bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing the Site of Recurrence in Patients with Secondary Hyperparathyroidism by a Simplified Casanova Autograftectomy Test
Authors: Schlosser Katja , Sitter Helmut , Rothmund Matthias , Zielke Andreas 
Published: May 2004

AbstractPatients with recurrent secondary hyperparathyroidism (rSHPT) following total parathyroidectomy and autotransplantation were prospectively studied by a modified Casanova test to discriminate between the graft‐bearing arm and the neck as the site of the recurrence. The test measures intact parathyroid hormone (PTH) in blood obtained from the non‐graft‐bearing arm before an ischemic period and from the arm bearing the parathyroid graft during an ischemic period caused by an Esmarch bandage. The aim of this study was to evaluate the time course of PTH levels during the test and to establish an abbreviated procedure. A series of 30 patients with rSHPT who were admitted for reoperative surgery between 1994 and 2002 were studied. Systemic PTH levels were determined prior to suprasystolic exclusion of the graft‐bearing arm as well as 2, 4, 6, 8, 10, 20, and 30 minutes during it and at 10 minutes afterward. Results were interpreted with a simple algorithm that suggested graft‐dependent recurrence (GDR) whenever PTH levels dropped by more than 50% and neck‐dominated recurrence (NDR) whenever the PTH levels dropped to less than 20%. Patients were operated on accordingly. Biochemical normalization of calcium and PTH was defined as success. Altogether, 15 patients had GDR and were cured after graft explantation. All of these patients were identified within 4 minutes of starting the test. Another 12 patients had NDR and were cured by excising overlooked or supernumerary glands. PTH levels were indeterminate in three patients (10%). Clinically, NDR is likely in all of these cases, but the test results were firmly established with 100% accuracy 8 minutes after the start of the test procedure. This abbreviated form of the Casanova test is advantageous for accurately determining the site of recurrence in the presence of rSHPT. It is less time‐consuming, satisfactory in an ambulatory setting, equally effective, and less invasive than the original Casanova procedure.
Maternal deaths in the less developed world: preventable tragedies
Authors: Darney Philip D. 
Published: May 2004

AbstractA half million women die yearly around the world as a result of pregnancy. Many of these deaths are inaccurately classified and many others are not reported at all, but new demographic techniques have clarified causes of maternal mortality and improved estimates of rates. New data from several less developed countries suggest that many maternal deaths could be prevented by measures already demonstrated to be effective elsewhere. These include better antenatal and intrapartum care, contraception for women who want no more pregnancies, legal abortion to terminate unwanted pregnancies, and uterine aspiration and antibiotics for treatment of septic abortion.
Preliminary report of an identification mission for safe motherhood, Senegal: putting the M back in M.C.H.
Authors: Kimball A.M. , Cisse S. , Fayemi G. , Ericcson S. , Helfenbein S. , Nakoulima A. , Sene N.T. , Papiernik E. 
Published: May 2004

AbstractThe Government of Senegal, in keeping with the priority given to women and children in its health programs, requested the assistance of the United Nations Development Program (UNDP) in identifying and executing a program to diminish maternal mortality in that country. A UNDP “Mission of Identifiation” was carried out in response to this initiative. The preliminary results of this mission confirm that the issue of maternal safety is of primary concern not only to the government but also to women in the Republic of Senegal. The methodology employed during this mission allowed the team of national and international experts to confirm the level of this concern and to identify four major potential areas of intervention. Quantitative goals for the program have been set and estimates for the efficacy of each of the intervention areas indicate that intervention through the timely provision of access to emergency surgical services and appropriate prenatal care will yield the largest reduction. The feasibility of providing interventions in each of the four areas was also addressed during the mission. This methodology will be applicable to other settings as Third World countries begin to address the problem of excessive maternal mortality.
Obstetric complications of macrosomic babies in African women
Authors: Megafu Uchenna , Ozumba B.C. 
Published: May 2004

