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Traditional healers in Zambia and their care for patients with urethral/vaginal discharge.

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OBJECTIVE The aim of this study was to describe the knowledge and practices of traditional healers in relation to the management of patients with urethral/vaginal discharge. METHODS Eighty (80) traditional healers, 54 from an urban and 26 from a rural setting in Zambia, who attend to patients with

[Discussion on the citation of acu-moxibustion treatment verses in textbook acupuncturology].

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Verses on Acu-moxibustion Treatment have played an important role in the pervasion and spread of indications of acupoints. Abundant verses are widely cited in different versions of the textbook Acupuncturology for university and college students in China. Some contents about clinical indications of

[Ureteral injury in gynecologic laparoscopies].

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OBJECTIVE To investigate the ureteral injury in gynecological laparoscopies and discuss its diagnosis, treatment and prevention. METHODS Ureteral injury in gynecological laparoscopies during the past 13 years was reviewed retrospectively. The clinical features of initial operations including the

Postpartum Methicillin-Resistant Staphylococcus aureus Toxic Shock Syndrome Caused by a Perineal Infection.

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Although toxic shock syndrome (TSS) is rare, multiorgan failure can occur without early identification and appropriate therapy. In particular, a few cases of postpartum TSS due to methicillin-resistant Staphylococcus aureus (MRSA) have been reported. Here, we describe a rare case in which a

Ovariohysterectomy and Partial Vaginectomy for Treatment of Cervicovaginitis in a Dog.

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A 1-year-old sexually intact female Labrador Retriever was evaluated for malodorous vaginal discharge, lethargy, and vomiting. A diagnosis of pyometra was suspected based on signalment, clinical signs, and abdominal ultrasonography. The dog underwent an exploratory celiotomy revealing a palpably

Spontaneous perforation of pyometra: A rare cause of acute abdomen and sepsis.

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Pyometra, the accumulation of purulent material in the uterine cavity, is a rare gynecological condition whose etiology is impaired drainage of the uterine cavity. It is uncommon in premenopausal age and occurs mainly in older and postmenopausal women. Clinical signs of pyometra are vaginal

Uterine artery embolization for symptomatic uterine fibroids.

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BACKGROUND Uterine fibroids cause heavy and prolonged bleeding, pain, pressure symptoms and subfertility but are mostly benign. The traditional method of treatment has been surgery as long term medical therapies have not shown to be effective. Uterine artery embolization (UAE - complete occlusion of

Diagnosis of pelvic inflammatory disease: time for a rethink.

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OBJECTIVE To critically evaluate the available evidence base concerned with the diagnosis of pelvic inflammatory disease (PID) based on clinical presentation, and to investigate the relation between signs and symptoms and the presence of laparoscopically diagnosed PID using the largest available

Maternal morbidity in early pregnancy in rural northern Bangladesh.

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OBJECTIVE To determine the burden of maternal morbidity in early pregnancy in rural northern Bangladesh. METHODS A cross-sectional analysis was performed on baseline morbidity data from 42 896 pregnant women enrolled in a vitamin A supplementation trial. One-week histories for 31 defined symptoms

Clinical characteristics of perforated pyometra and impending perforation: specific issues in gynecological emergency.

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OBJECTIVE To evaluate the clinical characteristics of pyometra and the differences between perforated pyometra and early-drained pyometra in order to prevent morbidity. METHODS Retrospective study of 14 patients diagnosed between 1998 and 2008 with early-drainage pyometra and six patients with

Physical complaints of patients with sickle cell trait.

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Prospective and retrospective experience with physical complaints of 112 oral contraceptive and 67 intrauterine device Black family planning patients with sickle cell trait was evaluated by comparing their cumulative complaint rates with a randomly selected control group of non-sickle cell trait

Endometrial adenocarcinoma and mucometra in a 6-year-old Alaska Malamute dog.

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A 6-year-old female Alaska Malamute dog was presented for evaluation of abdominal enlargement referred by a local veterinarian. On the history, the owner complained of chronic abdominal enlargement initiated more than 4 months ago, reduced appetite, occasional vomiting and general dullness. He also

Uterus didelphys with blind hemivagina and ipsilateral renal agenesis complicated by pyocolpos and presenting as acute abdomen 11 years after menarche: presentation of a rare case with review of the literature.

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BACKGROUND Congenital anomaly of the Müllerian duct system can result in various urogenital anomalies including uterus didelphys with blind hemivagina and ipsilateral renal agenesis. The diagnosis of this condition is usually made after menarche, but its rarity and variable clinical features may

Laparoscopy in women with chlamydial infection and pelvic pain: a comparison of patients with and without salpingitis.

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A review was made of clinical and laboratory findings in 104 women who, during 1978 to 1981, were subjected to laparoscopy because of symptoms suggestive of acute salpingitis, and who harbored Chlamydia trachomatis but not Neisseria gonorrhoeae in the genital tract. The patients with acute

Factors that predict poor clinical course among patients hospitalized with pelvic inflammatory disease.

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OBJECTIVE The aim of this study was to identify factors that can predict clinical course among patients hospitalized with pelvic inflammatory disease (PID). METHODS Ninety-three patients who needed hospitalization with a diagnosis of PID were retrospectively studied. Patients who were discharged

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