bluuebunny/crossref_metadata_2025_split huggingface dataset:
Induction of ovulation and pregnancy following lateral oophoropexy for Hodgkin's disease
Authors: Damewood M.D. , Hesla H.S. , Lowen M. , Schultz M.J. 
Published: April 2004

AbstractPresent therapy for Hodgkin's disease which primarily affects young patients may produce long term remissions in more than 50% of cases. Potential injuries to the reproductive system from radiation or chemotherapy are significant considerations in therapeutic planning. Assessment of the effects of infradiaphragmatic radiation on germ cells may avoid ovarian ablation in women of reproductive age. This report addresses ovarian function and fertility following lateral oophoropexy and repositioning for Hodgkin's disease.
Tumor marker CA 125 level and ovarian volume at different cycle day periods and in postmenopause
Authors: Granberg S. , Wikland M. , Friberg L.‐G. 
Published: April 2004

AbstractThe value of using CA 125 for screening of ovarian carcinoma is still under debate. It is important to be aware of possible physiological variation in serum levels of this antigen. This study aimed at finding out whether there were any differences in CA 125 levels in serum at different cycle day periods of fertile women and postmenopausal women. In 106 women, CA 125 and ovarian volume were measured at different cycle day periods and in postmenopausal women. The highest levels were found in cycle day (CD) 1–9, i.e. 22 units/ml and the lowest in postmenopausal women i.e. 6.7 units/ml. No correlation could be found between the CA 125 levels and ovarian volume as measured by vaginal sonography.
Sickle trait and its association with birthweight and urinary tract infections in pregnancy
Authors: Baill I.C. , Witter F.R. 
Published: April 2004

AbstractThe objective of this retrospective case control study was to compare pregnant women with sickle trait hemoglobin to their normal hemoglobin counterparts. Sickle trait was associated with a significant increase in bacteriuria (13.0% vs 9.0%) and pyelonephritis (2.1% vs 1.4%). No difference was seen in birthweight between the two groups.
Changes in the circulating levels of hemoglobin, hematocrit, serum iron and total iron binding capacity after four methods of surgical tubal sterilization
Authors: El Sahwi S. , Kamel M. , Abd Rabou S. , Haiba N. , Anwar M. 
Published: April 2004

AbstractOne‐hundred women requesting voluntary surgical sterilization were included and enrolled into four groups (each n = 25). Four sterilization modalities were used namely: Falope ring, electrocoagulation, clip and Pomeroy ligation. The circulating levels of hemoglobin, hematocrit, serum iron and total iron binding capacity were studied before sterilization and at 3, 6 and 12 months thereafter. No significant changes were observed at 3 and 6 months post‐sterilization. At 12 months a significant increase in the hemoglobin and serum iron was observed with a significant decrease in total iron binding capacity. Falope ring, clip and Pomeroy ligation were of a higher rank in this context versus electrocoagulation.
Mycoplasmas among clients attending a family planning clinic in Zaria, Nigeria
Authors: Nsofor B.I. , Bello C.S.S. , Ekwempu C.C. 
Published: April 2004

AbstractThe effect of contraception in the incidence of genital tract mycoplasma infection was studied in 150 women practicing contraception and another 50 women attending a gynecological clinic, using no contraception. Using the chi‐squared method, there was no statistically significant difference between total mycoplasma recovery in family planning clients versus the controls. The only statistically significant difference was between total positive mycoplasma in the oral contraceptive group versus IUD users.
Ultrasonographically observed preterm grade III placenta and perinatal outcome
Authors: Chitlange S.M. , Hazari K.T. , Joshi J.V. , Shah R.K. , Mehta A.C. 
Published: April 2004

AbstractUltrasound studies of placenta were conducted in 270 singleton normal pregnancies. Women were enrolled between 31 and 34 weeks of gestation and were followed up for the outcome of pregnancy. Women with grade III placental maturity comprised the study group (n = 64) and those with grade I placenta were enrolled as control group (n = 206). Another 100 normal women were enrolled to note the prevalence of grade III placenta at term. There was an increased incidence of intrauterine growth retardation (6.20%) and fetal distress (7.8%) in the study group compared with the control group (nil), which was statistically significant. The incidence of low birth weight was also higher (34.37%) in the study group compared with the control group (22.33%). Three women in the study group developed preeclampsia at subsequent follow up visit but none in control group (P < 0.01). Prevalence rate of grade III placenta at term was 28%. In view of these findings preterm grade III placenta is found to be a sensitive predictor of poor perinatal outcome.
Progestin and antiprogestin interactions with progesterone receptors in human myomas
Authors: Vij U. , Murugesan K. , Laumas K.R. , Farooq A. 
Published: April 2004

