bluuebunny/crossref_metadata_2025_split huggingface dataset:
Running groups for parents with schizophrenic adolescents: initial experiences and plans for the future
Authors: Sheridan Anne , Moore Lucy M. 
Published: April 2004

AbstractSix‐session educational and support groups were held for two sets of parents (32 in all) who had an adolescent schizophrenic child. Results indicate no significant increases in knowledge about the disorder following the group (probably due to the relatively high scores obtained at the outset) but gains seem to have been made in ability to handle the teenage patient at home. All parents commented on how they had benefited from the supportive aspect of the group. Future developments of these groups are discussed.
Knowledge, attitudes and behaviors related to AIDS among youth in residential centers: results from an exploratory study
Authors: Slonim‐Nevo Vered , Ozawa Martha N. , Auslander Wendy F. 
Published: April 2004

AbstractThis study assesses the level of knowledge about and attitudes toward AIDS among youth residing in residential centers. It also assesses the degree to which they engage in high risk behaviors related to AIDS. The study evaluates the impact of a short educational intervention on the youth's knowledge, attitudes, and behaviors related to AIDS. Findings suggest that the respondents are relatively knowledgeable about the disease and how to prevent it. However, a substantial proportion of them do not hold positive attitudes toward prevention and are actually engaging in unsafe behavior. The results also show that a short intervention that provides information about AIDS is ineffective in reducing engagement in high risk activities.
Antepartum fetal evaluation by assessment of fetal heart rate and fetal movements
Authors: Sadovsky Eliahu , Weinstein Daniel , Even Yael 
Published: April 2004

AbstractThree antenatal monitoring tests — fetal movement acceleration test (FMAC‐test), fetal heart rate‐non‐stress test (FHR‐NST), and daily fetal movement recording (DFMR) were evaluated in 212 high risk pregnant women. While in 196 cases all three tests were normal, in 16 patients one to three tests showed pathological results. In the latter group, there was a significantly higher incidence of perinatal mortality, low Apgar score and growth retardation. Since false positives are known to occur in these tests, at least two should be pathological to warrant delivery in an attempt to prevent fetal death in utero. The sequence in which the pathology appears in the deteriorating fetus is as follows: the first to become non‐reactive is the FMAC‐test, followed by decreased fetal movements till cessation, and, finally, severe changes in the FHR‐NST take place. The importance of this sequence of events is discussed.
Successful multiple pregnancy in renal transplant recipient
Authors: Boner Geoffrey , Bott‐Kanner Gustawa , Schweitzer Abraham , Danon Yehuda L. , Rosenfeld Joseph B. 
Published: April 2004

AbstractTwin females were born by Caesarean section to a patient who had undergone a living donor renal transplant 2 years previously. These infants have been followed for 6 years and have been found to have normal development. Tests performed during the first year of life showed that both infants have normal immunologic responses.
Termination of second trimester pregnancy by intramuscular injection of 16‐phenoxy‐ω‐17,18,19,20‐tetranor‐PGE2 methyl sulphonylamide
Authors: Krishna U , Narone JN , Hingorani V , Karim S , Bydeman M , Herczeg J 
Published: April 2004

AbstractTwo doses of the prostaglandin analogue 16‐phenoxy‐ω‐17,18,19,20‐tetranor‐PGE2 methyl sulphonylamide were compared in a randomized multicentre trial in 6 centres for the termination of second trimester pregnancy. A total of 295 patients were treated with either 0.5 mg or 1.0 mg given by intramuscular injection every 4 h or 8 h, respectively. The 1‐mg dose was more effective in inducing an abortion than the lower dose but the difference was not statistically significant. Eighty‐four per cent of the patients aborted within 30 h from the onset of treatment. The induction‐abortion interval was approximately 15 h in both groups. The incidence of incomplete abortion, heavy blood loss and blood transfusion was similar for both treatments. Cervical lacerations occurred in 1.3% of patients given the smaller dose and 2.1% of the larger dose. In one patient belonging to the latter group an anterior rupture of the lower uterine segment was diagnosed necessitating hysterectomy. Fifty per cent of the patients had no vomiting and 90% no diarrhea. The frequency of gastrointestinal side effects was slightly higher with the 1‐mg dose. The major advantages of this treatment are the simplicity of administration and the low frequency of gastrointestinal side effects in comparison with prostaglandin F analogues.
Some important factors in the molding of the fetal head during vaginal delivery ‐ A photographic study
Authors: Sorbe B. , Dahlgren S. 
Published: April 2004

