bluuebunny/crossref_metadata_2025_split huggingface dataset:
Serum thiocyanate levels in a normal population and in pregnancy in Benin City, Nigeria: preliminary report
Authors: Oforofuo I.A.O. , Omu A.E. 
Published: April 2004

AbstractSera from pregnant and nonpregnant women were analyzed for thiocyanate. Serum thiocyanate concentration was higher in Nigerians compared with Caucasians and was significantly higher also in pregnancy. Hypoalbuminemia and dietary consumption of cyanogenic substances in pregnancy probably contributed to the higher thiocyanate levels. This may have a possible significant bearing on the fetal well‐being, particularly fetal birthweight.
Squamous‐cell carcinoma of the endometrium and cervix
Authors: Teixeira M. , Teixeira de Magalhães F. , Pardal‐de‐Oliveira F. 
Published: April 2004

AbstractWe present a case of endometrial squamous‐cell carcinoma in a hysterectomy specimen also showing CIS of the cervix with signs of human papillomavirus infection in a 64‐year‐old woman. The hypothetical histogenetic relationship of both neoplasms is discussed taking together the evidence collected in the very few similar cases on record.
Alternative model for low risk obstetric care in Third World rural and peri‐urban areas
Authors: Hyppolito S.B. 
Published: April 2004

AbstractThe Program for Integrated Health Care (PROAIS) has devised ways and means of reaching the traditional birth attendant, here called empiric midwife and training her to offer adequate, hygienic care at delivery for her low‐risk patients. She is taught to recognize the high‐risk patient and to send her to the weekly prenatal clinics staffed by physicians and registered nurses. The empiric midwife can also be taught prenatal care, detection of cervical and breast cancer, family planning, and the importance of breastfeeding. These women are considered colleagues by their formal medical counterparts and are treated as such. More recently some of the more capable have been placed on County Health Department payrolls.
Plasminogen activators and inhibitors in normal late pregnancy, postpartum and in the postnatal period
Authors: Koh C.L.S. , Viegas O.A.C. , Yuen R. , Chua S.E. , Ng B.L. , Ratnam S.S. 
Published: April 2004

AbstractTissue plasminogen activator (t‐PA), urokinase plasminogen activator (u‐PA) and plasminogen activator inhibitors (PAI) are elevated in late pregnancy with t‐PA and u‐PA remaining so at 6 weeks postnatal. PAI‐2 remains at postpartum but was absent by 6 weeks postnatal unlike PAI activity which was absent at postpartum and returned to nonpregnant level at postnatal. The potential fibrinolytic response to stress is much reduced in pregnancy thus increasing the risk of thromboembolism.
Management of patients with poor symphysis pubis‐fundus growth by Doppler flow velocimetry of the umbilical artery — an effective method to detect the fetus at risk
Authors: Theron G.B. , Pattinson R.C. 
Published: April 2004

AbstractThis study evaluated Doppler flow velocimetry of the umbilical artery in patients with suspected intrauterine growth retardation as detected by poor symphysis‐fundus growth (SFG). The sensitivity of Doppler in detecting light for gestational age babies and intrauterine growth retardation was poor. Antenatal complications, neonatal morbidity and perinatal mortality occurred significantly more frequently in patients with abnormal flow. Doppler flow velocimetry is an excellent test to identify babies at high risk for perinatal morbidity and mortality, when poor SFG is present.
Maternal tetanus toxoid coverage during pregnancy in Ile‐Ife, Nigeria
Authors: Owa J.A. , Makinde O.O. 
Published: April 2004

AbstractA cluster survey on maternal tetanus toxoid (TT) coverage was carried out in the Ile‐Ife Central Local Government Area. Out of the 896 mothers of babies 0–12 months old who were interviewed, 668 (74.6%) claimed they received TT during pregnancy, this was confirmed in 37 (4.1%) and in only 25 (2.8%) of these cases could the babies be said to have been protected from neonatal tetanus (NNT) at birth. About 35% of the babies were delivered at home/churches where most babies with NNT are usually born.
Histiocytosis X and vulvar ulceration
Authors: Wong K.K. , Lin H.P. , Looi L.M. 
Published: April 2004

