Placenta accreta/percreta is a serious cause of intractable post-partum haemorrhage during caesarean section and a common cause of peripartum hysterectomy. In this case series, we evaluated the use of multiple 8 sutures as a novel procedure to preserve the uterus in these cases. Seven women with placenta accreta/percreta were initially managed with bilateral uterine artery ligation. The procedure was resorted to in cases that did not respond to ligation (five women). Women were followed up for up to 24 months to report complications.

Placenta accreta/percreta is a serious cause of intractable post-partum haemorrhage during caesarean section and a common cause of peripartum hysterectomy. In this case series, we evaluated the use of multiple 8 sutures as a novel procedure to preserve the uterus in these cases. Seven women with placenta accreta/percreta were initially managed with bilateral uterine artery ligation. The procedure was resorted to in cases that did not respond to ligation (five women). Women were followed up for up to 24 months to report complications.

Cesarean section for obstructed labor remains a difficult procedure that may be associated with serious fetal and maternal injuries. In this case series, we evaluated the use of abdominal disimpaction with lower segment support as a novel technique to minimize morbidities. Eight patients who underwent cesarean section for obstructed labor were recruited. Impacted fetal head was delivered using this technique and uterine extensions, bladder injury, vaginal injury, and intraoperative bleeding were reported. Maternal and neonatal outcomes were observed postoperatively. No major morbidities were reported. Accordingly, we consider this technique as a promising step to minimize complications during cesarean section for obstructed labor.

Cesarean section for obstructed labor remains a difficult procedure that may be associated with serious fetal and maternal injuries. In this case series, we evaluated the use of abdominal disimpaction with lower segment support as a novel technique to minimize morbidities. Eight patients who underwent cesarean section for obstructed labor were recruited. Impacted fetal head was delivered using this technique and uterine extensions, bladder injury, vaginal injury, and intraoperative bleeding were reported. Maternal and neonatal outcomes were observed postoperatively. No major morbidities were reported. Accordingly, we consider this technique as a promising step to minimize complications during cesarean section for obstructed labor.

Cesarean section for obstructed labor remains a difficult procedure that may be associated with serious fetal and maternal injuries. In this case series, we evaluated the use of abdominal disimpaction with lower segment support as a novel technique to minimize morbidities. Eight patients who underwent cesarean section for obstructed labor were recruited. Impacted fetal head was delivered using this technique and uterine extensions, bladder injury, vaginal injury, and intraoperative bleeding were reported. Maternal and neonatal outcomes were observed postoperatively. No major morbidities were reported. Accordingly, we consider this technique as a promising step to minimize complications during cesarean section for obstructed labor.

The laterality of ovulation, or the side at which ovulation occurs, was the subject of much research in the past century, but it was discussed merely as an interesting physiologic issue in all primates. In the last few years, the increasing development of infertility treatment has drawn the attention of researchers to the clinical aspects of this phenomenon. In the review, we discuss the nature of ovulation side and how far it can influence pregnancy outcome in infertile women treated with different modalities.

The laterality of ovulation, or the side at which ovulation occurs, was the subject of much research in the past century, but it was discussed merely as an interesting physiologic issue in all primates. In the last few years, the increasing development of infertility treatment has drawn the attention of researchers to the clinical aspects of this phenomenon. In the review, we discuss the nature of ovulation side and how far it can influence pregnancy outcome in infertile women treated with different modalities.

The B-Lynch brace suture technique is a life-saving procedure. It is a simple and safe alternative to hysterectomy. Thus, it preserves fertility with less surgical morbidity. In this case series, we evaluated the use of a novel modification of the B-Lynch brace suture to minimise its potential reported complications. Five women with intractable primary atonic postpartum haemorrhage were reported. They were initially managed with bilateral uterine artery ligation. The procedure was resorted to women who did not respond to ligation. The procedure is efficient. Women were followed up for up to 24 months to report any complications.

Cadmium, a highly toxic heavy metal, is distributed widely in the general environment. This metal accumulates mainly in the liver and kidney as these organs are involved in the detoxification of foreign material. Evidence suggests that sub-chronic toxicity of cadmium may have effects on biochemical properties. In the present study, the sub-chronic toxic effects of cadmium (3.05 mg CdCl2/kg body weight) on biochemical parameters were studied with experimental animals (rats). Result revealed that Cd increased creatinine and urea levels in blood but decreased iron level. Increases in aspartate transaminase (AST), alanine transaminase (ALT), lactate dehydrogenase (LDH) and creatine phosphokinase (CPK) activities were significant with regard to control group. Bioaccumulation of Cd was higher in kidney, followed by liver.

The Zagazig Depression Scale has been validated in Egyptian populations and the shortened form (ZDS-SF) found high rates of depression in Egyptian students. Preliminary research has supported the validity and reliability of the measure in a UK student but further work is needed. The study aimed to determine the criterion validity of the ZDS-SF against a clinical interview and its test-retest reliability in a UK student sample. Participants (n=20) completed online measures of the Patient Health Questionnaire and the ZDS-SF at time 1. At time 2 (median follow-up 15 days) they were interviewed using the Clinical Assessment in Neuropsychiatry (SCAN) to establish a clinical diagnosis of depression, followed by re-administration of the online measures. There was excellent (95%) agreement for diagnosis of depression between time 2 ZDS-SF and SCAN (Kappa = 0.89). The sensitivity of the ZDS-SF was 100% and the specificity 93.3%, giving an overall positive predictive value of 83.3%. The ZDS-SF symptom score also had good response stability over a two week interval (ICC = 0.66). ZDS-SF scale is a valid measure of depression for use in a UK university student cohort with good psychometric properties and can be used for cross-cultural comparison studies.