The Uncanny NicholasRoyle Manchester Manchester University Press 2003 xi + 340 pp. £ 15.99

Objective: It has been demonstrated that ovarian volume and antral follicle counts are correlated with the number of oocytes retrieved in assisted reproductive technologies. The dilemma thus far in donor programs is whether or not to use a donor in a split cycle fashion. It is often difficult to anticipate whether there will be a sufficient number of oocytes. We therefore performed a study to see if we could use ovarian volume and antral follicle counts to decide whether to split donors in an established donor oocyte program. Design: A retrospective analysis of donors (n = 46) undergoing stimulation in a split and non-split donor oocyte program. Materials/Methods: All donors had ovarian measurements determined at the initiation of their cycle. Their ovarian volume was calculated using length, height, and width of each ovary (volume = 0.526 × D1 × D2 × D3). All ovarian antral follicles (2–9 mm) were counted when ovarian volume was measured. The ultimate number of oocytes retrieved for donors used in a split fashion versus a non-split fashion were determined. Results: The results obtained are shown in the table below. The mean number of antral follicles, ovarian volumes, and oocytes were not statistically significant, although there was a tendency for growth values in the split group. ∗NumberAgeFSH (IU/L)Right ovarian antral folliclesRight ovarian volumeLeft ovarian antral folliclesLeft ovarian volumeOocytesNon-Split3225.4 ± 3.1∗Mean ± SD;5.0 ± 2.09.8 ± 4.96.3 ± 3.210.8 ± 4.74.8 ± 2.117.2 ± 9.5Split1425.9 ± 3.63.9 ± 1.8P ≤ 0.05.12.8 ± 5.55.2 ± 1.613.1 ± 5.05.5 ± 1.821.5 ± 7.4∗ Mean ± SD;∗∗ P ≤ 0.05. Open table in a new tab Conclusions: We were unable to demonstrate a statistical difference between groups with respect to antral follicle count and ovarian volume, however, it is of value in determining if donor candidates can be used for split donor oocyte cycles. This can help prevent the dilemma of an insufficient number of oocytes obtained during a split cycle.

ACL reconstruction using quadruple hamstring has become more popular in recent years. Relatively lower morbidityand better cosmetic results, as well as improved biomechanical properties, have increased the use of hamstring grafts. This article will focus on the current concepts and techniques of ACL reconstruction using quadruple hamstring. We have also included the description of 3 popular fixation methods for quadruple hamstring, namely, bioscrew, EndoButton with sutures, and cross-pin technique. The rationale and concepts of each fixation technique will be discussed.

Ultrasound in Obstetrics & GynecologyVolume 11, Issue 5 p. 378-379 Letter to the EditorFree Access Endometrial pathology in hypertensive women Z. Appelman, Corresponding Author Z. Appelman Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelDepartment of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorA. Ben-arie, A. Ben-arie Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorZ. Katz, Z. Katz Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorC. Benjamin, C. Benjamin Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorH. Zion, H. Zion Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this author Z. Appelman, Corresponding Author Z. Appelman Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelDepartment of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorA. Ben-arie, A. Ben-arie Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorZ. Katz, Z. Katz Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorC. Benjamin, C. Benjamin Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this authorH. Zion, H. Zion Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, IsraelSearch for more papers by this author First published: 24 December 2002 https://doi.org/10.1046/j.1469-0705.1998.11050378.xCitations: 3AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume11, Issue51 May 1998Pages 378-379 RelatedInformation

UNLABELLED The purpose of this study was to compare two different doses of dipyridamole as a pharmacologic stress test for 201Tl imaging. METHODS Twenty-four patients with significant coronary artery disease (15 had undergone a coronary angiogram and 9 had undergone a previous 201Tl study with a significant lesion) were prospectively studied. Within 1 wk, all patients underwent two 201T-dipyridamole myocardial planar studies, one using a standard dose (STD) and the other, a high dose (HIGH) of dipyridamole. The protocol order was randomly assigned. The STD protocol used a dose of 0.14 mg/kg/min for a duration of 4 min (0.56 mg/kg), and the HIGH protocol used a dose of 0.14 mg/kg min for a duration of 6 min (0.84 mg/kg). The 201Tl was injected 3 min after the end of the dipyridamole infusion. Images, obtained 5 min and 4 hr later, were interpreted (divided into five segments each) by three blinded observers. RESULTS The STD protocol showed normal, ischemia and scar in 252, 91 and 17 segments, respectively. The HIGH protocol detected 232, 118 and 10 segments, respectively. A side-by-side evaluation was done to evaluate the defect extent subjectively, which was greater with HIGH in 14, equal in six and smaller in four patients. One or more side effects were seen in 14 patients with STD and in 19 with HIGH. Increased heart rate (8 bpm for STD and 19 bpm for HIGH, p < 0.001) was the only significant change seen in the hemodynamic parameters. CONCLUSION This preliminary study indicates that a high dose of dipyridamole seems to be safe and can be helpful to increase the sensitivity of 201Tl imaging.

A cross sectional study was carried out to determine whether schoolchildren in a specific locality exposed to pollution from steam coal dust have an excess of respiratory symptoms compared with children in control areas. A total of 1872 primary schoolchildren (aged 5-11 years) from five primary schools in the Bootle dock area of Liverpool (exposed area), five primary schools in South Sefton (control area), and five primary schools in Wallasey (control area) were studied. A questionnaire was distributed through the schools and was completed by the parents of the children. The questionnaire inquired about respiratory symptoms (cough, wheezing, and shortness of breath), allergy, atopy, smoking, and socioeconomic factors. Height, weight, and peak expiratory flow were measured. Compliance was good (92%) and similar in the three study areas. The children in the three areas were of similar mean age (7.5 years), height (1.24 m), sex ratio, and had a similar prevalence of paternal (6.2%) and maternal (7%) asthma. The exposed zone contained more unemployed parents (41, 29, and 29% respectively), more rented housing (64, 45, 34%), and more smoking parents (71, 60, 59%) than the control areas. Respiratory symptoms were significantly more common in the exposed area, including wheeze (25.0, 20.6, and 17.5%), excess cough (40.0, 23.4, and 25.1%), and school absences for respiratory symptoms (47.5, 35.9, and 34.9%). These differences remained significant even if the groups were subdivided according to whether or not parents smoked or were employed. Multiple logistic regression analysis confirmed the exposed zone as a significant risk factor for absenteeism from school due to respiratory symptoms (odds ratio 1.55, 95% confidence interval 1.17 to 2.06) after adjusting for confounding factors. Standard dust deposit gauges on three schools confirmed a significantly higher dust burden in the exposed zone. An increased prevalence of respiratory symptoms in primary schoolchildren exposed to coal dust is confirmed. Although the association with known coal dust pollution is suggestive a cross sectional study cannot confirm a casual relation and further studies are needed.