ABSTRACT
PIP: The present study was carried out to assess the ovarian structure in cases of primary infertility (PI), and secondary infertility (SI). 40 patients were selected from the infertility clinic of Al Azhar University hospital from those suspected to have ovarian abnormalities with history of amenorrhea or oligomenorrhea or those having enlarged ovaries on pelvic examination. Their ages ranged from 17 to 40 years; their husbands were generally in good health and fertile. 28 were suffering from PI and 12 from SI. Ovarian biopsy was taken in 20 patients by laparoscopic technique and 20 patients by wedge resection. At the same time endometrial biopsy was taken with a specimen of cervical mucus and vaginal cells to detect the presence or absence of ovulation. Evidence of recent ovulation was present in 57.1% of the cases of PI and 50% of the cases of SI. However, the ovarian structure was abnormal in 92.9% of the cases of PI and 83.3% of the cases of SI. Polycystic ovary was present in 71.4% of PI cases and in 58.3% of SI cases and was considered the most common ovarian abnormality in both groups, followed by sclerotic ovary, which was detected in 14.3% of PI cases and no SI cases. Other findings in both groups included tubo-ovarian abscess, ovarian fibroma and a serous cystadenoma.^ieng
Subject(s)
Cervix Mucus , Clinical Laboratory Techniques , Infertility , Laparoscopy , Leiomyoma , Ovarian Cysts , Ovary , Women , Africa , Africa, Northern , Biology , Cervix Uteri , Developing Countries , Diagnosis , Disease , Egypt , Endoscopy , Genitalia , Genitalia, Female , Middle East , Neoplasms , Physical Examination , Physiology , Reproduction , Urogenital System , UterusABSTRACT
This is the first report of an epidemiological cross-sectional study of solid waste scavengers, called Zabaline, in Egypt. The Zabaline communities provide an important solid waste collection service throughout Egypt's urban sector. Their economic viability depends entirely on salvaging solid waste for recycling. Intestinal parasites were common among the Zabaline examined; 48% were found with one or more protozoan or helminth infections. Either Schistosoma haematobium or S. mansoni or both infections were found in 19% of the sample although there was an apparent lack of a local transmission focus. Ascaris lumbricoides was the most frequently seen parasite (26.0%) and Entamoeba histolytica was seen infrequently (1.6%). Physical hazards of sorting solid waste was assessed and general illness occurring during the previous month recorded. Estimates of infant mortality showed elevated measures (IMR = 205/1000). The results indicate a need for the improvement of environmental conditions and health care in the Zabaline community and suggest that other similar scavenger groups may be at risk as well.
Subject(s)
Health Status , Health , Occupations , Refuse Disposal , Adolescent , Adult , Ascariasis/epidemiology , Child , Cross-Sectional Studies , Egypt , Female , Hand Injuries/epidemiology , Humans , Infant Mortality , Intestinal Diseases, Parasitic/epidemiology , Male , Schistosoma haematobium/isolation & purification , Schistosoma mansoni/isolation & purification , Schistosomiasis/epidemiologySubject(s)
Health Facility Administration , Maternal-Child Health Centers/organization & administration , Midwifery , Adolescent , Adult , Child, Preschool , Community Health Nursing , Curriculum , Female , Health Status Indicators , Humans , Infant , Infant, Newborn , Maternal-Child Health Centers/supply & distribution , Medicine, Traditional , Midwifery/education , Pregnancy , Sudan , WorkforceABSTRACT
PIP: Histopathological and histochemical changes in cervical epithelium under influence of oral contraceptives (OCs) were studied comparatively in 100 humans and 30 rabbits. The 100 patients used different types of combined OCs including Ovral, Anovlar, and Primovlar; 50 non-OC users served as controls. Cervical biopsies were obtained for study. The animal experiment consisted of 30 female rabbits divided into 3 groups: Group 1 received Lyndiol 1 for 5 days every week; Group 2 received mini-pills (ethynodiol diacetate, .25 mg) every day without interruption; Group 3 was the control. After 1 year the animals were killed and their cervixes examined. In humans, the ectocervical epithelium revealed increased vascularity and its penetration by perpendicular vascular channels reaching two-thirds of its thickness in 65% of cases. Basal cell hyperplasia was increased in 38% of patients. Vesicles between layers of squamous epithelium were observed in 26% of females receiving OCs as compared with 3% of controls. A single case of mild dysplasia was detected. Vascularity of the endocervical stroma was increased in 83% of OC users compared with 30% of controls. 79% of OC users showed endocervical glandular hyperplasia, the most prominent finding, compared with 22% of controls. Results reported for animal studies reflected those reported in human cervical smears.^ieng
