RESUMO
In two cases the ova of parasitic worms, Ascaris lumbricoides and Enterobius vermicularis, were observed in Papanicolaou-stained vaginal smears. The characteristics of each type of ovum are described.
Assuntos
Ascaríase/diagnóstico , Oxiuríase/diagnóstico , Complicações Infecciosas na Gravidez/diagnóstico , Doenças Vaginais/etiologia , Adulto , Ascaris/fisiologia , Enterobius/fisiologia , Feminino , Humanos , Pessoa de Meia-Idade , Óvulo , Teste de Papanicolaou , Gravidez , Vagina/parasitologia , Doenças Vaginais/diagnóstico , Esfregaço VaginalRESUMO
An approach to the detection and management of early cervical cancer and its precursors utilizing basic and inexpensive equipment and a team of workers comprising physicians, cytotechnicians and social workers in an urban and rural community in India is described. In the ten-year period from 1970 to 1979, a total of 26,217 patients had Papanicolaou smears taken; 104 patients had histologically proven carcinoma in situ or microinvasive cancer of the cervix in which the clinical findings at the time of cell study did not indicate malignancy. The policy of management based on judicial conservatism and essential radicalism gave good survival rates and minimum morbidity.
Assuntos
Carcinoma in Situ/diagnóstico , Teste de Papanicolaou , População Rural , População Urbana , Neoplasias do Colo do Útero/diagnóstico , Esfregaço Vaginal , Carcinoma in Situ/epidemiologia , Carcinoma in Situ/terapia , Estudos de Avaliação como Assunto , Feminino , Humanos , Índia , Programas de Rastreamento , Neoplasias do Colo do Útero/epidemiologia , Neoplasias do Colo do Útero/terapiaRESUMO
Several difficulties arise in the introduction of foetal blood sampling in a regional hospital. Ideally there should be a unit sufficient to provide continuous registrar cover (anaesthetic cover and medical cover) of the labour suite. In our hospital duties have been reallocated in an attempt to attain this standard. Both consultant and registrar staff must take adequate study leave to understand the principle and practice of blood sampling. Regular lectures and demonstrations must be given to nursing and resident staff. The cost of the initial equipment is abut pound1,000.double daggerFoetal blood sampling has been employed in the unit since January 1968. Its principal use has been the assessment of "foetal distress" Except for one case no low pH value has been found in a "high risk" patient unless the foetus showed signs of clinical distress.