bluuebunny/crossref_metadata_2025_split huggingface dataset:
The use of analogy in individual psychotherapy with young and pre‐adolescents: “Superman, Bimbo and the big, grey wolf”
Authors: Baird Frank 
Published: April 2004

AbstractFor various reasons, youngsters often have difficulty in discussing important issues in individual psychotherapy. Therapists, also, may find it hard to uncover underlying issues and dynamics. This paper describes three separate techniques for using analogy in individual therapy with the 10 to 15‐year‐old age group. These techniques were developed while the author was a member of a multi‐disciplinary team operating within an out‐patient, adolescent psychiatric clinic.
The dangers of ill‐health through recreation
Authors: Zwingmann Ch. , Gunn Alexander D.G. 
Published: April 2004

AbstractHealthy recreation for adolescents is discussed in its physical, psychological, educational and social dimensions. The medical and psychological dangers, in many current practices, are highlighted. Contemporary changes that have occurred in conceptions of pleasure and recreation are examined and the emerging evidence of the hazards involved is emphasised. Proposals for the prevention of these hazards to health are made.
West Indian adolescents' perceptions of family functioning
Authors: Payne Monica A. , Furnham Adrian 
Published: April 2004

AbstractA total of 424 Barbadians aged 13–15 years completed the Family Functioning in Adolescence Questionnaire, developed in Australia by Roelofse and Middleton (1985). Findings revealed most adolescents, like their Australian peers, reported fairly favourable perceptions of their families. However, neither total nor sub‐scale scores served to discriminate between sub‐groups based on sex, age or household structure to any great extent. A re‐grouping of items based on results of Varimax analysis also failed to yield many significant group differences, although some directions for future research were indicated. Adolescents not living with their fathers seemed to have a somewhat lower sense of personal security, but in other respects did not report their family life any less favourably than did those living with both natural parents.
Adolescents' dropout from individual psychotherapy—is it true?
Authors: Suzuki Ryu 
Published: April 2004

AbstractAlthough adolescent patients are said to have a propensity to drop out from psychotherapy, and clinical experiences seem to support this view, few studies have systematically examined this issue. However, a review of researches on adults' dropout shows that dropout is a serious problem for psychotherapy with adult patients. Moreover, available evidence on adolescents' dropout suggests that there is no significant difference in the rates of dropout from psychotherapy between adolescent patients and adult ones. In order to understand the specific quality of adolescents' dropout, the termination of psychotherapy with an adolescent patient is described and discussed. The view is put forward that it is because of the strong counter‐transference feelings evoked in the therapist, when his adolescent patient leaves him prematurely, tends to maintain the impression of adolescents' proclivity to drop out from psychotherapy.
Transitions in the nuclear age: late adolescence to early adulthood
Authors: Van Hoorn Judith , Le Veck Paula , French Perrin 
Published: April 2004

AbstractCollege students, subjects in a 1983 study on reaction to the threat of nuclear war, participated in a follow‐up study to investigate the changes that occur from late adolescence to early adulthood. The 41 subjects again completed the Nuclear War Attitude Survey (NWAS II) and, additionally, a second questionnaire and a 1 to hour individual interview during which they were asked to explain changes in their answers to the NWAS II. Compared to their previous responses to the NWAS II, the responses of these young adults showed statistically significant decreases in the frequency they reported thinking about the possibility of nuclear war, their estimation of the likelihood of a nuclear war, and their intention to contact the news media to express their views. The researchers hypothesize that the major reasons for changes in response were (1) developmental differences, (2) the campus culture, (3) the political climate, (4) the media climate and (5) lack of engagement with the democratic process.
The measurement of adolescent adaptive processes in the clinical interview
Authors: Tansey L. , Fitzgerald M. , Kinsella A. 
Published: April 2004

AbstractA study is described measuring the clinical usefulness of Adolescent Adaptive Process Scales. These processes are measured in three groups of adolescents in which psychopathology is also measured using a standardized psychiatric interview. Inter‐rater reliability is calculated between two raters and mean score comparisons are made between the groups using the t‐test method. In the study a higher inter‐rater reliability and some preliminary evidence of construct validity are found for these scales. The findings indicate that these scales could constitute a useful clinical tool in pyschotherapy, research and teaching. They also provide scope for future work in the field.
17α‐Hydroxylase deficiency in a genetic male and female sibling pair
Authors: Sills Irene N. , MacGillivray Margaret H. , Amrhein James A. , Migeon Claude J. , Peterson Ralph E. 
Published: April 2004

