premature rupture of membrane (prom) is one of the complications of pregnancy which is blamed for increasing the rate of cesarean. therefore, we studied pregnant women who were admitted in shariati hospital during march 1996 and march 2000, to determine the rate of cesarean delivery in cases with prom after 36th week of pregnancy (term prom). in a retrospective study, we included pregnant women...

Risk factors for preterm delivery have been described, but whether risk factors differ in the context of prior preterm delivery history is less understood. We assessed whether known risk factors were different in women with versus without prior preterm delivery using medical records of the first and second singleton deliveries in 25,820 Utah women (2002-2010). Longitudinal transition models wit...

Modern radiotherapy relies on accurate dose delivery to the prescribed target volume. The ICRU has recommended an overall accuracy in tumour dose delivery of ±5%, based on an analysis of dose response data and on an evaluation of errors in dose delivery in a clinical setting. Considering all uncertainties involved in the dose delivery to the patient, the ±5% accuracy recommendation is by no mea...

The clinical management of intrauterine fetal demise (IUFD) in women with a previous cesarean delivery presents dilemma for the obstetrician. With current reluctance obstetricians to perform vaginal birth after (VBAC) and paucity data counsel regarding maternal risks, options are limited by physician’s experience biases. In setting demise, safety becomes primary concern. Medicolegal pressures m...

Over the years, national and sub-national governments have introduced several initiatives to improve access to maternal and child health services in India. However, financial barriers have posed major constraints. Based upon the data of National Family Health Survey (NFHS) round 4 for Odisha state, our paper examines the out-of-pocket expenditure (OOPE) borne by households for accessing materna...

OBJECTIVE To determine the care pathways and implications of offering mothers the choice of external cephalic version (ECV) at term for singleton babies who present with an uncomplicated breech pregnancy versus assisted breech delivery or elective caesarean. DESIGN A prospective observational audit to construct a decision analysis of uncomplicated full term breech presentations. SETTING The...

Background Glioblastoma, despite the use of radiation and chemotherapy, remains vastly lethal. Cancer immunotherapy has entered the era of maturity with new compounds like anti-PD-1 FDA approved to treat advanced tumors. However, the use of immunotherapy in the setting of chemotherapy presents challenges, as chemotherapy causes lymphodepletion and potentially antagonizes immunotherapy. In this ...

three subheadings including treatment, prevention and control and diagnosis methods got the most priorities, respectively. although about half of the priorities are related to two subheadings including treatment and diagnosis methods, research priorities of prevention and control methods (22% of all priorities) indicate the importance of prevention for clinicians who gave scores to the titles. ...

background and aims. temperament has been suggested to be a predictive factor for the child’s reaction to dental treatment especially in young ages. the aim of this study was to assess the relationship between temperament and child behavior in relation to age in the dental setting. materials and methods. in this descriptive-analytical study, 190 children, aged 1 to 7 years, who visited dentist ...