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Objective: To determine the differences in the neutrophil/lymphocyte ratio (NLR) and the platelet/lymphocyte ratio (PLR) in pregnant women with and without COVID-19. Methods: Observational, cross-sectional, retrospective, comparative, open, controlled study done from January to April 2021 at the UMAE Hospital de Gineco Obstetricia "Luis Castelazo Ayala" Instituto Mexicano del Seguro Social. Mexico City, Mexico: Patients were divided into those with a negative test for COVID-19 and those with a positive test, with the latter then being divided according to disease severity into mild, moderate, and severe groups. In all the NLR and PLR were calculated. Symptoms, vital signs, and oxygen saturation were documented. Statistical analysis: Central tendency and dispersion measures, Kruskal-Wallis test, Mann-Whitney U test, and chi-squared test were used. Sensitivity, specificity, positive predictive value, negative predictive value, and odds ratio (OR) were calculated. Results: Seventy-seven patients were included, 24 without COVID-19 and 53 with COVID-19. There were 33, 10, and 10 patients in the mild, moderate, and severe disease groups, respectively. There was no difference in NLR between the groups and the PLR was significantly higher in the severe disease group. With a 5.1 NLR cutoff point, between normal and those with severe disease, the sensitivity was 70% and specificity 63%, whilst with a 221 PLR cutoff point, the sensitivity was 90% and the specificity 83% (OR 45, 95% CI 4.40-461.7). Conclusion: PLR more than NLR was useful to detect pregnant patients with COVID-19 with severe disease. [ABSTRACT FROM AUTHOR]

Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: According to the World Health Organization, depression is the most prevalent mental disorder and burnout syndrome can occur among individuals whose work involves care or assistance to people, and, given that residents may have heavy workloads, it is important to study burnout's frequency in them. Objective: To know the frequency of burnout syndrome and depression in Obstetrics and Gynecology (OB/GYN) residents. Methods: A prospective, observational, cross-sectional, and descriptive study was carried out in OB/GYN residents. Two instruments were applied: Beck Depression Inventory and Maslach Burnout Inventory, in order to assess depression and burnout, respectively. For the statistical analysis, it was used descriptive statistics, frequencies, measures of central tendency and dispersion, as well as Spearman correlation analysis. Results: 28 second-year residents, 33 from third-year, and 17 fourth-year residents were studied. In secondyear residents, mild and moderate depression prevailed; in third-year residents, moderate depression, and in fourth-year residents, minimal depression. Only secondyear, and third-year residents presented burnout syndrome. Correlation between depression and burnout syndrome showed a rho = 0.591, p < 0.001. Conclusion: Depression is related to burnout syndrome in OB/GYN residents. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: It is known that hormonal changes influences mood, so the woman shows notorious hormonal changes in stages of her life. Objective: To determine the difference in the frequency of depression in premenopausal and postmenopausal women. Methods: We studied 371 premenopausal and postmenopausal women who didn't receive hormonal treatment and in which Hamilton depression scale was applied. Descriptive statistics, central tendency and dispersion measures were used. The comparison between the groups was with Student t test, and Chi squared test. Pearson's correlation analysis was done between age, body mass index and Hamilton scale score. In the postmenopausal women, the time since menopause was also correlated with Hamilton scale score. Results: Premenopausal women were predominantly healthy (46.6%). In perimenopausal women predominated minor depression (21.4%) and in postmenopausal women, major depression (59.3%). Conclusion: Postmenopausal women more frequently had a higher score than those premenopausal. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To compare the Doppler ultrasound parameters of the uterine and brachial arteries, between healthy pregnant women and pregnant women with preeclampsia. Methods: 102 pregnant women were studied in the third trimester, group I 83 healthy women and group II 19 patients with severe preeclampsia. All of them underwent Doppler ultrasound of the uterine arteries, measuring the pulsatility index (PI) and determining the presence of proto-diastolic notch. The PI and the arterial diameter were measured in the brachial artery before and after the hyperemic stimulus. Comparisons between the groups were performed with Student's t-test for independent samples and Mann-Whitney U and the comparison within each group with Student's t-test for related samples. Results: Gestational age was 35 ± 3 and 35 ± 2 weeks for group I and II, respectively. The proto-diastolic notch was present in 6 of 19 patients in group II (p <0.001), the PI of the uterine arteries was 0.68 ± 0.1 and 0.93 ± 0.3 for group I and II respectively (p <0.006). In the brachial artery, the arterial diameter after the hyperemic stimulus was significantly higher in women in group I (3.7 ± 0.5 mm and 3.5 ± 0.6 mm, p <0.006). Conclusions: Preeclamptic women had higher PI of the uterine artery than the healthy ones; healthy women had greater arterial diameter after hyperemic stimulus than preeclamptic ones. [ABSTRACT FROM AUTHOR]

