Does patient education improve compliance to routine diabetic retinopathy screening?

Introduction: Diabetic retinopathy (DR) screening relies on adherence to follow-up eye care. This article assesses if a model of patient education and tele-retina screening among high-risk patients with DR can achieve increased rates of compliance within a one-year follow-up.

Methods: Between May 2014 and May 2016, DR screening was conducted in a cohort of 101 patients with diabetes in Southern Ontario.

Abdominal pregnancy: pathogenesis, diagnosis, and treatment.

A ten-year survey of abdominal pregnancy was made regarding numbers, diagnosis, and treatment. The hazards of intraperitoneal infusion of concentrated saline, thought to be administered into the amniotic sac, in an attempt to produce abortion is discussed. A favorable result was obtained after laparotomy was done and the correct diagnosis established.

Endometriosis of the umbilicus.

A 39-year-old woman with a history of prolonged and excessive vaginal bleeding and bleeding from the umbilicus was found to have umbilical endometriosis. The umbilicus was excised following hysterectomy and bilateral salpingo-oophorectomy. Umbilical endometriosis should be considered in the differential diagnosis of umbilical lesions.

Hypertrophy of the labia minora.

Gynecologic disorders during childhood and adolescence have received relatively little attention. Since earlier sexual activity among teenage girls is becoming more common, it is desirable that those interested in the diseases of women keep abreast of the current developments in adolescent gynecology. Two patients with congenital hypertrophy of the labia minora are presented and the treatment is discussed.