Abstract. The incidence of a normal live fetus with a partial mole is extremely rare, and it varies between 5 per 100000 and 1 per 10000 of the pregnancies. A partial molar pregnancy is a variation of a molar pregnancy in which an embryo either develops incompletely or with multiple structural anomalies.A 27-year-old Primigravide at 13 weeks of gestation got admitted with spotting per vaginam, excessive nausea and vomiting, and her ultrasound revealed a hydropic placenta with multiple cysts with a live fetus. Regarding these findings, the patient continued her pregnancy under close observation, and advanced sonographic evaluations were done to rule out other differentials. Ultrasonography found mosaicism in the partial mole (mostly diploid, a small part is triploid). In this condition, the prognosis condition for the fetus to be born safely is still probable. Ethics committee meetings are held with the consideration of the fetus's condition, whether monitoring is carried out regularly, and terminating the pregnancy in case of fetal emergency.The optimal management of hydatidiform mole with the coexistent live fetus is currently uncertain. Antenatal consultation should include a detailed discussion of maternal and fetal risks. It is also necessary to have close follow-up and evaluation of the patient's condition during the antenatal and postnatal period. Keywords: first trimester, live fetus , management, partial molar pregnancy
‘Mélange’ has been used to indicate a larger spectrum of chaotic rock bodies formed in various and different tectonic settings (rift–drift cycles, oceanic subduction, continental collision, and intracontinental deformation) by tectonic, sedimentary, and diapiric processes and their mutual interaction. Two well-known mélanges in Java Island are Ciletuh mélange in Sukabumi and another in Karangsambung, Kebumen. Previous studies suggest those mélanges are connected and indicate the Early Cretaceous Sundaland boundary elongated from Ciletuh, Karangsambung, and up until Meratus in Southeast Kalimantan. The Gede Volcanic Complex (GVC) and Salak Volcano of the Sunda island arc (West Java, Indonesia) are Quaternary volcanoes that lie geographically on the Early Cretaceous Sundaland boundary. An indication of crustal assimilation related to the Ciletuh Mélange complex has been observed by previous research. Therefore, this research intended to further investigate whether GVC and Salak are affected by that boundary through an igneous petrogenetic approach. This research uses geochemical data (major and trace elements) proceeded by various discrimination diagrams to account for the tectonic conditions of the Gede Volcanic Complex and Salak Volcano. Products from both GVC and Salak are all sub-alkalis rocks that came from active continental plate margins. Geochemical analysis shows that one metabasalt sample from Ciletuh Mélange Complex has the same characteristics to anomalies found at GVC by being an island arc tholeiite. Meanwhile, anomalies at Salak could be explained by its location being on top of the Meratus lineament that might contain granitic deposits.
Background: Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder in women of reproductive age that may cause infertility. PCOS often receives little attention due to unrecognized risk factors. PCOS is often diagnosed when patients who want to have children are treated at the infertility clinic. The purpose of this study was to analyze the association between body mass index, acne vulgaris, hirsutism, menstrual cycle, and the risk of PCOS. Subjects and Method: This was an analytic observational study with case control design conducted in RSUD Dr.Moewardi, Surakarta, Central Java. A sample of 60 patients was selected for this study by fixed disease sampling, consisting of 30 PCOS cases and 30 controls. The independent variables were: body mass index, acne vulgaris, hirsutism, and menstrual cycle. The dependent variable was the incidence of polycystic ovary syndrome. Data were collected by interview. Body mass index is measured by the weight scale and microtoise. The data were analyzed by a multiple logistic regression. Results: High body mass index (OR= 1.94; 95% CI= 1.01 to 3.74; p= 0.047), hirsutism (OR= 8.36; 95% CI= 2.07 to 33.75; p= 0.003), acne vulgaris (OR= 2.451; 95% CI= 0.718 to 8.367; p= 0.152), and irregular menstrual cycle (OR= 1.13; 95% CI= 0.66 to 1.92; p= 0.661) increased the risk of PCOS. Conclusion: High body mass index, hirsutism, acne vulgaris, and irregular menstrual cycle increase the risk of PCOS.
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