AbstractProgesterone receptors (PRs) in human fibromyomata (myomas) and normal myometrium were characterized by gel filtration, sucrose gradient sedimentation analysis, isoelectrofocusing and ligand specificity. The PR population in myoma tissues, 1242 ± 505 fmol/mg protein, was 3‐fold higher than normal myometrial tissues under similar hormonal milieu. The increased PR concentration in myomas appears to be of potential importance in physiopathology of fibromyoma.
Sonographic diagnosis of combined intrauterine and extrauterine pregnancy
Authors: Sepúlveda W.H. 
Published: April 2004

AbstractA case of combined intrauterine and extrauterine pregnancy diagnosed by sonography is reported. Both viable intrauterine and ectopic fetuses were demonstrated by real‐time sonography. The importance of careful sonographic examination of adnexal region in all symptomatic patients with first trimester pregnancy or with some predisposing factors for combined pregnancy is emphasized.
Copper and zinc levels in maternal and fetal cord blood
Authors: Veena R. , Narang A.P.S. , Banday A.W. , Bhan V.K. 
Published: April 2004

AbstractSerum copper and zinc were estimated in 44 mothers and their cord blood at term. The results were compared with 40 age‐matched non‐pregnant females and 67 males. The mean serum copper in the nonpregnant female group and in males was 114.6 (SD 30.43) and 111.3 (SD 30.79) μg/dl, whereas in mothers immediately after delivery it was 135.3 (±26.26) μg/dl, which was significantly higher than the female control group (P < 0.01). In fetal cord blood, it was 35% as compared to maternal blood. Serum zinc in control females and males was 112.8 (±11.94) and 109.9 (±15.69) μg/dl, respectively. In mothers it was 102.9 (±17.04) μg/dl which was significantly lower than the female controls. In fetal cord blood, it was 98.6 (±12.10) μg/dl. No significant difference could be obtained between maternal serum zinc and cord blood levels.
Sexual activity and attitudes toward contraception among women seeking termination of pregnancy in Zaria, Northern Nigeria
Authors: Ujah I.A.O. 
Published: April 2004

AbstractOne hundred and eight (108) women seeking termination of pregnancy in Zaria were studied during a period of 3 months (October to December 1985). The mean age was 21.8 years (range 15–38); 35.6% were below the age of 20 years and 57% were students. The three major tribes engage in illegal termination of pregnancy and Yorubas were in the majority; 53.3% had history of previous induced abortion. Sixty‐three percent had had sexual experience by the age of 18 years. The major reasons for seeking termination of pregnancy were “still in school” and “not married.” Although 88.8% had knowledge of contraception, less than half actually used any method. Of the 60 patients who volunteered information on their views on legalization of abortion, 21 (35%) were against legalization of abortion for various reasons. Family health education in schools and contraceptive counseling among the adolescents will reduce the prevalence of illegal abortions and its disastrous consequences.
Oral cavity metastasis from carcinoma of the cervix
Authors: Davidson N.G.P. , Moyo C. 
Published: April 2004

AbstractA case report of a patient with carcinoma of the cervix with metastasis to the oral cavity clinically mimicking a primary oral cavity neoplasm is described. The patient presented one year after completing radiotherapy followed by radical hysterectomy and pelvic lymphadenectomy for carcinoma of the cervix. Excellent palliation was produced with radiotherapy. We are not aware of any reported case of oral cavity metastasis from carcinoma of the cervix.
Prevention of osteoporosis by medroxyprogesterone acetate in postmenopausal women
Authors: McNeeley S.G. , Schinfeld J.S. , Stovall T.G. , Ling F.W. , Buxton B.H. 
Published: April 2004

AbstractThe effect of medroxyprogesterone acetate 10 mg BID alone, conjugated estrogens alone or in a combination regimen for the prevention of osteoporosis was determined in 36 postmenopausal women using single photon densitometry. No significant differences in cortical or trabecular bone mass over time were detected in women between the three treatment groups, although a slight increase in bone mass was noted in women with the combined therapy. Medroxyprogesterone acetate appears efficacious in preventing postmenopausal osteoporosis, and may be especially useful in women with contraindications to estrogen replacement therapy.
An unusual cause and treatment of decelerations in fetal heart rate
Authors: Brotanek V. , Lopez J.S. 
Published: April 2004

