bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sterilization‐associated deaths: A global survey
Authors: Strauss Lilo T. , Huezo Carlos M. , Kramer Dorine G. , Rochat Roger W. , Senanayake Pramilla , Rubin George L. 
Published: April 2004

AbstractExcept for data from several geographically limited studies, little is known globally about the number and causes of death associated with surgical sterilization. To identify clinical characteristics and problems leading to deaths related to the procedures, the International Planned Parenthood Federation (IPPF) and the Centers for Disease Control (CDC) in the United States collaborated in a global mail survey of 4642 physicians. Usable responses were received from 1298 physicians (28%) in 80 countries. Fifty‐five sterilization‐associated deaths which occurred from January 1, 1980 to June 30, 1982 were reported. The most frequently reported causes of death were infection, anesthetic complications, and hemorrhage. There were some regional differences in the relative frequencies of these causes. Most cases did not involve surgical accident. The characteristics most frequently associated with the reported fatal procedures were: interval sterilizations, minilaparotomy incision, tubal ligation and general anesthesia. Most deaths were attributable to the surgical sterilization procedure.
Sonographic criteria of phasic changes in human endometrial tissue
Authors: Sakamoto C. 
Published: April 2004

AbstractSonographic criteria of endometrial tissue were obtained following serial observations in normally ovulating women, and a prospective identification of a specific phase was made in those with regular menstrual cycles. This may be the first report of endometrial tissue characterization. Clinical management of infertility and monitoring of follicular growth will thus be faciliated.
Complications of combined surgery and radiation therapy for carcinoma of the endometrium
Authors: Remy Jean Claude , Fruchter Rachel G. , Boyce John , Macasaet Milagros , Choi Kwang , Rotman Marvin 
Published: April 2004

AbstractLong‐term gastrointestinal (GI) and urinary tract (UT) complications were evaluated in 133 women with carcinoma of the endometrium who were treated by both radiotherapy and hysterectomy. Major complications developed in 8% of patients who received external pelvic radiation but in none with intracavitary radiation. GI complications were more frequent and more severe in patients receiving external pelvic radiation than in those who received only intracavitary radiotherapy, irrespective of the sequence of treatment. UT complications were more frequent with prehysterectomy external radiotherapy (N = 39) than with posthysterectomy external radiotherapy (N = 21).
Management of puerperal separation of the symphysis pubis
Authors: Schwartz Z. , Katz Z. , Lancet M. 
Published: April 2004

AbstractThirteen post‐partum patients with symphysiolysis were treated by intra‐symphysial injection of a combination of hydrocortisone, chymotrypsin and lidocain. The injection was given once a day and the full treatment consisted of between three to seven injections according to the severity of the symptoms. No other medication was given. Immediate relief was obtained in all cases after the first injection and all symptoms disappeared after the completion of treatment. The average time of hospitalization was 9.8 days. No complications were seen as a result of the treatment and the patients resumed their normal activities after being discharged from hospital. In comparison with other modes of treatment, the intra‐symphysial injection of the above drug combination shortened the time of morbidity and effected complete recovery.
Prostaglandins in the fetal circulation following maternal ingestion of a prostaglandin synthetase inhibitor during mid‐pregnancy
Authors: MacKenzie I.Z. , Graf A.K. , Mitchell M.D. 
Published: April 2004

AbstractTo assess the possible effect upon the fetus of maternal ingestion of the prostaglandin synthetase inhibitor, mefenamic acid, taken during mid‐pregnancy (15–22 weeks) to prevent spontaneous abortion, samples of fetal blood were collected at fetoscopy from 13 treated and 14 untreated control cases. Mefenamic acid levels in the fetus were 32–54% of those in the mothers in the treated group, while prostaglandins E2 (PGE2), 6‐oxo‐PGF1α and PGFM were all slightly but not significantly lower in those patients given 500 mg mefenamic acid 40–180 min prior to sampling than in untreated controls. Results indicate that the prostaglandin synthetase inhibitor crosses the placenta at this early gestation and may possibly suppress fetal prostaglandin production.
Cyclophosphamide and cisplatinum combination chemotherapy for the treatment of epithelial ovarian carcinoma
Authors: Hahn Karla , Magrina Javier F. , Masterson Byron J. 
Published: April 2004