AbstractVulvar ulceration is a rare manifestation of histiocytosis X. A 13‐year‐old girl had a nonhealing vulvar ulcer for 1 year. She had been in remission from histiocytosis X and the ulcer was not recognised as a sign of disease recurrence until tissue biopsy was obtained for histopathological and immunohistochemical studies. This article stresses the importance of establishing an accurate diagnosis when chronic vulvar ulcers are encountered and reviews the literature on this uncommon presentation of histiocytosis X.
A randomized comparison of intrauterine and intraperitoneal insemination in the treatment of infertility
Authors: Gregoriou O. , Papadias C. , Konidaris S. , Gargaropoulos A. , Kalampokas E. 
Published: April 2004

AbstractOBJECTIVE: To compare the pregnancy rates (PRs) between intrauterine insemination (IUI) and intraperitoneal insemination (IPI) in women receiving comparable ovarian stimulation in couples who were infertile for various infertility conditions. METHOD: Fifty‐four couples were treated. Of these, 25 were diagnosed as having unexplained infertility, 21 as having male infertility and 8 as having cervical mucus hostility. RESULT: Nine pregnancies occured with 89 cycles of IUI and 6 pregnancies with 85 cycles of IPI, giving an overall PR of 28%. Twelve of the 15 pregnancies occured during the first treatment cycle and three during the second treatment cycle. There was no significant difference in the (PRs) between the IUI and IPI (P > 0.25). CONCLUSION: Both procedures combined with superovulation proved to be simple, inexpensive safe and worthwhile for infertile couples with unexplained infertility, male infertility and cervical mucus hostility.
Human leukocyte antigen in hydatidiform mole
Authors: Souka A.R. , Kholeif A. , Zaki S. , Rocca M. , Ghanem I. 
Published: April 2004

AbstractOBJECTIVE: To find any possible association between human leukocyte antigen (HLA) as a genetic marker and the development of hydatidiform mole (HM). METHOD: The lymphocyte microtoxicity technique was used to study the HLA antigens in 3 groups: 18 women with hydatidiform mole and their husbands (study group), 300 normal women (first control group), and 20 normal pregnant women and their husbands (second control group). RESULT: Hydatidiform mole is more frequent in women having HLA A1. The disease is more common in couples with partial compatibility of the B locus. CONCLUSION: HM occurs more frequently in women with certain HLA antigens and when the husband and wife have partial compatibility at the B locus.
Quantification of immunoglobulin A in chorioamniotic membrane of patients with premature rupture of membranes
Authors: Berezoswski A.T. , Cunha S.P. , da Costa J.C. , Bacchi C.E. 
Published: April 2004

AbstractObjective: The proposal was to study the presence of immunoglobulin A (IgA) in the chorioamniotic membrane of healthy postpartum women with premature rupture of the chorioamniotic membrane (PROM). Method: A single radial immunodiffusion technique was used to quantify the IgA in the chorioamniotic membrane tissues. Results: The level of IgA was approximately 10 times higher in patients whose membranes had been ruptured for > 10 h (24.58 mg/dl). These results were compared with those of a previously published study where the mean of amount of IgA was 2.52 mg/dl in membranes of patients with rupture < 10 h. Our results show that IgA began to rise after 10–15 h following rupture. Conclusion: Although more studies need to be performed our data indicate that the increasing IgA in our patients after 10 h of latency probably represents the beginning of an ascending colonization of bacteria which could be the source of future infection.
A longitudinal study of the hopes and worries of adolescents
Authors: Gillies Pamela 
Published: April 2004

AbstractThis paper describes a longitudinal questionnaire study of the future hopes and worries of 547, 2‐ and 14‐year‐olds from Nottingham, England. Results from interviews with 152 of the 14‐year‐olds are also presented.More than half of the teenagers spontaneously expressed hopes for and worries about employment and unemployment. One third of adolescents, and more boys than girls, were concerned about war, including nuclear war. Proportions of pupils worried about unemployment, own mortality, lack of money and AIDS increased significantly with age. Interview and questionnaire findings were in general agreement. However, worries such as exam failure, childbirth and unhappy marriage were more prominent at interview and mentioned significantly more frequently by girls than boys.Worries about employment and nuclear war appear to predominate throughout adolescence, but are not the sole concern of this age group. Consideration should be given to discussing teenage worries in the context of school/family based educational ventures.
Social skills training in schools: an evaluation study
Authors: Verduyn C.M. , Lord W. , Forrest G.C. 
Published: April 2004

