Volume 52, Number 11, November 2007

  Editorial
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Lawrence D. Devoe, M.D.
 
   
  Original Articles
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Peter S. Bernstein, M.D., M.P.H., and Irwin R. Merkatz, M.D.
Computerized obstetric information systems have the potential to improve the quality of care delivered, provided that they are designed with proven features.
 
 


995
Erika Banks, M.D., Scott Chudnoff, M.D., Margaret Comerford Freda, Ed.D., R.N., and Nadine T. Katz, M.D.
An interactive, Web-based computer program teaching Pap smear screening, classification and management is useful, feasible and well accepted by residents.
 
 


1001
Robert L. Giuntoli II, M.D., Bobbie S. Gostout, M.D., Connie S. DiMarco, M.D., Daniel S. Metzinger, M.D., and Gary L. Keeney, M.D.
Despite improved accuracy in the diagnosis of uterine smooth muscle tumors, leiomyoma variants continue to represent a diagnostic dilemma with potential for delayed malignant behavior.
 
 


1011
Lisa E. Moore, M.D., Christian M. Briery, M.D., Diana Clokey, R.Ph., Rick W. Martin, M.D., Nancy J. Williford, R.N., James A. Bofill, M.D., and John C. Morrison, M.D.
Glycemic control is similar in women with gestational diabetes mellitus treated with metformin as compared to those treated with insulin.
 
 


1016
Jaime Knopman, M.D., and Alan B. Copperman, M.D.
3D ultrasound is more sensitive than hysterosalpingography in classifying the extent of cavity damage in Asherman�s syndrome, particularly when differentiating severe intrauterine adhesions from outflow obstruction.
 
 


1023
Chotima Na Ranong, M.D., and Nares Sukcharoen, M.D.
A single daily dose of etoricoxib, 120 mg, was as efficacious as mefenamic acid in the management of secondary dysmenorrhea, with a lower incidence of epigastric pain.
 
 


1030
Ronald T. Burkman, M.D., Alan C. Fisher, Dr.P.H., and Katherine D. LaGuardia, M.D., M.P.H.
After up to 13 cycles of use, 2 low-dose oral contraceptives did not induce significant changes in body weight in the majority of women studied.
 
 


1035
Chiara Caccamo, M.D., Lorena Nostro, M.D., Giovanna Giorgianni, Ph.D., Stefania Mondello, M.D., Eleonora Crasc�, M.D., Nicola Frisina, M.D., and Michele Buemi, M.D.
The interaction with the systemic hormone in the uterine microenvironment should encourage further study of which changes EPO stimulation could determine beyond its angiogenic effect.
 
 


1040
LTC John H. Farley, MC, M.D., Linda C. Harlan, Ph.D., Limin X. Clegg, Ph.D., Col Wilma I. Larsen, MC, M.D., and Edward L. Trimble, M.D., M.P.H.
Chemoradiation therapy was rapidly introduced in the Department of Defense care system after a 1999 National Institutes of Health clinical announcement recommending it for cervical cancer.
 
 


1046
William M. Gilbert, M.D., Ashley L. Young, B.A., and Beate Danielsen, Ph.D.
A population-based study of chronic hypertension in pregnancy demonstrated significant increases in maternal and perinatal morbidity and mortality.
 
 


  Case Reports
1052
Sandro Rullo, M.D., Carlo Ticconi, M.D., Andrea Ascoli Marchetti, M.D., and Michele Grande, M.D.
During the abdominal entry stage of operative laparoscopy, perforation of the left common iliac artery occurred. Prolonged hiccups might have played a role.
 
 


1055
Susanne Hinterholzer, M.D., Dominik Riss, M.D., and Hermann Brustmann, M.D., Ph.D.
The local effects of the levonorgestrel-releasing intrauterine device were insufficient to prevent dysmenorrhea and the symptoms of large bowel endometriosis.
 
 


1057
Sara Wood, M.D., Colleen M. Kennedy, M.D., M.S., and Rudolph P. Galask, M.D., M.S.
A woman with refractory Trichomonas vaginalis was treated with combined oral and vaginal metronidazole and had no recurrence after 3 years.
 
 


1059
J. Roberto Duran III, M.D., and Mohammed L. Raja, M.D.
Given the life-threatening complications of a hypercoagulable state, appropriate prophylactic measures should be used in high-risk women undergoing ovarian stimulation.
 
 


1063
Anjana Sinha, M.D., MRCOG, Deepali Sinha, M.D., MRCOG, Nalini Krishnamoorthy, MBBS, and Shagaf Bakour, M.D., MRCOG
Polycythemia in our patient was an incidental finding detected on a routine blood test in early pregnancy.
 
 


1065
Ming-Huei Cheng, M.D., Hsiang-Tai Chao, M.D., Ph.D., and Peng-Hui Wang, M.D., Ph.D.
Since the majority of vulvar non-Hodgkin's lymphoma is of B-cell lineage, chemotherapy should yield a good response.
 
 


1067
Alexandros Daponte, M.D., F.C.O.G., Hara Skentou, M.D., Konstantinos D. Dimopoulos, M.D., Athanasios Kallitsaris, M.D., and Ioannis E. Messinis, M.D., Ph.D.
Massive vulvar edema occurred in a woman with preeclampsia and preceded development of massive ascites and possible impending eclampsia.