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Z�E��p�.�i4Eo"p0Rp9iT�v�0��vh�j�j��vL-m�'�'�1�'�'�'�'�'oo�1�'�'�'Rp�'�'�'�'���������������������������������������������������������������������v�'�'�'�'�'�'�'�'�':Random plasma glucose in gynecologic patients 
Tandu-Umba  Barth�l�my1*, Tsangu  Phuati  Joseph2, Mbangama  Muela  Andy1
1 Department of Obstetrics and Gynecology. University Clinics. Kinshasa, DR Congo
2 While Intern in Department of Obstetrics and Gynecology. University Clinics. Kinshasa, DR Congo

*For correspondence:   HYPERLINK "mailto:btanduumba@yahoo.fr" btanduumba@yahoo.fr



Running title: Random/casual plasma glucose in gynecologic patients.
Abstract
Objective
To determine gynecologic pathologies associated with abnormal plasma glucose in order to provide clinicians for particular opportunity to achieve such objectives as prevention or early detection of diabetes and better control of co-morbidities linked to hyperglycemia.
 Methods
This is a cross-sectional study including all adult gynecologic non pregnant patients admitted for routine consultation between 1st and 30th August 2012 at the university clinics of Kinshasa, DR Congo, irrespective of their clinical status. Information generated by their charts was used for extensive identification of general characteristics.  Random venous blood glucose was assayed upon recruitment by use of One Touch Profile Meters (Lifescan, Johnson & Johnson, High Wycombe, U.K.). Using Odds ratios calculation we assessed risk for finding abnormal plasma glucose concentration. 
Results 
This study recruited 99 participants whose mean age, parity and gravidity were 34.3�13.0 years, 1.7, 2.3 and 23.9�4.6 respectively. The five major complaints were: pelvic/back pain (33.3%), vaginal discharge with/without pruritus (10.1%), mastodynia (8.1%), amenorrhea (7.1%), infertility and abnormal uterine bleeding (6.1% each). The major diagnoses were myoma (13.1%), urinary infection (11.1%), polycystic ovaries syndrome (9.1%), breast cancer 9.1%), infertility (9.1%), cervicitis  (7.1%), vaginitis (5.1%) and ovarian cyst (4%). The mean plasma glucose concentrations of the sample was 123.7�51.6 mg/dL, and none of the 11 (11.1%) who qualified as diabetic patients (having >200 mg/dL) presented with symptoms of marked hyperglycemia.  Risk for diabetes was threefold increased in cases of   vaginitis (OR 2.9, CI 0.73-11.7) and micropolycystic ovaries syndrome (OR 3.4; CI 0.49-19.5), although CI contained 1. It  was significantly 23 times increased in patients with cervical cancer (CI 4.0-133).
Conclusions
Ignored hyperglycemia that can be present in certain gynecological situations years before the development of overt diabetes could be regarded as missed opportunity for early detection of diabetes. In turn, better glycemic control is expected to improve the situations concerned. 
Key words: Random/casual plasma glucose. Gynecologic patients. Early diagnosis of diabetes. Kinshasa, RD Congo.
Introduction
Global estimates and projections confirming the diabetes epidemic also point out that the increase will be largest in developing regions of the world, the rise in sub-Saharan Africa being expected as high as 98% [1]. However, due to discretion in its onset many cases are undiagnosed, thence untreated, a factor accounting for in accumulation of long-term complications. This is to emphasize the role of early diagnosis of the illness. So awareness of healthcare providers as well as community needs to be enhanced on situations leading to recognition of people with diabetes. Beside the well known risk factors for the illness (genetics, ethnic and socioeconomic background, birth weight and obesity) several medical conditions could be used to base early detection of diabetes: infection and inflammation [2-5], periodontal diseases [6], chronic and acute stress, including surgical one [7], micropolycystic ovaries syndrome (MPKOS), gestational diabetes, metabolic dysfunctions of glands.  Some of these clinical conditions could be worsened by diabetes as well [2, 8-11]. In the field of gynecologic practice attention seems to be restricted to MPKOS in which irregular menses and lengthening of the HYPERLINK "http://www.medicinenet.com/script/main/art.asp?articlekey=92709"menstrual cycle have been associated with HYPERLINK "http://www.medicinenet.com/script/main/art.asp?articlekey=30653"insulin resistance [8]. So, less has been reported on other situations that possibly reveal or lead to insulin resistance or impaired insulin secretion or both.