AbstractA study evaluating the effectiveness of a school‐based social skills programme is described. All children in three year bands of an Oxford middle school were screened for behaviour problems. Subjects selected were allocated at random to eight sessions of social skills training with four booster sessions later or to a no treatment control group. Change was assessed by teacher, parent and self‐report measures.Results suggested a significant improvement in social activity, parental report of social behaviour and self‐esteem in the treatment as compared to the control group, which persisted at 6 month follow‐up. Self‐esteem changes were age and gender related.Implications for school‐based social skills programmes are discussed.
The challenge of deliberate self‐harm by young adolescents
Authors: Reder Peter , Lucey Clare , Fredman Glenda 
Published: April 2004

AbstractThis paper describes a model of crisis intervention to families of adolescents below the age of 16 who deliberately harm themselves and summarizes the premises which guide our practice. The adolescent's “overdose” is understood as an attempt to resolve relationship conflicts and so the initial interview aims to explore the predicament for the adolescent and the family and decide what further help may be required. Verbatim extracts from one session illustrate this process.
Parent‐child agreement on children's behaviours reported by the child behaviour checklist (CBCL)
Authors: Rey Joseph M. , Schrader Elzbieta , Morris‐Yates Allen 
Published: April 2004

AbstractThe authors examined agreement between parent and child ratings on the Child Behaviour Checklist in a sample of 1299 referred adolescents over a period of three years. Correlations ranged between 0·72 and 0·08 (mean = 0·28), while agreement using kappa was similar but slightly lower (mean = 0·24; range 0·71‐0·07). Agreement on externalizing was higher than on internalizing items, and concordance increased with age for boys, while there were no differences in parent‐child agreement between boys and girls. Agreement was higher for dimensions of behaviour, e.g. depression (r = 0·40).
Ethnic identity and self‐esteem: an exploratory longitudinal study
Authors: Phinney Jean S. , Chavira Victor 
Published: April 2004

AbstractRecent models of ethnic identity formation in minority youth suggest a progression over time from an unexamined or diffuse stage to an achieved ethnic identity. To examine changes with age in ethnic identity and selfesteem, eighteen adolescents from three ethnic groups (Asian American, Black, and Hispanic) were assessed at age 16 and three years later. Results of this exploratory study showed a significant change to higher stages of ethnic identity over the three‐year period. Self‐esteem and ethnic identity were significantly related to each other at each time period and across the three‐year time span.
Perinatal mortality in an Egyptian maternity hospital
Authors: Serour G.I. , Younis N.M. , Hefnawi F. , El‐Bahy M. , Dagistany H.F. , Nawar M. 
Published: April 2004

AbstractThe factors affecting perinatal mortality during a period of 21 months were studied at Al‐Galaa Teaching Hospital, using the International Fertility Research Program's Maternity Record 903 to collect the data. There were 6990 deliveries during the 21 months and 580 hospital perinatal deaths. Certain high‐risk factors associated with perinatal mortality were identified including both biosocial and biomedical factors. The biosocial factors affecting perinatal mortality in this study are discussed, including maternal education, marital status, residence, hospital status as paying or non‐paying patient, maternal age, registration status, outcome of last pregnancy, parity/family size, antenatal care, maternal hemoglobin, and the weight and sex of the baby.
Response of unmarried adolescents to contraceptive advice and service in Nigeria
Authors: Ezimokhai M. , Ajabor L.N. , Jackson M. , Izilien M.I. 
Published: April 2004

AbstractThe responses of a group of all unmarried, sexually active teenagers in a developing country to offers of contraceptive service were assessed in a prospective, 30‐month study at a teaching hospital family planning center. Teenagers of this group constituted 7.2% of the clinic population. The default rate was very high (43.0%) and was most noticeable among users of oral contraceptives. The intrauterine device seemed more acceptable, as were injections of norethisterone enanthate. Possible reasons for this pattern of response are given, and the authors suggest giving new consideration to making the intrauterine device more suitable for and acceptable to teenagers of developing countries. The place of norethisterone enanthate in teenage contraception is also discussed.
Retroperitoneal fibrosis: A two decade experience and gynecologic manifestations
Authors: Kurzel Richard B. , Yoonesi Mahmood , Munabi Abraham 
Published: April 2004

AbstractA 20‐year experience with idiopathic retroperitoneal fibrosis (RPF) is presented (6 cases). Its gynecologic manifestations with the simulation of pelvic malignancy is discussed. Three of the patients presented with pelvic masses, one of these a para‐vaginal mass. In one patient, RPF followed or was concurrent with invasive squamous cell carcinoma of the cervix, of which this is the first reported case. The subject of RPF is reviewed with the modes of management and evidence for an autoimmune etiology. Thrombocytopenia, a previously unreported finding with RPF, was noted in three of the six patients. The reversal of the A/G ratio in these patients is discussed, correlating this finding with the progression of azotemia.
Determination of zygosity of multiple births using simple observations
Authors: Zake E.Z.N. 
Published: April 2004