AbstractA review of 18 patients with Stage III epithelial ovarian carcinoma treated by surgery and followed by cyclophosphamide and cisplatinum combination chemotherapy is presented. At the end of 12 months from the initiation of chemotherapy, 88.9% of the patients were alive and 77.8% remained free of tumor progression. At the end of 2 years 77.8% of the patients were alive and 44.4% of the patients were free of tumor progression. The combination of cyclophosphamide and cisplatinum has low toxicity, a simple pattern of administration, and has provided satisfactory results.
Neutral mucosubstances as a prognostic indicator in serous and endometrioid carcinomas of the ovary. A morphometrical analysis of saliva‐periodic acid‐Schiff stain
Authors: Aalto M.‐L. 
Published: April 2004

AbstractForty‐four serous and 17 endometrioid carcinomas of the ovary were classified on hematoxylin‐eosin stained tissue sections using the criteria of World Health Organization (WHO). The amount of saliva‐periodic acid‐Schiff (SPAS) staining positivity, indicating presence of neutral mucosubstances, was quantitated morphometrically and compared with survival of the patients. The 5‐year survival of patients who had SPAS positive serous carcinoma was 36% whereas that of patients with SPAS negative serous carcinomas was only 7%. Among the patients who had endometrioid carcinoma showing SPAS positivity over the median, the 5‐year survival was 47%. All patients with SPAS positivity less than the median had died in 3 years after the diagnosis. The differences in survivals were statistically significant (P < 0.001). This study shows that neutral mucosubstances as quantitated morphometrically is a good prognostic indicator of serous and endometrioid carcinomas of the ovary.
Evaluation of a needle pH electrode for continuous tissue‐pH monitoring during labor. Characteristics during acidosis in the rat
Authors: Nickelsen C. , Weber T. , Hansen A.J. , Hansen A. , Zeuthen T. 
Published: April 2004

AbstractA prototype of a needle tissue‐pH (t‐pH) electrode designed for continuous t‐pH monitoring of the human fetus during labor is described and evaluated in vitro and in vivo in the rat. Respiratory acidosis was induced by ventilation with 5% carbon dioxide, and t‐pH measured by the needle electrode compared to simultaneous t‐pH measured by the Kontron‐Roche electrode and to arterial blood pH. A close correlation between the two t‐pH electrodes was demonstrated (r = 0.80, P < 0.001).Furthermore, a close correlation was found between t‐pH and arterial blood pH during the first 15 min of acidosis (r = 0.82, P < 0.001). It is concluded that the needle electrode fulfils nearly all theoretical demands to a t‐pH electrode for clinical use.
Expression of HLA class I and class II antigens in human choriocarcinoma cell lines
Authors: Yamashita K. , Nakamura T. , Shimizu T. , Katagiri M. , Ikeda H. 
Published: April 2004

AbstractEight choriocarcinoma cell lines (6:gestational origin, 2:non‐gestational origin) were studied by a radioimmune inhibition test using monoclonal antibodies for the expression of HLA class I and class II antigens. Levels of HLA class I antigens were very slight or nil. On the other hand, no HLA class II antigen was detected in any choriocarcinoma cell lines examined.
Continuous extraovular prostaglandin F2 alpha instillation for late pregnancy termination in patients with previous cesarean section delivery
Authors: Atad J. , Lissak A. , Calderon I. , Sorokin T. , Abramovici H. 
Published: April 2004

AbstractLate pregnancy termination by continuous extraovular instillation of prostaglandin F2α (PGF2α) was successfully performed in 13 patients with previous cesarian section (CS) delivery. The indications for pregnancy termination were intrauterine fetal demise in nine patients, social indications in two patients, Down's Syndrome in one patient and quadruplets pregnancy in one patient. One patient had a previous classical vertical cesarian section, two had two previous and one three previous low segment transverse (LST) cesarian sections. The other nine patients had one previous low segment transverse cesarian section. The instillation of prostaglandin solution was obtained by using a new double balloon catheter designed for extraovular pregnancy terminations. All patients aborted following the procedure with no complications. The instillation abortion time ranged from 1/2 to 20 h (mean 13.3 h).
Determination of trace and bulk elements in plasma and erythrocytes of healthy pregnant women by pixe method
Authors: Gödény Sándor , Borbély‐Kiss Ilkikó , Koltay Ede , László Sándor , Szabó Gyula 
Published: April 2004

