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  • 1
    Electronic Resource
    Electronic Resource
    An investigation of women's involvement in the decision to deliver by caesarean section (1999)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 106 (1999), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To assess the degree and nature of women's involvement in the decision to deliver by caesarean section, and women's satisfaction with this involvement.Design Observational study.Setting The maternity unit in a large teaching hospital.Sample One hundred and sixty-six women undergoing caesarean section.Methods Interviews with the women on the third or fourth day postpartum, questionnaires sent to the women at 6 weeks and at 12 weeks postpartum, and extraction of information from the women's medical records.Main outcome measures Women's knowledge, satisfaction, and involvement in making the decision concerning their caesarean section.Results The majority of the women were satisfied with the information they received during pregnancy on caesarean section and with their involvement in making the decision, but the proportions were significantly higher for elective than emergency sections. For 7% of the women, maternal preference for caesarean section was a direct factor in making the decision. Just over half of the 166 women reported that they were not debriefed on the reasons for their caesarean section before their discharge from hospital. Almost a third of the women undergoing emergency caesarean section expressed negative feelings towards their delivery, compared with 13% of those undergoing elective caesarean sections.Conclusion Women are not a homogeneous group in terms of their requirements for information, nor their desire to be involved in the decision on mode of delivery. Health professionals need to be responsive to this variability and to agree on standards for communicating with women during pregnancy about the possibility of operative delivery and for debriefing women after caesarean section. sarean section, and women's satisfaction with this involvement.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1999.tb08233.x
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  • 2
    Electronic Resource
    Electronic Resource
    Diet in pregnancy and the offspring's blood pressure 40 years later (1996)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 103 (1996), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To determine how diet of the mother in pregnancy influences the blood pressure of the offspring in adult life.Design A follow up study of men and women born during 1948–1954 whose mothers had taken part in a survey of diet in late pregnancy.Setting Aberdeen, Scotland.Population Two hundred and fifty-three men and women born in Aberdeen Maternity Hospital.Main outcome measure Systolic and diastolic blood pressure.Results The relations between the diet of mothers and their offsprings' blood pressure were complex. When the mothers' intake of animal protein was less than 50 g daily, a higher carbohydrate intake was associated with a higher blood pressure in the offspring (a 100 g increase in carbohydrate being associated with a 3 mmHg increase in systolic pressure (P= 0.02)). At daily animal protein intakes above 50 g, lower Carbohydrate intake was associated with higher blood pressure (a 100 g decrease in carbohydrate being associated with an 11 mmHg rise in systolic blood pressure (P= 0.004)). These increases in blood pressure were associated with decreased placental size.Conclusion Mothers' intakes of animal protein and carbohydrate in late pregnancy may influence their offsprings' adult blood pressure. This may be mediated through effects on placental growth.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1996.tb09718.x
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  • 3
    Electronic Resource
    Electronic Resource
    Diet in late pregnancy and glucose-insulin metabolism of the offspring 40 years later (2000)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 107 (2000), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To determine how diets of women in pregnancy influence the glucose-insulin metabolism of their offspring in adult life.Design A follow up study of men and women born during 1948–1954 whose mothers had taken part in a survey of diet in late pregnancy.Setting Aberdeen, Scotland.Population One hundred and sixty-eight men and women born in the Aberdeen Maternity Hospital.Main outcome measure Plasma glucose and insulin concentrations, fasting and after a standard oral glucose challenge.Results The offspring of women who had high intakes of fat and protein in late pregnancy had a reduced plasma insulin increment between fasting and 30 min with a 7.0% decrease in increment (P= 0.007) per 10 g increase in protein intake and a 4.9% decrease (P= 0.002) per 10 g increase in fat intake. This was independent of the mother's body mass index or weight gain in pregnancy. A low maternal body mass index in early or late pregnancy was associated with a raised fasting plasma insulin concentration with a decrease of 2.4% (P= 0.05) per 1 kg/m2 increase of maternal body mass.Conclusion High intakes of protein and fat during pregnancy may impair development of the fetal pancreatic beta cells and lead to insulin deficiency in the offspring. The offspring of thin mothers tend to be insulin resistant.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.2000.tb11088.x