Theoretical differences exist between males and females regarding risk of impaired glucose metabolism. This could be owed to obesity (more frequent in women) [12], estrogen/progestative therapy, pregnancy (mostly through gestational diabetes mellitus) [13], long lasting genital infections [14], vulvar sensitivity to glycosuria resulting in  pruritus [15], and sterility induced by MPKOS [11,16]. Actually, this has not been extensively used by clinicians as a particular opportunity to achieve such objectives as prevention or early detection of diabetes and better control of co-morbidities linked to hyperglycemia. This study thus aimed to determine gynecologic pathologies mostly associated with abnormal random/casual plasma glucose (RPG).
Methods
This study was approved by the institutional review board of the faculty of medicine, University of Kinshasa, DR Congo and scheduled to be presented by the Senior Student Tsangu Phuati as a fulfillment for the completion of the graduation in medicine. This is a cross-sectional study including all adult (e" 17 years old) gynecologic non pregnant patients admitted for routine consultation between 1st and 30th August 2012 at the university clinics of Kinshasa, DR Congo. Patients were contacted consecutively for consent and thereafter recruited in the study, after excluding those who reported to have been previously diagnosed diabetic or currently treated for a debilitating pathology. Information generated by their charts was used for extensive identification of general characteristics such as age, parity and gravidity. BMI (kg/ m2) was derived from weight measured with patient in light clothing to the nearest half kilogram and height to the nearest cm and waist circumference was assessed in cm at the umbilical level from the horizontal plane, using a plastic tape with the subjects standing and breathing normally. Medical and specific gynecologic history was recorded. Symptoms having led to consultation were noted along with the primary diagnosis of the gynecologist. The diagnosis step was conducted by a Senior Specialist Trainer or by a Specialist Supervisor of the department of obstetrics & gynecology. The Senior Student worked closely with the consultant to collect data of paraclinical assessment needed for the diagnosis. Irrespective of time elapsed since last meal RPG was assayed upon recruitment by use of One Touch Profile Meters (Lifescan, Johnson & Johnson, High Wycombe, U.K.). Patients with a blood glucose e" 200 mg/dL were considered as likely to have diabetes and referred to the unit of metabolic pathologies for appropriate follow-up. Using SPSS (Version 18.0, Chicago, IL, USA) for Odds ratios calculation we assessed risk for finding abnormal blood glucose concentration in cases of gynecologic pathologies. 

Results 
A total of 172 gynecologic non pregnant patients were registered for consultation during the study period, 20 were illegible for the study, 126 accepted to enroll (26 refusals) and were blood sampled. However, due to financial reasons, 27 of them failed to complete the paraclinical step needed for the diagnosis procedure. So the study recruited 99 participants. Their general characteristics are summarized as follows: 34.3�13.0 years, 1.7, 2.3 and .6�1.2 for age, parity and gravidity respectively. The mean BMI was 23.9�4.6 and the waist circumference 80.9�10.3 cm. Of them, 47 (47.5%) were nulliparous, 21 (21.2%) primiparous, and 31   (31.3%) pluriparous.  
Main reasons (symptoms and situations) leading to consult that are presented in Table 1 were either unique or in combination with others.
