ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02575-W

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractObjective: To ascertain the significance of coexisting pulmonary hypertension in cardiac disease in pregnancy. Methods: Over a 3‐year period a group of pregnant women with cardiac disease was followed until 6 weeks postpartum. Twenty women with pulmonary hypertension were compared with 20 controls without pulmonary hypertension with particular reference to maternal and fetal outcome. Analysis of data was carried out using Fisher's exact test and Student's t‐test. Results: Except for Eisenmenger's syndrome, there were no differences in maternal morbidity and mortality between the two groups. There were more low birth weight babies but no significant differences in premature delivery rate, mode of delivery or perinatal mortality. Conclusion: Except for Eisenmenger's syndrome, coexisting pulmonary hypertension complicating cardiac disease in pregnancy generally has a favorable outcome for both mother and fetus.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02520-M

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractObjectives: To examine the effect of clinical characteristics on the prevalence of gestational diabetes mellitus (GDM) and to find the most effective screening program for GDM in Korea. Methods: Universal screening with a 50‐g glucose load at 24–28 weeks' gestation, as recommended by the Third International Workshop‐Conference on Gestational Diabetes Mellitus, was carried out among 3581 consecutive Korean women. Women with a 1‐h plasma glucose ≥ 130 mg/dl underwent a 3‐h 100‐g oral glucose tolerance test. The women's clinical characteristics and risk factors for GDM were recorded at the time of the screening test. Results: The overall prevalence of GDM in Korean women was 2.2 cases/100. Although only 1.3% of this population was obese, the prevalence of GDM was found to be significantly increased with increasing body mass index. When 135 mg/dl is used as a threshold, the number of women requiring a diagnostic test decreases to 19.5%, enabling identification of 98.8% of women with GDM. Conclusion: Universal screening using 135 mg/dl as a threshold and early screening of those with two or more risk factors represent the most effective paradigm for Korea.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02524-G

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractObjective: To attempt to detect the presence of a gender difference in the size of the fetal lateral ventricular atrium. Methods: The width of the lateral ventricular atrium was measured sonographically on 543 consecutive fetuses scanned at 17–40 weeks, with a normal structural survey and documented gender assignment. Lateral ventricular measurements of male and female fetuses were compared. Results: The mean width (± S.D.) of the lateral ventricular atrium for the entire study population of 543 fetuses was 6.5 ± 1.4 mm. The measurement was 6.7 ± 1.3 in male and 6.3 ± 1.4 in female fetuses (P0.05, NS). Conclusion: Male fetuses have slightly larger cerebral lateral ventricles than female fetuses.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02523-F

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractObjective: To study the clinical risk for gynecological disorders in first‐degree relatives in families with uterine leiomyoma. Method: Ninety‐seven families (215 female patients) were enrolled in this study; 97 patients and 118 of their near family relatives were examined. Results: Leiomyoma was discovered in 24.7% of cases, 2.2 times more frequently (P<0.001) among the first‐degree female relatives in families with two or more verified leiomyoma cases. The rate of PCO disease was about 15% for both groups. Conclusion: These results confirm the concept of distinct predisposition to uterine leiomyoma and the PCO disease in first‐degree relatives in families with leiomyoma accumulation.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02533-I

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractObjective: To evaluate the incidence of retroperitoneal metastases, survival rate and site of recurrence in early ovarian tumors undergoing limited retroperitoneal surgery. Method: Three hundred seventy‐three consecutive patients underwent assessment of the retroperitoneum consisting of intraoperative palpation with or without biopsies. Results: Retroperitoneal metastases were detected in 10 stage‐I tumors (3.2%) and in 10 stage‐II tumors (16%). The risk was inversely related to tumor differentiation. Palpation revealed metastases in 10 cases. During follow‐up, none of the borderline tumors (1.9% of stage‐I grade‐1 node‐negative, 2.7% of grade‐2 and 7.0% of grade‐3 tumors) recurred in the retroperitoneum. In stage II, two recurrences were observed in grade‐2 tumors (11%) and one in grade 3 (4.5%). Conclusion: Limited retroperitoneal surgery enables satisfactory outcome in early ovarian cancers. Risk of retroperitoneal recurrence is minimal in grade 1 and non‐existent in borderline tumors. Less differentiated tumors have low risk but further investigation of the therapeutic role of lymphadenectomy is justified.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02455-L

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractObjectives: Synchronous carcinomas of the endometrium and ovary may indicate either independently developing neoplasms or metastatic disease. The clinical implications and prognosis of these two categories are quite different. The objectives of this study were to identify and evaluate the empirical criteria and significant therapeutic implications. Method: The National Taiwan University Hospital Cancer Registry records and pathological reports from 1977 to 1994 were reviewed. Empirical criteria were used to identify synchronous primary cancers. Results: A total of 322 patients had endometrial cancer and 421 patients had ovarian cancer in our Cancer Registry records. Eleven patients had simultaneous cancer involvement of both the endometrium and ovary. Six cases fulfilled the criteria of synchronous primary carcinomas of the endometrium and ovary. Of these, five were alive and free of disease for 35–144 months (median 94.2 months). The disease‐free survival rates between patients with synchronous primary and metastatic cancers of different histologic types showed a statistically significant difference (P = 0.013). No statistical significance was noted for different histologic types (P>0.5). Conclusions: The empirical criteria used here were useful in identifying synchronous primary cancers of the endometrium and ovary. The favorable clinical outcome may relate to early detection of early‐stage disease and low‐grade malignancy with an indolent growth rate. Surgical management with or without adjuvant therapy has a satisfactory outcome in our experience.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02514-D

出版商:Wiley    

年代:2017

数据来源: WILEY

摘要:

AbstractA 15‐year‐old patient with stage‐Ia epithelial ovarian cancer was managed conservatively after simple excision of the tumor. The remaining ovary is screened at regular intervals by ultrasound. It is hoped that this policy is justified to allow future childbearing after which total pelvic clearance is proposed.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02521-D

出版商:Wiley    

年代:2000

数据来源: WILEY

摘要:

AbstractAdolescence is a period of physical, psychological and social transition from childhood to adulthood. At present there are 95 million young people aged between 10 and 24 years in the Middle East and North Africa. Female education is increasing in these regions, but secondary school enrollment rates for girls lag behind those of their male counterparts. Average age at first marriage varies between 17.9 and 24.3 years, but teenage marriage is quite common. Total fertility rates are higher than the world average. Pregnancy at an early age often translates into a high fertility rate and high risks for women and their children. Female children's share of food, health care, work options and general care is often less than that of boys, because they are perceived to be less valuable than boys in some countries.

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02513-C

出版商:Wiley    

年代:2000

数据来源: WILEY

ISSN:0020-6695    

DOI:10.1016/0020-7292(95)02473-P

出版商:Wiley    

年代:2000

数据来源: WILEY