International Journal of Healthcare and Medical Sciences
Online ISSN: 2414-2999
Print ISSN: 2415-5233
Print ISSN: 2415-5233
Volume 1 Number 1 October 2015
Trichomonas Vaginalis among Parturient Sudanese women in Kassala Hospita, Eastern Sudan
Authors: Khalid Yassin ; Mohammed Ahmed A. Ahmed ; Hind Suliaman ; AbdelAziem A. Ali
Trichomoniasis in the women is usually asymptotic however the disease might be manifested as vaginitis, cervicitis, urethritis, pelvic inflammatory disease (PID), and adverse birth outcomes. Methods: A case-control hospital based study conducted at Kassala Hospitals, eastern Sudan during the period from 1st January 2015 to 30th June 2015 to investigate the prevalence rate of Trichomoniasis during pregnancy and its impact on neonatal outcome. Results: During the study period there were 199 infected women with T vaginalis among 2374 deliveries yielding a prevalence rate of 8.3%. The vast majority (140/199, 70.4%) was asymptomatic while the rest presented with vaginal discharge (33/199, 16.6%), itching (16/199, 8%) and dysuria (10/199, 5%). With regard to membranes status and neonatal outcome higher proportion of infected women presented with premature ruptured membranes (30, 15.1% Vs 6, 3%; P = 0.000) and gave preterm birth (31, 15.6% Vs 7, 3.5%; P= 0.000). Using logistic regression analysis the study showed significant association between Trichomoniasis, preterm birth (CI= 1.1 ï¿½ 13.6, OR= 3.9, P= 0.030) and premature rupture of the amniotic sac before 4 centimeter dilatation (CI= 1.0 3.2, OR= 1.8, P= 0.025). Conclusion: Trichomoniasis is highly prevalent among parturient women in eastern Sudan, and there is significant association between Trichomoniasis, preterm birth and premature ruptured membranes.
Neuroendocrine Carcinoma of the Stomach: A Case Report
Authors: Rukhsana Akhter ; Mehnaaz Sultan Khuroo ; Zubair Ahmad Dar ; Nazia Qayoom ; Nazia Bhat
Gastric neuroendocrine carcinomas are rare and have a poor prognosis. The present case concerns with a 55 year old female who presented with complaints of recurrent vomiting on and off, hematemesis and weight loss and history of lumbar stenosis. Esophagogastroduedenostomy (EGD) showed a large ulcerated growth in the antrum. Computed tomography abdomen revealed an ill defined soft tissue density in the gastric antrum, a partial gastrectomy was performed. Microscopic evaluation revealed a neuroendocrine neoplasm. Immunohistochemically positive for Chromogranin A and Non Specific Enolase (NSE). A diagnosis of Neuroendocrine carcinoma of the stomach was given based on recent WHO classification of Neuroendocrine carcinoma of the stomach and on mitotic index with reference to grading scale.