Ectopic pregnancies occur when the implantation of a fertilized ovum occurs outside of the endometrial cavity. The majority of ectopic pregnancies encountered in clinical practice are located within the fallopian tube. Abdominal pregnancies represent 1% of all ectopic pregnancies. Primary omental pregnancy, in which the extrauterine site of implantation is the greater omentum, is the least common form of abdominal pregnancy. The rarity of an ectopic pregnancy in the omentum and the absence of clinical symptoms often delays diagnosis and proper identification before rupture. The authors describe the case of a 23-year-old woman who had hemoperitoneum from a ruptured omental ectopic pregnancy that mimicked adnexal implantation. Her omental pregnancy was diagnosed through intraoperative exploration and osteopathic structural examination findings.

INTRODUCTION: Elective termination of pregnancy (TOP) is an option for unwanted pregnancy. Effective contraception can prevent these unplanned pregnancies and terminations. The purpose of this study was to identify differences in post-abortion contraception among women who underwent surgical and medical abortion. Contraceptive choices were reviewed based on patient demographics. METHODS: A retrospective cohort study was conducted on 330 patients receiving abortions from January 1st through 15th, 2014 by review of electronic medical records from a private outpatient family planning clinic specializing in abortion services. Data analysis was conducted using Chi Square test. RESULTS: The 330 reviewed procedures were 53 medical TOPs, 219 1st trimester, and 58 2nd trimester surgical abortions. Of all patients 4.2% desired LARC, 78.2% desired other methods, 17.6% declined contraception. Patients with a medical TOP were most likely to have received a LARC method (22.6%) followed by those having first trimester procedures (10.5%) and second trimester procedures (8.6%), p=0.003. Significant loss of follow up was observed with medical TOPs (38.2%), 1st trimester surgical TOPs (68.0%) and 2nd trimester surgical TOPs (82.8%). Other factors influencing these choices are age, parity, prior abortion, insurance, and education. 18.2% of all patients returned pregnant within 18 months. CONCLUSION: Differences are seen in contraceptive choice and type of abortion. Age, parity, and a history of prior abortions may influence these choices. High follow-up failure and return pregnancy rates may suggest immediate contraception at time of procedure should be considered. Comparing these demographics with multivariate analysis could provide further understanding about these influencing factors.

According to the results of a formal survey of 174 crew members of 3 types of ships, the level of discomfort from the factors of habitability, their parameters obtained by instrumental methods, which allows to apply the survey in the conditions of navigation as an Express method of risk-based supervision. The factors causing the greatest discomfort in ship conditions are noise and microclimate.

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Purpose: to study the acceptability of health risk factors of members of crews for shipbuilding purposes.Materials and methods. The data on occupational pathology of seafarers over the period 2009–2018 were analyzed. The primary incidence of the adult population of nine coastal regions was studied. A survey was conducted on discomfort of working conditions, habitability factors of 174 crew members of vessels of 3 types.Results and discussion. There is no records about occupational diseases of sailors over the past decade. The procedure for conducting a survey on the levels of discomfort of crew members is proposed.Conclusion. In a simplified model of the vessel operation, it is possible to use the average discomfort values of the prototypes of crew members as preliminary indicators of the object’s effectiveness in terms of habitability.