AbstractThe diagnosis of congenital adrenal hyperplasia due to a deficiency of the enzyme 17α‐hydroxylase was made in a genetic male and female sibling pair born of parents who were first cousins. The genetic male was a phenotypic female who presented with primary amenorrhea and mild hypertension. The genetic female exhibited absence of secondary sexual characteristics and severe hypertension. The plasma steroid data confirmed the diagnosis of 17α‐hydroxylase deficiency in both subjects: low 17α‐hydroxyprogesterone, elevated desoxycorticosterone, elevated corticosterone and elevated progesterone. These are the first case reports of 17α‐hydroxylase deficiency in a male‐female sibling pair, and they add support to the hypothesis that this is an autosomal recessive disorder.
Testosterone secreting adrenal cortical adenomas
Authors: Imperato‐McGinley Julianne , Young Iven S. , Huang Theresa , Dreyfus Joseph C. , Reckler Jon M. , Peterson Ralph E. 
Published: April 2004

AbstractWe report the hormonal and radiological evaluation of two cases of adrenal cortical adenomas that secreted testosterone exclusively. We discuss some of the pitfalls in the diagnosis of this lesion, and summarize the current knowledge of the characteristic hormonal features in the two cases and the 12 cases previously reported.
Cytomegalovirus infection of the uterine cervix: Local cervical infection and antibody response
Authors: Chiang Wen Tsuo , Chen Hong‐Ming , Hsieh Chang Yao , Tsai Wey Siong , Wei Ping Yen , Alexander E. Russell 
Published: April 2004

AbstractThirty‐three women were examined on three or more occasions, each at 2‐month intervals. The overall recovery rate of cytomegalovirus (CMV) was 28% (60/215). CMV was recovered from 53% of the cases where the local antibody was 1: 64 or greater but the greatest difference occurred below titers of 1: 32. Below that level virus was recovered in less than 5%, compared to a prevalence of 35% for cases with a titer of 1: 32 (P < 0.001). Twenty‐eight cases in whom CMV was sought underwent colposcopic examination and had cytologic smears examined by the papanicolaou method. The external uterine cervix with columnar cells only yield a CMV prevalence of 3/17 (18%). However, if colposcopy showed either atypical transformation or metaplasia the prevalence was 4/11 (36%). Similarly, it is provocative that the prevalence of CMV appears to increase with abnormal cytologic findings to 33% recovery in severe dysplasia or carcinoma in situ.
Antibody to hepatitis B core antigen, e‐antigen and its antibody in menstrual blood and semen
Authors: Ayoola E.A. , Ladipo O.A. , Odelola H.A. 
Published: April 2004

AbstractFifty male and fifty female healthy Nigerians were screened for hepatitis B surface antigen (HBsAg). Results were positive in five men and four women. HBsAg was detected in samples of semen of three male HBsAg carriers and in menstrual blood of four female carriers. Seven of the carriers had detectable hepatitis B core antibody in their serum; of these carriers, two semen and two menstrual blood samples were also positive for this antibody. In none of these subjects did we detect e‐antigen or its antibody in either the serum, semen or menstrual blood. It is concluded that the presence of the antibody to hepatitis B core antigen, which is a marker of persistent viral replication and of infectivity, further reinforces the role of sexual transmission in the propagation of hepatitis B virus infection in the tropics.
Testicular morphology in the 47XXY fetus at 16 weeks gestation
Authors: Rock John A. , Rock William A. , Rary Jack 
Published: April 2004

AbstractThe testis from two 47XXY fetuses (20 weeks) revealed histologic features not dissimilar from that observed in a normal 46XY fetus of similar gestational age. These findings support the observation that the loss of germ cells in patients with Klinefelter's syndrome is an event which begins in infancy and not in utero and progresses through early childhood and the prepubertal period. At puberty germinal aplasia may be complete with clinical evidence of testicular atrophy.
A successful pregnancy in transfusion dependent homozygous β‐thalassemia: A case report
Authors: Goldfarb A.W. , Hochner‐Celnikier D. , Beller U. , Menashe M. , Dagan I. , Palti Z. 
Published: April 2004

