STUDY OBJECTIVE We sought to determine the sensitivity of the Fresno/Kings/Madera emergency medical services (EMS) selective spine immobilization protocol in identifying patients with potential cervical injuries. We also sought to determine whether the protocol was safe in the out-of-hospital setting. METHODS We conducted a retrospective chart review of all patients discharged from 5 trauma-r...

Background: The traditional surgical treatment for cervical insufficiency is vaginal placement of a cervical cerclage. However, in a small number of cases a vaginal approach is not possible. A transabdominal approach can become an option for these patients. Laparoscopic cervical cerclage is associated with good pregnancy outcomes but comes at the cost of a higher risk of serious surgical compli...

OBJECTIVE This study examines the necessity of a formal pelvic examination in patients with early pregnancy-related complaints and an intrauterine pregnancy on bedside ultrasound (US). METHODS Data were prospectively collected on emergency department (ED) patients presenting with early pregnancy complaints and bedside US evidence of intrauterine pregnancy. All patients received a formal pelvi...

For cervical cancer cases with a low risk of relapse who wish to maintain their fertility, radical trachelectomy is an alternative to radical hysterectomy. Pelvic magnetic resonance imaging is recommended before surgery, with laparoscopic assisted lymphatic dissection required for assessment of lymphatic metastasis. If there is a visible lesion in the cervix, the specimen taken during trachelec...

STUDY DESIGN Retrospective cohort study. OBJECTIVE To compare perioperative characteristics of stand-alone cages and anterior cervical plates used for anterior cervical discectomy and fusion (ACDF). METHODS We reviewed 40 adult patients who received a stand-alone cage for elective ACDF and matched them with 40 patients who received an anterior cervical plate. We statistically compared opera...

A sexually active 25-year-old nulliparous woman presented for a routine gynecological checkup. The patient reported normal menses, including her last menstrual period 2 weeks prior. Her past medical history included multiple sexual partners and an episode of gonococcal cervicitis at age 21 which resolved following antibiotic treatment with a single dose (125 mg) of intramuscular ceftriaxone. Sh...

Spontaneous rhythmic activity is a ubiquitous phenomenon in developing neural networks and is assumed to play an important role in the elaboration of mature circuitry. Here we describe the day-by-day evolution of spontaneous activity in the embryonic mouse spinal cord and show that, at a specific developmental stage, 2 distinct rhythms coexist. On embryonic days E12.5 and E13.5, we observed a s...

Villoglandular papillary adenocarcinoma (VGA) of cervix is an uncommon but well recognized histologic subtype of cervical adenocarcinoma which usually affects young women. Based on the favorable outcomes reported in most previous cases the tumor is generally considered to have an indolent clinical course with excellent prognosis. We present a case of a 22-year-old woman admitted at our Departme...

An English multipara, aged 31 years, first attended the Special Clinic at St. Thomas' Hospital on April 13, 1961, with excessive vaginal discharge. She admitted only marital sexual intercourse. Urethral and cervical smears and cultures were negative and no trichomonads or monilia were found. A repeat examination on April 20, 1961, showed urethral and cervical smears still negative, but Trichomo...