BACKGROUND After initial years of improvement, the multiple pregnancy rate after in vitro fertilization (IVF) in Europe now remains stable at 23% with single embryo transfer (SET) constituting 19% of all IVF cycles. Although elective SET prevents multiple pregnancies after IVF, couples and professionals apparently often decide to transfer more embryos. Previous qualitative research has identifi...

OBJECTIVE To demonstrate the recent trends of admission and surgical management for diverticulitis in the United States. DESIGN Retrospective database analysis. SETTING The National Inpatient Sample database. PATIENTS Patients admitted to the hospital for diverticulitis from 2002 to 2007. MAIN OUTCOME MEASURES Patient characteristics, surgical approach, and mortality were evaluated for ...

OBJECTIVE To assess trends in elective single ET and identify factors associated with a good perinatal outcome. DESIGN Retrospective cohort study. SETTING Clinic-based data. PATIENT(S) A total of 886,686 fresh, nondonor cycles reported to the National Assisted Reproductive Technology Surveillance System during 1999-2010, of which 17,166 met criteria for elective single ET. INTERVENTION(...

Forty adult patients undergoing elective surgery, anaesthetized with diazepam, alfentanil and nitrous oxide in oxygen, and paralysed with atracurium were given flumazenil or placebo i.v. in a double-blind randomized study to assess the efficacy of flumazenil. Awake state, heart rate, arterial pressure, rate of ventilation and arterial blood-gas values were measured at 0, 5, 30, 120 and 240 min ...

INTRODUCTION The satisfaction level with health care reflects the quality of care from the patient's perspective. The aim of this study is to assess patient satisfaction with anesthesia care in a Portuguese general hospital by using the "The Heidelberg Peri-anaesthetic Questionnaire". MATERIAL AND METHODS The questionnaire was translated and tested based on psychometric quality criteria in a ...

OBJECTIVE The American College of Obstetricians and Gynecologists has recommended that elective deliveries not be performed before 39 weeks of gestation, to minimize prematurity-related neonatal complications. Because a worrisome number of elective deliveries were occurring before 39 weeks of gestation in our system, we developed and implemented a program to decrease the number of these early t...

• Vol 9 • May 2007 410 Zenker’s diverticulum (pharyngeal pouch) is a well-recognized problem occurring mainly in the elderly patient. Reduced cricopharyngeal compliance may be the underlying pathophysiological mechanism. Symptoms are derived both from the presence of the sac and from the cricopharyngeal abnormality [1] and usually include food regurgitation and dysphagia. Recurrent aspiration p...

Elective surgery for colorectal cancer involves a semi-contaminated operation, with a 3% to 26% incidence of postoperative wound infection (1). Risk factors for postoperative wound infection include high body-mass index (BMI) (2, diabetes mellitus(3), body-weight loss(4), advanced age(5), smoking(6), blood transfusion(7), and high intraoperative blood loss (8). The development of wound infectio...