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Biomedical subjects

I A McGoldrick

Publications and source records attributed to I A McGoldrick.

12 recordsLinked to original sources

Primary endometrial and endocervical granuloma inguinale (donovanosis). Case report.

Primary endometrial and endocervical granuloma inguinale (donovanosis) was diagnosed in an 18-year-old Melanesian woman in Papua New Guinea. Granulomatous involvement of the parametrium, salpinges, ovaries, and ureters was associated with ureteric obstruction and bilateral hydronephrosis. Granuloma inguinale of the cervix, labia majora, and anus developed after diagnostic endometrial curettage. Treatment with tetracycline and later chloramphenicol had to be stopped because of poor patient compliance. Hysterectomy was performed, after which the patient made a good recovery. This appears to be the first case of primary endometrial and endocervical granuloma inguinale to be reported.

Adolescent↗

The LASER and its applications in gynaecology.

The principles of LASER surgery are examined and the gynaecological experience with the technique in various centres in different countries is reviewed. An appraisal of the Sharplan Co2 laser in gynaecology indicated that LASER techniques can be employed advantageously in the treatment of premalignant and microinvasive lesions of the vulva, vagina and cervix when maintenance of functional anatomy is important. In most other areas of gynaecological surgery the disadvantages and hazards of the technique outweighed the advantages.

Female↗

A retrospective study of matched symphysiotomies and caesarian sections at Port Moresby General Hospital.

The caesarian section rate at Port Moresby General Hospital (PMGH) is 26.7/1000 and the symphysiotomy rate 2.5/1000 deliveries respectively. 40% of the caesarian sections are for cephalopelvic disproportion and in 50% of these cases the diagnosis is made late in labour; it is this group that is compared with the symphysiotomy group. The morbidities of each group are similar, 64% and 62% respectively. The maternal mortality rate in the caesarian section group was 11.6/1000 and the perinatal mortality 160/1000. There were no maternal deaths in the symphysiotomy group and the perinatal mortality rate was 82/1000. It is recommended that symphysiotomy should be more widely accepted as a safe alternative to caesarian section from both the maternal and foetal point of view.

Adult↗

Termination of pregnancy in Papua New Guinea: the traditional and contemporary position.

There appears to be an increasing need and demand for medical termination of pregnancy both in Papua New Guinea (P.N.G.) and in the developing world generally. Experience elsewhere has demonstrated that where this is denied the mortality and morbidity associated with recourse to illegal abortion is unacceptably high. It is important that all health workers in P.N.G. especially practising clinicians, those in position of authority and those planning the future needs of P.N.G., fully appreciate the advantages of safe medical termination of pregnancy, and understand the legal statutes which delineate the rights of the mother and foetus and define the conditions under which qualified medical practitioners can legally terminate pregnancies.

Abortion, Illegal↗

Preliminary report: a clinical appraisal of the McGoldrick rotational vacuum extractor.

The results of a preliminary clinical appraisal of a newly designed vacuum extractor - the McGoldrick rotational vacuum extracter is presented. This instrument is designed to combine the rotation advantages of the various rotating obstetric forceps with the multiple advantages of the conventional vacuum extractor in the management of persistent occipito posterior and occipito transverse positions. The design features include an elliptical shaped cup attached to a series of bars and universal joints which allow both rotational and traction forces to be applied to the foetal scalp.

Equipment Design↗

Genital herpes.

Explore the source record for details and available documents.

Female↗

Stein-Leventhal syndrome complicated by endometrial carcinoma: a case report.

A case of Stein-Leventhal syndrome is reported in a 37 year old Melanesian female. Endometrial carcinoma developed necessitating hysterectomy and bilateral salpingo-oophorectomy. The syndrome is due to disordered hormone synthesis in the ovary which results in excessive production of androstenedione and testosterone. The treatment of choice is patients wishing to conceive is to administer clomiphene citrate to induce ovulation. For remaining patients, hysterectomy and oophorectomy is preferred to wedge resection of the ovaries in order to prevent the risk of endometrial carcinoma, and as the latter operation has high rates of surgical complications with relatively few patients achieving regular ovulation.

Adenocarcinoma↗