Here are what the editors at HealthDay consider to be the most important developments in Nursing for January 2010. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Colorectal Cancer Screening Approach Studied in Seniors
FRIDAY, Jan. 29 (HealthDay News) -- The use of computed tomographic (CT) colonography appears safe and effective for colorectal cancer screening in older individuals, according to research published in the February issue of Radiology.
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Pilot Study Finds Bacterial Vaginosis Self-Test Effective
FRIDAY, Jan. 29 (HealthDay News) -- A self-test for vaginosis may enable women to accurately diagnose the condition and results in women seeking professional diagnosis and treatment, according to a study in the February issue of Applied Nursing Research.
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Ulipristal Acetate Found Effective Emergency Contraception
FRIDAY, Jan. 29 (HealthDay News) -- For women who require emergency contraception, ulipristal acetate may be an effective alternative to levonorgestrel, according to a study published online Jan. 29 in The Lancet.
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Rural and Urban Care Quality Compared for CAD
FRIDAY, Jan. 29 (HealthDay News) -- After adjustment for variables, hospital quality of care for coronary artery disease (CAD) in rural areas is on a par with care in urban areas, according to a study in the Jan. 15 issue of the American Journal of Cardiology.
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Packed Lunches Measured Against School Meal Criteria
THURSDAY, Jan. 28 (HealthDay News) -- Lunches that British children bring to school from home typically fall short of the standards for meals that schools provide, according to research published online Jan. 20 in the Journal of Epidemiology and Community Health.
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Policies on Newborn Hospital Discharge Updated
THURSDAY, Jan. 28 (HealthDay News) -- The length of the hospital stay for healthy term newborns should be based on a range of factors unique to each mother-child pair, according to a policy statement from the American Academy of Pediatrics published online Jan. 25 in Pediatrics.
More Patient Surveillance Needed to Reduce Nurse Errors
THURSDAY, Jan. 28 (HealthDay News) -- It is common for nurses to commit errors in the course of their work, and nurse educators are urged to improve training in strategies to improve patient surveillance, according to a study in the February issue of Applied Nursing Research.
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Obesity Shown to Impact Incontinence Severity
THURSDAY, Jan. 28 (HealthDay News) -- Obese women with urinary incontinence have more severe symptoms than their overweight or normal weight counterparts, according to trial results published in the February issue of The Journal of Urology.
Psychodynamic Psychotherapy Supported by Evidence
THURSDAY, Jan. 28 (HealthDay News) -- Psychodynamic psychotherapy, the treatment approach similar to, but less extensive than, full psychoanalysis, is efficacious and well-supported by scientific evidence, despite a perception that it lacks empirical support, according to an article published online Jan. 25 in the American Psychologist.
Study Compares Methods of Measuring Contractions
WEDNESDAY, Jan. 27 (HealthDay News) -- In women going through induced or augmented labor, monitoring contractions with an intrauterine pressure catheter doesn't reduce the rate of operative delivery compared to external monitoring, according to research published in the Jan. 28 issue of the New England Journal of Medicine.
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Antibiotic Use for Acute Otitis Media Assessed
TUESDAY, Jan. 26 (HealthDay News) -- A well-publicized clinical practice guideline in 2004 on acute otitis media (AOM) in children did not appear to increase the management of the problem without antibiotics, according to research published online Jan. 25 in Pediatrics.
Premature Births Not Reduced With Omega-3 Fatty Acids
TUESDAY, Jan. 26 (HealthDay News) -- Among pregnant women with a history of premature delivery already taking 17-α-hydroxyprogesterone caproate to reduce the risk of premature delivery, omega-3 fatty acids provide no additional benefit, according to a study in the February issue of Obstetrics & Gynecology.
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Study Looks at Effect of Smoke on Infant Heart Function
TUESDAY, Jan. 26 (HealthDay News) -- Early exposure to cigarette smoke may lead to a persistent reprogramming of infant blood pressure control mechanisms, according to a study published online Jan. 25 in Hypertension.
