CONTEXT As abortion is illegal in Nicaragua, postcoital contraception is an important option for preventing pregnancy. Emergency contraceptive pills are available in Nicaraguan pharmacies over the counter, but pharmacy personnel's knowledge and attitudes about this method can affect access. METHODS A cross-sectional survey was conducted in Managua, Nicaragua's capital. Interviewers administer...

This is a description of the process used by the Sexual Assault Nurse Clinician (SANC) in Emergency Departments in Minneapolis, Minnesota, after the rape victim's injuries have been treated. The task of the SANC is to evaluate the care of injuries, collect and protect the chain of evidence, and handle other special concerns of the patient such as risk of pregnancy, sexually transmitted disease...

OBJECTIVES When ulipristal acetate (UPA) was introduced into the Contraceptive and Sexual Health Services service in June 2011 an algorithm was developed to guide method selection. The aim was to encourage clinicians to assess risk and to offer a copper intrauterine device (IUD) as first-line choice with hormonal methods as second-line choice. METHODS UPA was the second-line choice for presen...

This study reviews experiences in the management of three cases of lacerations of the vagina following coitus. A brief review of the recent literature is made. Although the extent of injuries can be very variable, the principles of management consist of prompt resuscitation and arrest of haemorrhage, appropriate surgical repair under general anaesthesia, and systemic or local antibiotic therapy...

Background: Cervical cavernous hemangioma is an extremely rare, benign lesions, and only a few cases are reported. Cervical cavernous Hemangiomas are characterized by an increase in the number of normal and abnormal veins. The majority of these lesions are superficial, often found in the head and neck area, but may also occur in the inner parts of the body. The occurrence of these lesions in th...

Background Matrix metalloproteinase (MMPs) play an important role in development of female genital cancers and metastasis. The aim this study was to analyze expression levels MMP2 various grades cervical intraepithelial neoplasia (CIN) squamous cell carcinoma (SCC) cervix its association with clinicopathological variables. Patients methods This prospective carried out a tertiary care center Nor...

Several putative Oct-4 downstream genes from mouse embryonic stem (ES) cells have been identified using the suppression-subtractive hybridization method. In this study, one of the novel genes encoding an ES cell and germ cell specific protein (ESGP) was cloned by rapid amplification of cDNA ends. ESGP contains 801 bp encoding an 84 amino acid small protein and has no significant homology to any...

The objective of this study was to assess how characteristics of the intercourse and the couple relate to semen exposure during use of the female condom. From 1996 to 1998, 210 women in Birmingham, Alabama, were trained to use the female condom and follow study procedures during a group session and individually practiced inserting the device. The outcome was semen exposure as defined by compari...