AbstractUsing simple observation tests, zygosity was determined in 1106 multiple births in a hospital in Mbale, Uganda, between 1971 and 1980. Seventy‐three percent were dizygotic and 26.9% were monozygotic. The study demonstrates the usefulness of simple observations to determine zygosity in multiple births, particularly in developing countries where sophisticated testing facilities may be lacking.
Subclinical abortions in patients treated with clomiphene citrate
Authors: Ho P.C. , Tang G.W.K. 
Published: April 2004

AbstractUsing radioimmunoassay for human chorionic gonadotrophin beta‐subunit, 39 treatment cycles of clomiphene citrate therapy were studied prospectively for incidence of subclinical abortions. Eight treatment cycles resulted in clinically recognizable pregnancies and three other treatment cycles ended up with subclinical abortions. The plasma progesterone levels in patients with subclinical abortions at the 13th day after ovulation were lower than those in patients with normal pregnancies.
Glucose and free fatty acid response to intravenous glucose during pregnancy
Authors: Iyengar Leela R. , Rao Veena A. , Kumar S. 
Published: April 2004

AbstractIntravenous glucose tolerance tests were performed in undernourished and well‐nourished normal pregnant women and for toxemic women near term. Both blood glucose and free fatty acid levels were analyzed, till 90 min after glucose load. The results suggested that glucose response to intravenous load was poor both in normal undernourished and toxemic women as compared to well‐nourished women. However, the free fatty acid pattern was abnormal only in toxemic women in that the levels did not return to basal value even after 90 min of glucose load. Since human placental lactogen in pregnancy is known to regulate free fatty acid release for energy utilization, its deficiency in toxemia (commonly known to occur) could be implicated in the abnormal free fatty acid response seen in this investigation.
The influence of an early diagnosis on the results of surgical treatment of ectopic pregnancy
Authors: Fianu S. , Ingelman‐Sundberg A. , Vaclavinkova V. 
Published: April 2004

AbstractThe postoperative fertility of 292 cases of ectopic pregnancy treated 1972–1979 was studied. Of these 156 were operated upon during 1972–1976, when only determinations of HCG in urine were available and 136 during 1977–1979, when RIA‐determinations of HCG in serum made an earlier pregnancy diagnosis possible. In spite of the fact that the time of observation was shorter in the second group the pregnancy rate was 41% compared to 31% in the first one (P < 0.05). The rate of childbirth among the pregnancies in the second group was 72% compared to only 55% in the first one (P < 0.05).
Correlation between histopathologic features and estrogen receptor status in primary breast cancer
Authors: Mantouvalos H. , Makrygiannakis A. , Metallinos C. , Yianniou A. , Gouskos A. 
Published: April 2004

AbstractRelationships between certain histopathologic features of tumor specimens and estrogen receptor (ER) status were investigated. Lobular and ductal carcinomas were found to be richer in ER than other histologic types. Well differentiated carcinomas were more often hormone receptor positive than poorly differentiated tumors. Lymphocytic and plasmatocytic infiltration in and around the tumor as well as elastosis also appeared to be related positively to ER status.
Hemoglobin E disease in pregnancy
Authors: Das Chanchal K. 
Published: April 2004

AbstractAbnormal hemoglobin patterns such as hemoglobin‐E are rarely found in Western populations. The condition is fairly common in Southeast Asian countries such as Thailand, however. It is not commonly found in West Asian countries such as Saudi Arabia. A case report of hemoglobin E disease in pregnancy is made; its impact on pregnancy and labor is discussed.
Gonadal dysgenesis and somatic stigmata in patients with 45,X/46,Xr(X) ring chromosome
Authors: Portuondo JoséA. , Barral Araceli , Neyro JoséL. , Camarero María C. , Roman María D. , Uribarren Adolfo 
Published: April 2004

AbstractTwo cases of gonadal dysgenesis and stigmata of Turner's syndrome with ring chromosome X are described. Their features support the idea that ring chromosome X should be considered as a deletion in the genetic sense, affecting both the gonadal and statural determinants. Without knowing the cytogenetic findings, these patients are usually labeled as having Turner's syndrome. Furthermore, endocrine data and histologic examination of the gonads are indistinguishable from those of individuals with 45,X or 46XX gonadal dysgenesis.
Uterine perforation following medical termination of pregnancy by vacuum aspiration
Authors: Mittal Suneeta , Misra Sneh Lata 
Published: April 2004

