bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Large Chylous Cyst of the Mesentery Simulating an Ovarian Cyst: A Case Report
Authors: Chin Shui‐Hiung , Gill Jaswant S. 
Published: August 2010

AbstractMesenteric cysts are encountered in all age groups. These cysts present with bizarre clinical findings if large enough to be symptomatic, such as pain, a mass and acute or chronic intestinal obstruction. We experienced a rare case of a large chylous cyst of the mesentery. She presented with a huge abdominal swelling equivalent to a 36 weeks gravid uterus simulating an ovarian cyst. The cyst was successfully shelled out of the mesentery and excised. She made an uneventful recovery. Because of the infrequent pre‐operative diagnosis, a report of the case is presented.
Non‐Immune Fetal Ascites: An Appraisal of Etiology and Outcome‐A Clinical and Pathological Review of 35 Cases
Authors: Mir Nisar A. , Perlman M. R. 
Published: August 2010

AbstractThirty‐five cases of non‐immune fetal ascites, seen over a period of 11.5 years, are described. Associated maternal polyhydramnios was present in 9 and antenatal diagnosis was established or suspected in only 8 cases. Causes of ascites observed were: circulatory and cardiac (11), urinary (5), chylous (4), hepatobiliary (3), storage diseases (2), malignancy (2) and gastrointestinal disease (2). No cause for ascites was identified in 6 infants. The overall neonatal and infant mortality rate was 60%. Common indices of adverse prognosis include: prematurity, hydrops, severe respiratory distress, hypoproteinemia, pericardial or bilateral pleural effusions and severe birth asphyxia. Clinical problems encountered in the management of these infants are also reviewed.
High Risk Factors for Cancer of the Endometrium among Japanese Women
Authors: Noda Kiichiro , Yanagawa Hiroshi , Kurihara Souju , Sugimoto Osamu , Takamizawa Hiroyoshi , Tenjin Yoshio , Okudaira Yoshio , Suzuki Tadao , Morizuka Takejiro , Moriwaki Shosuke , Matsuzawa Masumi , Ichinoe Kihyoe , Kasamatsu Tatsuhiro , Yajima Akira , Ishida Reisai , Hando Tamotsu , Nishiya Iwao , Kurano Akihiko , Ichikawa Kimiho , Kuramoto Hiroyuki , Inoue Yoshiki 
Published: August 2010

AbstractFrom a national survey on patients treated for cancer of the endometrium between 1980 and 1981 in Japan, it was found that the incidence of such cancers was 4.2 patients per 100,000 women (based upon approximately 2,500 cases). The mortality rate for endometrial cancer was 0.5 per 100,000 (based upon approximately 300 deaths).Interviews were held with 232 patients with cancer of the endometrium and with women from 2 control groups. The women in the control groups were gynecological patients of approximately the same age as the endometrial cancer patients, thus allowing for analysis of the high risk factors in this form of cancer. The factors which showed significantly high relative risk of cancer of the endometrium were: (I) irregularity of the menstrual cycle after the age of 30, (II) postmenopausal state, (III) unmarried status, (IV) advanced age at first marriage, (V) no history of pregnancy, (VI) a small number of pregnancies or births, (VII) no experience of contraception, (VIII) sparse lactation, and (IX) history of hormone therapy. Other factors which tended to increase risk, but did not reach statistical significance were: (I) hypertension, (II) history of diabetes or non‐endotnetrial tumors, and (III) age of parents at the time of birth over 35. Factors which were virtually indistinguishable from those of the controls included: (I) body weight, (II) irregularity of the menstrual cycle prior to the age of 20, (III) dysmenorrhea, (IV) tobacco usage, (V) alcohol usage, and (VI) dietary habits (consumption of meat, eggs and fruit).
Labor Control under Epidural Anesthesia: Placental Transfer and Newborn Metabolism of Local Anesthetics
Authors: Fuchi Isao , Noda Kiichiro 
Published: August 2010

AbstractThis study was designed to determine which of 4 local anesthetics used for labor control under epidural analgesia, had the least influence upon fetuses and newborns. Comparisons were made using 4 common clinical local anesthetics. Placental transfer was calculated by comparing drug concentrations in the mother's venous blood immediately after delivery to those in the umbilical venous blood of the fetuses or newborns. The ratio for lidocaine was 39.1%; for prilocaine, 93.9%; for bupivacaine, 37.5%; and for mepivacaine, 45.4%. Lidocaine was detectable in the blood of newborns for up to 6 hours after birth, prilocaine for up to 4 hours, bupivacaine for up to 24 hours, although at minimal levels, and mepivacaine for more than 24 hours after birth.
The Effect of a Serine Proteinase Inhibitor on DIC in Septic Abortion
Authors: Takeda Satoru , Kumc Masao , Takechi Kimihiro , Kasamatsu Takahiro , Yoshida Koji , Kinoshita Katsuyuki , Mizuno Masahiko , Sakamoto Shoichi 
Published: August 2010