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Insulin Syringe Recalled Because of Defective Needle
MONDAY, Jan. 25 (HealthDay News) -- According to a Jan. 21 press release issued by the U.S. Food and Drug Administration, the Nipro Medical Corporation has voluntarily recalled all of its GlucoPro Insulin Syringes because of a defect that may cause the needle to detach from the syringe, resulting in its being stuck in the insulin vial, pushed back into the syringe, or lodged in the patient's skin.
Safety Alert
Press Release
FDA MedWatch Adverse Event Reporting
Car Crash Trauma Often Under-Detected in Elderly
MONDAY, Jan. 25 (HealthDay News) -- Elderly people involved in motor vehicle crashes (MVCs) are often under-triaged and inappropriately treated for injuries that go undetected, according to a study in the January issue of the Journal of Emergency Nursing.
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Later Toilet Training Linked to Childhood Urge Incontinence
FRIDAY, Jan. 22 (HealthDay News) -- Beginning toilet training in toddlers after the age of 32 months may increase the likelihood of later urge incontinence, according to research published in the December issue of the Journal of Pediatric Urology.
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Electrocardiogram in Field Can Benefit Heart Attack Response
FRIDAY, Jan. 22 (HealthDay News) -- Patients suspected of having a heart attack have a shorter door-to-balloon (D2B) time and are able to start reperfusion therapy faster if they have an electrocardiogram (ECG) taken in the field by emergency response personnel rather than in the hospital, according to a study in the Feb. 1 issue of Catheterization and Cardiovascular Interventions.
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Pediatric Prescribing and Administration Errors Assessed
FRIDAY, Jan. 22 (HealthDay News) -- Errors in written prescription and administration of drugs on pediatric wards are common and warrant strategies to reduce the risk of serious harm, according to a study published online Jan. 21 in the Archives of Disease in Childhood.
Disease Now Main Cause of Death in Darfur Conflict
FRIDAY, Jan. 22 (HealthDay News) -- Since 2005, disease has replaced violence as the leading cause of death in Darfur, especially among displaced populations, according to a study in the Jan. 23 issue of The Lancet.
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Degree of Obesity Linked to Increased Risk of Stroke
THURSDAY, Jan. 21 (HealthDay News) -- Obesity increases the risk of stroke independently of race and gender, although the risk appears to be largely explained by associated hypertension and diabetes, according to a study published online Jan. 21 in Stroke.
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Study Finds Red Yeast Rice Efficacy Comparable to Statin
THURSDAY, Jan. 21 (HealthDay News) -- The alternative therapy red yeast rice performs comparably to the lipid-lowering drug pravastatin in reducing low-density lipoprotein (LDL) cholesterol levels in patients who had previously had to discontinue statin therapy because of muscle pain, according to a study in the Jan. 15 issue of the American Journal of Cardiology.
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Nurse Education Can Improve Elderly Pain Monitoring
THURSDAY, Jan. 21 (HealthDay News) -- Barriers to timely documentation must be addressed and specific training given if nurses are to adhere to best practice in reporting patients' pain levels before and after analgesic treatment, according to a study in the January issue of the Journal of Emergency Nursing.
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Higher Rate Than Estimated of H1N1 in U.K. Children
THURSDAY, Jan. 21 (HealthDay News) -- In the 2009 H1N1 influenza pandemic, children were much more vulnerable to infection than older people and, therefore, should be the primary target group for vaccination, according to a study published online Jan. 21 in The Lancet.
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Factors Help Predict Continued Opioid Use for Back Pain
THURSDAY, Jan. 21 (HealthDay News) -- Patients with chronic back pain are more likely to use opioid analgesics long term if they smoke and had non-surgical treatment, according to a study in the January issue of the Journal of Pain.
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Transcatheter Aortic Procedure Assessed in High-Risk Patients
THURSDAY, Jan. 21 (HealthDay News) -- Transcatheter aortic valve implantation (TAVI), using either transfemoral or transapical approaches, produces similar mortality, and both are viable alternatives for patients with severe aortic stenosis who are at too high a risk for surgery, according to a study published online Jan. 20 in the Journal of the American College of Cardiology.