AbstractParticle Induced X‐ray Emission (PIXE) analysis of blood samples from healthy pregnant women was carried out. Elements S, Ca, P, K, Cl, Fe, Zn, Cu, Rb and Br were detected in red blood cells while S, Ca, P, K, Cl, Fe, Zn, Cu, Ni, Br in the plasma. The concentrations of Ca, K and Br were found to be stable throughout pregnancy, others exhibited significant alterations. The importance of macro‐ and microelement metabolisms during pregnancy and their role in the intrauterine development is summarized.
Hospital deaths in a high risk obstetric population: Karawa, Zaire
Authors: Smith Jason B. , Burton Nadine F. , Nelson Grace , Fortney Judith A. , Duale Sambe 
Published: April 2004

AbstractThree thousand four hundred thirteen consecutive deliveries at a rural hospital in Zaire are examined. 85% of patients had goiters and 5% were cretins. Twenty maternal deaths occurred, or 5.9 per 1000 deliveries. Risk factors for maternal death included late presentation, advanced age (⩾ 35 years), no education and presence of goiter or cretinism. Ninety percent of women who died were in critical condition at admission, 45% had labored ⩾48 h and 70% had uterine rupture.
Selective screening for carcinoma cervix in south Indian women
Authors: Shrivastav P. , Jairaj P. , Balasubramaniam N. , Krishnaswami H. 
Published: April 2004

AbstractIn India, the need exists for a scheme of selective screening for women at high risk of developing cervical carcinoma. In this study, the incidence of abnormal cervical cytology amongst 500 pregnant south Indian women (gravida 3, para 2 or more) who were booked under the Post Partum Programme of the Government of India was compared to that of 200 primi and second gravidas from the same out patient clinic population. Abnormal cytology was detected in 3.6% of the women in the study group which was significantly higher (P < 0.05) than that in the control (0.5%), indicating that the former are at higher risk of developing cervical cancer.Within the study group, abnormal cytology was not found to correlate with increasing age and gravidity or with any clinical parameter. The study and follow up could be carried out using existing facilities and manpower. Using existing personnel involved in the Post Partum Programme, a follow up rate of 67% could be achieved from among women with abnormal cervical cytology. The cost‐effectiveness of this scheme of selective screening is borne out by the extremely modest additional cost incurred.
Poor prognostic value of the basal fetal heart rate as observed during antenatal monitoring
Authors: Odendaal H.J. , Kotze T.J.v.W. 
Published: April 2004

AbstractThe basal fetal heart rate, accelerations, decelerations and amplitude and frequency of variation were scored in positive stress tests of 146 and in suspicious recordings of 296 patients. Positive tests scored lower for accelerations, decelerations and amplitude and frequency of variation but not for the basal heart rate. When the outcome was poor, as characterized by low 5‐min Apgar score and intrauterine growth retardation, it was reflected by all parameters of the fetal heart rate pattern except for the basal heart rate.
Yugoslavian experience with the contraceptive sponge
Authors: Borko E. , Behlilovic B. 
Published: April 2004

AbstractA trial of the contraceptive sponge was conducted at two clinics (403 subjects) in Yugoslavia. Women were periodically followed up for 1 year. The 1‐year method pregnancy rate (life‐table) was 5.6 per 100 women. Rates of other events leading to discontinuation of sponge use were similarly low. There were no serious complications. The results of the study show that the contraceptive sponge may be successfully used by a population of women with limited experience with the use of vaginal contraceptive methods.
Acute rupture of an ovarian pregnancy associated with a negative serum B‐HCG
Authors: Fejgin M. , Cohen I. , Ben‐nun I. , Siegal A. , Ben‐Aderet N. 
Published: April 2004

AbstractA case of acute rupture of an ovarian pregnancy in which Beta Subunit of human chorionic gonadotropin was negative is presented. This is the first case known in the literature. Clinical and laboratory aspects of ovarian pregnancy are reviewed.
Re‐evaluation of the obstetrical risk for the older primipara
Authors: Blickstein I. , Lancet M. , Kessler I. 
Published: April 2004

AbstractThe obstetric data relating to 92 older primiparas (OP) treated as regular obstetric patients and data relating to 92 older multiparas (OM) are compared to a previous study of 98 OP, which led to the conclusion that OP should not be managed as high‐risk patients during gestation. No difference was found between the two periods regarding complications of pregnancy, gestational age and birth weight, onset of labor, perinatal morbidity and mortality. Nevertheless, cesarean deliveries were significantly higher in the study group. It seems that the conservative attitude towards OP during pregnancy is justified, but at labor, more rigid indications for cesarean section should be applied to establish objective patient care.
Hypergonadotropic amenorrhea ‐ etiology and outcome in 93 young women
Authors: Hague W.M. , Tan S.L. , Adams J. , Jacobs H.S. 
Published: April 2004

