A prospective study of comparison between transvaginal sonogram and histopathological examination in perimenopausal women with abnormal uterine bleeding

Background: Abnormal uterine bleeding is one of the most frequently encountered conditions in gynaecology practice and forms about 10% of all gynaecological admissions, the main concern in perimenopausal bleeding is that the bleeding could be the only external manifestation of many hidden serious pathologies of uterine-cavity. The objective of this study was to compare the results of transvaginal sonography (TVS) and drug and cosmetic (D and C) with histopathological examination (HPE) report of hysterectomy specimen in perimenopausal women with AUB.Methods: A prospective comparative study where 100 perimenopausal women with AUB were subjected to TVS then D and C and then the results were compared with histopathological report of the hysterectomized specimen.Results: With an endometrial thickness less than or equal to 15 mm the histopathology report is normal endometrium. When the endometrial thickness more than or equal to 15 mm the histopathology report is hyperplasia or carcinoma. Findings of TVS correlated well with histopathological report after hysterectomy. 14 cases of adenomyosis, 16 cases of myomatous polyp, and 6 cases of endometrial polyp missed by dilatation and curettage.Conclusions: TVS is a simple, non-invasive test to indirectly visualize the endometrial cavity and is useful as a first step diagnostic procedure in the evaluation of perimenopausal bleeding. Dilatation and curettage lags in detecting adenomyosis, endometrial and myomatous polyps, When TVS combined with dilatation and curettage, it can supplement the shortcomings of dilatation and curettage.

Male Oxidative Stress Infertility (MOSI): Proposed Terminology and Clinical Practice Guidelines for Management of Idiopathic Male Infertility

Despite advances in the field of male reproductive health, idiopathic male infertility, in which a man has altered semen characteristics without an identifiable cause and there is no female factor infertility, remains a challenging condition to diagnose and manage. Increasing evidence suggests that oxidative stress (OS) plays an independent role in the etiology of male infertility, with 30% to 80% of infertile men having elevated seminal reactive oxygen species levels. OS can negatively affect fertility via a number of pathways, including interference with capacitation and possible damage to sperm membrane and DNA, which may impair the sperm's potential to fertilize an egg and develop into a healthy embryo. Adequate evaluation of male reproductive potential should therefore include an assessment of sperm OS. We propose the term Male Oxidative Stress Infertility, or MOSI, as a novel descriptor for infertile men with abnormal semen characteristics and OS, including many patients who were previously classified as having idiopathic male infertility. Oxidation-reduction potential (ORP) can be a useful clinical biomarker for the classification of MOSI, as it takes into account the levels of both oxidants and reductants (antioxidants). Current treatment protocols for OS, including the use of antioxidants, are not evidence-based and have the potential for complications and increased healthcare-related expenditures. Utilizing an easy, reproducible, and cost-effective test to measure ORP may provide a more targeted, reliable approach for administering antioxidant therapy while minimizing the risk of antioxidant overdose. With the increasing awareness and understanding of MOSI as a distinct male infertility diagnosis, future research endeavors can facilitate the development of evidence-based treatments that target its underlying cause.

Comparaative study of Lipid profile and level of Antioxidant enzymes in cigarette smokers with non cigaretee smokers.

Cigarette smoking is the serious health problems and most important avoidable cause of death in world. Worldwide more than 8 million people currently die each year from smoking half of them before of the age of 60. Every cigarette reduces the life span by about 5 minutes. Smoke contains oxidising agents and the oxidation reactions can produce free radicals. In turn, these radicals can start chain reactions that damage cells. In the present study 40 male subjects were divided into four different groups and their lipid profile have been estimated by various tests i.e. Cholesterol, Triglyceride, HDL-C, LDLC, VLDL-C. It was observed that in cigarette smokers HDL-C level decreased and cholesterol, triglyceride, LDL-C, VLDL-C level increased as compared to the control i.e. non- cigarette smokers. In case of MDA and Antioxidant enzymes test, the value of MDA increases and antioxidant enzymes decreases in cigarette smokers as compared to the control i.e. non- cigarette smokers. The variation in the level of lipid profile and antioxidant enzymes from normal values causes several diseases such as Lung cancer, other cancers, heart disease, and stroke and has numerous immediate health effects on the brain and on the respiratory, cardiovascular, gastrointestinal, immune systems.

Microbiological isolates in body fluids and secretions

To assess the spectrum of microbes isolated from body fluids and secretions. It is a Descriptive: Observational study which was carried out from January 2010 at Taj Medical Complex Karachi. Pakistan. A total of three thousand and fifty six [3056] samples received in the laboratory of the Taj Medical Complex [both from indoor as well as outdoor patients] were included from both sexes satisfying the inclusion criteria. Included patients had a mean age of 40.5 years with female predominance. Nearly a third of included samples yielded any growth by microbial agents. Most commonly isolated pathogen was Klebsiella spp. followed by the Escherichia coli and Staphylococcus spp. The regular and meticulous monitoring of the pattern and distribution of microbial isolates can guide our choices in terms of empirical antibiotic therapies. Our study is a snapshot of the current microbiological occurrence