Table 1: Reasons for consultation at the clinics
Reasons to consultPatients%Pelvic/back pain3333.3Vaginal discharge and or with genital pruritus1010.1Mastodynia88.1Amenorrhea77.1Infertility66.1Abnormal bleeding (menorrhagia or metrorrhagia)66.1Dysmenorrhea55.1Breast tumor55.1Spaniomenorrhea44Miscellaneous	1919.1Total99100The five major gynecologic complaints (pelvic/back pain, vaginal discharge and/with pruritus, mastodynia, amenorrhea, infertility and abnormal uterine bleeding) corresponded to leading diagnoses that were dominated (at least 5%) by myoma, urinary infection, MPKOS, breast cancer (Breast Kc), infertility, cervicitis, vaginitis and ovarian cyst (Table 2).
Table 2: Diagnoses
           Pathologies    Patients%Uterus myomatus1313.1Urinary infection 1111.1MPKOS 99.1Breast cancer99.1Infertility99.1Cervicitis77.1Vaginitis 55.1Ovarian cyst44.0Menopause 33.0Uterine retroversion 33.0Cervical cancer22.0Cervical cancer + Urinary infection22.0Breast fibroadenoma22.0Salpingitis 22.0Chronic pelvic desease22.0Vulvar condylomata acuminata22.0Rokitansky syndrome22.0Premenstrual syndrome 22.0Miscellaneous 1010.1Total99100As of plasma glucose concentrations, the mean of the sample was 123.7�51.6 mg/dL, with 61 mg/dL as minimum and 404 mg/dL as maximum. Eleven women (11.1%) had a blood glucose e" 200 mg/dL and were confirmed diabetic patients afterwards. None of tested women presented with symptoms of marked hyperglycemia. Odds ratios calculation (Table 3) showed that in patients with cervical cancer risk for abnormal RPG (e"200 mg/dL) was significantly 23 times increased (CI 4.0-133).
Table 3:  Risk for diabetes (plasma glucose e" 200 mg/dl) according to gynecologic 
     pathologies 

Gynecologic pathologiesORpCIVaginitis2.9.12.7311.71Breast cancer1.4.48.277.56Cervical cancer23.2.0014.0133.16Urinary infection1.1.61.215.57MPKOS3.4.19.5919.50Condylomata*-.007--Infertility-.37--*Only one case.
Although the risk for abnormal RPG was threefold increased in cases of vaginitis and MPKOS the association was found not significant (CI containing 1). After adjustment for age, BMI and WC,  MPKOS significantly raised the risk for pathologic glucose concentration  (OR 9.8; CI 1.1-86.8) when associated with overweight/obesity. 
Discussion
Random or casual plasma glucose value has proven useful for evaluation of patients at risk of diabetes [8]. It has the advantages of being prompt and cheap in comparison with cumbersome and expensive oral glucose tolerance tests [9]. In our series of gynecologic patients it permitted  recognition of 11 women likely to qualify as having diabetes (11.1%), none of them presenting symptoms of marked hyperglycemia. This rate of diabetes, higher than that (7.4%) previously found in our setting among pregnant women tested for fasting plasma glucose [10], is in accordance with its screening performance. It thus corroborates results of previous studies that used random plasma glucose in larger series for glucose intolerance screening [8,9].
Marked hyperglycemia in our gynecologic patients was found associated with vaginitis and MPKOS although confident interval contained 1, possibly due to smallness of the study sample or meaning effect of confounding factors. This became obvious after adjustment  for age, BMI and WC. Based on theoretical ground a significant association between long-lasting vaginitis and diabetes is admitted in the literature [14] and MPKOS is now well known as a condition of impaired glucose metabolism. As of significant risk for RPG e"200 mg/dL in cases of cervical cancer it is in accordance with association that has been reported between diabetes and cancers [17,18]. The link has been incompletely understood. Ignored hyperglycemia that can be present in these long-lasting or recurrent situations years before the development of overt and sometimes complicated diabetes could be regarded as missed opportunity for early detection of the illness. In turn, a better glycemic control is expected to improve the situations concerned. 
