodu a změny odehrávající se v těle těhotné ženy. Věříme, že tuto knihu ocení nejen nastávající maminky, ale také budoucí tatínkové a všichni, kteří těhotnou ženu tímto obdobím provázejí.
Vydání 1. 160 stran : ilustrace ; 21 cm
Přinášíme vám průvodce těhotenstvím, který podává komplexní pohled na danou problematiku a soustředí se na popis vývoje plodu a změny odehrávající se v těle těhotné ženy. Věříme, že tuto knihu ocení nejen nastávající maminky, ale také budoucí tatínkové a všichni, kteří těhotnou ženu tímto obdobím provázejí.
- MeSH
- Mental Health MeSH
- Stress, Psychological MeSH
- Psychotherapy MeSH
- Maternal Health Services MeSH
- Fear MeSH
- Pregnancy psychology MeSH
- Anxiety MeSH
- Check Tag
- Pregnancy psychology MeSH
- Publication type
- Handbook MeSH
- Conspectus
- Gynekologie. Porodnictví
- NML Fields
- gynekologie a porodnictví
- psychologie, klinická psychologie
Disorders of sexual development (DSD) refers to a group of diseases that links the mismatch between an individual's genetic and gonadal development and its phenotype. Ovotesticular DSD (true hermaphroditism) is one such disease, in which both male and female gonads are present. A 15-year-old boy with a history of surgery for non-palpable testis was examined due to bilateral gynecomastia and known gonosomal mosaic of Klinefelter syndrome. The external genital was matured as male and, in the left half of the scrotum, there was a testicle of normal size. Despite uncertain resistance on the right side, however, the right testis was not palpable. Revision of the right groin revealed a surprising finding in the form of an ovary with a dilated fallopian tube, both of which were completely removed. Surgical revision of the left testis with biopsy was performed. The surgery was completed with a bilateral mastectomy. The postoperative course was uncomplicated, and the boy is content and fully integrated into his peer group. True hermaphroditism is a rare type of DSD. In the case described, DSD was not exhibited until puberty, after an examination for gynecomastia. The case also confirms the necessity of clarification and long-term follow-up of patients with unclear findings during surgery for non-palpable testis. Diagnostic laparoscopy is clearly indicated in these situations.
- MeSH
- Phenotype MeSH
- Gonads abnormalities MeSH
- Gynecomastia MeSH
- Laparoscopy MeSH
- Humans MeSH
- Adolescent MeSH
- Ovotesticular Disorders of Sex Development surgery MeSH
- Genitalia abnormalities MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- MeSH
- Diagnosis, Differential MeSH
- Gynecomastia * etiology MeSH
- Klinefelter Syndrome * diagnosis genetics complications MeSH
- Laparoscopy methods MeSH
- Humans MeSH
- Adolescent MeSH
- Disorders of Sex Development diagnosis genetics MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
AIMS: The primaryAIM was to investigate variables affecting compliance in pregnant women recommended for genetic consultation for abnormal screening test results, family predisposition or medical history. Our main focus was on a women's knowledge of particular screening tests, their initial feelings and changes in these feeling with time, as well as variables relevant to further decision making. METHODS: We used an anonymous questionnaire based on previous qualitative research. The questions were formulated by a medical geneticist, and the questionnaires were distributed prior to prenatal screening tests performed by doctors or trained nurses. The research cohort consisted of 271 women aged 16-42 years. Six hypotheses were tested using the statistical programme STATISTICA; significance levels were set to P<0.05. RESULTS: The questionnaire results showed insufficient knowledge. The women were confused about invasive, screening and ultrasound tests. Genetic test recommendation was largely associated with stress in these patients. Between recommendation and consultation, the women mostly looked for support from their partners. There was a surprisingly low percentage of women who looked for help from their medical specialists and a surprisingly high percentage of those who did not seek any help at all. CONCLUSION: Women's distress can be reduced if the information about recommended genetic consultation is conveyed correctly and this can also help them make the right informed decision about their future course of action.
- MeSH
- Adult MeSH
- Genetic Testing MeSH
- Humans MeSH
- Chromosomes, Human genetics MeSH
- Adolescent MeSH
- Young Adult MeSH
- Fetal Diseases diagnosis genetics MeSH
- Prenatal Diagnosis methods MeSH
- Prevalence MeSH
- Surveys and Questionnaires * MeSH
- Decision Making * MeSH
- Pregnancy MeSH
- Congenital Abnormalities diagnosis epidemiology genetics MeSH
- Health Knowledge, Attitudes, Practice * MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic epidemiology MeSH
- MeSH
- Down Syndrome diagnosis MeSH
- Genetic Diseases, Inborn diagnosis MeSH
- Consumer Health Information statistics & numerical data utilization MeSH
- Humans MeSH
- Prenatal Diagnosis MeSH
- Statistics as Topic MeSH
- Pregnancy MeSH
- Health Literacy statistics & numerical data utilization MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Geographicals
- Czech Republic MeSH