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  • 4
    Electronic Resource
    Electronic Resource
    Half-sib family selection for forage yield in orchardgrass (2002)
    Oxford, UK : Blackwell Publishing Ltd
    Plant breeding 121 (2002), S. 0 
    Details
    ISSN: 1439-0523
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Agriculture, Forestry, Horticulture, Fishery, Domestic Science, Nutrition
    Notes: Genetic variation for forage yield of orchardgrass is abundant, but there are few reports of progress from selection for increased forage yield. The objective of this study was to estimate direct effects of selection from one cycle of half-sib family selection for forage yield in orchardgrass. Eleven selected populations were compared with their parent populations within three maturity groups. Populations were evaluated under hay management at three locations and management-intensive rotational grazing at two locations. Nine of the 11 selected populations differed, by an average of 7.4%, from their parent population in forage yield. Nine of the selected populations also showed changes in Drechslera leafspot reaction, all indicating a negative genetic correlation with forage yield. Selection for high forage yield tended to result in greater ground cover and later relative maturity. However, changes in net herbage accumulation (NHA) under rotational grazing were generally not significant and were uncorrelated with changes in forage yield, indicating that forage yield of hay plots is not correlated with the NHA of grazed plots. Although genetic gains in forage yield measured under hay management were very favourable relative to other reports from the literature, the lack of correlated progress under grazing management indicates that directed selection for NHA of orchardgrass should be conducted under grazing management.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1439-0523.2002.00665.x
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  • 5
    Electronic Resource
    Electronic Resource
    Mode of delivery and future fertility (1989)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 96 (1989), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A cohort of 22 948 women from a stable homogeneous population who gave birth for the first time between 1964 and 1983 were followed up prospectively. Analysis by mode of delivery showed that of those delivered by caesarean section 23·2% fewer had another pregnancy than those who had a spontaneous vaginal delivery. Women delivered by forceps were in an intermediate group. Miscarriage was more common in women who had been delivered by caesarean section. The relative infertility after caesarean section could not be accounted for by early sterilization, was not associated with maternal height or social status, and was only partly attributable to age.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1989.tb03227.x
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  • 6
    Electronic Resource
    Electronic Resource
    The multidisciplinary management of a family with epithelial ovarian cancer (1992)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 99 (1992), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To describe the management of a family with an inherited predisposition to ovarian and breast cancer. Particular attention is paid to the problems of contraception, screening, prophylactic surgery and hormone replacement therapy.Setting The multidisciplinary Grampian Familial Epithelial Overian Cancer Study Group.Subjects 162 members of a family extending over five generations. In the third generation, five of the 10 women died with epithelial ovarian cancer. Three women in generation IV have developed premenopausal breast cancer. There are now 78 family members in the fifth generation aged between 2 and 22 years.Interventions Counselling of female family members is started at the age of 18 years. The combined oral contraceptive pill is advocated to suppress ovulation. Gynaecological follow-up after the age of 28 includes yearly pelvic examination, transvaginal ultrasonography and serum CA125 estimation. Laparoscopy with peritoneal cytology is indicated if any part of this yearly assessment is abnormal. Prophylactic oophorectomy is advised between the ages of 35 and 40 years after the family is complete. In generation IV, 20 of the 29 women have undergone prophylactic oophorectomy. Oestrogen hormone replacement therapy with a cyclical progestogen is recommended after prophylactic oophorectomy. Breast cancer screening starts at the age of 25 and involves annual clinical breast examination augmented by mammography and breast ultrasound.Conclusions Only by the careful questioning and recording of family history, including at least third degree relatives (cousins), will similar groups with familial ovarian/breast cancer be identified. When predisposing genes are characterized it will be possible to identify carriers within the family and concentrate clinical effort on them while offering appropriate reassurance to those with decreased risk.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1992.tb14504.x
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  • 7
    Electronic Resource
    Electronic Resource
    Compensatory growth response of the legume, Medicago sativa, to defoliation and denodulation (1996)
    Springer
    Entomologia experimentalis et applicata 78 (1996), S. 243-252 