AbstractA 21‐year‐old woman developed septic shock complicated by acute renal insufficiency after D & C to terminate early pregnancy.Although immediate and aggressive treatment improved the profound cardiovascular collapse, DIC became manifest. Gabexate mesilate, a serine proteinase inhibitor, was substituted for heparin and was beneficial in controlling the coagulopathy. In this case study, the efficacy of gabexate mesilate on DIC as well as the management and treatment of septic abortion are discussed.
Maternal Characteristics and Their Influences on Birth Weight in a Melanesian Population
Authors: Burrows R. F. 
Published: August 2010

AbstractBirth weight of all clinic attending Nivanuatu was analyzed in relationship to the maternal characteristics of weight, height, age, parity, hemoglobin and weight gain in the pregnancy. In addition, the birth weight relationship was determined for gestational length, number of visits to clinic, and the timing of the initial visit to clinic. As in North American and European studies, the birth weight in this Melanesian population was influenced by similar maternal factors of prepregnant weight, weight gain, parity, height and gestational length.The average patient delivering at Central Hospital, Port Vila was 24 years old, 158 cm in height, weighed 64 kg at first booking clinic and gained 400 g/week in the last half of her pregnancy. The patients started attending clinic at mid‐pregnancy and made an average of 6 visits to clinic. The mean gestational age of their infants was 40 weeks with a birth weight of 3,125 g.
Intravenous Tocolytic Therapy for Long Distance Aeromedical Transport of Women in Preterm Labour in Western Australia
Authors: Tsokos Nicolas , Newnham John P. , Langford Stephen A. 
Published: August 2010

AbstractTransport of women in preterm labour in Western Australia is conducted in small fixed wing aircraft over distances up to 2,000 km (1,200 miles). In recent years β‐sympathomimetic inhibition of uterine activity has been employed to reduce the risk of delivery during transfer. This study reports the outcome of routine use of this therapy in which at times classical contraindications have not been observed. During 1983 and 1984, 99 consecutive maternal aerial transfers for preterm labour using β‐sympathomimetic drugs by infusion resulted in only 1 case of pulmonary oedema and 2 of maternal hyperglycaemia. There were no deliveries during the flights. The results of this study suggest β‐sympathomimetic inhibition of uterine activity for women in preterm labour is safe and efficacious therapy for long distance aeromedical evacuation in small aircraft.
Stress Urinary Incontinence: A Comparative Study of Surgical Treatment by the Marshall‐Marchetti‐Krantz Technique with Endoscopic Suspension of the Bladder Neck. Second Report
Authors: Palma Paulo C. R. , Soffiatti Suely A.W.D. , Almeida Sérgio C. , Pinotti Jóse A. 
Published: August 2010

AbstractThe authors compare the results of the surgical treatment of stress urinary incontinence (SUI) by the Marshall‐Marchetti‐Krantz technique with those obtained with endoscopic suspension of the bladder neck.In Group I, 30 patients with SUI were operated on by the Marshall‐Marchetti‐Krantz procedure with a 84% success rate.In Group II, 40 patients with SUI were operated on by the endoscopic suspension of the bladder neck (Stamey procedure) with 95% of cure.The results described in this second report suggested that endoscopic suspension of the bladder neck is better than the Marshall‐Marchetti‐Krantz technique in the surgical treatment of stress urinary incontinence.
Hysterosalpingography in Secondary Infertility
Authors: Khera Kamala Rani , Dhaliwal Lakhbir Kaur , Gupta Indu 
Published: August 2010

AbstractA total of 848 couples attended our infertility clinic over a period of 4 years. Two hundred forty‐eight complained of secondary infertility of which 63.7% had an abnormal hysterosalpingographic finding. The abnormal hysterosalpingography (HSG) was seen to increase with an increase in age and duration of infertility. Of the subjects with previous viable delivery, 41.6% had normal HSG whereas 38.1% with previous spontaneous abortion and only 11.5% with previous induced abortion had a normal HSG. Uterine abnormality was 2 and a half times in the cases with spontaneous abortion than in cases who had previous viable delivery. Tubal blocks were detected more in secondary infertility group whereas congenital uterine abnormalities were more in primary infertility group. Bilateral tubal blocks were more common in cases who had an abortion followed by sepsis.
Parity and Susceptibility to Rubella in Pregnant Women in Japan
Authors: Nakazono Naoki , Fujimoto Seiichiro , Sugawara Takashi , Ichinoe Kihyoe , Kondo Kiyotaro 
Published: August 2010

