Adolescent and pediatric gynecology最新文献_第10页

The FIGIJ Newsletter, 1994, No. 3 FIGIJ通讯，1994年，第3期

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80183-4

G. Creatsas M.D., FACS (Associate Professor, OB-GYN FIGIJ Secretary General)

引用次数: 0

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80180-9

S. Woodworth M.D.

引用次数: 0

Author index to volume 7 第七卷的作者索引

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80185-8

引用次数: 0

Subchorionic intervillositis: Relationship to premature rupture of membranes and cervicitis 绒毛膜下绒毛间炎:与膜早破和子宫颈炎的关系

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80173-1

C. Stevens-Simon M.D. , L.A. Metlay M.D. , E.R. McAnarney M.D.

{"title":"Subchorionic intervillositis: Relationship to premature rupture of membranes and cervicitis","authors":"C. Stevens-Simon M.D. , L.A. Metlay M.D. , E.R. McAnarney M.D.","doi":"10.1016/S0932-8610(19)80173-1","DOIUrl":"10.1016/S0932-8610(19)80173-1","url":null,"abstract":"<div>Study Objective: The inflammatory response engendered by cervicovaginal infections is believed to be an important, preventable, antecedent of premature rupture of the membranes. The objective of this study was to test the hypothesis that early histologic evidence of placental inflammation, subchorionic intervillositis, is a more common finding in placentas obtained from women who have cervicitis during gestation than in placentas obtained from other women.Design, Main Outcome Measure, and Participants/Setting: Standard gross and histologic techniques were used to examine the placentas of 105 poor, black women in relation to three clinical signs of cervicitis: hypertrophic ectopia, friability, and inflammatory discharge.Results: We found subchorionic intervillositis in 28 (26.7%) of the placentas. Subchorionic intervillositis was significantly associated with both premature rupture of the membranes and neonatal morbidity. Cervicitis was diagnosed in 63.5% of the subjects who were examined. Contrary to the study hypothesis, subchorionic intervillositis was a less common finding in the placentas of study subjects who had cervicitis (6.1% vs. 47.4%; χ2 = 12.3 p < 0.001).Conclusions: We speculate that prompt antibiotic treatment of clinically evident cervicitis eradicated potentially pathogenic microflora and prevented the ascent of the local inflammatory response up the birth canal.</div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Pages 195-198"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80173-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56829174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hysteroscopy for vaginoscopy in pediatric gynecology 妇科妇科宫腔镜代替阴道镜

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80178-0

G. Bacskó M.D.

引用次数: 8

Ritualistic child sexual abuse 仪式性的儿童性虐待

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80171-8

R.I. Slupik M.D. , L.J. Mercer M.D.

引用次数: 0

Age of first intercourse and risk of sexually transmitted disease 第一次性行为的年龄与性传播疾病的风险

Adolescent and pediatric gynecology Pub Date : 1994-09-01 DOI: 10.1016/S0932-8610(19)80176-7

S.L. Rosenthal Ph.D. , F.M. Biro M.D. , P.A. Succop Ph.D. , S.S. Cohen Ph.D. , L.R. Stanberry M.D., Ph.D.

{"title":"Age of first intercourse and risk of sexually transmitted disease","authors":"S.L. Rosenthal Ph.D. , F.M. Biro M.D. , P.A. Succop Ph.D. , S.S. Cohen Ph.D. , L.R. Stanberry M.D., Ph.D.","doi":"10.1016/S0932-8610(19)80176-7","DOIUrl":"10.1016/S0932-8610(19)80176-7","url":null,"abstract":"<div>Study Objective: This study examines the risk of acquisition of multiple episodes of a sexually transmitted disease (STD) as it relates to age of first intercourse and sexual behaviors among high risk adolescent females.Design: A linear regression model was used to predict number of STD episodes. The relationship between number of STDs and age at first intercourse was also examined with a contingency table.Setting: Sexually active female adolescents (n = 248) from an urban primary care adolescent clinic were interviewed regarding sexual behaviors by a female research assistant.Participants: The girls ranged in age from 12 to 21 (mean = 16.9 years); 80% were African-American and 20% were caucasian. The age of first intercourse ranged from 10 to 18. Seventy-four percent of the girls had a history of an STD.Results: In the final regression mode (adjusted R2 = 0.28), a higher number of episodes of STD was significantly related to having a younger age of first intercourse (p < 0.05), more lifetime partners (p < 0.01), and a longer time since first intercourse (p < 0.01). A 4 × 3 contingency table of age of first intercourse and history of STD revealed that those adolescents who are under 13 years when they initiate intercourse are at significantly higher risk for acquiring STD, and those that are 17 and older are at significantly lower risk (chi-square = 25.11, p < 0.01).Conclusions: These findings are discussed in relation to behavioral risk factors and interventions which aid girls to postpone sexual involvement to the later teen years.</div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 4","pages":"Pages 210-213"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80176-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56829825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

The pregnant teenager with diabetes: Obstetrical and social risks 怀孕少女糖尿病:产科和社会风险

Adolescent and pediatric gynecology Pub Date : 1994-06-01 DOI: 10.1016/S0932-8610(19)80115-9

M.E. Witt M.D. , M.B. Breckenridge Ph.D.

