We present a rare case of LC in a 72-year-old patient who presented with a vulvar mass and ipsilateral leg edema. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10147-008-0764-4Authors Yılmaz Dikmen, Ege University Faculty of Medicine Department of Obstetrics and Gynecology Bornova, Izmir 35260 TurkeyMustafa Coşan Terek, Ege University Faculty of Medicine Department of Obstetrics and Gynecology Bornova, Izmir 35260 TurkeyLevent Akman, Ege University Faculty of Medicine Department of Obstetrics and Gynecology Bornova, Izmir 35260 TurkeyUlaş Solmaz, Ege University Faculty of Medicine Department of Obstetrics and Gynecology Bornova, Izmir 35260 TurkeyOsman Zekioğlu, Ege University Faculty of Medicine Department of Pathology Izmir TurkeyTaner Akalın, Ege University Fac...

Discussion.We also indicated that with the purpose of additional future validations, we wanted to provide a fixed classification model. Because the training samples in our article serve as a training set not only for this specific study but also for future validation studies, it was deemed more efficient to combine all samples from the training and test sets to refine the model. On page 1070 of the original article, it is acknowledged that "the final model provides more optimistic results compared with the test group, because it includes the training set... Nevertheless, this final model will be validated in a multicenter validation study." In addition, we used 10-fold cross-validation for the total cohort, which is a well-accepted approach. There are numerous studies using this analysis m...

CONCLUSION: Respondents may be writing fewer prescriptions for DMPA, are likely to institute a time limit on said prescription and are likely to order BMD testing, using the black box warning as justification. Continued education is necessary to prevent inappropriate restrictions on DMPA use and the performance and/or prescription of inappropriate tests and medications. PMID: 18929733 [PubMed - in process] (Source: Contraception)

Conclusion  We found a possible association between PRDM9 and azoospermia by meiotic arrest. Content Type Journal ArticleCategory GENETICSDOI 10.1007/s10815-008-9270-xAuthors Toshinobu Miyamoto, Asahikawa Medical College Department of Obstetrics and Gynecology Asahikawa JapanEitetsu Koh, Kanazawa University Graduate School of Medical Science Department of Integrated Cancer Therapy and Urology Kanazawa 920-8641 JapanNaoko Sakugawa, Asahikawa Medical College Department of Obstetrics and Gynecology Asahikawa JapanHisashi Sato, Asahikawa Medical College Department of Obstetrics and Gynecology Asahikawa JapanHiroaki Hayashi, Asahikawa Medical College Department of Obstetrics and Gynecology Asahikawa JapanMikio Namiki, Kanazawa University Graduate School of Medical Science Dep...

Conclusions  HA in follicular fluid is decreased in women with unsuccessful implantation or with an endocrine disorder. A woman’s level of HA production may influence the potential for implantation of her embryos. Content Type Journal ArticleCategory ASSISTED REPRODUCTIONDOI 10.1007/s10815-008-9268-4Authors Arthur Babayan, Weill Medical College of Cornell University Department of Obstetrics and Gynecology 525 East 68th Street Box 35 New York NY 10065 USAAndreas Neuer, University of Witten/Herdecke Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology Dortmund GermanyStefan Dieterle, University of Witten/Herdecke Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology Dortmund GermanyAnn ...

Abstract  Stem cells of fetal origin lie between embryonic and adult stem cells in terms of potentiality. Because of the ethical controversy surrounding embryonic stem cells and the relatively inferior quality of adult stem cells, the use of fetal stem cells would be an attractive option in future therapeutic applications. Here, we have investigated primitive characteristics of human umbilical-cord-derived fetal mesenchymal stem cells (UC fMSCs) during extensive expansion. We have successfully isolated and cultured UC fMSCs from all UC samples, but with two early fungal contaminations. UC fMSCs proliferated without significant evidence of morphological changes, and the average cumulative population-doubling level was over 25 for about 3 months. UC fMSCs showed the posi...

We report a descriptive management of pregnancy in a woman suffering from chronic viral hepatitis B with D and C coinfection exacerbated finally to severe cirrhosis of the liver. Caesarean section was performed giving birth to a viable male infant. Two months after the operation the patient underwent a liver transplantation with good outcome. Management of such severe cases requires a multidisciplinary medical approach. Data regarding cirrhosis caused by chronic viral agents in pregnancy are limited. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00404-008-0811-4Authors A. Peitsidou, Alexandra General Hospital Athens GreeceP. Peitsidis, Metaxa Memorial Hospital Piraeus GreeceS. Michopoulos, Alexandra General Hospital Athens GreeceC. Matsouka, Alexandra General Hospit...

Content Type Journal ArticleCategory ErratumDOI 10.1007/s00404-008-0813-2Authors Fatemeh Ghaemmaghami, Tehran University of Medical Sciences Gynecology Oncology Department Tehran IranShohreh Behroozi, Tehran University of Medical Sciences Gynecology and Obstetrics Resident Tehran IranAzamolsadat Mousavi, Tehran University of Medical Sciences Gynecology Oncology Department Tehran IranTahereh Ashrafgangooei, Kerman University of Medical Sciences Gynecology Oncology Department Tehran IranMitra Modares Gilani, Tehran University of Medical Sciences Gynecology Oncology Department Tehran IranNadereh Behtash, Tehran University of Medical Sciences Gynecology Oncology Department Tehran IranZinat Ghanbari, Tehran University of Medical Sciences Gynecology and Obstetrics Department Tehran Iran ...