AbstractThis study investigated how parity of women influence their susceptibility to rubella among 4,601 Japanese pregnant women. The greater part of these women had not received rubella vaccine. The prevalence rate of rubella HI antibody was generally the lowest in the nulliparous women and it also increased with increasing maternal parity.
Abnormal Antepartum Fetal Heart Rate in High Risk Pregnancies with Good Fetal Outcome
Authors: Sadovsky Eliahu , Reifen Ela , Reifen Ram , Ohel Gonen 
Published: August 2010

AbstractA consecutive study of 698 pregnant women for the incidence of abnormal fetal heart rate (FHR) in 2 groups of high risk pregnancy (HRP) with good outcome is presented. Group A consisted of 480 cases, with mild high risk pregnancies in whom a low rate of fetal distress was expected, and group B consisted of 218 cases, of a more severe type of high risk pregnancies in whom a higher rate of fetal distress was expected due to possible fetoplacental unit insult. Both groups combined had a 16.8% rate of pathological FHR. In group A the rate of pathological FHR was 12.3% whereas in group B it was 26.6%. This difference was statistically significant. The most common FHR pathology in group A was loss of variability (36.5%). In group B the most common pathology was FHR decelerations (37%). The demonstration of higher rates of abnormal FHR record in the more severe group of HRP, despite the fact that in all cases the outcome was good, may suggest that a pathological pattern even if sporadic, may represent an early sign of fetal distress which cannot be appreciated by using the conventional criteria of outcome in pregnancy.
Observations on Thyroid Hormones in Hyperemesis Gravidarum
Authors: Lao Terence T. , Chin Robert K. H. , Panesar Nirmal S. , Swaminathan Ramasamyiyer 
Published: August 2010

AbstractAbnormal thyroid function has been reported in pregnancies complicated by hyperemesis gravidarum. This paper reports on the preliminary observations on the thyroid function at the time of presentation in 51 consecutively admitted hyperemetic patients. Elevated total thyroxine concentration (above our laboratory reference range for pregnancy) was found in 45.1% of hyperemetic patients, and these patients had in association significantly elevated total and free triiodothyronine and free thyroxine concentrations, while the thyroxine binding globulin and thyroid stimulating hormone concentrations were similar to the rest of the hyperemetic patients. In the whole group, there were significant correlations between the total and free thyroid hormones. The results suggest that a form of mild but unequivocal hyperthyroidism is present in hyperemetic patients on admission. The likely aetiological factor of the hyperthyroidism is discussed.
Activity of Peritoneal Macrophages in Endometriosis
Authors: Samejima Tetsuro , Masuzaki Hideaki , Ishimaru Tadayuki , Yamabe Tooru 
Published: August 2010

AbstractThe mechanism of infertility in women with endometriosis is still largely unclear. It is thought that peritoneal macrophages increase in number in women with endometriosis and that the macrophages phagocytize sperm or the fertilized ovum, leading to infertility. We examined the levels of phagocytosis by peritoneal macrophages in patients with and without endometriosis using a flow cytometric assay. The level of phagocytosis in the control group was significantly lower than in the group with endometriosis. Quantitative results on the level of phagocytosis by peritoneal macrophages suggest that peritoneal macrophages are one of the factors contributing to infertility associated with endometriosis.
Uterine Malignancy Developing after Long Term Use of IUCD Additional Report of 2 Cases: Endometrial Stromal Sarcoma and Leiomyosarcoma
Authors: Hsu Chien‐Tien , Hsu Mei‐Lien , Hsieh Tung‐Ming , Lin Chung‐Tsung , Wang Tai‐Te , Lin Yun‐Nan 
Published: August 2010

AbstractIn our 2 previous papers published in this Journal, we had 5 cases of uterine malignancies developing after long term use of IUCD's. In the present paper 2 cases of such association are to be added. One case ATH with right adnexectomy was performed for persisting vaginal bleeding after 22 years of Lippes Loop application and recurrence 8 years after the first operation. Pathological diagnosis is endometrial stromal sarcoma. The other case is a leiomyosarcoma developing after 25 years of Lippes Loop application. Although no cause and effect relationship between IUCD use and uterine malignancy in human beings has been proved, the increase in such cases suggests to us that long term application should be avoided, particularly in view of the positive animal experiments. The successive detection of such cases in a relatively short period of time prompts us to make further studies to gain a deeper insight into such associations.
The Attitudes of Doctors and Students Towards a Genetic Service in an Asian Country: Sri Lanka
Authors: Jayasekara Rohan W. 
Published: August 2010

