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  • 1
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. Nineteen pregnancies complicated by fetal congenital diaphragmatic hernia (CDH) referred for fetal echocardiography have been reviewed. Congenital heart disease was diagnosed prenatally in three fetuses; in one of these the pregnancy was terminated, the two other infants died in the neonatal period. The presence of the fetal stomach within the thorax or a hernia/heart area ratio greater than 1·7 was associated with a large diaphragmatic defect. Polyhydramnios was not associated with a poor postnatal outcome. Evidence of cardiac ventricular disproportion before 24 weeks gestation in isolated CDH was associated with 100% mortality. Development of ventricular disproportion during the third trimester was associated with a survival rate of 75%. In three fetuses, all of whom survived, no ventricular disproportion was detected during the third trimester examination.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 88 (1981), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: This study comprises 336 consecutive patients of whom 283 were candidates for conservative therapy involving either cryosurgery or the carbon dioxide laser for the management of cervical intraepithelial neoplasia (CIN). A total of 152 patients were treated first in the series with cryosurgery followed by 131 patients in the laser group. Distribution of disease classification within CIN groups was similar. The overall persistent disease after one treatment was higher in the cryo group (14·5 per cent) as compared to the laser group (3·1 per cent). Of particular significance is the high percentage of failures in the cryo treated group (25·0 per cent) with CIN III disease as compared to the CIN III laser treated group (7·7 per cent). The high persistent disease rate observed in the CIN III lesions treated by cryosurgery suggests that this modality be employed with caution in this disease classification.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 99 (1992), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To review antenatal and intrapartum assessment of pregnancies complicated by gastroschisis.Design Retrospective descriptive study.Setting University College Hospital, London.Subjects 24 consecutive cases of gastroschisis between 1986 and 1991.Results The gestational age at sonographic diagnosis was 20.3 weeks (SD 6.77) and at birth was 36.5 weeks (SD 2.06). There were 21 live births, all with good surgical outcome. There were 16 vaginal deliveries and eight caesarean sections. The elective sections were for oligohydramnios and dilated bowel (1) and clinically suspected growth retardation (1); the intrapartum caesarean sections were for fetal distress (4) and premature breech presentation (2). There were six with dilated gut on ultrasound; one of these ended in a stillbirth. There was a significant association between gut dilatation and caesarean section for fetal distress (P= 0.004). There was also a significant association between meconium staining and fetal distress (P= 0.021). Of these babies, 46% were ≤ third centile for corrected birth weight.Conclusions While half of the babies with gastroschisis were small for gestational age at birth, reliable antenatal prediction of birth weight is difficult. Gut dilatation may be an indicator of either antenatal or intrapartum fetal distress, but does not correlate with poor neonatal surgical outcome. We suggest close antenatal surveillance of fetal wellbeing in all cases of gastroschisis because, in addition to growth retardation, many show some evidence of fetal distress and 12.5% end in stillbirth, even when appropriately grown.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 75 (1968), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    s.l. : American Chemical Society
    Analytical chemistry 36 (1964), S. 1356-1359 
    ISSN: 1520-6882
    Source: ACS Legacy Archives
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Sedimentology 39 (1992), S. 0 
    ISSN: 1365-3091
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: Glacial gravels of Late Devensian Dimlington Stadial age (26 000–13 000 years BP) at West Tanfield, North Yorkshire, England, have been cemented by carbonate-rich solutions to produce a strongly indurated calcrete horizon. The low-Mg cements occur as drusy spar, needle fibres, alveolar septal structures, micrite and micropinnacles, indicative of vadose-zone cementation. Some complex pore partition structures attributed to precipitation along meniscus films also occur. These partitions separate air-dominated and water-dominated microenvironments of the vadose zone. The abundance of vadose fabrics shows that the accumulation is not a groundwater calcrete. In addition, much of the carbonate appears to have been precipitated by biological mediation.Carbon and oxygen isotopic data suggest that the carbonate did not form as a result of freezing, as has been suggested for some ‘arctic’soil carbonates. The pollen history of the area since the Devensian suggests that this calcrete precipitated at low temperatures; this contrasts with widely reported occurrences of calcrete in soils of hot arid or semi-arid regions, and suggests that palaeo-calcretes should not be used as absolute palaeoclimatic indicators.The unusual occurrence, albeit localized, of a thick calcrete under a cool and wet climate probably reflects the well-drained nature of the gravels, the abundance of CaCO3 as limestone clasts in the gravel and a high degree of biological activity beneath a forest cover, which created a local environment favouring carbonate precipitation.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Sedimentology 33 (1986), S. 0 
    ISSN: 1365-3091
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: Paleosols in the Lower Carboniferous limestones of South Wales commonly contain needle-fibre calcite which is an unusual form of calcite recently shown to form by the calcification of fungal hyphae in present day soils. The needle-fibre calcite occurs in two associations in the paleosols: as coatings on sediment grains and as rhizocretions. The former can be compared with the microbial grain coatings of Quaternary calcretes. The latter represent the sites of fungal coats on roots and are interpreted as probable ectomycorrhizae, a symbiotic fungal sheath-root association. These findings suggest that biomineralization was important in the formation of soil fabrics during the Carboniferous as it is in present day soils.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Sedimentology 33 (1986), S. 0 
    ISSN: 1365-3091
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: During early Carboniferous times a major sea-level rise led to the development of an extensive carbonate ramp over what is now South Wales. Differential subsidence and sea-level changes resulted in distinctive facies sequences in the ramp succession and a model is offered which recognizes three distinct geomorpho-tectonic settings; inner, mid- and outer ramp. The inner ramp zone occurs in the more landward part of the province and was an area undergoing little or no subsidence. The sequence is dominated by oolitic grainstones and peritidal limestones representing shoal and back shoal environments. The peritidal units are transgressive deposits consisting of stacked asymmetrical shallowing-up cycles. The sequence contains many subaerial breaks and tectonic uplift resulted in base-level changes and fluvial incision. The mid-ramp zone sequence is intermediate in thickness between the inner and outer ramp successions and consists mainly of bioclastic limestones deposited below fairweather wave base. Sedimentation periodically exceeded sea-level rise and subsidence, and regressive (progradational) oolitic sand bodies developed, the thickest of which are stacked units with up to four individual sand bodies. Storm processes were of major importance in this setting. The outer ramp zone is represented by a thick sequence of muddy bioclastic limestones deposited below storm wave base and major Waulsortian reef-mounds also developed. None of the shallowing phases seen in the other ramp zones can be detected in this sequence. Subsidence and eustatic sea-level rise seem to have been the major controls on deposition but the recognition of eustatic sea-level falls is difficult. The detailed facies model for ramp carbonates presented here may be applicable elsewhere in the geological record.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    System 21 (1993), S. 245-255 
    ISSN: 0346-251X
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Linguistics and Literary Studies
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    FEBS Letters 29 (1973), S. 77-81 
    ISSN: 0014-5793
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Biology , Chemistry and Pharmacology , Physics
    Type of Medium: Electronic Resource
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