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Triple, Dual Restenosis Prevention Therapies Studied
THURSDAY, Jan. 21 (HealthDay News) -- Antiplatelet therapy including aspirin, clopidogrel and cilostazol helps prevent late stenosis following stent placement better than standard therapy with only aspirin and clopidogrel, according to a study in the Jan. 15 issue of the American Journal of Cardiology.
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Nurses Often Deeply Affected by Workplace Errors
THURSDAY, Jan. 21 (HealthDay News) -- Nurses are deeply affected by errors they make in the intraoperative environment and need more guidance on what constitutes an error in order to encourage more open reporting, according to a study in the Jan. 10 issue of the AORN Journal.
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Coronary Events Not Uncommon on Vacation Cruises
THURSDAY, Jan. 21 (HealthDay News) -- Passengers embarking on cruises who are at risk for cardiovascular events should have a pre-cruise medical evaluation and bring along a copy of their electrocardiogram if abnormal, according to a study in the Jan. 15 issue of the American Journal of Cardiology.
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Treatments Linked to Lower Risk of C. difficile Recurrence
WEDNESDAY, Jan. 20 (HealthDay News) -- The use of two monoclonal antibodies targeting Clostridium difficile toxins was associated with fewer recurrences of infections, according to research published in the Jan. 21 issue of the New England Journal of Medicine.
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Reducing Dietary Salt Could Substantially Impact Health
WEDNESDAY, Jan. 20 (HealthDay News) -- Even modest reductions in Americans' dietary salt could substantially reduce cardiovascular events, including death, myocardial infarction and stroke, and should be a public health goal, according to a study published online Jan. 20 in the New England Journal of Medicine.
Tylenol Recall in Effect Includes Several Other Drugs
WEDNESDAY, Jan. 20 (HealthDay News) -- McNeil Consumer Healthcare has recently expanded its voluntary recall of some over-the-counter drugs to include about 500 lots of products, according to officials from the Office of Compliance in the Center for Drug Evaluation and Research at the U.S. Food and Drug Administration.
Diabetes Patients May Be at Higher Risk for Lung Diseases
WEDNESDAY, Jan. 20 (HealthDay News) -- The declining lung function of patients with diabetes puts them at increased risk of a range of lung diseases such as chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, pneumonia and asthma, but not lung cancer, according to a study in the January issue of Diabetes Care.
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Low-Risk Criteria Help Guide Care for Infants With Fever
WEDNESDAY, Jan. 20 (HealthDay News) -- In most cases, infants with fever who meet low-risk criteria should be closely observed but may not require antibiotics, sparing associated adverse events, according to a study published online Jan. 18 in Pediatrics.
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Serotonin-1A Receptor Gene Linked to Depression
WEDNESDAY, Jan. 20 (HealthDay News) -- In a mouse model, researchers were able to manipulate the level of serotonin-1A (5-HT1A) autoreceptors to affect both the mice's vulnerability to stress as well as their response to antidepressants, according to a study in the Jan. 14 issue of Neuron.
Cognitive Fluctuations May Predict Alzheimer's Severity
WEDNESDAY, Jan. 20 (HealthDay News) -- In patients with Alzheimer's disease, the presence of cognitive fluctuations, spontaneous alterations in cognition, attention, and arousal, may be associated with greater disease severity and poorer neuropsychological performance, according to a study published in the Jan. 19 issue of Neurology.
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Researchers Call for Reform of Opioid Prescription Practices
TUESDAY, Jan. 19 (HealthDay News) -- In patients receiving higher doses of prescribed opioids for chronic pain, overdoses are common, suggesting a need to reform prescribing practices, according to a study in the Jan. 19 issue of the Annals of Internal Medicine.
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Diabetes Diary More Flexible Than Carbohydrate Counting
MONDAY, Jan. 18 (HealthDay News) -- A new telemedicine system is as effective and more flexible than standard carbohydrate counting in treating adults with type 1 diabetes, according to a study in the January issue of Diabetes Care.
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Metformin May Worsen Peripheral Neuropathy
MONDAY, Jan. 18 (HealthDay News) -- Metformin treatment of type 2 diabetes is associated with vitamin B12 deficiency and more severe peripheral neuropathy, according to a study in the January issue of Diabetes Care.