AbstractDecelerations of severe degree were detected during the monitoring of fetal heart rate at term. Decelerations continued despite the usual maneuvers in patient's position. Examination by ultrasound revealed that a loop of umbilical cord was held and squeezed in the fetal fist. The oxytocin infusion stimulated strong and frequent fetal movements which caused the fetal grip on umbilical cord to release and FHR decelerations to disappear. Induced labor progressed rapidly and within 5 h a healthy term infant was delivered.
Uterine leiomyomata in pregnancy
Authors: Hasan F. , Arumugam K. , Sivanesaratnam V. 
Published: April 2004

AbstractSixty cases with uterine leiomyomata in pregnancy are presented. The incidence was 1 in 1033 deliveries. The median age of the patients was 33.4 years. The majority were primigravidae (60%). A significant number of patients gave a history of infertility (43%) and spontaneous abortions (25%). The commonest antenatal complication was malpresentation and in all these patients the myomata were larger than 6 cm. Typical features of red degeneration occurred in 10% of cases. The cesarean section rate was 73%, the commonest indication being obstructed labor. Severe hemorrhage was encountered at cesarean section in 10 patients, 3 of whom needed hysterectomy. There were no perinatal deaths.
Short stature and cephalopelvic disproportion in Burkina Faso, West Africa
Authors: Sokal D. , Sawadogo L. , Adjibade A. 
Published: April 2004

AbstractIn order to reduce maternal mortality due to cephalopelvic disproportion (CPD), it is important to screen women for short stature, especially in rural areas of developing countries. We measured the height of 1733 women as they left the maternity services in Ouagadougou and recorded the type of delivery. Women less than 155 cm tall were 4.9 times more likely to have a cesarean section delivery. We propose simplified screening criteria for use by traditional birth attendants.
The use of ammiotic fluid viscosity measurements to establish fetal lung maturity
Authors: Rosati P. , Pola P. , Riccardi P. , Flore R. , Tondi P. , Bellati U. 
Published: April 2004

AbstractA Haake viscosimeter was used to determine the viscosity of amniotic fluid and this value correlated with fetal lung maturity. The results were evaluated along the weeks of pregnancy and compared to those obtained using Gluck's method (lecithin/sphingomyelin ratio (L/S)). Using 91 separate amniotic fluid samples, free of meconium and blood contamination, we found that the new method was quick and easy to perform. Thirty‐one neonates were delivered within 48 h of the amniotic fluid sampling and the percentage of correct prediction of respiratory distress syndrome (RDS) was 71% with a mature L/S ratio and 83% with viscosity < 1.17 cP. In cases with an immature L/S ratio (value below 2) the correct prediction of RDS was 64%; with the fluorescence polarization (FP) technique it was 91%. We conclude that the amniotic fluid FP value is a reliable index of fetal lung maturity and risk for developing RDS and has also specific technical and diagnostic advantages over the L/S ratio.
Immediate postpartum IUD insertions in a Chinese hospital — a two year follow‐up
Authors: Zhou S.‐W. , Chi I.‐C. 
Published: April 2004

AbstractA data set consisting of 199 immediate postpartum IUD insertions performed at the Xuan Wu Hospital, Beijing, China was analysed in terms of insertion route, category of inserting personnel and device type. IUD expulsion and continuation of use were the outcome events of interest in this study. Based on our findings, the following hypotheses were derived for future confirmative studies: lower expulsion rates and hence, higher continuation rates of immediate postpartum IUD insertions are associated with (1) insertions through the abdominal incision wound for women who had a cesarean delivery as compared to immediate (< 10 min) vaginal insertions in women with vaginal delivery; (2) obstetrician insertions, as compared to midwife insertions, and (3) use of the Delta T, as compared to that of the Delta Loop. For the derivation of the latter two hypotheses, only the vaginal insertions were studied.
Acquired gynetresia in Eastern Nigeria
Authors: Ozumba B.C. 
Published: April 2004