While obstetric practice (by means of gestational diabetes and endothelial dysfunction linked to preeclampsia) has crept into the field of major health situations permitting identification and prevention of type 2 diabetes [11,13], gynecologic practice on the contrary has been less addressed this way. Since vaginitis, micropolycystic ovaries syndrome and cervix cancer seem to correspond to actual diabetic risk factors they may represent, similarly to obstetric practice, a window to the prevention strategy of type 2 diabetes in women. Speaking of rates of hypertension  recognition for women in obstetric and gynecologic clinics  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Schmittdiel%2BJ%5bauth%5d" Schmittdiel et al [19] concluded that �visits to the OBGYN clinic may be important, and currently missed, opportunities for cardiovascular diseases prevention�. We do support that the same may be claimed for diabetes. 
This paper contributes to deem awareness of healthcare providers in gynecologic practice as of their role in early recognition of people with diabetes. The main weakness of this own-funded study is the smallness of the sample owed to the cost of dosages. We encourage less deprived searchers to address this problem in larger series. 

Conflict of interest statement
The authors declare to have no conflict of interest.
References
Mbanya JC, Motala AA,Sobngwi E, Assah, FK,  Enoru ST (2010) Diabetes in sub-Saharan Africa. The lancet.com; 375 : 2254-2266.
Demmer RT, Squillaro A, Papapanou PN, Rosenbaum M, William T. et al. (2012) Periodontal Infection, systemic inflammation, and insulin resistance. Diabetes Care Published online before print July 26, 2012, doi: 10.2337/dc12-0072. 
 HYPERLINK "http://care.diabetesjournals.org/search?author1=Jonathan+Krakoff&sortspec=date&submit=Submit" Krakoff J,  HYPERLINK "http://care.diabetesjournals.org/search?author1=Tohru+Funahashi&sortspec=date&submit=Submit" Funahashi T,  HYPERLINK "http://care.diabetesjournals.org/search?author1=Coen+D.A.+Stehouwer&sortspec=date&submit=Submit" Stehouwer CDA,  HYPERLINK "http://care.diabetesjournals.org/search?author1=Casper+G.+Schalkwijk&sortspec=date&submit=Submit" Schalkwijk CG,  HYPERLINK "http://care.diabetesjournals.org/search?author1=Sachiyo+Tanaka&sortspec=date&submit=Submit" Tanaka S et al. (2003) Inflammatory markers, adiponectin, and risk of type 2 diabetes in the Pima Indian.  Diabetes Care  26 : 1745-1751. doi: 10.2337/diacare.26.6.1745.  
HYPERLINK "http://diabetes.diabetesjournals.org/search?author1=Barbora+Vozarova&sortspec=date&submit=Submit"Vozarova B, HYPERLINK "http://diabetes.diabetesjournals.org/search?author1=Christian+Weyer&sortspec=date&submit=Submit"Weyer C, HYPERLINK "http://diabetes.diabetesjournals.org/search?author1=Robert+S.+Lindsay&sortspec=date&submit=Submit"Lindsay RS, HYPERLINK "http://diabetes.diabetesjournals.org/search?author1=Richard+E.+Pratley&sortspec=date&submit=Submit"Pratley RE, HYPERLINK "http://diabetes.diabetesjournals.org/search?author1=Clifton+Bogardus&sortspec=date&submit=Submit"Bogardus C, HYPERLINK "http://diabetes.diabetesjournals.org/search?author1=P.+Antonio+Tataranni&sortspec=date&submit=Submit"Tataranni PA (2002) High white blood cell count is associated with a worsening of insulin sensitivity and predicts the development of type 2 diabetes. Diabetes  51 : 455-461. doi: 10.2337/diabetes.51.2.455.
 HYPERLINK "http://academic.research.microsoft.com/Author/23550681/kathryn-e-wellen" Wellen KE,  HYPERLINK "http://academic.research.microsoft.com/Author/4380632/gokhan-s-hotamisligil" Hotamisligil GS (2005) Inflammation, stress, and diabetes. HYPERLINK "http://academic.research.microsoft.com/Journal/3520/j-clin-invest-journal-of-clinical-investigation"  J Clin Invest 115 : 1111-1119. DOI:  HYPERLINK "http://dx.doi.org/10.1172%2fJCI25102DS1" \t "_blank" 10.1172/JCI25102DS1.