AbstractA rare case of successful pregnancy in a 26‐year‐old woman with transfusion dependent homozygous β+‐thalassemia is described. Following the delivery she became amenorrheic with no evidence of ovarian or pituitary failure. Transient fertility is most unusual in female patients who otherwise present with a severe clinical course of the disease.
Mixed Mullerian tumors of the uterus: Clinical and pathologic correlations
Authors: Lotocki Robert , Rosenshein Neil B. , Grumbine Francis , Dillon Michael , Parmley Tim , Woodruff J. Donald 
Published: April 2004

AbstractThe 10‐year experience at The Johns Hopkins Hospital with 61 cases of mixed Mullerian tumors were reviewed. The patients had a mean age of 63.7 years and the similar constitutional factors of diabetes mellitus, hypertension and nulliparity of endometrial adenocarcinoma. Only one patient had estrogen exposure. Eighteen percent had had prior exposure to pelvic radiation. The life table survival of the 61 patients was 41.1% at 5 years. The 2‐year life table survival was 76% for disease confined to the uterus and 16.5% for extrauterine disease. There was no difference in survival between homologous and heterologous tumors. The surgical staging and the autopsies reviewed documented widely disseminated disease even when the tumor appeared to be confined to the uterus. It thus appears essential in order to improve survival these patients require aggressive staging and consideration of systemic adjuvant chemotherapy.
Influence of maternal levels of blood glucose on fetal outcome
Authors: Raman Leela , Rao Veena A. , Kumar S. 
Published: April 2004

AbstractThe effect of maternal levels of fasting blood glucose on fetal outcome was studied in 500 women with normal and toxemic pregnancies. Forty percent of the mothers with low glucose levels gave birth to low birth weight infants. In cases of severe preeclamptic toxemia, low fasting glucose levels were associated with a higher incidence of low birth weight, prematurity and stillbirths. Thus, in a population subsisting on poor caloric and protein intake, maternal levels of fasting blood glucose may be an important index in predicting high‐risk pregnancy.
Hypergonadotropic ovarian failure in young women
Authors: Bateman Bruce G. , Nunley Wallace C. , Kitchin James D. 
Published: April 2004

AbstractThe purpose of this study is to evaluate 13 patients with primary ovarian failure (POF). All patients were less than 35 years of age. Serum FSH, performed by RIA, was in the post‐menopausal range in all patients. Karyotype with Q‐banding was performed on peripheral leukocytes and/or ovarian tissue. All patients had 46XX karyotype. Eleven patients had laparoscopy or laparotomy and ovarian biopsy. Two of the 11 patients had ovarian follicles. One patient had Graves' disease. Based on our data, we offer these conclusions. A thorough evaluation of patients with premature ovarian failure is essential. Testing for autoimmune endocrinopathies should be considered in POF patients who exhibit any signs of endocrine dysfunction. A peripheral karyotype with banding should be performed on all patients. The resistant ovary syndrome may occur with greater frequency than has previously been reported and a review of the literature on the resistant ovary syndrome is presented.
Micrognathia—prenatal ultrasonographic diagnosis
Authors: Shalev Eliezer , Weiner Ehud , Feldman Ester , Cohen Hana , Zuckerman Henryk 
Published: April 2004

AbstractThe first case of prenatal real‐time ultrasonographic diagnosis of micrognathia is presented. Diagnosis was made at 17 weeks' gestation in the fetus of a patient with previous infant affected with the syndrome of thrombocytopenia with absent radii (TAR). Recognition of micrognathia as a part of TAR syndrome and the easy visualization of fetal facial bones in the second trimester made diagnosis possible.
Induction of ovulation with clomiphene citrate followed by LH‐RH in women
Authors: Maia H. , Barbosa I.C. , Maia H. , Hirsch C. , Tironi E. , Coutinho E.M. 
Published: April 2004

AbstractLuteinizing hormone‐releasing hormone (LH‐RH) was used to induce ovulation following clomiphene priming to stimulate follicular growth. Ovulation was assumed to have occurred following LH‐RH injection when progesterone levels started to rise within 48 h following treatment and LH pretreatment levels were below 8 mIU/ml. Ovulation occurred in eight of 10 patients following the administration of LH‐RH and six pregnancies were achieved in the first 4 months of treatment.
Deliveries after cesarean birth in two Asian university hospitals
Authors: Chi I‐Cheng , Saifuddin Abdul Bari , Gunatilake D.E. , Wallace Sylvia L. 
Published: April 2004

