Online ISSN: 2515-8260

Keywords : cavity

Management of Undisturbed Ectopic Pregnancy: A comprehensive Review.

Mostafa Mohamed Eltohamy1, Amr Ahmed Abdelrahman, Ahmed Hasan Elmasarawy,Tarek Mohamed Elbeheidy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 373-384

Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine
cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to
2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related
deaths. Risk factors include a history of pelvic inflammatory disease, cigarette
smoking, fallopian tube surgery, previous ectopic pregnancy, and infertility. Ectopic
pregnancy should be considered in any patient presenting early in pregnancy with
vaginal bleeding or lower abdominal pain in whom intrauterine pregnancy has not
yet been established. The definitive diagnosis of ectopic pregnancy can be made
with ultrasound visualization of a yolk sac and/or embryo in the adnexa. However,
most ectopic pregnancies do not reach this stage. More often, patient symptoms
combined with serial ultrasonography and trends in beta human chorionic
gonadotropin levels are used to make the diagnosis. Pregnancy of unknown
location refers to a transient state in which a pregnancy test is positive, but
ultrasonography shows neither intrauterine nor ectopic pregnancy. Serial beta
human chorionic gonadotropin levels, serial ultrasonography, and, at times, uterine
aspiration can be used to arrive at a definitive diagnosis. Treatment of diagnosed
ectopic pregnancy includes medical management with intramuscular methotrexate,
surgical management via salpingostomy or salpingectomy, and, in rare cases,
expectant management. A patient with diagnosed ectopic pregnancy should be
immediately transferred for surgery if she has peritoneal signs or hemodynamic
instability, if the initial beta human chorionic gonadotropin level is high, if fetal
cardiac activity is detected outside of the uterus on ultrasonography, or if there is a
contraindication to medical management


Khaldarbekova G. Z.; Muhamedov I. M.; Tarinova M. V.; Shigakova L. A.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 3183-3191

Scientists have been researching for a long time, where they have found evidence of a connection between “Lactobacillus - Caries”. According to the results of some countries, the qualitative and quantitative composition of lactoflora of the oral cavity is already known in the norm and case of diseases caused by disbiotic conditions of the mouth. This article presents the results of the quantitative and qualitative composition of oral lactoflora of women of fertile age, the state of biological properties of each particular representative and their impact on cavities formation, which can explain the microbiological etiology of cavities. Each of the following indicators was statistically processed and compared with the results of foreign countries.