The purpose of this work is to determine perspectives, misconceptions, psychology adjustments and useful strategies of women living with dilemmas about their malignant lesions which can be detected through the colposcopy. Colposcopic assessment following abnormal Pap test has resulted in a long list of concerns: fear of having cancer, periodic obligations related to follow-up, balancing treatment of premalignant disease with quality of life, pain or discomfort and long-term impact on their families or limited social support. How prepared are they to adapt to their diagnosis? New diagnosis results in patient not being able to listen well or to understand her medical situation. The success of the outcome and procedure takes time to deduce the concerns she has regarding her diagnosis, treatment and appropriate follow-up. Several physicians endorse a wide range of barriers with respect to diagnosis and management of the disease: organizational or patient issues. Furthermore, patient appears to be important for the effective treatment than to identify and assess psychosocial problems among women diagnosed with cancer. In conclusion, physician provides effective treatment, but fails to address psychosocial issues associated with the illness. It is necessary to define the condition more clearly by studying patients and their psychosocial problems.
Part of the book: Colposcopy and Cervical Pathology
Various differentiable models are frequently used to describe the dynamics of complex systems (see the kinetic models, fluid models, etc.). Given the complexity of all the physical phenomena involved in the dynamics of such systems, it is required to introduce the dynamic variable dependencies both on the space-time coordinates and on the scale resolutions. Therefore, in this case an adequate theoretical approach may be the use of non-linear physical models either in the form of the Scale Relativity Theory or of the Extended Scale Relativity Theory, i.e., the Scale Relativity Theory with an arbitrary constant fractal dimension. In the framework of the Extended Scale Relativity Theory, fractal velocity field is described both by topological solitons of kink type and by non-topological soliton varieties of breather type. Applications for the blood flow are proposed. The results revealed the directional flow toward the walls, which can explain the thickening effect which is one of the source of arteriosclerosis.
Part of the book: Nonlinear Systems
Pregnancy in autoimmune rheumatic diseases remains a real challenge in clinical practice due to complex interplay between disease activity, pregnancy and drugs, and account for potential influence of pregnancy on rheumatic condition and the impact of disease on pregnancy outcomes. Indeed, innovative and successful therapies have dramatically improved the quality of life in immune-mediated rheumatic conditions and, subsequently, allowed more patients of reproductive age to plan a pregnancy/to conceive. The purpose of this chapter is to discuss emerging data about the interaction of pregnancy and systemic erythematosus lupus (SLE) focusing on modulation of the immune system by pregnancy, pregnancy outcomes in women with active lupus, biomarkers of adverse pregnancy outcomes (APO) including predictors of pre-eclampsia, predictors of obstetric complications in SLE, the influence of autoantibodies on fetal health, and, finally, evidence about rheumatologic and obstetric follow-up. There are still unmet needs in this new field of reproductive rheumatology and it becomes crucial that researchers, physicians (rheumatologists, specialists in maternofetal medicine, obstetricians) and midwifes share their knowledge and expertise in counseling women with SLE wishing to conceive, assisting pregnancy and managing different issues related to APO as well as drug optimization in preconception, during pregnancy and postpartum period.
Part of the book: Empowering Midwives and Obstetric Nurses