Lamster IB, Kunzel C, Lalla E (2012) Diabetes mellitus and oral health care: Time for the next step. J Am Dental Ass 143 : 208-210. 
Evans JL, Goldfine ID, Maddux BA, Grodsky GM (2002) Oxidative Stress and Stress-Activated Signaling Pathways: A unifying hypothesis of type 2 diabetes. Endocr Rev  23:599�622.
Ziemer DC, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Kolm%20P%5BAuthor%5D&cauthor=true&cauthor_uid=18335280"Kolm P, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Foster%20JK%5BAuthor%5D&cauthor=true&cauthor_uid=18335280"Foster JK, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Weintraub%20WS%5BAuthor%5D&cauthor=true&cauthor_uid=18335280"Weintraub WS, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Vaccarino%20V%5BAuthor%5D&cauthor=true&cauthor_uid=18335280"Vaccarino V et al. (2008) Random plasma glucose in serendipitous screening for glucose intolerance: screening for impaired glucose tolerance study 2.  HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed/18335280" \o "Journal of general internal medicine." J Gen Intern Med 23:528-35. 
HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=El%20Bassuoni%20EA%5BAuthor%5D&cauthor=true&cauthor_uid=18779039"El Bassuoni EA, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Ziemer%20DC%5BAuthor%5D&cauthor=true&cauthor_uid=18779039"Ziemer DC, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Kolm%20P%5BAuthor%5D&cauthor=true&cauthor_uid=18779039"Kolm P, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Rhee%20MK%5BAuthor%5D&cauthor=true&cauthor_uid=18779039"Rhee MK, HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed?term=Vaccarino%20V%5BAuthor%5D&cauthor=true&cauthor_uid=18779039"Vaccarino V et al. (2008) The "metabolic syndrome" is less useful than random plasma glucose to screen for glucose intolerance. HYPERLINK "https://www.ncbi.nlm.nih.gov/pubmed/18779039" \o "Primary care diabetes."Prim Care Diabetes 2:147-53. 
Tandu-Umba B, Mbangama MA (2013) Outcome-based diagnosis of hyperglycemia in pregnancy in Kinshasa, DR Congo. Int J Obstet Gynecol 120: 93-94.  HYPERLINK "http://dx.doi.org/10.1016/j.ijgo.2012.08.010" \t "doilink" doi.org/10.1016/j.ijgo.2012.08.010. 
Kapur A (2011) Pregnancy: A window of opportunity for improving current and future health. Int J Gyn Obst 115 Suppl. 1: S50�S51.
 HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Bergh%26%23x000f6%3Bfer%20A%5Bauth%5D" Bergh�fer A,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Pischon%20T%5Bauth%5D" Pischon T,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Reinhold%20T%5Bauth%5D" Reinhold T,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Apovian%20CM%5Bauth%5D" Apovian CM,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Sharma%20AM%5Bauth%5D" Sharma AM,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Willich%20SN%5Bauth%5D" Willich SN (2008) Obesity prevalence from a European perspective: a systematic review. BMC Public Health 8: 200-12.  doi:�  HYPERLINK "http://dx.crossref.org/10.1186%2F1471-2458-8-200" \t "pmc_ext" 10.1186/1471-2458-8-200.
 HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Kim%2BC%5bauth%5d" Kim C,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Tabaei%2BBP%5bauth%5d" Tabaei BP,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Burke%2BR%5bauth%5d" Burke R,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20McEwen%2BLN%5bauth%5d" McEwen LN,  HYPERLINK "http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=PubMed&term=%20Lash%2BRW%5bauth%5d" Lash RW et al. (2006) Missed Opportunities for type 2 diabetes mellitus screening among women with a history of gestational diabetes mellitus. Am J Public Health 96: 1643�1648. doi:�  HYPERLINK "http://dx.crossref.org/10.2105%2FAJPH.2005.065722" \t "pmc_ext" 10.2105/AJPH.2005.065722PMCID: PMC1551944.
