bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychosocial outcomes of vaginal and cesarean births in Taiwanese primiparas
Authors: Chen Chung‐Hey , Wang Shing‐Yaw 
Published: November 2002

AbstractThe purpose of this study was to examine differences in psychosocial outcomes between primiparas experiencing vaginal deliveries and primiparas experiencing cesarean deliveries. One hundred and ninety‐four vaginal delivery primiparas and 81 cesarean delivery primiparas from the Kaohsiung city area in Taiwan were recruited at 6 weeks postpartum to participate in this study. Using two‐sample t tests, we found no significant differences in perceived stress, self‐esteem, or depression between vaginal and cesarean delivery primiparas. However, the cesarean delivery primiparas showed a significantly higher level of perceived social support than vaginal delivery primiparas. Types of cesarean (planned vs. unplanned) and types of anesthesia (general vs. epidural) were not significant factors influencing psychosocial outcomes for cesarean delivery primiparas. The lack of substantial differences between the groups may be a result of the normalizing effect of the high cesarean birthrate and greater social support given to this method of childbirth. Cultural concerns of offspring gender and choosing an auspicious time for delivery may also have ameliorative effects on the occurrence of psychosocial difficulties with a cesarean delivery in Taiwan. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:452–458, 2002.
Testing equivalence of Spanish and English versions: The LaMonica–Oberst (revised) patient satisfaction with nursing care scale
Authors: Lange Jean W. 
Published: November 2002

AbstractDespite recent emphasis on outcome measurement and an increasing proportion of Spanish speakers in the United States, most patient satisfaction studies exclude Spanish‐speaking participants because Spanish versions of instruments are not available. A Spanish translation of the 15‐item LaMonica–Oberst Patient Satisfaction Scale, completed by 64 Spanish‐speaking patients living in the northeast and of predominantly Puerto Rican ancestry, produced two factors explaining 86.3% of score variation (α=.94 and .58). Evidence for equivalence to the English version and concurrent validity is presented. Generalizability and decision studies indicate that four additional items are needed on the dissatisfaction subscale to attain an acceptable dependability coefficient. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:438–451, 2002.
Psychometric properties of the self‐control schedule: Thai version
Authors: Boonpongmanee Chayanin , Zauszniewski Jaclene A. , Boonpongmanee Somprak 
Published: November 2002

AbstractThe psychometric properties of the Thai version of the Self‐Control Schedule (SCS), a measure of learned resourcefulness, were examined. Data were collected from 77 pregnant women who were HIV positive and 103 pregnant women who were HIV negative. Back‐translation was completed, and agreement between the two content experts as determined by the Content Validity Index was 86%. To assure the equivalence of the translated SCS, English and Thai versions were completed by 16 bilinguals, and the two versions were found to correlate highly (r=.95; p<.01). Internal consistency reliability for the Thai version of the SCS was .81. Confirmatory factor analysis was used to establish construct validity. The results suggest that the Thai version of the SCS has promise for use with pregnant Thai women; however, modification of some items would improve its understandability and cross‐cultural applicability. Further psychometric testing in larger and more diverse samples is recommended. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:471–478, 2002.
Theory building through mixed‐method evaluation of a dementia special care unit
Authors: Morgan Debra G. , Stewart Norma J. 
Published: November 2002

AbstractThe purpose of this article is to describe how the use of quantitative (quasi‐experimental) and qualitative (grounded‐theory) methods in an evaluation of new dementia special care units led to a better understanding of how the nursing home environment affects residents with dementia, which in turn helped to advance theory development in person–environment interaction. The environmental intervention involved changes in social density (size of resident group), spatial density (space per person), and privacy. A second aim of the article is to illustrate that applied research cannot be perfectly preplanned; rather, it is a process that involves ongoing decisions and management of unexpected events. We describe the sequence of key methodological decisions made during the planning, implementation, and integration phases of the study, which was conducted over a 21‐month period. Results of this study highlight the benefits of mixed‐method designs for evaluation research. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:479–488, 2002.
Patterns of mental distress following the violent death of a child and predictors of change over time
Authors: Murphy Shirley A. , Chung Ick‐Joong , Johnson L. Clark 
Published: November 2002