AbstractA prospective analysis has been made on 145 consecutive deliveries resulting in babies weighing 4.5 kg and above delivered at the University of Nigeria Teaching Hospital (U.N.T.H.), Enugu, over a 1‐year period (1985). Babies weighing 4.5 kg and over are regarded as macrosomic babies. The incidence of macrosomic babies in this study is 11 per thousand deliveries or 1 in 90. Factors that predisposed to the birth of macrosomic babies include: excessive weight gain during the course of pregnancy, tall height of the woman, multiparity and prolonged gestation. Diabetes mellitus was not a significant factor. Complications include prolonged labor, post‐partum hemorrhage, ruptured uterus, shoulder dystocia and an increased perinatal mortality rate. Maternal mortality was also increased. Ninety percent of the multiparous women achieved spontaneous vaginal delivery while only 42% of the primigravidae achieved vaginal delivery. The implications are discussed.
Induction of dead fetus labor with 15‐(S)‐methyl prostaglandin F2α
Authors: Miranda J.A. , Herruzo A.J. , Montoya F. , Huete A. , Mallol M.C. , Delaorden A.F. 
Published: May 2004

AbstractThis study examines whether labor can be induced with the intramuscular administration of 15‐(S)‐methyl prostaglandin F2α in cases of intrauterine fetal death. The success rate of labor induction in the studied group was 93.75%, and was the same for primigravid and multigravid patients. The authors conclude that the prophylactic administration of an analgesic potentiator, an anti‐emetic and an anti‐diarrheal is advantageous to a woman's tolerance of the prostaglandin. PGF2α is a quick and effective drug for use in the induction of labor to terminate pregnancies with intrauterine fetal death and offers tolerable side‐effects when used with adjuvant medication.
Fetal biparietal diameter and head circumference measurements: results of a longitudinal study in Zimbabwe
Authors: Munjanja S.P. , Masona D. , Masvikeni S. 
Published: May 2004

AbstractIn a longitudinal study in Harare, Zimbabwe, 1233 biparietal diameter and 857 head circumference measurements were obtained from the fetuses of 190 women. Weekly mean values and the two standard deviations were calculated for both the biparietal diameter and head circumference from 12 to 40 weeks of pregnancy. There was little difference between these values and some Caucasian and African standards. Comparison was also made of the weekly biparietal diameter growth rate between our results and those from one study in West Africa. The possible reasons for the differences are explained.
Evaluation of tolerance of and response to iron dextran (Imferon®) administered by total dose infusion to pregnant women with iron deficiency anemia
Authors: Kaisi M. , Ngwalle E.W.K. , Runyoro D.E. , Rogers J. 
Published: May 2004

AbstractSix hundred twenty‐three pregnant women with iron deficiency anemia received iron dextran Imferon® by total dose infusion (TDI). Two dose levels were compared in respect of tolerance and hemoglobin response. The incidence of delayed reactions was significantly higher in the high dose group (P < 0.01) but there was no significant difference in the incidence of reactions occurring during the infusion. These findings are discussed in relation to the hemoglobin response.
Bacterial resistance in South America
Authors: Peixoto S. 
Published: May 2004

AbstractThe emergence of resistant strains of bacteria is directly related to the selection of chemotherapeutic agents, and the character of the resistance changes with changes in usefrequency of the various antibiotics. In recent years with increasing use of beta‐lactam antibiotics, there has been an increased incidence of microorganisms that are resistant by virtue of their ability to produce beta‐lactamase enzymes which destroy the beta‐lactam antibiotics. The development of beta‐lactamase inhibitors which may be used in combination with the beta‐lactam antibiotics has been a significant advance for the therapy of gynecologic infections in South America.
Sulbactam/ampicillin in the treatment of acute pelvic inflammatory disease
Authors: Sweet R.L. , Landers D.V. , Schachter J. , Crombleholme W.R. 
Published: May 2004

AbstractAcute pelvic inflammatory disease is associated with significant adverse reproductive sequelae. To prevent these serious sequelae, treatment regimens must cover the major etiologic agents which are Neisseria gonorrhoeae, Chlamydia trachomatis, and mixed anaerobic‐aerobic bacteria. This report concerns the prospective evaluation of the efficacy of the combination of sulbactam with ampicillin in patients hospitalized with acute pelvic inflammatory disease. Clinical cure was noted in 33 (94%) of 35 patients and post‐treatment cultures demonstrated eradication of N. gonorrhoeae and C. trachomatis in all cases.
Sulbactam/ampicillin versus cefotetan in the treatment of obstetric and gynecologic infections
Authors: Scalambrino S. , Mangioni C. , Milani R. , Regallo M. , Norchi S. , Negri L. , Carrera S. , Vigano E.F. , Ruffilli M.P. , Canale M.P. 
Published: May 2004