    Details
    ISSN: 1570-7458
    Keywords: Leguminosae ; denodulation ; defoliation ; compensatory growth
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract A laboratory study was conducted to determine the effects of defoliation and denodulation on compensatory growth of Medicago sativa (L.). Plants grown hydroponically in clear plastic growth pouches were subjected to 0 and 50% nodule pruning, and 0, 25, 50, and 75% defoliation by clipping trifoliate leaves. An additional experiment was conducted to determine if clipping leaves simulated herbivory by Hypera postica (Gyllenhal) larvae. Previously, we determined that nodule pruning accurately simulated herbivory by Sitona hispidulus (L.) larvae (Quinn & Hall, 1992). Results indicated that denodulation stimulated nodule growth and caused exact compensation in standing and total number of nodules per plant within 15 days and in standing nodule biomass within 22 days of treatment. Denodulation caused a significant reduction (13%) in final shoot biomass, but did not affect significantly final root biomass. Percentage of change in number of trifoliate leaves per plant increased with the level of defoliation. Within 22 days of treatment, total number of trifoliate leaves per plant was similar to controls. However, final standing shoot biomasses were significantly less that controls, indicating undercompensatory growth. Shoot biomasses of the 25-, 50-, and 75%-defoliated plants were 18, 20, and 36% lower than controls, respectively. Nodule biomass per plant was reduced by 24 and 32% in 50- and 75%-defoliated plants, respectively, but was not affected significantly by 25% defoliation. Root biomass was affected by all levels of defoliation. Clipping trifoliate leaves accurately simulated defoliation by H. postica larvae. Our results indicated that partial defoliation affected shoot, root, and nodule biomass of M. sativa, but that partial denodulation only affected shoot biomass.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00193443
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  • 8
    Electronic Resource
    Electronic Resource
    Compensatory response of a legume root-nodule system to nodule herbivory by Sitona hispidulus (1992)
    Springer
    Entomologia experimentalis et applicata 64 (1992), S. 167-176 
    Details
    ISSN: 1570-7458
    Keywords: Curculionidae ; Sitona hispidulus ; Leguminosae ; nodule herbivory ; compensatory growth
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract A laboratory study was conducted to examine the hypothesis that herbivory of nitrogen-fixing root nodules on legumes causes an exact compensatory response in nodule growth. Plants of Medicago sativa (L.) were grown hydroponically in clear plastic growth pouches so that the number and biomass of root nodules could be estimated nondestructively before, and 10 and 18 days after, partial denodulation. For treatments, plants were subjected to 23% denodulation by first-instar larvae of Sitona hispidulus (F.) (a common herbivore of Medicago and Trifolium) or 50% nodule pruning; additional plants were left untreated. Results indicated that nodule herbivory and nodule pruning caused an overcompensatory response in number of nodules. This was also true for number of nodule units (an indirect measure of nodule biomass) per plant at 10 days after denodulation but had changed to an exact compensatory response by day 18. An inverse relationship between change in number of nodule units and initial number of nodules indicated that compensatory nodulation was regulated by a feedback mechanism. Shoot and root biomasses were not affected by denodulation in this study.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00162989
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  • 9
    Electronic Resource
    Electronic Resource
    Assessment of patients with menorrhagia: How valid is a structured clinical history as a measure of health status? (1995)
    Springer
    Quality of life research 4 (1995), S. 33-40 
    Details
    ISSN: 1573-2649
    Keywords: Health status ; menorrhagia ; reliability ; validity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A patient-administered questionnaire for menorrhagia based on the type of questions asked when taking a gynaecological history was developed and tested using the following steps: literature reviews, devising the questions, testing responses for internal consistency and test-retest reliability and validating the questionnaire by comparing patient's scores with their responses to the SF-36 general health measure, and with family practitioner perceptions of severity. The main sample consisted of 351 women with menorrhagia, 246 referred to gynaecology ambulatory clinics and 105 from four large training practices in North-east Scotland. Following testing, two questions were discarded from the questionnaire. The final questionnaire demonstrated a good level of reliability and the resulting patient scores correlated significantly with their scores on the scales making up the general health measure. The questions asked in taking a clinical history from a woman with menorrhagia can be used to construct a valid and reliable measure of health status. This clinical measure may be a useful guide in selection for treatment and in the assessment of patient outcome following treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00434381
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