{"title":"The pregnant teenager with diabetes: Obstetrical and social risks","authors":"M.E. Witt M.D. , M.B. Breckenridge Ph.D.","doi":"10.1016/S0932-8610(19)80115-9","DOIUrl":"10.1016/S0932-8610(19)80115-9","url":null,"abstract":"<div>Study Objectives: To provide information on the prevalence of diabetes in pregnancy in women less than 20 years of age; and to compare deliveries with and without the complication of diabetes in teens and older women with regard to cesarean delivery rate, delivery complications, and selected socioeconomic characteristics.Design, Setting, Participants: Hospital claims for the 389,663 admissions for deliveries, ectopic pregnancies, and abortions from the 69 hospitals with obstetrical services in New Jersey in the years 1984, 1986, 1988.Main Outcome Measures, Results: Women under 20 accounted for 31,153 (9.9%) of the 314,680 hospitalizations for obstetrical deliveries (DRGs 370–375). An ICD-9-CM code for diabetes mellitus was listed in 180 (0.58%) of teen deliveries. Of 68,836 hospitalizations for abortion (DRGs 380–381), adolescents accounted for 10,140, and of these, 21 (0.2%) had a code for diabetes. Intrauterine fetal death was coded in 1.7% of diabetic and 0.9% of nondiabetic teen deliveries. The cesarean rate was 18% for nondiabetic teens, 37% for diabetic teens, and 46% for diabetic women aged 20–45. The complicated-to-uncomplicated ratios for both cesarean and vaginal deliveries for teens with diabetes were more than six times the ratios for nondiabetic teens and double those for diabetic older women. Among women who had deliveries, diabetic and nondiabetic adolescent groups were similar in percentage of blacks and Hispanics, residence in high perinatal risk geographic area defined by WIC criteria, Medicaid coverage, and self-payment for hospitalization.Conclusions: State-wide data on adolescent pregnancy complicated by diabetes reveal an increased risk of adverse outcomes. The social and medical issues of teenage pregnancy combined with the problems of a chronic disease call for further prospective studies of management alternatives.</div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 3","pages":"Pages 131-136"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80115-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56827185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Induction of puberty in hypogonadic females with thalassemia major: preliminary data 促性腺功能低下的地中海贫血女性的青春期诱导:初步数据

Adolescent and pediatric gynecology Pub Date : 1994-06-01 DOI: 10.1016/S0932-8610(19)80116-0

A. Filosa M.D. , S. Di Maio M.D. , A. Saviano M.D. , G. Aloi M.D.

{"title":"Induction of puberty in hypogonadic females with thalassemia major: preliminary data","authors":"A. Filosa M.D. , S. Di Maio M.D. , A. Saviano M.D. , G. Aloi M.D.","doi":"10.1016/S0932-8610(19)80116-0","DOIUrl":"10.1016/S0932-8610(19)80116-0","url":null,"abstract":"<div>Sexual maturation and growth during induction of puberty with oral ethinylestradiol at low doses were evaluated in seven thalassemic girls, aged 13.6–16.5 years with hypogonadotropic hypogonadism (group 1). They were compared with nine thalassemic girls, aged 9–11.4 years with spontaneous puberty (group 2). Estrogen therapy was started at chronological age (CA) of 14.3 ± 1.12 (M ± SD) years corresponding to bone age (B A) of 11.4 ± 1.07 years. Five patients had vaginal bleeding after about 1 year of therapy, attaining a Tanner pubertal stage of B3–B4. Two patients lacking vaginal bleeding after 15 months of continuative therapy, received estrogen with the addition of medroxyprogesterone acetate. Vaginal bleeding occurred at CA of 15.7 ± 1.0 year (BA 13.1 ± 1.01 years). In group 2, at onset of puberty CA was 10.3 ± 1.05 years (BA 10.1 ± 1.05 years) and at menarche CA was 12.6 ± 0.46 years (BA 12.4 ± 0.32 years). After 3 months of therapy, all patients of group 1 showed a height velocity peak of 7 ± 1.9 cm smaller than in group 2 (cm 9.1 ± 0.98). Height gain until vaginal bleeding, in group 1 (4.8 ± 1.57 cm) was smaller than in group 2 (11.9 ± 3.66 cm). There was no significant difference in either mean height at first vaginal bleeding or in predictive final height between the two groups. No side effects were observed during therapy. It is interesting to note that patients of group 1 showed a serious degree of osteoporosis; in fact, the mean value of bone mineral density was smaller than in Italian normal girls (0.49 ± 0.08 vs. 0.61 ± 0.06 (g/cm2), p < 0.05). In conclusion, the results of this preliminary study indicate that the time of the start of treatment has no significant effect on height; nevertheless, therapy should be started at normal mean age both to avoid psychosocial problems and to reduce the risk of osteoporosis.</div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"7 3","pages":"Pages 137-141"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80116-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56827319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

《卵巢》，Eli Y. Adashi, Peter C.K. Leung(主编)，Raven出版社，纽约(1993)，ISBN 0-7817-0079-5

Adolescent and pediatric gynecology Pub Date : 1994-06-01 DOI: 10.1016/S0932-8610(19)80123-8

Avner Hershlag M.D. (Assistant Professor)

引用次数: 0