AbstractIn an open, randomized clinical study, the safety and efficacy of sulbactam/ampicillin was compared to that of cefotetan in 95 hospital patients with gynecologic or obstetric infections. Sulbactam/ampicillin (1 g:2 g), was administered intravenously every 8 h to 46 patients, and cefotetan (2 g) was administered intravenously every 12 h to 49 patients. All 23 patients with obstetric infections and 18 of the 23 patients with gynecologic infections treated with sulbactam/ampicillin were evaluated as cured. All 21 patients with obstetric infections and 23 of the 28 patients with gynecologic infections treated with cefotetan were evaluated as cured. No side effects requiring discontinuation of therapy or reduction of the dose administered, were observed.
Perioperative systemic antibiotics for prophylaxis of infections in breast surgery: sulbactam/ampicillin versus mezlocillin/oxacillin
Authors: Engel K. , Wildfeuer A. 
Published: May 2004

AbstractIn a prospective, randomized, open trial, efficacy of one dose of sulbactam/ampicillin (1 g:2 g) was compared to three doses of mezlocillin/oxacillin (2 g:1 g), starting with induction of anesthesia in 80 breast surgery patients with an increased risk of postoperative infection. No infections at the site of operation were seen in either group. Fever due to postoperative pulmonary complications occurred in one patient in the sulbactam/ ampicillin group. The only side effect was a moderate exanthema observed in one patient in the mezlocillin/oxacillin group. In this study of the prophylaxis of patients with an increased risk of postoperative infections having the potential to jeopardize the results of surgery, a single dose of sulbactam/ampicillin was as effective as a short term course of three doses of mezlocillin/oxacillin.
Radionuclide hysterosalpingography for measurement of human oviductal function
Authors: Brundin Jan , Dahlborn M. , Ahlberg‐Ahre Eva , Lundberg H.J. 
Published: May 2004

AbstractA clinical method is described and claimed to evaluate the active transportation capacity of the luminal epithelium lining the human uterus and fallopian tube. After intracervical application of technetium‐labelled human albumin spheres at 1–2 days before ovulation this radioactivity could be followed by gamma‐camera when moved in ad ovarian direction. This method is called radionuclide hysterosalpingography (RN‐HSG). The results were compared to the findings at normal hysterosalpingography (HSG). By use of this method it was possible to verify active passage in cases of tubal spasm at HSG, lack of transport in cases of normal patent oviducts at HSG as well as presence or absence of active transport through sactosalpinges with or without fimbrial passages to the abdominal cavity as seen at normal HSG. Congruent findings between HSG and RN‐HSG was observed in 49%. The studied oviducts were found to be patent with normal HSG but lacked transportation capacity when studied by RN‐HSG in 41%. The clinical use of this method is discussed in view of the selection of patients for different forms of in vitro fertilization and egg transfer (IVF‐ET).
Malignant ovarian tumors associated with pregnancy: Report of six cases
Authors: Matsuyama T. , Tsukamoto N. , Matsukuma K. , Kamura T. , Kaku T. , Saito T. 
Published: May 2004

AbstractSix cases of pregnancy associated malignant ovarian tumors, four epithelial cancers, one immature teratoma and one metastatic cancer of colon origin, are reported. One patient with mucinous cystadenocarcinoma had a history of persistent ovarian tumor during her past three pregnancies. Another patient was found to have mucinous cystadenocarcinoma after an emergency operation for twisted ovarian tumor. Immature teratoma associated with pregnancy is very rare and our case seems to be the 8th reported such case.
Endometrial carcinoma presenting as a large inguinal mass
Authors: Ramahi A. , Malviya V.K. , Ataya K.M. , Deppe G. 
Published: May 2004

AbstractPatients with endometrial cancer usually present with vaginal bleeding. A case of endometrial cancer presenting as an asymptomatic, large, inguinal mass is reported. This unusual clinical picture and its management are discussed.
Uterine sarcoma with liposarcomatous differentiation: Report of a case and review of the literature
Authors: Bapat K. , Brustein S. 
Published: May 2004

AbstractHeterologous sarcomas of the uterus are uncommon neoplasms. A liposarcoma in combination with a leiomyosarcoma of the uterus has been reported only once prior to this case report. We report a case of uterine sarcoma demonstrating two distinct variants of liposarcoma. This has not been seen to date.
Postterm pregnancy: computer analysis of the antepartum fetal heart rate patterns
Authors: Bartnicki J. , Ratanasiri T. , Meyenburg M. , Saling E. 
Published: May 2004