AbstractOut of 9344 first trimester elective abortions performed by vacuum aspiration, 37 uterine perforation cases occurred. The suction cannula was responsible for more than 50% of perforations. All cases were multiparous. In 56.8%, the duration of gestation was 6 weeks or less. One third of the cases had a history of child birth within the previous 6 months. Fundal and anterior wall perforations were most common. Cases with a retroverted uterus had a higher incidence of perforation (59.4%) than those with an anteverted uterus (32.4%). Exact pelvic assessment and proper technique and case management are important for preventing perforation.
Ectopic pregnancy resulting from transperitoneal migration of spermatozoa
Authors: Daya S. 
Published: April 2004

AbstractEctopic pregnancies have been reported in distal tubal segments following tubal sterilization procedures (Metz KGP, Mastroianni Jr L: Tubal pregnancy subsequent to transperitoneal migration of spermatozoa. Obstet Gynaecol Surv 34: 554, 1979). Conception in these situations has been presumed to occur as a result of recanalization of the occluded segment or via a fistulous communication between the two tubal segments. The possibility of transperitoneal migration of spermatozoa leading to such pregnancies is not often considered and is rarely reported (Metz KGP, Mastroianni Jr L: Tubal pregnancy distal to complete tubal occlusing following sterilization. Am J Obstet Gynaecol 131: 911, 1978). A case is presented here that provides support for this phenomenon.
A comparison of metronidazole and ampicillin prophylaxis to women with a history of pelvic inflammatory disease undergoing first‐trimester abortion
Authors: Heisterberg L. , Petersen K. , Sørensen S.S. , Nielsen D. 
Published: April 2004

AbstractIn a double‐blind controlled trial the efficacy of prophylactic metronidazole and pivampicillin to women with a history of pelvic inflammatory disease (PID) undergoing first‐trimester abortion was assessed. Thirty‐eight women received pivampicillin tablets 350 mg and 43 women metronidazole tablets 400 mg, given 1 h before and 4 and 8 h after the abortion. In the pivampicillin group 5 women (13.1%) and in the metronidazole group 8 women (18.6%) developed postabortal PID, a non‐significant difference (P > 0.05). The number of hospital days and amounts of antibiotics were not significantly different in the two treatment groups (all P‐values > 0.05). Women with a history of PID were found to be at risk of contracting postabortal PID.
Abscess formation post cesarean section due to a piece of latex glove
Authors: Confino Edmond , Zbella Edward , Gleicher Norbert 
Published: April 2004

AbstractPelvic abscesses may develop after retention of foreign bodies. A case is presented in which during drainage of a post cesarean section pelvic abscess a small piece of a latex glove was recovered. The formation of pelvic abscesses due to foreign bodies is discussed.
Subsequent pregnancy following labor of a very‐low‐birth‐weight infant
Authors: Cohen I. , Altaras M. , Ben‐Aderet N. 
Published: April 2004

AbstractDuring a period of 5 years (1978–1982), 55 mothers with an average age of 27.5 ± 5.4 years, delivered 59 infants, weighing less than 1500 g. These infants had a mean birth weight of 1160.5 ± 263 g and a mean gestational age of 28.7 ± 2.25 weeks (range 25–32 weeks). Subsequently 47 (79.6%) survived and 12 (20.4%) died. There was a statistical difference of both mean gestational age and of mean gestational weight between survivors or infants with neonatal death. Twenty two of 29 mothers who subsequently became pregnant, gave birth to liveborn infants, who subsequently survived (four pregnancies terminated in induced abortion). Mean gestational age was 37 ± 3 weeks (range 32–41 weeks) (P < 0.001) and a mean birth weight was 2753.2 ± 570 g (range 1620–3600 g) (P < 0.001. All the 22 infants subsequently born weighed more than 1501 g, 7 (31.8%) infants weighed 1501–2500 g and 15 (68.2%) more than 2500 g. Similar data were obtained from a control group of 615 mothers (chosen at random) who delivered a normal infant at term, 202 subsequently became pregnant and 176 gave birth to a normal infant at term. Mean gestational age was 39.54 ± 1.24 weeks (P < 0.001) and mean birth weight was 3299.3 ± 412 g (P < 0.001). (In the control group 10 pregnancies terminated in induced abortions). The above data could be used in advising for future pregnancy outcome in regard to women with premature births.