AbstractThe molding of the fetal head was studied in 319 vaginal deliveries. A photographic method was used to document the size and form of the infants' heads immediately postpartum and 3 days later. Six different diameters were measured but only three changed significantly during early neonatal restitution. A molding index was calculated and compared with the conventional occipitofrontal circumference. Infants born by primiparous women showed significantly higher degrees of molding of the head than those born by multiparous women. Oxytocin stimulation during labor as well as instrumental deliveries resulted in increased fetal head molding. The importance of fetal presentation at birth, the duration of labor, the age of the mother and birth weight of the infant was also analyzed with regard to the molding of the fetal skull during labor.
The prevention of preterm delivery through prenatal care: An intervention study in Martinique
Authors: Goujon H. , Papiernik E. , Maine D. 
Published: April 2004

AbstractDuring 1976–1978, improvements were made in the free prenatal care provided by the maternal and child health authority (PMI) of Martinique. Central to these changes was implementation of a program of preventive prenatal care developed in France by one of the authors (EP). Data on all births during 1980–1982 show no significant difference in pregnancy outcomes between women receiving free prenatal care from the government and women receiving private care from obstetricians.
Placental transfer of ritodrine hydrochloride in sheep
Authors: Fujimoto Seiichiro , Akahane Masuo , Uzuki Katsuya , Inagawa Akira , Sakai Keiichiro , Sakai Akira 
Published: April 2004

AbstractThe purpose of this study was to examine the placental passage of ritodrine hydrochloride in relation to the drug's effects on the fetal circulation. Studies were carried out on nine nulliparous pregnant (120–140 days) ewes with chronically implanted cannulae for measurements of maternal and fetal arterial pressures and for blood sampling. One group of animals received sequential infusions of doses ranging from 0.1 to 30 μg/kg per min for 30 min (group 1). A second group was given a constant infusion of the drug at a dose of 3.0 μg/kg per min for 4 h (group 2). The peak concentrations of ritodrine in maternal and fetal blood were determined by radioimmunoassay. In group 1 they were 313.4 ± 24.1 ng/ml (mean ± S.E.) and 12.6 ± 3.7 ng/ml at the finish of 30.0 μg/kg per min infusion for maternal and fetal blood, respectively. In group 2, maternal drug levels were 81.3 ± 20.4 ng/ml after 30 min and 95.9 ± 17.1 ng/ml after 4 h of the infusion. Fetal plasma concentrations increased slowly from trace levels at 30 min to 3.3 ± 0.7 ng/ml at 4 h. Fetal blood pressure and heart rate did not show any significant changes during and after the infusion of ritodrine in both treatment groups. Our findings demonstrate the maternal administration of ritodrine produces no significant effects on the circulatory system of the fetal lamb because of the low transplacental passage of this drug.
Potassium and glucose concentrations in patients treated with oral tocolytic agents: A preliminary report
Authors: Rivera‐Alsina Manuel E. , Saldana Luis R. , Held Berel 
Published: April 2004

AbstractFifteen patients referred to the Division of Maternal‐Fetal Medicine with the diagnosis of cervical incompetence were placed in a study protocol where prophylactic oral beta mimetic agents were used in an attempt to prevent cervical dilatation between 20 and 36 weeks of gestation. Our study suggest that after the first week of therapy prolonged maternal oral tocolytic therapy has no significant effect on glucose or serum potassium levels and no deleterious effects on the immediate neonatal course.
Morphology of rabbit oviduct after reanostomosis with fibrin glue
Authors: Spernol R. , Riss P. , Shindler K. , Beck A. , Breitenecker G. 
Published: April 2004

AbstractWe examined the site of experimental reanastomosis with fibrin glue in rabbit oviducts 3 months after the operation with light and scanning electron microscopy. Local tissue reaction was minimal, no fibrin clots were seen and inflammatory reactions were almost absent. On scanning electron microscopy ciliated cells were reduced in number. Morphologic changes at the site of anastomosis after the use of fibrin glue appear comparable to the alterations seen after the use of microsutures.
The role of laparoscopy in the diagnosis of ectopic pregnancy: A plea for conservative management
Authors: Beck Paul , Broslovsky Lewis , Gal David , Tancer M. Leon 
Published: April 2004

