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OBJECTIVE To determine whether continuous intrapartum electronic fetal heart rate monitoring (EFM) is associated with decreased perinatal mortality and morbidity compared with intermittent auscultation. METHODS The study was conducted simultaneously at two university hospitals in Athens, Greece (Alexandra and Marika Iliadi Hospitals) from October 1, 1990… (More)
Nalbuphine hydrochloride (Nubain) is a synthetic analgesic available for use during labor. It is known to possibly cause respiratory depression in the neonate, but to date there are no published reports of any intrapartum alterations of fetal heart rate. A case presentation is given of a persistent sinusoidal pattern appearing after Nubain administration.
Communication can be thought of as a message that is sent, received, and understood. Each discipline of the health profession has its own jargon and means of expressing ideas in shorthand. These separate forms of communicating are effective among those of the same background but are often at the root of misunderstandings between professional groups. This… (More)
ACKNOWLEDGMENTS This was my first attempt exploring the unknowns of theoretical physics and chemistry. Any successes that I achieved were only possible through the patience and guidance of my advisor Bill Poirier. Encouragement was given to me unconditionally by my parents, Barry and Leila Lombardini, that was vital to the completion of this degree. Peers… (More)
This report reviews the experience at the University of Connecticut Health Center using the Fetal Assessment Consultative Transmission Service (FACTS) system during a 2 1/2-year period. This system, which permits direct transmission of antepartum and/or intrapartum fetal heart rate tracings via a telephone line, allows the obstetric staffs of smaller… (More)
Study Design Case report and review of literature. Objective To report the case of a 67-year-old woman who developed delayed onset (6 months) of symptomatic shingles after cervical nerve root decompression in a previously symptomatic dermatome. Methods The patient's clinic course and outcomes were retrospectively reviewed. The study required no outside… (More)
The presence or absence of cyclic variation (cyclicity) of fetal heart rate patterns was prospectively investigated in fetuses between 25 and 32 weeks' gestation. All fetuses were delivered by cesarean section before the onset of labor. The relationship between the presence or absence of fetal heart rate cyclicity and fetal acidosis, as determined by cord… (More)