Publications by authors named "H Mohd Nazri"

Article Synopsis
  • The RCOG promotes elective caesarean sections for patients with obstetric anal sphincter injury (OASI) and related dysfunction, but asymptomatic patients often lack access to necessary diagnostic tests in the UK.
  • A study of 69 women with 3a tears showed that 42% had defects seen on endoanal ultrasound (EA USS), with no significant difference in defect rates between symptomatic and asymptomatic individuals.
  • Results indicated that those delivered by forceps and of Asian ethnicity were more likely to be symptomatic, highlighting the need for universal EA USS for all OASI patients.
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Endometriosis is defined by the presence of extrauterine endometrial-like tissue, which can cause pain and infertility in 10% of reproductive-age women. To date, the pathogenesis is poorly understood resulting in significant diagnostic delays and poor therapeutic outcomes in many women. Small extracellular vesicles (sEVs) (<200 nm) are cell-derived vesicles containing molecules that can influence gene expression and behaviour in target cells.

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Uterine Fibroids (leiomyomata) and endometriosis affect millions of women world-wide. Although aetiology and natural history of the conditions are markedly different, symptoms can overlap and make differential diagnoses necessary, often using invasive methods such as laparoscopy. Considerable comorbidity exists between the two conditions and needs to be taken into account when treating fibroids and/or endometriosis.

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Introduction: Millions of women suffer from the consequences of endometriosis and uterine fibroids, with fibroids the cause for over 50% of hysterectomies in the USA, and direct costs for their treatment estimated at between US$4 and US$9 billion. Endometriosis commonly affects millions of women worldwide predominantly during reproductive age, with severe menstrual and non-menstrual pain and subfertility the main symptoms. Due to the 'unhappy triad' of endometriosis-lack of awareness, lack of clinically relevant biomarkers and the unspecific nature of symptoms-women wait on average for 8-12 years before the definitive endometriosis diagnosis is made.

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Objective: To demonstrate the feasibility of studying exosomes directly from peritoneal fluid, we isolated exosomes from endometriosis patient samples and from controls, and characterized their cargo.

Design: Case-control experimental study.

Setting: Academic clinical center.

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