Obstetrics and gynecology
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A case of postcoital pneumoperitoneum occurring 2 months after abdominal hysterectomy is presented along with a review of the literature. The authors believe this is the first reported case of postcoital pneumoperitoneum after abdominal hysterectomy.
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Obstetrics and gynecology · Mar 1980
Case ReportsAdult respiratory distress syndrome in obstetrics and gynecology.
The diagnosis, pathophysiology, and treatment of adult respiratory distress syndrome (ARDS) are discussed and 2 cases are presented. ARDS has varied etiology but common clinical, roentgenographic, and pathologic findings; it has been increasingly recognized as an important cause of morbidity and mortality in seriously ill patients. The obstetrician-gynecologist must be aware of this condition, for survival depends upon prompt diagnosis and meticulous therapy of the condition and its underlying cause.
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Despite efforts toward regional planning of maternity services and consolidation of small hospital units, the number of US hospitals with maternity services has increased every year since 1973. Only 2 states have significantly reduced the number of hospitals performing less than 500 deliveries annually. The average number of annual deliveries per hospital is 728. No state has achieved an average number of deliveries as high as the 1500 deliveries called for in national guidelines for health planning.
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Obstetrics and gynecology · Aug 1979
Thermographic screening for breast cancer in a gynecologic practice.
In the course of their practice 2 gynecologists have conducted a program of screening for breast cancer in 1538 patients ages 35-49 years and on 1102 patients ages 50 or older. The screening protocol of breast examinations, thermography, and selective mammography is described. Twenty-four (9/1000) breast cancers were found, 12 in each age group. ⋯ However, since routine annual use of the latter in younger women still raises concerns about x-ray dosage, thermography is a valuable adjunct to physical examination alone. When it is abnormal, mammography is indicated. The 3 complementary methods can reveal about 9 of 10 preclinical cancers in young women.
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Obstetrics and gynecology · May 1979
Academic manpower for obstetrics and gynecology in the United States.
All 119 medical schools in the United States provided information for a study of academic manpower conducted by the Association of Professors of Gynecology and Obstetrics (APGO). The average number of full-time faculty members per medical school is 13.2, with 2 positions vacant per school. Subspecialists are concentrated in university medical school departments, which also have large residency programs. A perceived need for 46% more faculty over the next 5 years will probably aggravate the shortage.