AbstractNinety‐three cases of amenorrheic women aged 40 years or less in whom serum FSH concentrations were found to be > 20 units/l have been reviewed. The etiology and diagnosis of this uncommon but serious condition and the potential for spontaneous recovery of ovarian follicular activity (17.1%) are discussed. Management is reviewed in the light of ultrasonic, karyotypic and immunological findings.
Sexually transmitted diseases in women with urethral syndrome
Authors: Vitoratos N. , Gregoriou O. , Papadias C. , Liapis A. , Zourlas P.A. 
Published: April 2004

AbstractFrequency of micturition and dysuria were prominent symptoms in 135 (57%) of 237 women with urethral syndrome. Urea‐plasma urealyticum, Mycoplasma hominis and Chlamydia trachomatis were the principal organisms associated with the urethral syndrome (38.41%, 28.14% and 11.11%, respectively). Escherichia coli was cultured from four patients and Herepes genitalis and Neisseria gonorrhoea were isolated from five patients. Infections with more than one organism were frequent. Thirty‐one of 135 patients were infected by two organisms, 27 by three and 4 patients by four microorganisms. Vaginitis due to Garnerella vaginalis, Candida spp. and Trichomonas vaginalis was discovered in 52 (39%) of 135 patients.
Abnormal glucose screening in pregnancy in patients with normal oral glucose tolerance tests as a screening test for fetal macrosomia
Authors: Witter F.R. , Niebyl J.R. 
Published: April 2004

AbstractMinor abnormalities of carbohydrate metabolism in pregnancy are a risk factor for delivery of a macrosomic infant. However, the 50‐g 1‐h oral glucose screen at 28 weeks is not a useful screening test for macrosomia in pregnant patients with normal glucose tolerance tests, because a positive screen does not raise the probability of delivering a macrosomic infant sufficiently to warrant intervention.
Ultrasonic assessment of ovulation in cyclofenil induced ovulatory cycles
Authors: Varma T.R. , Patel R.H. , Pillai U. 
Published: April 2004

AbstractGraafian follicle growth was studied by ultrasound scanning during the peri‐ovulatory period in 64 ovulatory cycles in 32 infertile patients on cyclofenil treatment, and compared with a control group of 32 patients with confirmed ovulatory cycles assessed on the basis of serum progesterone levels in the middle of the second half of the cycle. The mean maximum diameters of the leading follicles before ovulation were 21.9 ± 0.6 (S.E.) mm and 24.4 ± 0.5 (S.E.) mm, respectively for the cyclofenil group and the normal control group (P > 0.05). In 79% of the cyclofenil stimulated group and 83% of the spontaneous ovulation group, ultrasonic evidence of ovulation was present between 12 and 36 h after the initial increase in urine LH levels. Ultrasound scanning was found to be simple, and a quick method of monitoring graafian follicle development and ovulation on cyclofenil therapy and the cycles were comparable to the spontaneous ovulatory cycles as assessed on the basis of graafian follicle diameter, and the time of ovulation. Cervical score was not found to be useful to assess ovulation time in the cyclofenil treated group since 31.3% achieved a score of 10 or more on day – 4, 93.8% within 24 h of ovulation and 24% on day 3 following the ovulation.
Hyperprolactinemic infertile men
Authors: Mbizvo M.T. , Chimbira T.H.K. , Mkwananzi J.B. 
Published: April 2004

AbstractClinical descriptions of prolactin in states of oversecretion are presented in 49 patients that presented for infertility investigation. Radiological assessment did not reveal microadenomas in these patients. Erectile dysfunction or deficient semen parameters could be early manifestations of hyperprolactinemia in some infertile men.
The advantages and disadvantages of subspecialization
Authors: Jansen R.P.S. 
Published: April 2004

AbstractWriting as a subspecialist I intend to show: (1) that subspecialization is as necessary in developing countries as it is in developed countries; (2) that there are universal principles of human nature likely to govern the process of subspecialization, independently of a country's political system or health care policies; and (3) that the pyramidal system of tertiary referrals to subspecialists is threatening to price doctors out of many people's reach.
Contribution of congenital malformation to perinatal mortality in Lagos, Nigeria
Authors: Abudu O.O. , Uguru V. , Olude O. 
Published: April 2004

