OBJECTIVE The primary objective of this study is to evaluate clinician attitudes towards the treatment of cervical spondylotic myelopathy (CSM) in order to determine whether clinical equipoise exists for a segment of this patient population. The secondary objective is to examine the factors that influence treatment decisions. METHODS Cross-sectional internet-based survey of neurologists, neur...

(Int J Gynaecol Obstet. 2021;155:19–22) Cervical cerclage, a suture preventing dilation, is an intervention commonly used on women at increased risk of preterm birth and second-trimester fetal loss. Evidence-based recommendations derived from randomized controlled trials (RCTs) meta-analyses help determine which patients would benefit cervical cerclage. Pregnant with obstetric or gynecologic hi...

OBJECTIVE The purpose of this study was to compare second-trimester transvaginal cervical cerclage with conservative management on duration of pregnancy and perinatal outcome in patients with early or advanced cervical changes. STUDY DESIGN A historical cohort analysis was performed. Maternal and neonatal records between 1995 and 1999 were retrospectively reviewed for women presenting between...

In clinical trial study, effect of ampicillin on idiopathic premature labor in 16 hospitals for 4 months from 74/09/30 was evaluated. (Tehran, 1995). Cases (30 subjects) have received ampicillin, but controls (30 subjects) didn't receive it. In two groups, maternal age, gestational age, parity, vaginal examination (lillatation & effacement), uterine contractions within 10 minutes, tocolytic dru...

The objectives of this study were to provide new parameters to better understand labor curves, and to provide a model to predict the time to full cervical dilation (CD). We studied labor curves using the retrospective records of 594 nulliparas, including at term, spontaneous labor onset, and singleton vertex deliveries of normal birth weight infants. We redefined the parameters of Friedman's la...

FIG 2. Axial T2-weighted turbo spin-echo sequence (3900/120) at C7–T1 level showing increased signal in the paraspinal soft tissues close to the right exiting root. This finding was interpreted as cerebrospinal fluid leakage. FIG 3. Anatomic landmarks for measurement of vertical brain displacement on sagittal T1-weighted MR images (1, cerebellar tonsils; 2, fourth ventricle; 3, infundibular rec...

Increased synthesis of cervical hyaluronan (HA) from early to late pregnancy has long been proposed to play an essential role in disorganization of the collagen-rich extracellular matrix to allow for maximal compliance and dilation of the cervix during the birth process. Here, we show that HA is not essential for increased cervical distensibility during late pregnancy. Rather, cervicovaginal HA...

Background: To compare the effects of Dilapan-S versus phloroglucinol on cervical dilation in hysteroscopic polyp resection. Methods: This prospective, observational study enrolled non-menopausal patients with endometrial polyps who underwent operative hysteroscopy for transcervical resection between October 2021 and 2022. The were given or dilation. primary outcome was time; secondary outcomes...