American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 2006
Role of lymphadenectomy in the management of grossly apparent advanced stage epithelial ovarian cancer.
The purpose of this study was to determine the factors that are related to the performance of lymph node assessment and its impact on prognosis in ovarian cancer. ⋯ Removal of obviously involved lymph nodes in patients with residual disease near 1 cm and lymphadenectomy for patients with complete or near complete resection of abdominal disease appears to be justified. A lack of standard recommendation in advanced ovarian cancer results in wide variations that are based on individual preference in addition to logical factors.
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Am. J. Obstet. Gynecol. · Dec 2006
Maternal-fetal conditions necessitating a medical intervention resulting in preterm birth.
The objective of the study was to evaluate the extent to which maternal and fetal conditions necessitate medically indicated preterm birth. ⋯ Preeclampsia, fetal distress, small-for-gestational-age, and placental abruption, conditions that are associated with ischemic placental disease, are implicated in well over half of all medically indicated preterm births. Although the etiology of preterm birth is heterogeneous, it is reasonable that ischemic placental disease may serve as an important pathway to preterm birth.
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Am. J. Obstet. Gynecol. · Dec 2006
Fetal lung-to-head ratio in the prediction of survival in severe left-sided diaphragmatic hernia treated by fetal endoscopic tracheal occlusion (FETO).
The objective of the study was to investigate the value of fetal lung area to head circumference ratio in the prediction of the postnatal outcome in left-sided congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion. ⋯ In congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion, postnatal survival can be predicted by the lung area to head circumference ratio measured prior to the procedure.
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Am. J. Obstet. Gynecol. · Nov 2006
Randomized Controlled TrialPain from copper intrauterine device insertion: randomized trial of prophylactic ibuprofen.
This study was undertaken to determine whether 400 mg of prophylactic ibuprofen can alleviate pain from insertion of an intrauterine device (IUD) and to measure level of pain with improved techniques. ⋯ Even among first-time users, pain from IUD insertion is generally low. Prophylactic ibuprofen as used in this protocol does not reduce IUD insertion pain.
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The purpose of the study was to describe resident and faculty perceptions on the impact of the 80 hour work reform on residency training. ⋯ Faculty and resident perceptions differed on the impact of the work reform on patient care and resident education but agreed that it improved resident quality of life.