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June 2016

Volume 3  Issue 2

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Case Report 

Gartner’s Duct Cyst Managed by Marsupilization

David D’Souza, MB CHB(BIRM) MR COG*, Amr Farag

This case report discusses the unusual presentation of an 18 year old girl who had a history of deep dyspareunia, increased discomfort on micturition and defecation and occasional cramping pains. The definitive diagnosis of a Gartner’s duct cyst was made and it highlights how consideration of unusual embryological cysts should be included in the differential diagnosis when dealing with such complaints. It also discusses the importance of imaging tools used to reach the provisional diagnosis and shows how conservative surgery can offer a smooth recovery and hazardous complications can be avoided.

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Research Article

Nitric Oxide Metabolites (Nitrite and Nitrate) In Polycystic Ovary Syndrome

Scapinelli Alessandro*, Ribeiro Alessandra, Oliveira Ricardo, Gebara, Otávio Celso, Tamanaha Sonia, Junior Wilson, Aldrighi Jose

Polycystic ovary syndrome (PCOS), one of the most common endocrine disorders affecting women of reproductive age, is associated with comorbidities (metabolic syndrome, dyslipidemia and diabetes) that may contribute to increased risk of cardiovascular disease (CVD), which is one of the leading causes of female morbidity and mortality. A significant association between nitric oxide metabolites (NOx) and inflammatory conditions is observed in literature. The present study was designed to determine the concentrations of NOx in two different groups of PCOS women, with or without insulin resistance (IR) based on the Homeostasis Model Assessment (HOMA).

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Review Article 

Rate, Pattern and Outcome of Congenital Malformed Babies at Omdurman Maternity Hospital in Sudan

Khalid Yassin M. Ahmed, Haifa.M. Saeed, Omer Handady, Awad Ali M. Alawad*

Congenital anomalies are developmental disorders present at birth. The prevalence and pattern of congenital anomalies varies between regions and may also vary over time. The most common body systems involved in congenital anomalies include musculoskeletal, central nervous system, gastro intestinal  system and cardiovascular system with the least affected system being the urogenital system.

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Review Article

Reproducibility of Interpretation of Fetal Heart Rate Tracings

Dwight E. Hooper MD, MBA, Daniel M. Avery Jr, MD*,  Jessica Grayson MD, Emad Elsamadicy MD, Klive Forde MD, James D. Leeper PhD

Interpretation of fetal heart rate (FHR) tracings has been difficult because of the lack of agreement in definitions and nomenclature. Studies have shown that the interpretation of FHR tracings can be unreliable.  The Eunice Kennedy Shriver Institute of Child Health and Human Development NICHD), the American Congress of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) developed a new three-tiered classification system of fetal heart rate abnormalities and a system for interpreting these abnormalities. ACOG published classifications and recommendations based on the appearance of the fetal heart tracing to provide some basis of decision making. 

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