Background: Chronic pelvic pain (CPP) is a condition characterized by recurring pain in the lower part of the abdomen and it lasts at least six months. Objective: To know the frequency and characteristics of CPP in women from the gynecology consultation. Methods: Women that consecutively attended the gynecology external consultation were questioned about the presence of CPP. Those with CPP were requested to indicate the place where the pain was more intense, and to qualify its magnitude in an analog visual scale. Situations that modified the pain, as well as the medication used were investigated. The life disturbance was evaluated. Those patients with and without CPP were paired by age and compared with Student's t test for independent samples. Results: 711 women were studied, 132 (18.6%) fulfilled criteria for CPP. After comparing patients with and without CPP there were no significant differences between them. The maximum intensity of the pain was 7.7 ± 1.7 and the most frequent localization was in hypogastrium (53.2%). The factor that more frequently alleviated the pain was to stay in bed (59.5%). Nonsteroid anti-inflammatories were the most common medication (56.3%). The most frequent reason for consultation was hypermenorrhea (19.9%) and the most frequent diagnosis was uterine leiomyomatosis (15.1%). Conclusion: The frequency of CPP was similar to that reported by other groups. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The aim of this article is to compare the effect of uterine desarterialization (UD) and hypogastric arteries ligature (HAL) in uterine and ovarian blood flow indirectly measured with the pulsatility index (PI). Methods: Women in which UD or HAL was carried out for obstetric hemorrhage control were studied. Control group were puerperal women in which no UD or HAL was carried out. In all them uterine and ovarian blood flow was evaluated with the PI measured with Doppler ultrasound at 48 hours, 15 days and at 6 weeks after the procedure. Mann-Whitney U test was used for comparison between the groups and Wilcoxon test for comparisons inside each group. Results: Thirteen patients with UD, 11 with HAL and 10 without any procedure were studied. Uterine arteries PI, was significantly greater at 48 hr and at 15 days in the UD group and at 48 hr, 15 days and 6 weeks in the HAL group when compared with the control group. No differences were found in PI between UD and HAL groups. Ovarian PI was significantly greater in the groups with UD and HAL when compared with the control group at 48 hr, 15 days and 6 weeks, and lower in UD group when compared with HAL groups at 15 days and six weeks. Conclusions: Both procedures showed significant decrease in the uterine blood flow, but the ovarian flow was more restricted with HAL. [ABSTRACT FROM AUTHOR]

Background: Hypothyroidism has been associated to hyperprolactinemia. The aim was to establish the frequency of high thyrotropin (TSH) levels in women with hyperprolactinemia. Methods: Retrospective, observational, open, and noncontrolled study, which included all the non-pregnant women whose prolactin (PRL) and TSH levels were measured between January 1 and December 31, 2014. Results: 437 women were studied. The most frequent diagnoses that motivated PRL measurement were: infertility (31.7%), polycystic ovary syndrome (18.7%), and amenorrhea (7.8%). In the whole group TSH levels were 2.5 ± 2.7 µUl/mL and those of PRL 16.5 ± 13.2 ng/dL. From the total of women, those with normal PRL levels, 1.4% had low TSH levels, 76.6% normal and 7.5% high, while in those with high PRL levels 0.7% had low TSH levels 12.6% normal and 1.1% high. Of those 374 patients with normal PRL, 6 (1.6%) had low TSH levels, 335 (89.6%) normal TSH levels, and 33 (8.8%) high TSH levels. Of those 63 patients with high PRL, 3 (4.8%) had low TSH levels, 55 (87.3%) normal TSH and 5 (7.9%) high TSH levels. Conclusion: In this study it was not possible to document that the proportion of patients with high TSH was greater in those with hyperprolactinemia. [ABSTRACT FROM AUTHOR]