AbstractWe observed 173 parents bereaved by the violent death of an adolescent or young adult child. Data were collected 4, 12, 24, and 60 months postdeath. Using latent growth modeling, we examined how initial levels of mental distress and the rate of change over time are influenced by nine predictors: parents' gender, self‐esteem, three coping strategies, perceived social support, negative life stressors, posttraumatic stress disorder (PTSD) symptoms, and an intervention offered in the early bereavement period. The results support a multiple‐risk and –protective factor model of loss accommodation. Parents' gender, self‐esteem, and affective and repressive coping were predictive of changes in mental distress over time. Although parents' initial levels of PTSD were the best predictor of baseline mental distress, they did not predict reductions in distress 5 years later. Theoretical, empirical, and clinical implications are discussed. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:425–437, 2002.
Effects of two types of social support and education on adaptation to early‐stage breast cancer
Authors: Samarel Nelda , Tulman Lorraine , Fawcett Jacqueline 
Published: November 2002

AbstractA Roy adaptation model–based support and education intervention for women with early‐stage breast cancer was tested in a three‐group, three‐phase randomized clinical trial of a sample of 125 women. The experimental group received 13 months of combined individual telephone and in‐person group support and education, Control Group 1 received 13 months of telephone‐only individual support and education, and Control Group 2 received one‐time mailed educational information. The experimental group and Control Group 1 reported less mood disturbance at the end of all three phases, less loneliness at the end of Phases II and III, and a higher‐quality relationship with a significant other at the end of Phase II than did Control Group 2. No group differences were found for cancer‐related worry or well‐being. The findings suggest that individual telephone support may provide an effective alternative to in‐person support groups. Further study of telephone interventions is recommended using ethnically and economically heterogeneous samples. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:459–470, 2002.
Prenatal diagnosis of a fetus with pure partial trisomy 1q32‐44 due to a familial balanced rearrangement
Authors: Kímya Yalçın , Yakut Tahsin , Egelí Ünal , Özerkan Kemal 
Published: November 2002

AbstractWe diagnosed a pure partial trisomy of the long arm of chromosome 1 in a fetus with multiple malformations detected prenatally. The father was a carrier of a balanced rearrangement involving 46,XY,inv(1)(qter→p36::q32→qter::p36→q32). The fetus had preaxial polydactyly, low‐set ears, macrocephaly, a prominent forehead, a broad and flat nasal bridge, a small mouth, an arched palate, micrognathia and unilateral renal agenesis. The couple had previously an infant with the same phenotypic abnormalities. The aberration was initially detected on amniocentesis with GTG banding and was confirmed by fluorescence in situ hybridization (FISH). Our case and other published pure trisomy 1q32‐44 cases showed similarities, which allowed the further delineation of the trisomy 1q syndrome. Copyright © 2002 John Wiley & Sons, Ltd.
Fetal bradycardia in the first trimester: an unusual presentation of atrial extrasystoles
Authors: Wong S. F. , Chau K. T. , Ho L. C. 
Published: November 2002

AbstractWe report a fetus with fetal bradycardia at 13 weeks of gestation secondary to atrial extrasystoles. The fetus subsequently developed paroxysmal supraventricular tachycardia and hydrops fetalis. The cardiac arrhythmia recovered spontaneously without any medical intervention. This case illustrates that atrial ectopic beats can present in the first trimester with fetal bradycardia. Rapidly evolving hydrops fetalis secondary to supraventricular tachycardia can develop, warranting close monitoring with weekly heart rate assessment. Fetal bradycardia secondary to atrial extrasystole should be differentiated from first trimester sinus bradycardia and those associated with major structural cardiac abnormality, which have a high fetal loss rate. Copyright © 2002 John Wiley & Sons, Ltd.
Fetal capillary haemangioblastoma: an exceptional tumour. A review of the literature
Authors: Diguet Alain , Laquerrière Annie , Eurin Danielle , Chanavaz‐Lacheray Isabella , Magdeleine Ruchoux Marie , Rossi Annick , Marpeau Loïc 
Published: November 2002