Abstract  We evaluated whether genetic variability, as well as menopausal status, modify the association between coffee intake and risk of ovarian cancer. Risk factor information and biologic specimens from three large epidemiological studies, the Nurses’ Health Study (NHS), NHSII, and the New England based Case-Control Study of ovarian cancer (NECC) were pooled resulting in 1,354 ovarian cancer cases and 1,851 controls for analysis. Odds ratios (ORs) and 95% confidence intervals (CI) were estimated using conditional (NHS/NHSII) and unconditional (NECC) logistic regression. Coffee consumption was not associated with overall risk (OR = 0.99; 95% CI 0.77–1.28); however, there was a suggested increased risk of ovarian cancer among premenopausal women in the NECC o...

The House has taken steps to alleviate the growing shortage of primary care physicians by passing a measure that would establish an interest-free loan program for hospitals to start new osteopathic or allopathic residency training programs. The Physician Workforce Enhancement Act of 2008, H.R. 2583, now under consideration by the Senate Health, Education, Labor and Pensions Committee, would make interest-free loans available to hospitals to start new osteopathic or allopathic residencies in one of five medical specialties or some combination of the specialties. The five specialties are family medicine, internal medicine, pediatrics, obstetrics and gynecology, and behavioral or mental health. (Source: AAFP Government and Medicine)

Aim: To identify clinical prognostic factors for survival of patients with squamous cell carcinoma (SqCC) arising from mature cystic teratoma (MCT) of the ovary with review of the published reports.Methods: Clinical data of 55 patients with SqCC arising from MCT of the ovary who were reported in the Korean Journal of Obstetrics and Gynecology and the Korean Journal of Gynecologic Oncology and Colposcopy between 1992 and 2006 were reviewed. Clinical factors were analyzed to identify their association with disease-free survival and overall survival (OS), which were evaluated using the Kaplan-Meier analysis with the log-rank test. Clinical prognostic factors were identified using Cox's proportional hazard analysis.Results: Patients with disease confined within the ovary (n = 31) or ascites (S...

Choledochal cysts are rare congenital cystic dilatations of the biliary tree. Choledochal cysts in pregnancy are a rare entity and represent a diagnostic and therapeutic challenge. The authors present a case of two full-term pregnancies in a woman who underwent multiple hepatobiliary operations for a choledochal cyst. The patient had two major problems: a type IVa choledochal cyst with atrophy of the left side of the liver and a congenitally dilated pancreatic duct in the head of the gland. She underwent a drainage surgical procedure using a Roux loop of jejunum and a revision surgery in which complete excision of the cyst and hepaticojejunostomy was performed. The surgical management was completed by a left lateral hepatic segmentectomy. During her first pregnancy, she experienced an epis...

Conclusion: Diagnostic laparoscopy in preparation for operative procedures (especially for secondary infertile women) should be performed initially in all unexplained infertile patients with or without risk factors related to pelvic pathologies. (Source: Journal of Obstetrics and Gynaecology Research)

Conclusion: Placental adherence, placenta previa and uterine atony were identified as significant risk factors for cesarean hysterectomy. Cesarean section due to placenta previa should be electively scheduled with well-prepared blood components. The obstetrician should provide counsel and obtain detailed informed consent with regard to the possibility of cesarean hysterectomy. (Source: Journal of Obstetrics and Gynaecology Research)

Conclusions: Increasing paternal age synergistically decreases the male to female birth ratio. (Source: Journal of Obstetrics and Gynaecology Research)

Conclusion: Our data are consistent with previous studies of the enhanced efficiency of the [beta]2-adrenergic agonist, when administered together with the phosphodiesterase 4-inhibitor. Moreover we have shown that rolipram alone has a more profound effect on oxytocin-induced contractions than salbutamol alone. (Source: Journal of Obstetrics and Gynaecology Research)

This article argues that the continuing reluctance on the part of professional and bureaucratic bodies in Australia to provide for and support planned attended homebirth for low-risk women is unfounded according to the research evidence. It also suggests that such lack of support might be encouraging some planned but intentionally unattended homebirths to occur in Australia, particularly as in recent years there appears to have been an increase in popularity in freebirth (or do-it-yourself homebirth). The article calls for RANZCOG and Australian state health departments to support planned attended homebirth for low-risk women in the face of what is now a considerable amount of evidence showing its safety, when compared with unplanned homebirth and hospital birth. The article raises a numbe...

Conclusions: This study provides evidence for the view that different models of maternity care can be provided with good outcomes. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology)

Conclusions: The antenatal diagnosis of CCAM is associated with a good short-term prognosis. The pregnancy should initially be managed at a tertiary centre with serial ultrasound. Asymptomatic babies should have a postnatal CT even if the CCAM appears to have resolved or decreased on antenatal ultrasound. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology)

Conclusions: ECV at National Women's Health is effective at reducing beech presentation at term and at restoring a caesarean section rate equivalent to that of cephalic singleton pregnancy at term. However, the low rate of referral should be addressed. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology)