GINECOLOGIA DE NOVAK BY BROS PDF

Descarga libros de medicina en PDF gratis! Ultrasonido en Obstetricia y Ginecología: Un Abordaje Práctico. Ultrasonido en Obstetricia y Ginecología: Un . Alain Piller: Livres, bibliographie de La crétinisation par la culture l’auteur (Gus and Grandpa (Paperback)) Ginecologia de Novak (Spanish Edition) Travelling. Enquanto o longa-metragem da Warner Bros conta com a participao do famoso . Ginecologa de Novak. novak ginecologia pdf download.

Author: Grokora Sarn
Country: Cayman Islands
Language: English (Spanish)
Genre: Video
Published (Last): 16 August 2008
Pages: 248
PDF File Size: 6.45 Mb
ePub File Size: 18.87 Mb
ISBN: 672-2-82327-806-8
Downloads: 1868
Price: Free* [*Free Regsitration Required]
Uploader: Yogrel

Cervicovaginal cytology based on the Papanicolaou technique: The quality of samples according to the Bethesda System, the presence of CIN, and inflammatory reactions were recorded.

In this study, we analyzed samples obtained with or without cleaning the cervix, and compared their contents in order to determine the sensitivity and specificity of these two methods.

Received Jul 4; Accepted Aug J Low Gen Tract Dis. Materials and methods Subjects Out of consecutive patients who attended our laboratory for cytology and colposcopy between June and March Table 1 Sample characteristic and kind of inflammation detected in the histophatologycal analyze in CS and SS respectively.

Some cases appeared very clean even if the surface was covered with abundant transparent mucous; and hence, at first sight, some gynecologists or ginwcologia may decide not to clean the surface.

The results showed that the CS is often removed and discarded if found in substantial quantity unpublished data. Conversely, the CS was in contact with the vaginal wall and contained diagnostic cells in this case, and the biopsy found a typical condyloma with koilocytes.

The laboratory is a private practice, serving a low-risk population in Mexico City, Mexico. Am J Surg Path.

  LINEA TRANSMISION HVDC PDF

Libros Medicina – Descarga libros de medicina en PDF gratis!

Clinical and Laboratory Standards Institute. Thieme Medical Publishers; A Resource Pack for Trainers. Most patients were middle-class Caucasian or Hispanic women. The SS resulted in a higher proportion of adequate samples being obtained In patients with abundant CS, this procedure was repeated until the surface of the cervix was clean but still moist.

They found that after the cervix had been swabbed, more ASs were obtained but less CIN cases were detected, and concluded that this was likely attributable to the age of the participants, as well as the possibility that some cases of CIN had cleared when the second study was being conducted.

The samples should be obtained by trained personnel, including gynecologists, and ideally, the sample should be taken from the transformation zone TZ [ 23 ]. Removing the secretions without touching the cervix has been shown to preserve important diagnostic cells in the cervix, which may be removed using a swab, especially if the lesion is small. Endocervical cytobrush with the cleaned-out mucus. One positive case detected in the CS dw not detected in the SS.

Dysplastic cells of the same patient, in A from the Cs, with more inflammatory cells, and the nucleus of the atypical cells are note clearly seen.

La crétinisation par la culture

A biopsy was performed in cases, in which acetowhite imaging was seen; of these, 24 cases had a previous positive biopsy. Jaypee Brothers and McGraw Hill; National Center for Biotechnology InformationU.

In conclusion, it is currently not clear for the physicians and personnel who are involved in sampling the cervix what the optimal way to handle CS is. CS is the result of exfoliated cells from the cervix and vaginal wall, and contains inflammatory cells and bacteria in addition to the mucus secreted from the endocervical glands, which are normally found in the cervical orifice.

  DECRETO 3039 PLAN NACIONAL SALUD PUBLICA PDF

Sample characteristic and kind of inflammation detected in the histophatologycal analyze in CS and SS respectively.

Out of consecutive patients who attended our laboratory for cytology and colposcopy between June and March In B the atypia is more clearly defined, less inflammatory cells on SS.

The methods for obtaining samples have been described elsewhere [ 4 – 8 ].

All CIN-positive cases detected in the CS samples and SS were confirmed by biopsy and p16 immunohistochemical staining, and were considered true positive cases. Ediciones Journal Junin; In our study, the only positive case detected in the CS not detected in the SS was a lesion in vy vaginal wall that was not accessible to the instrument for sampling the cervix in the SS.

CIN was detected in 5. All patients referred to the laboratory for a second opinion had previous CIN detected 1 to 6 months earlier.

Examples of different cervix, both with large ectopia, abundant mucus, with the brush, showing how nvak clean it getting the mucus to the top in A and left in B. Statistical analysis The results are expressed in percentages and frequencies for all parameters. The following parameters were recorded in all samples according to TBS:

Posted in: Medical