authors. "Secondary addiction," involving as it does physiological tolerance and physical dependence, may develop in any type of habitual drinker. This is a subject which one may expect will be dealt with more fully in the subsequent volumes. In Chapter II, "Alcoholic Mental Disorders," many good clinical observations are summarized, but few conclusions can be drawn from such data, especially o...

Introduction: Awareness and knowledge about cervical smear are lacking among the women in developing world. The aim of study was to awareness regarding screening a cohort Sri Lankan women. Methods: A cross-sectional conducted at gynaecology clinic tertiary care hospital, Lanka from January August 2018. consecutively recruited attendees who attended for first-time; aged over 35 years were interv...

PURPOSE Current medical training recommends obtaining cervical cytological specimens without the use of lubricating gel. The purpose of this study was to determine whether water-soluble lubricant gel affects cytologic outcomes in the screening Papanicolaou smear and patient comfort during vaginal speculum examination. METHODS The study was a randomized controlled trial performed at David Gran...

PURPOSE To determine if genitourinary problems are more common in women in the first 1 to 2 months after a routine pelvic examination. METHODS This was a historical cohort study in 2 family medicine teaching clinics at an urban university. Participants included all women who received a Papanicolaou smear during calendar year 2006. Subjects included all participants for weeks 1 to 7 after thei...

An eight-month-old, female Cane Corso bitch was presented for treatment following complaint of protrusion of oedematous tissue through the vulva lips one week after the commencement of the oestrous cycle. Clinical examination revealed a pear-shaped fibrous vaginal mass measuring about 5 cm in diameter. Ultrasonography identified a single follicular cyst in the left ovary and vaginal smear cytol...