AbstractThe task force of the consensus conference on cesarean birth of the National Institutes of Health, USA, has recommended substituting a trial of labor and vaginal delivery for elective repeat cesarean section in selected women. This paper assesses the benefits and risks associated with that recommendation using data from two Asian teaching hospitals, one in Jakarta, Indonesia and the other in Colombo, Sri Lanka. Data recorded on the Maternity Record Form designed by the International Fertility Research Program and the International Federation of Gynecology and Obstetrics were used for analysis. Consistent findings were derived from the two hospitals, in spite of the different medical care delivery systems in their countries. No significant increase in maternal and infant mortality and morbidity were associated with women having vaginal delivery subsequent to cesarean birth as compared to those with repeat cesarean section. Savings in medical cost were considerable in the former group.
Prenatal diagnosis of placental hemangioma — clinical implication: A case report
Authors: Shalev Eliezer , Weiner Ehud , Feldman Ester , Zuckerman Henryk 
Published: April 2004

AbstractPlacental hemangioma is considered to be associated with a high rate of maternal and fetal complications. We report a case where ultrasonography revealed the placental tumor at 28 weeks gestation. The patient was kept under strict surveillance which permitted diagnosis of pre‐eclampsia at 34 weeks gestation with successful termination of pregnancy at 37 weeks.The ultrasonic features of the tumor are described and the clinical implication discussed.
Characteristics of contraceptive acceptors in an urban Nigerian setting
Authors: Ayangade Okun 
Published: April 2004

AbstractIntensive efforts in promoting family planning concepts and contraceptive delivery in the third world over the past two‐ and one‐half decades have yielded only token dividends. This has occurred in Nigeria, despite the favorable government attitude. A study of the characteristics of current contraceptive acceptors showed an overwhelming percentage of acceptors are uneducated, married and from the lower socioeconomic class, a striking departure from usual expectations. Most acceptors prefer oral contraceptives. The status of acceptance of modern contraception by the educated population is still underermined. Contraceptives appeared to be used primarily by women aged 30 and older in our population.
A study of delta intrauterine devices in Ankara, Turkey
Authors: Kisnisci Husnu , Champion Cheryle B. 
Published: April 2004

AbstractDelta devices, modifications of standard Lippes Loop D and TCu 220C IUDs, were designed for postpartum insertion. A study of the Delta T and the Delta Loop was conducted at Hacettepe University School of Medicine in Ankara, Turkey. The IUDs were randomly allocated to 246 immediately postpartum women (<10 min postplacenta). Twelve‐month expulsion rates were low for both devices; 3.7 for Delta Loop users and 7.6 for Delta T users.
Intracervical administration of prostaglandin E2 prior to vacuum aspiration a prospective double‐blind randomized study
Authors: Iversen Torbjørn , Skjeldestad Finn Egil 
Published: April 2004

AbstractTwo‐hundred and ninety‐three patients without a previous vaginal delivery were randomized to intracervical/extra‐amniotic application of 0.5 mg prostaglandin E2 (PGE2) or to gel only. Of the patients who received PGE2, 18.7% were admitted before the next morning due to spontaneous abortion, bleeding or pains. No other side‐effect was observed. A statistically significant dilatation of the cervical canal was found in the prostaglandin group. Thirty percent of the treated patients did not need further dilatation of the cervix 25.4% were non‐responders to PGE2 and 7.7% were hyper‐responders. The number of uterine perforations, pelvic inflammatory disease (PID) or retained pregnancy products were not influenced by the pretreatment with PGE2.
Diagnosis and management of tubal pregnancy: Effect on fertility outcome
Authors: Paavonen J. , Varjonen‐Toivonen M. , Komulainen M. , Heinonen P.K. 
Published: April 2004