AbstractWe report a case of a fetal haemangioblastoma located in the cerebellopontine angle. On prenatal ultrasonographic examination a hyperechogenic and heterogeneous mass with a major vascularization on colour Doppler imaging was observed. It increased progressively and laminated the cerebellum. A neoplastic tumour was suspected but its extent into the cerebral peduncle was unclear. Diagnosis was made at autopsy using histological, immunohistochemical and flow cytometric evaluation. Haemangioblastoma is an exceptional congenital tumour, which is either sporadic or integrated in von Hippel‐Lindau disease (VHLD). We discuss the obstetrical management of prenatal brain tumours and the genetic counselling of haemangioblastoma. Copyright © 2002 John Wiley & Sons, Ltd.
Perinatal management and outcome of prenatally diagnosed congenital diaphragmatic hernia: a 1995–2000 series in Rennes University Hospital
Authors: Bétrémieux Pierre , Lionnais Stéphanie , Beuchée Alain , Pladys Patrick , Le Bouar Gwénaelle , Pasquier Laurent , Loeuillet‐Olivo Laurence , Azzis Olivier , Milon Joelle , Wodey Eric , Frémond Benjamin , Odent Sylvie , Poulain Patrice 
Published: November 2002

AbstractObjectivesTo assess the prognosis of prenatally diagnosed congenital diaphragmatic hernia (CDH) during the years 1995–2000 in order to improve prenatal counselling.MethodsRetrospective study of all 31 cases of women with prenatally diagnosed CDH.ResultsNine pregnancies (29%) were terminated and two fetuses (6%) were stillborn. Ten fetuses (32%) had associated anomalies (four Fryns' syndrome) and four (13%) had underlying chromosomal anomalies. Twenty pregnancies were continued. Seven babies died before surgery either immediately in the delivery room (five between 1 and 45 min), or during the ‘stabilisation period’ (two babies, 7 and 21 h). Three babies presented with trisomy 18, Fryns' syndrome or transposition of the great arteries with microdeletion 22q11. Thirteen babies had the defect repaired (median 18 h, range 4–72 h) and 12 survived. Mechanical ventilation was required for a median of 12 days. One survivor has cerebral palsy.ConclusionOf 31 prenatally diagnosed CDH cases 38% are alive, of 20 ongoing pregnancies 60% are alive, and of 13 babies who underwent surgery 92% are alive. No baby with associated malformations survived. These numbers need to be known by each member of the counselling team in order to give parents adequate information to make their decision. Copyright © 2002 John Wiley & Sons, Ltd.
Prenatal diagnosis of ductus venosus agenesis and its association with cytogenetic/congenital anomalies
Authors: Volpe Paolo , Marasini Maurizio , Caruso Gilda , Lituania Mario , Marzullo Andrea , Volpe Gennaro , Gentile Mattia 
Published: November 2002

AbstractObjectivesWe present an observational study of 12 cases of anomalies of the umbilical and portal vein systems associated with absence of the ductus venosus (DV) diagnosed over the past 5 years. The hemodynamic implications of each pattern of umbilico‐portal system anomalies associated with absence of the DV have been investigated, as well as the frequency and types of associated anomalies and their embryological origin.MethodsIn all cases ultrasound, color Doppler, and cytogenetic investigations were performed.ResultsFour main patterns of abnormal venous circulation were documented: (1) the umbilical vein (UV) bypasses the liver and drains into the right atrium directly or through a dilated coronary sinus (three cases); (2) the UV bypasses the liver, with an infrahepatic or suprahepatic connection directly to the inferior vena cava (IVC) (two cases); (3) the UV bypasses the liver and drains directly into the iliac or renal veins (four cases); and (4) the UV drains directly into the portal veins (three cases). Among seven cases with other associated anomalies (58%), there were three cases of Turner's and Noonan's syndromes. Two fetuses and two neonates died and there were two terminations of pregnancy (TOP).ConclusionsIn utero diagnosis of ultrasound patterns associated with DV anomalies is feasible. Fetal karyotyping should be considered, serial ultrasound examinations recommended and, in the presence of heart failure, delivery can be anticipated. Copyright © 2002 John Wiley & Sons, Ltd.
Prenatal diagnosis of the Hunter syndrome and the introduction of a new fluorimetric enzyme assay
Authors: Keulemans J. L. M. , Sinigerska I. , Garritsen V. H. , Huijmans J. G. M. , Voznyi Y. V. , van Diggelen O. P. , Kleijer W. J. 
Published: November 2002