AbstractA retrospective analysis of 78 patients who presented with acquired vaginal stenosis between January 1980 and December 1989 at the University of Nigeria Teaching Hospital Enugu was carried out. Ritual circumcision was a leading cause of this condition, followed by birth injuries and postoperative injuries. Urinary symptoms such as dysuria and urinary retention, as well as coital difficulty presenting as dyspareunia and apareunia featured prominently amongst the patients. The modified Fenton's operation was used in treating a majority of the patients, with good results. Occasionally more extensive surgery such as the Mclndoe operation was used when the lesion was more severe. Recurrence rate was low and 11 women became pregnant during the period of follow up. The problem is of public health dimensions, and community based education to eliminate the etiological factors is recommended.
A randomized trial of penicillin and streptomycin in the prevention of post‐partum infection in Uganda
Authors: Kampikaho A. , Irwig L.M. 
Published: April 2004

AbstractWe report findings of a randomized trial of penicillin and streptomycin to prevent postpartum infection conducted on 737 women who delivered consecutively at Kawempe Maternity Centre (KMC) in Kampala from 1st October, 1989 to 31st May, 1990. The objectives were: (i) to identify clinical postpartum infection using at least two of its symptoms and signs (fever, lower abdominal pain, lower abdominal tenderness, vaginal discharge); (ii) to identify the causes of postpartum infection using laboratory methods; and (iii) evaluate the effectiveness of prophylactic fortified procaine penicillin (PPF) and streptomycin on postpartum infection. Clinical infection occurred in 36.4% of the group not given antibiotics, 23.3% in the PPF group and 20.3% in the streptomycin group. Laboratory‐confirmed infection occurred in 15.5% of the group not given antibiotics, 9.2% in the PPF group and 8.4% in the streptomycin group. However, severe laboratory‐confirmed infection (severe clinical infection plus positive laboratory findings) occurred in 4.9% of the group not given antibiotics, 6.1% in the PPF group and 6.6% in the streptomycin group. In general, the organisms isolated included enterobacteria (35.9%), yeast and protozoa (31.6%), staphylococci (23.9%), streptococci (69%) and Neisseria (1.7%). The advantage of PPF and streptomycin was evident in most subgroups defined by clinical characteristics or laboratory findings. In view of the findings in this study, we believe that prophylactic antibiotics given in labor may have a role to play at reducing the incidence of postpartum infection. However, as the cost of antibiotics in developing countries is significant, the development of resistant organisms due to indiscriminate antibiotic use is also a concern and health resources are best used when targeted at specific populations, we feel that antibiotic prophylaxis should not be used routinely and that a more realistic view can be obtained by studying high‐risk groups of women with more severe infection.
Poor glycemic control and antepartum obstetric complications in women with insulin‐dependent diabetes
Authors: Rosenn B. , Miodovnik M. , Combs C.A. , Khoury J. , Siddiqi T.A. 
Published: April 2004

AbstractOBJECTIVE: The purpose of this study was to test the hypotheses that the rate of complications of pregnancy in women with insulin‐dependent diabetes is higher than in nondiabetic women and is associated with poor glycemic control and microvascular disease. METHOD: Women who enrolled in a multidisciplinary program of diabetes in pregnancy prior to 20 weeks' gestation were included in the study and matched 1:2 by age, race and parity to a control group of nondiabetic women. Complications of pregnancy were retrospectively analyzed and compared between groups. The association of complications with glycemic control and microvascular disease was analyzed within the diabetic group. RESULT: Women with diabetes had significantly higher rates of pregnancy‐induced hypertension (PIH), polyhydramnios, pyelonephritis, preterm delivery and meconium‐stained amniotic fluid. Poor glycemic control, particularly during the first and second trimesters of pregnancy, was associated with all complications, except pyelonephritis. Microvascular disease was associated with PIH and preterm delivery prior to 34 weeks. CONCLUSION: Women with insulin‐dependent diabetes are at high risk for complications of pregnancy. Glycemic control during the first and second trimesters may affect events later in pregnancy.
Ultrasound‐guided aspiration of ovarian endometriotic cysts
Authors: Giorlandino C. , Taramanni C. , Muzii L. , Santillo E. , Nanni C. , Vizzone A. 
Published: April 2004

