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Immune Responses to Human MUC1 Mucin: Relevance for Cancer ImmunotherapyHuman MUC1 mucin, a membrane-bound glycoprotein, is a major component of the ductal cell surface of normal glandular cells. MUC1 is overexpressed and aberrantly glycosylated in carcinoma cells. The role MUC1 plays in cancer progression represents two sides of one coin.
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Prevalence of the Bacterial Vaginosis and Group B Streptococcus in Term and Pre-term PregnanciesSeveral studies have been conducted about Bacterial Vaginosis and its relation with preterm labor that was accompanied with controversial results. The aim of this study was to compare the frequency of Bacterial Vaginosis and common genitourinary infections between term and pre-term pregnancies.
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Osteoporosis Case Of The MonthThis month I will discuss a clinical question that is often asked when I lecture about osteoporosis and bone densitometry. The question is when should a clinician obtain a bone densitometry study? To answer the question I will present 2 cases.
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Educational Tutorial: Low Molecular Weight Heparin in Recurrent AbortionsReview information on low molecular weight heparin in recurrent miscarriages in this educational tutorial.
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Can You Give Your Patients Too Much Information?Like many of my patients, my life revolves around information. Personally, I use the same technology as most of you to keep track of obligations and loved ones. Professionally, the Houston Fertility Center team uses technology and constant communication to manage our patients' treatment plans. In this era of digital info, we can all feel more empowered, more often, more quickly. It seems like there's always room for more information, doesn't it?
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New HRT Findings Tell Old Story: Therapy is Not One-Size-Fits-AllReports of recent studies revealing hormone replacement therapy (HRT) is associated with health risks have left women scared and confused about how to stay comfortable and healthy during menopause.
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The Treatment of Dyspareunia Resulting from Vulvar VestibulitisA Randomized Comparison of Group Cognitive-behavioral Therapy, Surface Electromyographic Biofeedback, andVestibulectomy in the Treatment of Dyspareunia Resulting from Vulvar Vestibulitis
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AMH Testing Can Help Patients Plan for Future FertilityAnti-mullerian hormone testing is the most recent and reliable ovarian reserve test, and it can be used to help women make decisions about family planning early.
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Ductal Carcinoma in SituA 57-year-old patient presents for evaluation of right nipple discomfort. The patient has family history of a mother and sister with premenopausal breast cancer.
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Hysteroscopic Fluid ManagementHysteroscopy performed with liquid media at a sufficient pressure, usually between 70 mm and 90 mm Hg of true intrauterine pressure, will bring about satisfactory uterine distention, but not necessarily adequate visualization. Depending on the amount of intraoperative bleeding, an adequate flow rate of the media with separate channels of entry and egress is necessary to have a clear operative field.
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AACE Clinical Practice Guidelines for the Prevention and Treatment of Postmenopausal OsteoporosisIn this era of constrained health-care resources, a critical need exists for efficient, measurable systems of disease management that strike a balance between social responsibility and patient welfare.
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Yes…It’s Possible to Have PCOS and Still be TrimFor those of us involved in the field of weight control, there is no greater reward than helping someone overcome their struggles with weight. Too often, people with weight issues feel they are weak, lack willpower, or have a psychological “block” that makes taking off just a few pounds seem like a task of Herculean proportions.
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Scholarly DebateLaparoscopic hysterectomy is indeed promising, but it is not yet within the capability of most gynecologists. Further refinement in the technique is needed before it is ready for general endorsement.
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New Developments in Obstetrical UltrasoundOBGYN.net Conference CoverageINTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY:Zagreb, Croatia
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Difference in Obstetric Care between U.S. and Eastern European CountriesOBGYN.net Conference CoverageFrom American/Austrian Conference, Salzburg Austria March 4-10, 2000
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Transitional Management: The Use of Oral Contraceptives in PerimenopauseA number of perimenopausal women and their health care providers choose to either decline or prematurely discontinue use of oral contraceptives (OCs), despite the availability of formulations that can prevent pregnancy and address perimenopausal symptoms. This lack of use is due to several factors.
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Iatrogenic Multiple Pregnancy Epidemiology, Risks, and Ethical DilemmasThis article discusses the nature of infertility treatment and its relation to infertile couples' desires for multiple pregnancy, the special risks of iatrogenic multiple pregnancy (IMP), the informed consent process in assisted reproductive technology, and the ethical dilemma of IMP and methods for its resolution.
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Hormone Replacement Therapy and Risk of Breast Cancer With a Favorable HistologyTo review, the recent article in the Lancet that he discussed showed that there was a very small increased risk of breast cancer by taking hormones over a prolonged length of time. However, certainly this risk should be viewed in the overall context of risks and benefits.
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Stress Reduction for Relief of Fibroids & EndometriosisMany of the fibroid and endometriosis patients I see in my medical practice complain of major stress along with their physical symptoms. My personal impression as a physician who has worked with women patients for close to 20 years is that stress is a significant component of many recurrent and chronic health problems, including fibroids and endometriosis.
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Primary Hyperparathyroidism in Pregnancy - a reviewHyperparathyroidism is a syndrome caused by excessive secretion of parathyroid hormone. Primary hyperparathyroidism results in raised ionized serum calcium with adverse effects on many organs. The effects particularly in pregnancy may be severe.
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Endometrial Stromal SarcomaEndometrial stromal sarcoma (ESS) is a rare malignant tumor of the endometrium, occurring in the age group of 40-50 years.
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Advances in the Prevention and Management of Osteoporosis New Clinical InsightsDuring the past decade, research into postmenopausal osteoporosis has led to a heightened understanding of the disease process. Awareness of current diagnostic guidelines, prevention strategies, and treatment options is key to the successful management of this condition.
