Mrs ZB is a 37-year-old woman who was admitted to the gynecologic ward of the University of Maiduguri Teaching Hospital, with excessive vomiting and irregular bleeding per vaginum following amenorrhea of 13 weeks. There was no passage of vesicles, no cough. She was a fifth gravida with history of two previous molar pregnancies. There was a family history of molar gestation in two of her sibling...

Dr Fahmy showed a specimen of carcinoma of the body of the uterus removed from a woman, aged 58, who had one child thirty years ago and whose menopause occurred at the age of 40. The patient was well till three years ago when she noticed the onset of a whitish leucorrhoeal discharge which gradually became more marked. Twelve months ago there was very slight bleeding at irregular intervals for a...

Extensive aortic valve endocarditis requires thorough debridement of the paravalvular tissue, and reconstruction of the destroyed aortic root can be technically difficult. In the present report, we describe a simple technique for aortic root reconstruction. In this technique, a doughnut-shaped bovine pericardial sheet (skirt) is attached to the proximal end of a valved conduit and then sewn ont...

BACKGROUND In 2009 the Uterine Bleeding and Pain Women's Research Study (UBP-WRS) was conducted interviewing 21,479 women across 8 countries in order to gain patient-based prevalence data on uterine pain and bleeding indications and investigate uterine symptoms and women's treatment experiences. This article shows relevant results of the study for the indication uterine fibroids providing data ...

Contraceptive implants provide long-acting, highly effective reversible contraception. The etonogestrel implant (ENG implant) is a single rod implant that offers three years of efficacy. The ENG implant was designed to provide contraceptive efficacy by inhibiting ovulation and Pearl Index scores reported for this method are similar to other long-acting reversible contraception as well as simila...

BACKGROUND AND OBJECTIVE Prospective studies that investigated the influence of surgical and nonsurgical procedures in the recurrence of periodontitis and tooth loss in periodontal maintenance therapy (PMT) programs have not been previously reported. The objective of this study was to evaluate longitudinally the recurrence of periodontitis in regular compliers (RC) and irregular compliers (IC) ...

BACKGROUND Bleeding irregularities, such as intermenstrual spotting or heavy or prolonged menstrual bleeding, are common among copper-containing intrauterine device (Cu-IUD) users and are one of the leading reasons for method discontinuation. This review evaluates the evidence for effective therapeutic and preventive treatments for bleeding irregularities during Cu-IUD use. STUDY DESIGN We se...

OBJECTIVE We examined the association between lifestyle factors and menstrual cycle characteristics among nulliparous Danish women aged 18-40 years who were participating in an Internet-based prospective cohort study of pregnancy planners. METHODS We used cross-sectional data collected at baseline to assess the association of age, body mass index (BMI), physical activity, alcohol and caffeine...

Menstrual cycle is a multifarious process controlled by numerous glands and the hormones produced in our body. The hypothalamus brain makes pituitary gland to produce certain chemicals prompt ovaries oestrogen progesterone sex hormones. menstrual technique of bio feedback mechanism, which means activity each structure affected other gland’s functions. average span 28–29 days, can differ between...

A connected graph G is said to be neighbourly irregular graph if no two adjacent vertices of G have same degree. In this paper we obtain neighbourly irregular derived graphs such as semitotal-point graph, k^{tℎ} semitotal-point graph, semitotal-line graph, paraline graph, quasi-total graph and quasivertex-total graph and also neighbourly irregular of some graph products.