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Fulltext A pure nongestational choriocarcinoma of ovary: sharing experience in Sabah

Mohd Faizal, A., Dianie, D.J.K., Suguna, S., Soon, R., Moharzudi, M.

Journal of Surgical Academia, 2015;5(1):51-53.

MyJurnal

A pure ovarian choriocarcinoma is a very rare disease which can be either pregnancy related (gestational), may not be related (non-gestational), or commonly correlated with different type of germ cell; teratocarcinoma, dysgerminoma or undifferentiated carcinoma. A pure non-gestational primary ovarian choriocarcinoma is astronomically uncommon and we recorded such condition in 14-year-old teenage girl’s ovary. An abdominal operative procedure with the help of a careful histopathology examination revealed choriocarcinoma in absence of other type of germ cell element. Multiple courses of Etoposide/Methotrexate/Actinomycin-D (EMA) regime of chemotherapy were shown to be effective in this case.

Novel Synthesis and Characterization Studies of Spinel Ni x Co1-xAl₂O₄ (x= 0.0 to 1.0) Nano-Catalysts for the Catalytic Oxidation of Benzyl Alcohol

Suguna S, Shankar S, Jaganathan SK, Manikandan A

J Nanosci Nanotechnol, 2018 Feb 01;18(2):1019-1026.

PMID: 29448527 DOI: 10.1166/jnn.2018.13960

Ni-doped cobalt aluminate NixCo1-xAl2O4 (x = 0.0, 0.2, 0.4, 0.6, 0.8 and 1.0) spinel nanoparticles were successfully synthesized by a simple microwave combustion method using urea as the fuel and as well as reducing agent. X-ray powder diffraction (XRD) was confirmed the formation of single phase, cubic spinel cobalt-nickel aluminate structure without any other impurities. Average crystallite sizes of the samples were found to be in the range of 18.93 nm to 21.47 nm by Scherrer's formula. Fourier transform infrared (FT-IR) spectral analysis was confirmed the corresponding functional groups of the M-O, Al-O and M-Al-O (M = Co and Ni) bonds of spinel NixCo1-xAl2O4 structure. Scanning electron microscope (SEM) and transmission electron microscope (TEM) images was confirmed the particle like nanostructured morphology. Energy band gap (Eg) value was calculated using UV-Visible diffuse reflectance spectra (DRS) and the Eg values increased with increasing Ni2+ dopant from x = 0.2 (3.58 eV) to x = 1.0 (4.15 eV). Vibrating sample magnetometer (VSM) measurements exposed that undoped and Ni-doped CoAl2O4 samples have superparamagnetic behavior and the magnetization (Ms) values were increased with increasing Ni2+ ions. Spinel NixCo1-xAl2O4 samples has been used for the catalytic oxidation of benzyl alcohol into benzaldehyde and was found that the sample Ni0.6Co0.4Al2O4 showed higher conversion 94.37% with 100% selectivity than other samples, which may be due to the smaller particle size and higher surface area.

Fulltext Predictors of newborn admission after labour induction at term: Bishop score, pre-induction ultrasonography and clinical risk factors

Tan PC, Suguna S, Vallikkannu N, Hassan J

Singapore Med J, 2008 Mar;49(3):193-8.

PMID: 18362999

Following labour induction at term, 12 percent of neonates can expected to be admitted to the neonatal intensive care unit. We aimed to evaluate the Bishop score, pre-induction ultrasonography (US) assessment of amniotic fluid, foetal weight and cervical length, and pre-induction and intrapartum risk factors as predictors of neonatal admission.

Transvaginal sonography of cervical length and Bishop score as predictors of successful induction of term labor: the effect of parity

Tan PC, Vallikkannu N, Suguna S, Quek KF, Hassan J

Clin Exp Obstet Gynecol, 2009;36(1):35-9.

PMID: 19400416

OBJECTIVE: To evaluate the predictive value for successful labor induction of transvaginal ultrasound (TVS) of cervical length according to parity.

METHOD: TVS of the cervix was performed before term labor induction. Induction was considered successful if vaginal delivery was achieved within 24 hours; 231 women were available for final analysis.

RESULTS: Analysis of the receiver operator characteristics curve showed an optimal cut-off for cervical length of < or = 20 mm for successful induction. Following multivariate logistic regression analysis, a sonographic short cervix (AOR 5.6; p < 0.001) was an independent predictor of successful induction but not a favorable Bishop score (p = 0.47). Among multiparas with a short cervix, positive and negative predictive values for successful induction were 98% (95% CI 90-100%) and 21% (95% CI 13%-32%) and among nulliparas, predictive values were 69% (95% CI 53%-82%) and 77% (95% CI 64%-87%) respectively.

CONCLUSION: In nulliparas, cervical length can usefully predict labor induction outcome.

Transvaginal sonographic measurement of cervical length vs. Bishop score in labor induction at term: tolerability and prediction of Cesarean delivery

Tan PC, Vallikkannu N, Suguna S, Quek KF, Hassan J

Ultrasound Obstet Gynecol, 2007 May;29(5):568-73.

PMID: 17444553

To compare transvaginal sonography for cervical length measurement and digital examination for Bishop score assessment in women undergoing labor induction at term, to assess their tolerability (in terms of pain) and ability to predict need for Cesarean delivery.

Ultrasound and clinical predictors for Caesarean delivery after labour induction at term

Tan PC, Suguna S, Vallikkannu N, Hassan J

Aust N Z J Obstet Gynaecol, 2006 Dec;46(6):505-9.

PMID: 17116055

To assess the relationship of ultrasound assessment for amniotic fluid, fetal weight, cervical length, cervical funneling and clinical factors on the risk of Caesarean delivery after labour induction at term.

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