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Metabolic Syndrome Linked to Poor Cognition in Midlife
MONDAY, Jan. 18 (HealthDay News) -- Metabolic syndrome that persists over years is associated with worse cognitive function in late middle age, which can be partially accounted for by occupational position, according to a study in the January issue of Diabetes Care.
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Number of People Infected by H1N1 Reaches 55 Million
MONDAY, Jan. 18 (HealthDay News) -- On Jan. 15, federal officials reported that, from mid-April through mid-December, an estimated 55 million people in the United States were infected with H1N1 influenza, including approximately 11,200 who died.
Antipsychotic Use in Elderly, Prescribing Rates Examined
FRIDAY, Jan. 15 (HealthDay News) -- Elderly patients newly admitted to nursing homes are more likely to be prescribed antipsychotics if the nursing home has a high prescribing rate for antipsychotics, according to a study in the Jan. 11 Archives of Internal Medicine. A related study determined that an FDA advisory on the use of atypical antipsychotics in elderly dementia patients resulted in decreased use.
Abstract - Chen
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Abstract - Dorsey
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Rituximab May Adversely Affect Immune Function
THURSDAY, Jan. 14 (HealthDay News) -- In patients with rheumatoid arthritis, treatment with rituximab may adversely affect the response to vaccines, according to two studies in the January issue of Arthritis & Rheumatism.
Abstract - Bingham
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Abstract - van Assen
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Rates of Overweight and Obesity May Be Stabilizing
WEDNESDAY, Jan. 13 (HealthDay News) -- Although the prevalence of overweight and obesity is still high in adults and children in the United States, the rates appear to be stabilizing in the past decade, according to two studies published online Jan. 13 in the Journal of the American Medical Association.
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Reduced-Energy Meals May Under-State Energy Content
WEDNESDAY, Jan. 13 (HealthDay News) -- Meals sold as reduced energy by supermarkets and restaurants may under-state the caloric content by a significant amount, according to a study in the January issue of the Journal of the American Dietetic Association.
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Psychotherapy May Help Prevent Teenage Weight Gain
WEDNESDAY, Jan. 13 (HealthDay News) -- Interpersonal psychotherapy (IPT) may help adolescent girls who are at risk for obesity to avoid excess weight gain, according to a study in the International Journal of Eating Disorders.
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Combination Approach Found to Aid Knee Osteoarthritis
WEDNESDAY, Jan. 13 (HealthDay News) -- Both strength training and self-management are helpful to treat middle-aged patients with early knee osteoarthritis, according to a study published in the Jan. 15 issue of Arthritis Care & Research.
Biomedical Research Funding Shows Decline in 2008
TUESDAY, Jan. 12 (HealthDay News) -- After increasing since 1994, annual funding for biomedical research topped out at $90.2 billion in 2007 and began to decline in 2008, according to a study in the Jan. 13 issue of the Journal of the American Medical Association.
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Cesareans Recommended Only When Medically Necessary
TUESDAY, Jan. 12 (HealthDay News) -- Cesarean sections should only be performed when there is a medical need, as those done without good reason raise the risk of maternal morbidity and mortality, according to a study published online Jan. 12 in The Lancet.
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Calcium Linked to Different Effects in Kidney Disease
MONDAY, Jan. 11 (HealthDay News) -- Both long-term hypercalcemia and short-term hypocalcemia are associated with higher mortality in men with non-dialysis-dependent (NDD) chronic kidney disease (CKD), according to research published online Jan. 7 in the Clinical Journal of the American Society of Nephrology.
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Increased Caffeine Linked to Reduced Hepatic Fibrosis
MONDAY, Jan. 11 (HealthDay News) -- Increased coffee consumption may protect against advanced liver fibrosis, especially in patients with hepatitis C virus (HCV) infection, according to a study in the January issue of Hepatology.
Imaging Groups Issue Breast Screening Recommendations
MONDAY, Jan. 11 (HealthDay News) -- Citing gaps in existing guidelines, the Society of Breast Imaging (SBI) and the American College of Radiology (ACR) issued recommendations for the use of mammography, MRI, and other imaging approaches for breast cancer screening in the January issue of the Journal of the American College of Radiology.