AbstractA study comparing the views on the acceptance of a genetic service of 302 doctors and 143 final year medical students from Colombo, Sri Lanka, showed both groups have strong positive views on the provision and use of genetic counselling, prenatal diagnosis of genetic disorders and therapeutic abortion. The students responded with greater restraint possibly due to being a younger cohort with less clinical experience. Both groups, however, showed little support for the use of prenatal diagnosis purely to determine fetal sex.
RU 486 Mediated Leukocytic Inflammatory Reaction at the Utero‐Placental Interface
Authors: Sinosich Michael J. , Wolf Jean P. , Williams Robert F. , Hodgen Gary D. 
Published: August 2010

AbstractPlacentae obtained from RU 486 treated cynomolgus monkeys, with successful pregnancy outcome, could not be distinguished, by microscopic or macroscopic examination, from normal placental morphology of untreated females. However, circulating PAPP‐A levels were markedly depressed in RU 486 treated (114.8±13.1 IU/l) than in control animals (477.2±150 IU/l), suggesting compromised placental physiology. Microscopic examination of placental tissue obtained from animals with fetal demise, after RU 486 administration, revealed pathological changes. When fetal demise occurred recently (<24 h), active villus destruction by infiltrating polymorphonuclear leukocytes was readily observed. Whereas aqueous extracts of placentae, whether obtained by cesarean section or spontaneous delivery, inhibited neutrophil elastase (HGE) activity, extracts of placenta being degraded by host phagocytic‐proteolytic defense system were rich in HGE activity. Thus suggesting that parturition was not mediated by leukocyte lysosomal proteases, such as HGE, and that hemochorrially implanted placentae produce PAPP‐A, a specific inhibitor of HGE. Administration of RU 486 decreased placental PAPP‐A production and secretion, culminating with a neutrophilic infiltration into placental intervillous blood spaces, destruction of villus structure and fetal demise.
Lectin Binding in Tissues from Hydatidiform Mole, Invasive Mole and Choriocarcinoma to Concanavalin‐A, Wheat Germ Agglutinin and Peanut Agglutinin
Authors: Juan Filomena T. Santiago‐San , Hoshina Makoto , Manalo Augusto M. , Mochizuki Matsuto 
Published: August 2010

AbstractA light microscopic analysis of lectin receptors in normal placenta and trophoblastic disease was performed utilizing biotinylated Concanavalin‐A (Con‐A), wheat germ agglutinin (WGA), and peanut agglutinin (PNA), in conjunction with an avidin‐biotin peroxidase complex. Hydatidiform mole, invasive mole and choriocarcinoma exhibited increased receptors to Con‐A and WGA compared to normal placenta. Increased reactivity to Con‐A and WGA was associated merely with increased growth and proliferation of trophoblasts rather than a malignant transformation. Normal placenta, partial and complete mole generally showed moderate to strong binding with PNA after neuramidase treatment, while invasive mole and choriocarcinoma (11 of 15 cases) generally showed minimal to absent reaction with PNA. Heterogeneity of PNA binding in choriocarcinoma was manifested by the presence of PNA reactivity in the trophoblast membrane in 2 cases wherein no prior neuramidase treatment was given. This suggests that in some malignant trophoblasts, there is absence of sialic acid in the terminal cell surface carbohydrate groups resulting in the exposure of N‐acetylgalactoseamine.
Fitz‐Hugh‐Curtis Syndrome: Three Cases Confirmed by Laparoscopy
Authors: Toki Toshihiko , Hoshiai Hiroshi , Chan Wai‐Ip , Yajima Akira 
Published: August 2010

AbstractThere were 3 cases of Fitz‐Hugh‐Curtis syndrome,—pelvic inflammatory disease (PID) complications and perihepatitis,—caused by Chlamydia trachomatis infection. All 3 patients complained of sudden right upper quadrant pain in addition to PID symptoms. Enzyme immunoassay of uterine cervical specimens revealed that the positive chlamydial antigen and serum antibody titer against anti‐Chlamydia trachomatis were also high. In all cases the laparoscopy revealed findings of perihepatitis on the anterior surface of the right hepatic lobe. In 2 cases, typical violin‐string adhesions were also observed between the liver capsule and parietal peritoneum. In both cases, adhesiolysis was conducted during the laparoscopy.
Non‐Hodgkin's Lymphoma of the Ovaries and Appendix: A Case Report
Authors: Chawla Nirja , Dhaliwal Lakhbir Kaur , Gopalan Sarala , Rajwanshi Arvind 
Published: August 2010