AbstractOver a 17‐month period we prospectively recorded identifiable congenital malformations at delivery in singleton births in our hospital. Despite the prevailing religious and cultural belief we carried out autopsies in 41% of the perinatal deaths that occurred during the study period. Out of a total of 63 (21/1000 singleton births) congenital malformations discovered, 21 (33%) were identified at autopsy only. About 16% of total perinatal deaths were due to congenital malformation. Cardiovascular malformations accounted for about 40% of perinatal deaths from congenital malformations followed by central nervous system malformation (23.3%), gastrointestinal malformations (20%), musculo‐skeletal malformations (6.7%); renal malformations (3.3%) and others (6.7%). No relationship between maternal age, parity and congenital malformation was found. The results from this study suggest that with the use of autopsy, teratology may contribute significantly to the prevailing high perinatal mortality in Lagos more than was previously thought.
Urinary estrone glucuronide, pregnanediol glucuronide and human chorionic gonadotrophin in threatened abortion
Authors: Ishwad P.C. , Chitlange S.M. , Joshi U.M. , Chowdhury V. , Mehta A.C. 
Published: April 2004

AbstractEstimations of urinary estrone glucuronide, pregnanediol glucuronide and human chorionic gonadotrophin were carried out by ELISA to see their potential in predicting an abnormal outcome in cases with vaginal bleeding in early pregnancy. Reference values were set up with samples from women without bleeding in present or past pregnancies and with normal ultrasonic findings. None of the parameters were found to be sensitive enough to predict an abnormal outcome. However, predictability of an abnormal value was found to be 95% for estrone‐3‐glucuronide (E1G), 93% for pregnanediol glucuronide (PdG) and 87% for human chorionic gonadotrophin (hCG).
Serologic diagnosis of Chlamydia trachomatis infections
Authors: Hossain A. 
Published: April 2004

AbstractThe serology of various infections often caused by Chlamydia trachomatis including complications such as pelvic inflammatory disease (PID) and infertility was investigated comprehensively among diverse patient groups in a developing country using initially an indirect immunofluorescent antibody test (IFA). Any positives detected were further examined by a micro‐immunofluorescence (MIF) method for the presence of type specific anti‐chlamydial IgG/IgM antibodies. Conventional cell culture was carried out concurrently to compare culture results with serologic results. Among 416 patients (107 males and 309 females) C. trachomatis D‐K antibodies to IgG were identified in 87 (20.9%) and to type specific IgM were identified in 11(2.6%) patients. Cell culture identified C. trachomatis in 60 patients (14.4%). C. trachomatis IgG antibodies were detectable in 6.4% of chlamydia culture negative patients.
Histopathology of tubal pregnancy
Authors: Dietl J. , Buchholz F. , Kindler P.A. 
Published: April 2004

AbstractThe histopathological examination of several sections of tubal ectopic pregnancies shows that the growth of the trophoblast usually takes place in an extraluminal subperitoneal site and that dilation of the tube is caused by coagulated blood and not by the trophoblast. For conservative surgery of the tube it is necessary to keep in mind the histopathological findings of tubal pregnancies.
Massive ascites associated with endometriosis in a Nigerian African
Authors: Olubuyide I.O. , Adebajo A.O. , Adeleye J.A. , Solanke T.F. 
Published: April 2004

AbstractA case of endometriosis with massive ascites in a 19‐year‐old Nigerian African is reported. This is an unusual combination and it is likely that most gynecologists and general physicians would never see such a case. The presentation and management of this entity is discussed.
Brenner tumor as encountered in a southern Nigerian Hospital
Authors: Briggs N.D. , Katchy K.C. 
Published: April 2004

AbstractBrenner tumor is an uncommon ovarian tumor whose etiology and hormonal activity have aroused controversies. The salient features of three cases of this tumor seen at the University of Port Harcourt Teaching Hospital, Nigeria, between March 1981 and March 1987 are discussed.In one case, the tumor was bilateral and was associated with secondry polycythemia. Another case was associated with a full term pregnancy and here the tumor contained luteinized stromal cells. Although such cells are usually associated with estrogenic activity, the full term pregnancy in this case will suggest at best a low level of hormonal activity. The last case was an incidental microscopic lesion in a postmenopausal woman.