Disease Progression: Local and Distal Spread (Mechanisms)
Fig. 6.1 The mechanism of tumour invasion and metastasis A lack of adhesion between cells facilitates loosening of the tumour cells allowing them to move away from the tumour body….
Signs and Symptoms of Breast Cancer with Management Pathways
© Springer International Publishing Switzerland 2015Peter Hogg, Judith Kelly and Claire Mercer (eds.)Digital Mammography10.1007/978-3-319-04831-4_5 5. Signs and Symptoms of Breast Cancer with Management Pathways Zebby Rees1 and Susan E. Garnett2 (1) The Breast Centre, University Hospital Llandough, Penlan Road,…
Decision support and patient safety: the time has come
Decision support (DS) may help to improve patient safety by helping clinicians improve the evaluation, assessment, and treatment of patients. By providing best practice guidelines at critical decision points, errors…
Late preterm births: irreducible because E = mc 2
Deliveries at 34 0/7 to 36 6/7 weeks, by definition, are late preterm births (LPB). In 2007, of 4,317,119 births in the United States, about 9% (383,792) were LPB; of…
Late preterm birth: can be reduced
Late preterm delivery, defined as birth between 34 0/7 to 36 6/7 weeks’ gestation, has increased at a rate higher than that of all preterm birth for the past 20…
Analysis of shoulder dystocia maneuvers using a computer model
With great interest I reviewed the research article by Grimm et al, and have tried to analyze their data from the perspective of clinical applicability. The use of traction should…
Comment on the 100 most frequently cited ob-gyn journal articles in the last 50 years
Using Journal Citation Reports: Science Edition (2008) and the Social Sciences Citation Index database Brandt et al report the 100 most frequently cited journal articles in obstetrics and gynecology over…
Comparison of experts and computer analysis in fetal heart rate interpretation: we need to agree on what agreement is
We read with interest the paper by Parer and Hamilton, evaluating interobserver agreement between experts and a computer system on fetal heart rate (FHR) tracing interpretation, using a 5-level classification…
Management of nonpuerperal uterine inversion using a combined laparoscopic and vaginal approach
Although described as a postpartum complication, uterine inversion may also occur in nonpregnant women. We report a case of nonpuerperal uterine inversion, because of a large exteriorized submucous myoma in…
Use of vaginal mesh in the face of the recent FDA warnings and litigation
I am writing to comment on the clinical opinion presented in the August 2010 issue “Use of vaginal mesh in the face of the recent FDA warnings and litigation.” I…