AbstractThis report evaluates the role of laparoscopy in patients admitted with the diagnosis of “Rule Out Ectopic”. There were 186 patients admitted to the Brookdale Hospital Medical Center in the 6‐year period 1974–1979 inclusive with a diagnosis of “Rule Out Ectopic” or “Possible Unruptured Ectopic”. These patients were all laparoscoped. There were 157 satisfactory and 27 unsatisfactory laparoscopies. There were 71 ectopic pregnancies: 42 ruptured, 25 unruptured. Thirty‐six cysts were diagnosed. The value of early laparoscopy is clearly established. Particular emphasis is placed on the diagnosis of the unruptured ectopic so that appropriate conservative management of the tube can be instituted in order to preserve potential reproductive capacity.
The treatment of failed laparoscopy using open laparoscopy
Authors: Dodson Melvin G. 
Published: April 2004

AbstractThere are over 300,000 laparoscopies done each year in the United States, and about 60,000 in England. “Failed laparoscopies” in which the procedure cannot be accomplished, has variously been reported in 0.043–4.3/1000 cases. A reasonable estimate of failed laparoscopy of 0.75% suggest that up to 2250 cases of “failed laparoscopy” occurs each year in the USA and 450 in UK. The translation of such failures into the personal experience of patients and the overall cost is staggering despite the fact that failures are not common. Three cases of “failed laparoscopy” in which the procedure was easily completed by open laparoscopy are reported and discussed. Familiarity with the techniques of open laparoscopy could virtually eliminate the incidence of failed laparoscopies.
Group B streptococci colonization among Saudi women in labor and neonatal acquisition
Authors: Uduman S.A. , Chatterjee T.K. , Al‐mouzan M.I. , Al‐Suleiman Suleiman 
Published: April 2004

AbstractRates of high vaginal Group B Streptococcus colonization and the perinatal transmission were determined in 260 Saudi women admitted for delivery to the Obstetrical Unit of the King Fahd Hospital of the University, Al‐Khobar. Of these women, 24 mothers in labour had vaginal colonization (9.2%). Three neonates acquired. Group B Streptococci soon after birth on more than one body site and the perinatal transmission rate was 12.5%. Implication of these findings are reviewed.
The interrelationships between age, physical measurements and body composition at menarche in schoolgirls at Ilorin, Nigeria
Authors: Fakeye Olurotimi 
Published: April 2004

AbstractA cross‐sectional study of age, physical size and body composition at menarche was made at Ilorin, Nigeria among 162 secondary school girls who reached menarche between March and June, 1983. The findings show that the mean age, height and weight are 13.7 ± 1.0 years, 156.2 ± 6.3 cm and 47.4 ± 6.7 kg, respectively. The estimated body composition is: total body water (TBW), 25.7 ± 2.31;lean body mass (LBM), 35.7 ± 3.3 kg; and fat content, 11.8 ± 3.8 kg. Whereas the coefficient of variation was highest for fat content (32.2), it was least for height (4.0). Menarcheal age has a weak correlation to all the variables, but strong correlation existed between weight and the parameters of body composition. The findings of body composition at menarche in Nigerian and North American schoolgirls are similar.
Definition and treatment of microcarcinoma of the cervix uteri
Authors: Iversen Torbjørn 
Published: April 2004

AbstractPatients with tumors without vessel invasion have a better prognosis than patients with tumors of the same size with vessel invasion. The depth of stromal infiltration should be measured from the epithelial surface. In patients with an infiltration less than 1 mm, conization will be sufficient treatment, but hysterectomy is necessary when the disease is more advanced. When the tumor has infiltrated into vessels, additional treatment including pelvic lymphadenectomy or external irradiation should be performed.
The assessment of fetal pulmonary maturity by fluorescence polarization (FP‐value) of pooled vaginal amniotic fluid associated with ruptured membranes
Authors: Runowicz Carolyn D. , Beers Philip C. 
Published: April 2004

AbstractThis prospective study was undertaken to examine the reliability of fluorescence polarization (FP) readings on amniotic fluid collected from the posterior formix of the vagina after membranes have ruptured. This method was chosen because it is as accurate as the L/S ratio, but it is simpler, faster and requires only 0.5 ml of sample. Forty‐seven out of 55 patients were eligible for the study, for a success rate of 85%. Respiratory distress syndrome (RDS) occurred in one out of 29 neonates with FP in the mature or low risk group. In the high risk group for RDS, 7 out of 12 developed the syndrome. In 11 patients, FP‐values obtained from transabdominal amniocentesis were not significantly different from those obtained from pooled vagina amniotic fluid once membranes were ruptured. Analysis of pooled vaginal amniotic fluid is simple, non‐invasive and capable of being performed with a high rate of success. FP‐values from properly collected pooled vaginal amniotic fluid can be used in the assessment of functional fetal lung maturity.
White sponge nevus of the vulva
Authors: Búchholz Friedrich , Schubert Christoph , Lehmann‐Willenbrock Enrique 
Published: April 2004