AbstractThe purpose of this study was to establish reference ranges for numerical fetal heart rate (FHR) data in postterm pregnancy and to compare them with the patterns of fetuses under undisturbed condition at term. FHR was analysed on‐line by Sonicaid Computer System 8000. A statistically significant decrease in the number of accelerations and decrease of variation in postterm pregnancy was observed. The duration of high variation (high episodes) in the 42nd week of gestation was statistically lower than in the pregnancy at term. These observations should be taken into account by clinicians in the interpretation of FHR records in postterm pregnancy.
Methotrexate local injection for unruptured tubal pregnancy: an alternative to laparotomy?
Authors: Pansky M. , Bukovsky I. , Golan A. , Herman A. , Hertziano I. , Langer R. , Caspi E. 
Published: May 2004

AbstractFifty‐nine women with early unruptured tubal pregnancy were treated by a single local injection of methotrexate at laparoscopy. All 59 patients underwent the procedure without any adverse reaction, 47 (80%) of them needing no laparotomy. Twelve patients required a laparotomy for reasons such as rising β‐hCG levels and abdominal pain with or without rising levels of β‐hCG. Only one patient ruptured the tube. None of the women needed a blood transfusion. We found tubal patency in 19 out of 21 patients at follow up hysterosalp‐ingography. Eleven pregnancies were subsequently reported, one of them tubal. The appearance of the injected tube was absolutely normal in three patients, one at cesarean section and two at repeated laparoscopy. No peritubal adhesions were observed. We suggest that this new technique is a safe and effective alternative to laparotomy in a patient with an early unruptured tubal pregnancy.
Recurrent leiomyoma of the vagina
Authors: Dhaliwal L.K. , Das I. , Gopalan S. 
Published: May 2004

AbstractA rare case of huge vaginal leiomyoma recurrence is reported. Vaginal leiomyoma is a rare entity and recurrence after its removal is extremely rare. However, if recurrence occurs with intact ovarian function ovariectomy should also be done.
Intravenous leiomyomatosis with massive ascites
Authors: Mullings A.M.A. , Char G. , Martin M.P. , Frederick J. , Walton N. , Pickering K. 
Published: May 2004

AbstractA case of intravenous leiomyomatosis with massive ascites is reported. This is the first such recorded case. The patient was treated with a subtotal abdominal hysterectomy and bilateral salpingo‐oophorectomy. Pathological examination established a vessel wall origin. There is no evidence of recurrence up to 20 months after initial treatment.
Proximal tubal obstruction associated with tubal schistosomiasis
Authors: Letterie G.S. , Sakas L. 
Published: May 2004

AbstractThe gynecologic consequences of schistosomiasis may range from minimal inflammation of tubal serosa to more intense reactions involving the periadnexal regions. Complete obliteration of the tubai lumen has not been described. We describe a case of proximal tubal obstruction associated with tubal schistosomiasis.
Maternal height and the outcome of labor in rural Tanzania
Authors: van Roosmalen J. , Brand R. 
Published: May 2004

AbstractThe influence of maternal height (standardized for parity and birth weight) on obstetrical outcome is studied in 1095 women giving birth in Lugarawa hospital and 3869 women delivering in Mbozi hospital, both rural hospitals in the South Western Highlands of Tanzania. Short stature was found to increase the need for augmentation of labor in primiparae, the need for operative delivery (cesarean section/symphyseotomy) in all parity groups and the need for vacuum extraction in multiparae. The absence of such an effect of height on perinatal mortality is interpreted as the result of obstetric intervention. It is concluded that maternal height, which is easy to measure, remains a useful tool to predict difficult childbirth and cephalopelvic disproportion.
Health and economic consequences of septic induced abortion
Authors: Konje J.C. , Obisesan K.A. , Ladipo O.A. 
Published: May 2004

AbstractOver a period of 7 years, 230 cases of illegally induced abortions complicated by sepsis were treated at the University College Hospital, Ibadan, Nigeria. The number of terminations complicated by sepsis doubled from 25.4 (between 1981 and 1985) to 51.0 (between 1986 and 1987) cases per year. Peritonitis was the commonest associated complication while maternal mortality was 8.3%. The average cost of treatment was US$223.11, while the average monthly earnings was US$45.00. Legalization of abortion would have resulted in a saving of US$50 022.28. Provision of legal abortion would reduce the incidence of sepsis after termination while reproductive health education and information dissemination and provision of easily accessible family planning services would greatly reduce the number of unwanted pregnancies.
Eclampsia: 134 consecutive cases
Authors: Obed S.A. , Wilson J.B. , Elkins T.E. 
Published: May 2004