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Simple 'Cough Trick' Helps Children Cope With Shots
MONDAY, Jan. 11 (HealthDay News) -- A simple intervention in which children cough at the moment of needle puncture during routine vaccinations may reduce the perception of pain by some children, according to a study published online Jan. 11 in Pediatrics.
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Drink May Improve Memory in Mild Alzheimer's Disease
MONDAY, Jan. 11 (HealthDay News) -- Patients with very mild Alzheimer's disease show improvements in memory after taking a multi-nutrient drink designed to improve synapse formation, according to a study in the January issue of Alzheimer's & Dementia.
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First Few Weeks Most Critical After Joint Replacement
MONDAY, Jan. 11 (HealthDay News) -- Patients undergoing hip or knee replacement have a small but increased risk of death that persists for about 26 days after surgery, according to a study in the Jan. 1 issue of the Journal of Bone & Joint Surgery.
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Childhood Cancer Survivor Cardiovascular Risk Studied
MONDAY, Jan. 11 (HealthDay News) -- Survivors of childhood cancer are at increased cardiovascular risk as they age if they were treated with full-body or torso irradiation or are physically inactive, according to a study in the January Cancer Epidemiology, Biomarkers & Prevention.
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Weight Linked to Response to Weight-Loss Solicitations
MONDAY, Jan. 11 (HealthDay News) -- Young adults who believe they have weight problems were more likely to open "spam" e-mails regarding weight loss and buy products from them, according to research published in the January issue of the Southern Medical Journal.
Right Restraint Use Key for Children's Car Safety
MONDAY, Jan. 11 (HealthDay News) -- There is a population-level benefit to interventions aimed at improving the rate of children's restraint use in cars, with promotion of age-appropriate restraints yielding the greatest benefits, according to a study published online Jan. 11 in Pediatrics.
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Survey Looks at Breast Cancer Surgeon Practice, Patient Care
MONDAY, Jan. 11 (HealthDay News) -- Many breast cancer surgeons do not conform to optimal patient and practice management processes related to clinical information, patient decision support and quality of care, according to a study in the January issue of Medical Care.
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Impact of Depression on Work Performance Measured
FRIDAY, Jan. 8 (HealthDay News) -- Employees with depression are more likely to have time off from work and have impaired work performance, according to a study in the January/February issue of the American Journal of Health Promotion.
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Nurse Visits in Infancy May Lead to Less Criminal Behavior
THURSDAY, Jan. 7 (HealthDay News) -- The female children of young, low-income women have better educational and economic prospects, and are less likely to commit crimes, if they receive nurse visits during infancy, according to a follow-up study in the January issue of the Archives of Pediatrics & Adolescent Medicine.
Skin Preparations Decrease Risk of Surgical-Site Infections
WEDNESDAY, Jan. 6 (HealthDay News) -- Simple preoperative skin preparations may significantly reduce the risk of surgical-site infections, according to two studies in the Jan. 7 issue of the New England Journal of Medicine.
Abstract - Bode
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2010 Childhood Vaccination Schedules Approved
MONDAY, Jan. 4 (HealthDay News) -- New recommendations for childhood and adolescent immunization schedules have been approved by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the U.S. Centers for Disease Control and Prevention, and the American Academy of Family Physicians, incorporating several changes from last year, according to an article published online Jan. 4 in Pediatrics.
www.vaers.hhs.gov
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Self-Efficacy May Affect Patients' Levels of Fatigue
FRIDAY, Jan. 1 (HealthDay News) -- Breast cancer survivors (BCS) and multiple sclerosis (MS) patients are likely to report less fatigue as a result of physical activity if they have a strong sense of self-efficacy and are not depressed, according to a study published online Nov. 30 in Psychosomatic Medicine.
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Tea Drinking May Lower Endometrial Cancer Risk
FRIDAY, Jan. 1 (HealthDay News) -- Tea drinking, in particular drinking green tea, can reduce the risk of endometrial cancer, according to a meta-analysis reported in the December issue of the American Journal of Obstetrics & Gynecology.
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