AbstractThe white sponge nevus is a hereditary leukokerotosis localized preferably in the oral mucosa, but may simultaneously manifest itself in other regions, e.g. perianally.We report the case of a 18‐year‐old patient with a primarily and exclusively extraorally located white sponge nevus of the vulva. The differential diagnosis and clinical as well as therapeutical problems of this extremely rare disease are discussed.
Antimicrobial properties of amniotic fluid from some Nigerian women
Authors: Ojo Vincent A. , Okpere Eugene E. , Obaseiki‐Ebor Emmanuel E. 
Published: April 2004

AbstractFifty‐one amniotic fluids were aspirated via the vaginal route from 51 pregnant Nigerian mothers. Their antimicrobial activity was tested against Staphylococcus aureus, Escherichia coli and Candida albicans. Inhibition rates were 39.2% for Staph, aureus 19.6% for E. coli and 41.2% for C. albicans. The overall inhibitory capacity was 64.7%. Sixteen fluids (31.4%) were active against one organism, three fluids (5.9%) were active against two organisms and one fluid (2%) was active against the three organisms. Age, parity and meconium‐staining of liquor had no correlation with antimicrobial properties. The possible explanations for these are given.
Broad spectrum antibiotics as short term prophylaxis for elective abdominal hysterectomy: Comparison of mezlocillin, cefazolin and placebo
Authors: Hakim M. , Gonen R. , Levitan Z. , Sharf M. 
Published: April 2004

AbstractA prospective randomized placebo controlled double‐blind study was conducted in order to evaluate the effect of short term perioperative antibiotic prophylaxis on patients undergoing elective abdominal hysterectomy. Fifty‐two patients received 3 doses of 0.5 g cefazolin, 54 patients received 3 doses of 1 g mezlocillin and 53 patients received placebo.Postoperative infectious morbidity and the rate of pelvic cellulitis were significantly lower in either antibiotic group in comparison to the placebo group, but neither drug proved to be superior in this respect. The fever index was significantly lower in the mezlocillin group in comparison to both cefazolin and placebo groups.It was thus concluded that antibiotic prophylaxis has a beneficial effect on patients undergoing abdominal hysterectomy and both drugs ‐ cefazolin and mezlocillin ‐ seem to be equally effective.
Management of pregnancy‐induced hypertension with pindolol‐comparative study with methyldopa
Authors: Ellenbogen A. , Jaschevatzky O. , Davidson A. , Anderman S. , Grunstein S. 
Published: April 2004

AbstractThirty‐two consecutive women with pregnancy‐induced hypertension of early onset were randomly allocated to treatment with pindolol or methyldopa. There was no difference between the groups in regard to the average time of delivery (36.33 vs. 36.6 weeks) and weight of the newborn (2850 vs. 2870 g). A significant drop in systotic (P < 0.005) and diastolic (P < 0.05) blood pressure was observed in the group of patients treated with pindolol as compared with the methyldopa group. In the pindolol group an improvement in renal function was observed as determined by CCT and serum creatinine. There were no side effects from the drugs in the mother or in the newborn.
Surgical emergencies of the uterine adnexae during pregnancy
Authors: Johnson T.R.B. , Woodruff J.D. 
Published: April 2004

AbstractDuring the 5‐year period 1976–1980, seven cases of emergent surgical disease of the adnexae during pregnancy were encountered. The incidence of 1:1832 deliveries approximated that of appendicitis (1 : 1603 deliveries) during the same period. There were three cases of adnexal torsion, two ruptured ovarian cysts with hemorrhage, one heterotopic pregnancy, and one ruptured endometrioma. The right side was more commonly the site of the pathology, and abdominal pain the only consistent presenting symptom. Fever, tachycardia, and leukocytosis were inconsistent findings. Culdocentesis was positive in two cases. Four desired pregnancies were carried successfully to term postoperatively.Surgical emergencies of the adnexae will be encountered during pregnancy more commonly than is generally recognized. Aspects of obstetric management are described. If prompt surgical intervention is undertaken in pregnancy when the clinical picture suggests an acute abdomen, a satisfactory outcome can be expected.
Transcatheter embolization of pelvic arteries as the safest method for postpartum hemorrhage
Authors: Ito M. , Matsui K. , Mabe K. , Katabuchi H. , Fujisaki S. 
Published: April 2004

