Vaginal bleeding in prepubertal females: a case of vaginitis and review of literature.

vulvovaginitis is an uncommon aetiology of prepubertal vaginal bleeding that should be considered in the differential diagnosis, especially in patients who have travelled to developing countries. A young girl presented with prepubertal vaginal bleeding, pelvic pain, occasional dysuria and no gastrointestinal symptoms. After a year-long extensive workup, including vaginoscopy and biopsy, genital culture and Gram stain revealed vulvovaginitis due to After review of bacterial sensitivity, the patient was given a 30-day course of sulfamethoxazole-trimethoprim.

The Development of Innovative Handheld Devices to Augment Cardiopulmonary Resuscitation Therapy and External Cardioversion and Defibrillation.

Active compression-decompression (ACD) cardiopulmonary resuscitation (CPR) devices were conceived and invented by Drs. Todd Cohen and Keith Lurie to improve the low survival rates for conventional CPR. Active decompression creates greater chest recoil as compared with the passive decompression used in standard CPR, leading to increased preload and greater cardiac output.