AbstractOBJECTIVE: A retrospective analysis of all cases of eclampsia (134) at Korle Bu Teaching Hospital, Accra, Ghana, in 1991, was undertaken to determine future directions in prevention and management. METHODS: One hundred and thirty‐four consecutive cases of eclampsia were reviewed to assess possible risk factors, associated medical impact, and the usefulness of prenatal care. RESULTS: Risk factors for the development of eclampsia include: young age, delivery in the rainy season, nulliparity, multiple pregnancy, prolonged labor, and lack of prenatal care. Eclampsia is associated with high maternal and perinatal mortality. CONCLUSIONS: Future emphasis on prenatal clinics, and earlier detection and management of pre‐eclampsia should lessen the incidence of this severe obstetric emergency.
Chemiluminescence immunoassay versus radioimmunoassay for the measurement of reproductive hormones
Authors: Rojanasakul A. , Udomsubpayakul U. , Chinsomboon S. 
Published: May 2004

AbstractOBJECTIVES: To compare the hormonal values determined by chemiluminescence immunoassay (CIA) and radioimmunoassay (RIA). METHODS: Blood samples, drawn from eight volunteers during one menstrual cycle, were assayed for estradiol, progesterone, luteinizing hormone (LH), follicle stimulating hormone (FSH) and prolactin by CIA and RIA methods. The values obtained from these two assay techniques were compared. Statistical analysis were performed using the t‐test, Pearson correlation coefficient and simple linear regression analysis. RESULTS: CIA yielded lower mean values of LH, FSH, progesterone, but higher mean values of prolactin than RIA. Mean estradiol levels assayed by the two methods were similar. There was a good correlation between the hormonal values performed by the two methods. By calculation, the CIA hormonal value could accurately predict the RIA value by 96.6, 93.9, 89.9 and 66.0% for progesterone, LH, FSH and prolactin, respectively. CONCLUSIONS: The disparity in the hormonal values obtained from different assay methods warrants clinicians to be aware of their clinical interpretation. Using the same reference range for different assay methods is not appropriate. A comparative study between the new and standard assays is essential.
Trends in maternal mortality at a university hospital in Turkey
Authors: Ayhan A. , Bilgin F. , Tuncer Z.S. , Tuncer R. , Yanik A. , Kişnisçi H.A. 
Published: May 2004

AbstractOBJECTIVE: To highlight recent trends in maternal mortality in Hacettepe University Hospital. METHOD: A retrospective clinical analysis of 117 maternal deaths between 1968 and 1992. RESULTS: The overall maternal mortality ratio was 180/100 000 (108/59 993). In terms of 5‐year periods, the maternal mortality ratio declined from 417.7 in 1968‐72 to 73.7 in 1988‐92. Infection was the most common cause of death (59.8%), followed by cardiac disease (8.5%) and hemorrhage (8.5%). Infection related deaths were either due to septic abortion (75.7%) or puerperal sepsis (24.3%). While 73.9% of all deaths were due to infection in 1968‐72, this figure contributed only 9.1% of the deaths in 1988‐92. When infection, hemorrhage, cardiac disease ad toxemia are investigated together, percentages of their contribution varies from 95.7% in 1968‐72 to 54.5% in 1988‐92 period. CONCLUSIONS: Maternal mortality ratios are decreasing significantly in our institution. An another promising finding is the further reduction in direct causes especially in recent years. However, an improvement in the care of pregnant women is necessary to continue this declining trend.
Epidural anesthesia in early compared with advanced labor
Authors: Ohel G. , Harats H. 
Published: May 2004

AbstractOBJECTIVES: To examine whether continuous lumbar epidural analgesia administered in the early phase of labor leads to an increased incidence of instrumental vaginal deliveries. METHODS: In a retrospective analysis we have studied 563 consecutive term cephalic vaginal deliveries where an epidural was given for pain relief in labor. The type of delivery was compared in two groups. In Group 1 epidurals were given when the cervix was 3 cm or less dilated; in Group 2 when they were greater than 3 cm dilated. RESULTS: There was no difference in the incidence of instrumental deliveries in the two groups. Other variables including station of the fetal head, premature rupture of membranes, meconium, and administration of pitocin and pethidine did not effect these results. CONCLUSIONS: There is no justification in delaying epidural analgesia in labor when it is clinically indicated.