Ozra M, Malazy T, Shariat M, Heshmat R, Majlesi F et al. (2007) Vulvovaginal Candidiasis and its related factors in diabetic womenTaiw J Obstet Gynecol  46 : 399-404.
Beikert FC, Le MT, Koeninge A, Technau K, Clad A (2011) Recurrent vulvovaginal candidosis: focus on the vulva. doi:�10.1111/j.1439-0507.2011.02030.x
Trolice MP (2011) Defining prediabetes in polycystic ovarian syndrome.  OJOG  1, 36-41 doi:10.4236/ojog.2011.12008.
 HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Giovannucci%20E%5Bauth%5D" Giovannucci E,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Harlan%20DM%5Bauth%5D" Harlan DM,   HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Archer%20MC%5Bauth%5D" Archer MC,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Bergenstal%20RM%5Bauth%5D" Bergenstal RM,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Gapstur%20SM%5Bauth%5D" Gapstur SM et al (2010) Diabetes and Cancer. A consensus report. Diabetes Care 33: 1674�1685. doi:�  HYPERLINK "http://dx.doi.org/10.2337%2Fdc10-0666" \t "pmc_ext" 10.2337/dc10-0666.
 HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Griffiths%20RI%5Bauth%5D" Griffiths RI,   HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Danese%20MD%5Bauth%5D" Danese MD,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Gleeson%20ML%5Bauth%5D" Gleeson ML,  HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Valderas%20JM%5Bauth%5D" Valderas JM (2012)1Department of Epidemiology, Outcomes Insights, Inc, 340 N. Westlake Blvd, Suite 200, Westlake Village, CA 91362, USA
2Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
3Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
 INCLUDEPICTURE "http://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/corrauth.gif" \* MERGEFORMATINET Corresponding author.
Robert I Griffiths:  HYPERLINK "mailto:bob@outins.com" bob@outins.com ; Mark D Danese:  HYPERLINK "mailto:mark@outins.com" mark@outins.com ; Michelle L Gleeson:  HYPERLINK "mailto:michelle@outins.com" michelle@outins.com ; Jos� M Valderas:  HYPERLINK "mailto:jose.valderas@phc.ox.ac.uk" jose.valderas@phc.ox.ac.uk 
Received September 5, 2012; Accepted December 19, 2012.
 HYPERLINK "http://www.ncbi.nlm.nih.gov/pmc/about/copyright.html" Copyright �2012 Griffiths et al.; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( HYPERLINK "http://creativecommons.org/licenses/by/2.0" \t "pmc_ext" http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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&Fgd��: 613. doi:�  HYPERLINK "http://dx.doi.org/10.1186%2F1471-2407-12-613" \t "pmc_ext" 10.1186/1471-2407-12-613.
19. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Schmittdiel%20J%5BAuthor%5D&cauthor=true&cauthor_uid=21339475"Schmittdiel J, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Selby%20JV%5BAuthor%5D&cauthor=true&cauthor_uid=21339475"Selby JV, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Swain%20B%5BAuthor%5D&cauthor=true&cauthor_uid=21339475"Swain B, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Daugherty%20SL%5BAuthor%5D&cauthor=true&cauthor_uid=21339475"Daugherty SL, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Leong%20TK%5BAuthor%5D&cauthor=true&cauthor_uid=21339475"Leong TK et al. (2011) Missed opportunities in cardiovascular disease prevention?: low rates of hypertension recognition for women at medicine and obstetrics-gynecology clinics. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/21339475?dopt=Abstract" \o "Hypertension."Hypertension 57:717-22.



Parts of Co-authors in the article

Tandu-Umba  Barth�l�my : conceaved and designed the study, and led the analysis and the redaction. 
Tsangu  Phuati Joseph�: the Senior Student participated in recruitment of women studied, collected blood and took part in analyzing results and writing the article. 
Mbangama  Muela  Andy�: took part in the design of the study, led  statistical analyses and revised the manuscript.

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