We sought to establish color Doppler sonographic criteria specific to benign and malignant neo· plasms in pregnant patients for parameters already reported for complex adnexal masses in nongravid patients. Thirty-four patients with complex adnexal masses were evaluated during the second trimester with transabdominal sonography and transvaginal color Doppler sonography. The lowest pulsatility index obtained was chosen to be indicative of histologic type. A pulsatility index of less than 1.0 in a morphologically suspect area was taken to be suggestive of malignancy. Prospective diagnoses made by color Doppler sonography were compared with actual histologic diagnosis. Three malignant ovarian lesions and five tumors of low malignant potential were identified correctly, with a sensitivity of 0.89 and a mean pulsatility index of 0.71 (range, 0.44 to 1.3). The mean pul· satility index for benign masses was 1.21 (range, 0.4 to 2.8) (P = 0.03). The negative predictive value of a pulsatility index greater than 1.0 was 0.93. The pos· itive predictive value and false-positive rate for a pulsatility index less than 1.0, however, were 0.42 and 0.48, respectively. Low impedance was associated with malignant ovarian masses detected during pregnancy. A considerable overlap in blood flow patterns, however, may cause incorrect assignment of malignant potential to some benign lesions.
The calculated base deficit reliably reflects maternal oxygen transport dynamics and identifies patients at risk for end-organ injury. Ventricular contractility and oxygen delivery decline with mounting oxygen debt.
Selective abdominal delivery, or sectio parva, is cesarean delivery of one of multiple fetuses, but not the other(s). Eleven cases have been reported for the purpose of aborting one twin, and this is the second report of an attempt to improve the outcome of both twins. Perinatal outcomes have ranged from almost immediate delivery of the second twin because of placental abruption, to elective delivery of the survivor at term.
After two years of discussion, UN member states have finally agreed on a new set of Sustainable Development Goals (SDGs), which will replace the Millennium Development Goals (MDGs) and establish a global development framework for the next fifteen years. The SDGs which were formally adopted at the UN Substainable Development Summit on 25 September 2015. The Common African Position (CAP) calls for the SDGs to give adequate attention to peace and security, acknowledging the inextricable links between peace, security, stability, and development. While China has acknowledged the importance of peace for development, it initially voiced some skepticism over whether the issue should be addressed explicitly through the SDGs. Nonetheless, China has committed to coordinating its position with that of African countries and has now accepted the inclusion of Goal 16, which aims to promote peaceful and inclusive societies. Indeed, China has already expressed its strong support for African peace and security as an enabler for development in other forums. This paper demonstrates how many of the commitments made in the last Forum on China-Africa Cooperation (FOCAC) Action Plan (2013–2015) in fact overlap with many of the peace-related targets in the draft SDGs. This suggests that the upcoming 6th FOCAC meeting in South Africa in December 2015 could be an opportunity to discuss how the next Action Plan can serve as an implementation mechanism for the SDGs, particularly with regard to their focus on peace.
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