AbstractPrenatal diagnosis of the Hunter syndrome (mucopolysaccharidosis type II; MPS II) is preferably achieved by the assay of iduronate‐2‐sulphate sulphatase (IDS) in uncultured chorionic villi (CV) as this allows early (12th week), rapid (2–3 days) and reliable results. We summarize the results of 174 prenatal analyses in the past 30 years, using various methods such as radiolabelled sulphate incorporation in amniotic fluid (AF) cells, glycosaminoglycan (GAG)‐electrophoresis in AF and IDS assay in CV, CV‐cells, AF and AF‐cells. Twenty‐seven fetuses with MPS II were diagnosed after finding clearly abnormal results in pregnancies with a male fetus; very low IDS activity has also been measured in some pregnancies with a (heterozygous) female fetus, emphasizing the need to combine enzyme assay with fetal sex determination. IDS activity has until recently been assessed by a cumbersome radioactive enzyme assay. Here we describe the use of a novel fluorigenic 4‐methylumbelliferyl substrate, which allows a sensitive, rapid and convenient assay of IDS activity and reliable early prenatal diagnosis. This novel IDS assay was validated in retrospective analyses of 14 CV, CV‐cell, AF and AF‐cell samples from affected pregnancies in addition to prospective prenatal diagnosis in eight pregnancies at risk with one MPS II‐affected fetus. Copyright © 2002 John Wiley & Sons, Ltd.
Ivemark syndrome with agenesis of the corpus callosum: a case report with a review of the literature
Authors: Noack F. , Sayk F. , Ressel A. , Berg C. , Gembruch U. , Reusche E. 
Published: November 2002

AbstractAsplenia associated with situs ambiguus, symmetric liver, bilateral trilobulated lungs, and a complex heart defect was diagnosed on autopsy in a 14‐day‐old infant. Furthermore, examination of the brain displayed agenesis of the corpus callosum (ACC) with pachygyria and hydrocephalus. The characteristic association of asplenia with visceroatrial heterotaxia is traditionally named after the Swedish pediatrician, Ivemark. Although exceptional, association of Ivemark syndrome with callosal agenesis has been reported recently. The concept of ‘developmental fields’ describes morphogenetically reactive units of the embryo determining and controlling the development of complex structures in a hierarchical manner. Lateralization defects such as situs inversus, asplenia or polysplenia due to defective left–right axis development, as well as decussation defects such as ACC, are considered as defects of the primary developmental field. Therefore, additional callosal agenesis in Ivemark syndrome may be a coherent and synchronic defect in the primary developmental field rather than a causally independent malformation. Copyright © 2002 John Wiley & Sons, Ltd.
Degree of fetal umbilical venous constriction at the abdominal wall in a low‐risk population at 20–40 weeks of gestation
Authors: Skulstad Svein Magne , Kiserud Torvid , Rasmussen Svein 
Published: November 2002

AbstractObjectivesTo determine the degree of constriction of the umbilical vein at the abdominal wall in the second half of pregnancy.MethodsA total of 283 low‐risk singleton pregnancies were recruited for a cross‐sectional study, and examined once at 20–40 weeks of gestation. Two sets of ultrasound measurements of the umbilical vein were taken: one at the fetal end of the umbilical cord and another at the inlet through the abdominal wall, the umbilical ring. The diameter was determined as an average of ≥5 repeat measurements. The blood velocity was recorded at the same site.ResultsThe time‐averaged maximum venous blood velocity in the cord was low (mean 13–19 cm/s during 20–40 weeks of gestation), and the corresponding mean diameter 3.6–8.2 mm. In contrast, the mean of the venous blood velocity at the umbilical ring was 34–41 cm/s and the diameter was 2.8–5.9 mm during the same period. Of 191 pairs of observations, 41 (21%) had a velocity increment of ≥300 %, which corresponds to a diameter reduction to half or more at the umbilical ring.ConclusionConstriction of the umbilical ring is a common phenomenon in the second half of pregnancy. Copyright © 2002 John Wiley & Sons, Ltd.
Type II single umbilical artery (persistent vitelline artery) in an otherwise normal fetus
Authors: Gamzu Ronni , Zalel Yaron , Jacobson Jeffrey M. , Screiber Leticia , Achiron Reuven 
Published: November 2002