AbstractInvolvement of the female genital tract by non‐Hodgkin's lymphoma is extremely rare. Here is the report of a patient who presented as a bilateral malignant ovarian tumour and was diagnosed by laparotomy and subsequent histopathology to have non‐Hodgkin's lymphoma of both ovaries and appendix. The patient had radical surgery followed by multiagent chemotherapy and is alive without disease at one year of follow‐up.
Excessive Physical Work during Pregnancy and Birth Weight
Authors: Hassan Talat J. , Ibrahim Khushnaseeb , Jabarey Sadiqua N. 
Published: August 2010

AbstractThe effect of excessive physical work during pregnancy on birth weight was studied in 329 full term pregnant mothers with no complication of pregnancy and no associated disease delivering at Jinnah Postgraduate Medical Centre, Karachi. Birth weight was influenced by excessive physical work amongst mothers on diet defecient in calories according to calorie allowance recommended by WHO2 but not in mothers on recommended calories.
Pseudo‐Meigs' Syndrome Secondary to Broad Ligament Leiomyoma: A Case Report
Authors: Buckshee Kamal , Dhond Abhay J. , Mittal Suneeta , Bose Shikha 
Published: August 2010

AbstractAn unusual and rare case of broad ligament leiomyoma with massive ascites and bilateral pleural effusion is described. The ascites and pleural effusion resolved dramatically following removal of the tumor. Patients with pseudo‐Meigs' syndrome may present a diagnostic problem as they masquerade as carcinoma with malignant effusions. Thus they should always be considered for exploratory laparotomy.
Maternal Mortality: A Report from a University Hospital in Ankara
Authors: Ayhan Ali , Tuncer Z. Selçuk , Bilgin Filiz , Gürgan Timur 
Published: August 2010

AbstractMaternal mortality was found to be 140 deaths per 100,000 live births in Hacettepe University Hospital. Infection, hemorrhage and cardiac disease were still the leading causes of maternal deaths. It is possible to reduce the maternal mortality due to these largely preventable causes if standards of care and treatment are raised to a higher level throughout the country.
Is Mucaine an Appropriate Medication for the Relief of Heartburn during Pregnancy?
Authors: Kovacs Gabor T. , Campbell John , Francis David , Hill David , Adena Michael A. 
Published: August 2010

AbstractA double blind comparative study comparing Mucaine, Mucaine without oxethazaine, and placebo was carried out with 50 patients with symptoms of heartburn during late pregnancy.We found that the 2 active treatments were more effective than placebo for the relief of heartburn, but there was no statistically significant difference between groups for the relief of nausea and regurgitation.There was a significant difference in the percentage of days of use of each medication, with the placebo being used least frequently. Although not statistically significant, for the 3 measures for which placebo differed from the active treatments, patients showed a better response to mucaine. This suggests that the addition of oxethazaine may be of benefit. The lack of statistical significance may be due to the relatively small number of cases, and the findings are promising.No side effects were recorded for any treatment.
Clinicostatistical Study of Low Potential Malignancy Ovarian Cystadenoma (Borderline Cases)
Authors: Shiromizu Kenji , Kawana Takashi , Sugase Motoyasu , Izumi Rikuichi , Mizuno Masahiko 
Published: August 2010

AbstractThe number of ovarian cystadenoma of low potential malignancy (abbreviation: LPM) was 31 (5.7%) among common epithelial tumors [benign cystadenoma=400 (74.0%), carcinoma=110 (20.3%)]. Their mean ages, bilaterality, frequency of ascites and nulligravidity were situated intermediately between those of benign cystadenoma and carcinoma. Abdominal tumor, distention, pain and metromenorrhagia were the main symptoms, although gastrointestinal complaints were rare in LPM cystadenoma. With LPM cystadenoma, 19 (61.3%) patients were at stage I, 7 (22.6%) at stage II and 5 (16.1%) at stage III, but with carcinoma, 44 (40.0%) were at stage III‐IV [33 (30.0%) at stage I, and 31 (28,2%) at stage II]. The 5‐year actuarial survival rate was 90% for LPM cystadenoma, but 43% for carcinoma. These results suggest that the clinical and biological features as well as the histological definition of LPM cystadenoma are situated intermediately between those of benign cystadenoma and carcinoma.