Background: Emotional intelligence is our capacity to acknowledge our own emotions, and the emotions of other people; it also has to do with the way emotions must be understood, and used productively. Given that an altered state of mind can have an impact on emotional intelligence, our objective was to correlate the psychological state with emotional intelligence in residents of gynecology, and obstetrics. Methods: We assessed 76 gynecology and obstetrics residents by using What’s my M3 and TMMS-24 instruments, in order to know the influence of psychological state on emotional intelligence. Results: In male students of second grade, there was a positive correlation between obsessive-compulsive disorder (OCD) and emotional attention (EA), and a negative correlation with emotional clarity (EC). In third grade males, anxiety, bipolar disorder, and posttraumatic stress disorder (PTSD) correlated positively with EA. In male students of fourth grade there was a positive correlation between OCD and EA. In second grade female students, depression correlated negatively with emotional repair (ER). In third grade female students anxiety, bipolar disorder, and PTSD correlated positively with EA. In fourth grade female students there was a negative correlation between depression and EA, and between anxiety, OCD, and PTSD with EC. Conclusions: Psychological status has a favorable impact on EA and a negative effect on EC and ER [ABSTRACT FROM AUTHOR]

Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Synopsis: Hyperprolactinemic women have a higher inflammatory status than normoprolactinemic women. [ABSTRACT FROM AUTHOR]

Objective: To objectively analyze vaginal dryness in postmenopausal women. Methods: Forty healthy postmenopausal women, were divided in three groups according to the treatment they received. Group I, conjugated equine estrogens (CEE) 0.625 mg/day (n=20), group II, CEE 0.625 mg/day plus chlormadinone 1 mg/day (n=13), and group III, CEE 0.625 mg/day plus medroxyprogesterone 2.5 mg/day (n=7). Vaginal dryness intensity was analyzed using an analog visual scale, and vaginal humidity measuring the moistening in mm of a pH test strip. Both were evaluated at baseline and 3 months after the beginning of treatment. The comparison among groups and between the baseline and final results was done with Student''s t-test for paired and independent samples, respectively. Pearson correlation analysis was carried out between final vaginal dryness intensity and the final moistening of the pH test strip. Results: No statistically significant differences were found in age neither in somatometric variables among the groups. In the three groups, vaginal dryness intensity significantly decreased and the pH test strip moistening significantly increased. A significant negative correlation was only found in group II (−0.690 P<0.009). Conclusions: Vaginal dryness evaluation assessing the pH test strip moistening is an objective method to evaluate this symptom in postmenopausal women, and the results are independent of the hormone replacement therapy schedule. [Copyright &y& Elsevier]

Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Several scales are available to measure quality of life (QoL) in climacteric women (Cervantes scale [CS], Kupperman Index [KI] and SUMEVA scale). The aim is to determine the correlation between modifi ed KI (mKI), KI and SUMEVA scale, as well as its behavior according to corporal weight. Methods: 29 postmenopausal women were studied. To all of them the modifi ed KI, the QoLCS and the SUMEVA scales were applied. Afterwards the group was divided according to body mass index (BMI). Group 1, BMI ≤ 27 and Group 2 BMI > 27. For the comparison between the groups Student's t test for independent samples was used. Pearson's correlation analysis was applied in the whole group in each separated group divided according to BMI. Results: 29 patients aged 49.9 ± 6.2 years were studied. The score obtained with the different scales was: for the mKI: 24.5 ± 11.7, SUMEVA: 65.0 ± 48.4, and QoLCS: 67.2 ± 30.6. There was a correlation between mKI and QoLCS (0.681, p < 0.001), between mKI and SUMEVA (0.860, p < 0.001) and between SUMEVA and QoLCS (0.770, p < 0.001). Conclusion: SUMEVA scale is a confi dent scale to evaluate QoL in postmenopausal women. [ABSTRACT FROM AUTHOR]

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)