AbstractWe analysed 188 ectopic pregnancies seen during a 2‐year period. They represented 2.2% of the live births that occurred during the same time interval. Overall, 53% of the tubal pregnancies had ruptured at the time of examination. Location was ampullary in 51% of the cases, isthmic in 28%, and 10% had aborted. Sixty‐nine (38%) patients had an IUD. Diagnostic sensitivity was 58%–93% for pregnancy tests, 79% for culdocentesis, 41% for ultrasound examination, 43% for dilatation and curettage, and 100% for laparoscopy. Salpingectomy was performed in 47% of the cases, salpingotomy in 27%, and tubal resection in 19%. During a follow‐up of 116 women (mean 1.5 years, range 0.5–3 years) 49% delivered, 10% had repeat ectopic pregnancy, 10% had abortion, 17% were infertile and 15% practised birth control. Among those who delivered no difference was found between those who underwent salpingectomy and those who underwent conservative surgery.
Effect of copper T intrauterine device on cervico‐vaginal flora
Authors: Wahab S.A. , Altaieb S. , Senity A. , Saleh A. , Sakr E. , Hamly A.K. , Hegab M. 
Published: April 2004

AbstractThe effect of the Copper T intrauterine device (IUD) insertion on vaginal and cervical flora was studied in thirty cases. The vaginal and cervical cultures showed a significant increase (P < 0.01) in some of the anaerobic bacteria. Some of the aerobic organisms showed a statistically significant increase in the cervical cultures (P < 0.01). Strict asepsis during insertion of the device is recommended.
Endometriosis in diagnostic laparoscopy in Isfahan, Iran
Authors: Sarram M. , Rezazadeh A. 
Published: April 2004

AbstractIn 200 consecutive routine diagnostic laparoscopies, 31 cases (15.5%) of endometriosis were found. Of these 200 cases, 131 patients (65.5%) were referred for laparoscopy because of infertility. In 22 (71.0%) out of 31 patients with endometriosis infertility was the indication for laparoscopy. In the remainder of the patients laparoscopy was performed because of other indications. Half of the patients with endometriosis showed moderate or severe degrees of the disease. Seventy‐one percent of the patients were below the age of 29.According to our findings, the presumption that endometriosis is a rare disease in Iran is considered to be erroneous.
Acceptance of contraceptive practice by grandmultiparae in Benin City, Nigeria
Authors: Omu A.E. , Unuigbe J.A. 
Published: April 2004

AbstractFive hundred sixty grandmultiparous women were interviewed as to their contraceptive awareness, desirability and use in the three major hospitals in Benin City, Nigeria, between October 1, 1980 and September, 1981. Their parity ranged from 5 to 14 with a mean of 6.7. There was high level of awareness of contraceptive availability and usefulness (65%), but low level of practice (27.1%). The main causes of the low practice level included opposition from husband and other relatives, complications of previous methods used and the desire to have a large family. Oral contraceptives were the preferred method, followed by intrauterine devices. Educational attainment had a positive relationship to acceptance of contraceptive practice. We believe that with more concerted effort at family planning counseling, the community will be rid of the hazards and menace of grandmultiparity.
Periodic acid‐Schiff stain as a prognostic indicator in serous and mucinous ovarian tumors
Authors: Aalto Marja‐Leena , Collan Yrjó 
Published: April 2004

AbstractThe prognostic significance of periodic acid‐Schiff (PAS) stain in 112 serous: 43 benign, 25 borderline and 44 malignant cystadenomas; and in 106 mucinous: 60 benign, 32 borderline and 14 malignant cystadenomas of the ovary were investigated. The amount of positively stained mucin was estimated morphometrically. The outcome of most patients with benign or borderline lesion was good. One patient with benign mucinous cystadenoma died, however, of pseudomyxoma peritonei and another patient with borderline mucinous cystadenoma died of peritoneal carcinosis. Other patients were alive and free of the disease after a follow‐up of 1–14 years, or had died of causes unrelated to the ovarian disease. Abundant PAS positive mucin predicted a longer survival both in serous and in mucinous malignant tumors. The 5‐year survivals for the serous cystadenocarcinomas with and without PAS positive mucin were 21% and 13%, respectively (not statistically significant). For mucinous cystadenocarcinomas with mucin value over and below the median, the 5‐year survival rates were 57% and 14%, respectively (P < 0.10).High PAS positivity in both serous and mucinous cystadenocarcinomas clearly indicated better prognosis, although statistical significance was not achieved. Thus, further studies are needed for final evaluation of the prognostic significance of the PAS stain in these ovarian tumors.