AbstractTwo cases of intractable postpartum hemorrhage could be controlled by Gelfoam embolization via an angiographic catheter. The data presented here indicate that transcatheter embolization for postpartum hemorrhage is a safe and effective method compared to surgical ligation of the injured artery.
Serum ferritin levels and their significance in normal full‐term pregnant women
Authors: Ho Chao‐Hung , Yuan Chiou‐Chung , Yeh Shin‐Hwa 
Published: April 2004

AbstractSerum ferritin levels were determined by radioimmunoassay (RIA) method and then analysed in 240 normal full‐term pregnant women. Their hemoglobin concentrations were found to be normal in the first trimester. None of them had received any hematonic during their whole pregnancy period. Their mean age was 27.7 years and the mean pregnancy duration was 39.5 weeks. Mean hemoglobin concentration in these normal pregnant women was 12.6 g%. Mean serum ferritin was 23.1 ng/ml. It was significantly lower than the mean value of the normal non‐pregnant women of the same age. In this study, we found that even normal pregnant women, 15.42% (37 out of the 240) had subclinical iron deficiency and 12.92% (31 out of the 240) of the previously normal pregnant women had clinical anemia during their term of pregnancy. Multiparity was found to be a factor in the prevalence of iron deficiency but age and gravida number played no role in the occurrence of iron deficiency anemia.
Characteristics of maternal deaths following cesarean section in a developing country
Authors: Ojo V.A. , Adetoro O.O. , Okwerekwu F.E.O. 
Published: April 2004

AbstractA retrospective analysis was made of 27 maternal deaths after cesarean section occurring over a 5‐year period. Sepsis was the single most important cause of maternal death (81.5%). The commonest indications for the cesarean sections were obstructed labor (59.3%) and cord prolapse (18.5%). The causes of maternal deaths were classified as avoidable and recommendations were made for their prevention.
Ultrastructure of endosalpingeal biopsies in infertile patients: correlation with reproductive success
Authors: Marchini M. , Baglioni A. , Zamberletti D. , Vercellini P. , Motta T. , Fedele L. 
Published: April 2004

AbstractWe calculated the percentage of ciliated cells (PCC) in salpingeal microbiopsies of 41 patients with tubal infertility and ampullary microbiopsies of 36 fertile women, using the planimetric method at 500–1000x at the scanning electron microscope. No relation was found between PCC and fertility after surgery. Thus normal ciliation does not seem to be essential for reproductive success and other factors such as the state of preservation of the tubal wall may be important.
Coupling of uterine contractions during labor: a pilot study
Authors: Cronjé H.S. , van der Westhuizen A. 
Published: April 2004

AbstractA review of 2167 cardiotocograms revealed 53 (2.5%) with coupling of contractions. The data of these patients was compared to the data of 53 patients with cardiotocograms without coupling. In the coupling group there were more primigravidas (45 vs. 18), and a lower incidence of normal vaginal deliveries (11.3% vs. 83.0%). Vacuum and forceps deliveries occurred in 49.1% in the coupling group and cesarean births in 39.6%. The corresponding figures in the control group were 9.4% and 7.5%, respectively. Coupling seems to be a sign of dysfunctional labor associated with a high incidence of abnormal deliveries, but several confounding variables could not be ruled out.
Postmenopausal endometrial patterns and serum estradiol concentrations
Authors: Ismail A.A.A. , Ramadan M. , Soliman A. , Rahmy A. , Rizk A. 
Published: April 2004

AbstractEighty postmenopausal women were subjected to endometrial biopsy. Inadequate biopsy was recorded in 30 cases. In the remaining cases (n = 50) the correlation between endometrial patterns and serum estradiol (E2) was performed. These cases were presenting with uterine bleeding (n = 38) or minor gynecological symptoms (n = 12). Proliferative endometrium was the predominant endometrial pattern whereas endometrial malignancy was only present in 15.8% of the bleeding cases. Serum E2 was significantly elevated in cases having malignant endometrium or adenomatous hyperplasia compared to cases having other endometrial patterns. Serum E2 measurement is recommended as a simple screening test for the detection of postmenopausal endometrial hyperplasia and/or malignancy.