AbstractA single umbilical artery resulting from absence of the umbilical arteries and persistence of the vitelline artery that arises directly from the abdominal aorta has been described only in malformed fetuses with sirenomelia or caudal regression. Such an aberrant artery was suggested to be the etiology of sirenomelia caused by a ‘steal’ mechanism of blood flow from the caudal end of the embryo. We present a case in which prenatal ultrasound showed a similar aberrant single artery arising from the abdominal aorta in an otherwise normal fetus with a normal course of pregnancy. This vessel, a continuation of the superior mesenteric artery (SMA), corresponds to a persistent vitelline artery assuming the function of the umbilical arteries. The etiology of such a finding and its possible consequences are discussed. Copyright © 2002 John Wiley & Sons, Ltd.
Evaluating the risk of tuberous sclerosis in cases with prenatal diagnosis of cardiac rhabdomyoma
Authors: Gamzu Ronni , Achiron Reuven , Hegesh Julius , Weiner Ehud , Tepper Ron , Nir Amiram , Rabinowitz Ron , Auslander Ron , Yagel Simcha , Zalel Yaron , Zimmer Etan 
Published: November 2002

AbstractObjectiveTo evaluate the prenatal parameters that increase the risk of tuberous sclerosis in prenatal management of fetal cardiac tumors suspected as rhabdomyoma.MethodsThe study was a retrospective survey of 18 documented cases in which cardiac rhabdomyoma was suspected during pregnancy. The following parameters were evaluated as possible risk factors associated with tuberous sclerosis: tumor size, isolated or multiple, and family history of tuberous sclerosis.ResultsEighteen documented cases in which cardiac rhabdomyoma was found during pregnancy were evaluated. Of these cases, seven (39%) had proven tuberous sclerosis and 11 were found to be non‐associated tuberous sclerosis tumors. When combining the present data with previous series, cases with diagnosis of tuberous sclerosis had equal mean tumor size to those with normal outcome. Family history of tuberous sclerosis in the presence of cardiac rhabdomyoma almost invariably ended with tuberous sclerosis (86%). All other cases with diagnosis of tuberous sclerosis and no family history had all multiple cardiac tumors.ConclusionThe present data suggest that 39% of in utero suspected cardiac rhabdomyoma would have tuberous sclerosis. Family history and multifocality remain the strongest predictors of tuberous sclerosis, whereas size of the cardiac tumor can not reliably be used to predict tuberous sclerosis in prenatal counseling. Copyright © 2002 John Wiley & Sons, Ltd.
Low or absent unconjugated estriol in pregnancy: an indicator for steroid sulfatase deficiency detectable by fluorescence in situ hybridization and biochemical analysis
Authors: Kashork Catherine D. , Sutton V. Reid , Fonda Allen Jill S. , Schmidt Deborah E. , Likhite Marisa L. , Potocki Lorraine , O'Brien William E. , Shaffer Lisa G. 
Published: November 2002

AbstractIt has been previously reported that a low or absent maternal serum unconjugated estriol (uE3) level is associated with placental steroid sulfatase (STS) deficiency. Here we report a correlation between patients who present with a very low or absent maternal serum uE3 and a deletion of the STS gene as assessed by fluorescence in situ hybridization (FISH). We studied nine prenatal cases that presented to the clinical laboratory with an abnormal triple screen, specifically low or absent maternal serum uE3 and a 46,XY karyotype. FISH analysis showed complete deletion of a probe containing the STS gene in six cases and one case had a partial deletion (reduced but not absent signal). The remaining two cases were not deleted for the STS probe. All mothers tested whose fetus showed a deletion were shown to be STS deletion carriers using FISH. Biochemical analysis was performed on 7/9 prenatal specimens. All fetuses deleted for the STS probe were also found to be deficient for STS by biochemical analysis of cultured amniotic fluid (5/5). Of the two fetuses not deleted for the STS probe, one was deficient for STS activity, while the other had a normal result. The abnormal result of enzyme deficiency by biochemical analysis in a non‐deletion case likely represents a mutation in the STS gene, not detectable by this FISH assay. Postnatal FISH confirmation of the STS deletion was performed in 1/7 cases. Clinical follow‐up was available for 4/9 cases following birth. Copyright © 2002 John Wiley & Sons, Ltd.