AbstractOBJECTIVE: To evaluate the outcome of ultrasound‐guided aspiration of ovarian endometriotic cysts. METHOD: Thirty‐four patients with ovarian endometriomas were submitted to transvaginal (28 patients) or transabdominal (6 patients) ultrasound‐guided aspiration of the cyst content, and then followed with serial ultrasonograms for a mean period of 12 months (range 6–20 months). RESULT: The procedure was successful in all cases, and no early complications occurred. The recurrence rate was 53%, and it was not influenced significantly by the preoperative or post‐operative administration of medical suppressive therapy. CONCLUSION: Ultrasound‐guided aspiration of ovarian endometriomas yields a relatively high recurrence rate, and can be proposed as an alternative treatment when surgery is undesired or contraindicated.
Uterine myxoid leiomyosarcoma and CYVADIC‐etoposide therapy
Authors: Fukunishi H. , Yukimura N. , Takeuchi S. , Kitazawa S. 
Published: April 2004

AbstractObjectives: To conduct a pathological characterization of rare uterine myxoid leiomyosarcoma (MLS) and establish an effective chemotherapy for metastasis after hysterectomy. Methods: Histological and immunohistochemical methods were used to characterize the type of uterine MLS in a 39‐year‐old female. For multiple lung metastases found 3 months after operation, CYVADIC (400 mg cyclophosphamide, 1 mg vincristine, 50 mg epirubicin and 400 mg dacarbazine per body for one course) and oral etoposide (50 mg/body per day for 2 weeks) were applied. Results: The rapidly enlarging uterine tumors exhibited gelatinous cut surfaces, a high count of 30 mitotic cells per 10 hpf and mucinous stroma, indicating a rare high‐mitotic type of uterine MLS. The two‐course CYVADIC‐etoposide therapy was effective for disseminated pulmonary metastases. Conclusion: The present MLS was a rare high‐mitotic type. CYVADIC‐etoposide was an optional effective chemotherapy for lung metastasis in this case.
Management of patients with persistent β‐hCG values following laparoscopic surgical and local drug treatment for ectopic pregnancy
Authors: Bonatz G. , Lehmann‐Willenbrock E. , Kunstmann P. , Semm I. , Hedderich J. , Semm K. 
Published: April 2004

AbstractObjectives: To show that the β‐human chorionic gonadotropin (hCG) decline following tubal‐preserving techniques for ectopic pregnancy (EP) can take a longer course than currently believed, indicating expectant management; and to define the indications for a second‐look laparoscopy if β‐hCG persists. Methods: Three hundred thirty‐seven patients treated for EP were retrospectively reviewed. In order to define the ‘normal’ β‐hCG decline following tubal‐preserving techniques we acquired a Kaplan‐Meier curve for 98 patients treated by laparoscopic linear salpingotomy, the main method performed for EP (253 patients). The Mann‐Whitney U‐test served as a statistical test. The patient population requiring a second‐look laparoscopy for proliferating trophoblastic remnants is described. Results: Twenty‐eight patients (8.3%) required a second‐look laparoscopy (acute abdominal pain and sonographically suspect findings combined with increasing β‐hCG values). The majority (15 patients) underwent a preceding laparoscopic linear salpingotomy (6.5% unresolved cases). The relative β‐hCG values differed significantly from the unresolved group compared to the group with resolved EP starting at postoperative day 2 (P < 0.01). A maximal β‐hCG decline period of 77 days postoperatively was observed. Conclusions: Patients with slowly declining β‐hCG levels following tubal‐preserving techniques for EP can be managed expectantly. Increasing β‐hCG values combined with abdominal pain and sonographically suspect observations indicate a second‐look laparoscopy.
Two patients with postpartum HELLP syndrome after a normotensive twin pregnancy
Authors: Tilstra J.H. 
Published: April 2004

AbstractTwo patients with postpartum HELLP syndrome after a normotensive twin pregnancy are presented. As seen in one of the patients, morbidity can be significant. These cases illustrate that even after uneventful pregnancies one should be on the alert for symptoms of HELLP syndrome. If symptoms exist laboratory investigations should be carried out.
Self‐report measures of obsessionality, depression and social anxiety in a school population of adolescents
Authors: Allsopp Mark , Williams Tim 
Published: April 2004

AbstractThe results are reported for a non‐clinical school population of 252 adolescent subjects, aged 13 to 15 years, responding to the Maudsley Obsessive‐Compulsive Inventory (MOCI), the Childrens Depression Inventory (CDI) and the List of Social Situation Problems (LSSP). The scales intercorrelated significantly but appear to measure different aspects of self perception. No significant age or gender effects emerged in any. The results obtained are compared with those of previous studies and the use of the MOCI in adolescent populations discussed.