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1.

001-es BibID:BIBFORM034306
Első szerző:Babinszki Ágota
Cím:Perinatal outcome in grand and great-grand multiparity : effects of parity on obstetric risk factors / Babinszki Ágota, Kerenyi Thomas, Török Olga, Grazi Victor, Lapinski Robert H., Berkowitz Richard L.
Dátum:1999
ISSN:0002-9378
Megjegyzések:OBJECTIVE: We sought to compare obstetric and neonatal complications among great-grand multiparous, grand multiparous, and multiparous women. STUDY DESIGN: One hundred thirty-three great-grand multiparas, 314 grand multiparas, and 2195 multiparas who were delivered of their infants between 1988 and 1998 were selected for the study. To facilitate comparison, the patients were all >35 years old and had similar socioeconomic characteristics. RESULTS: The incidence of malpresentation at the time of delivery, maternal obesity, anemia, preterm delivery, and meconium-stained amniotic fluid increased with higher parity, whereas the rate of excessive weight gain and cesarean delivery decreased. Compared with grand multiparas, great-grand multiparas had significantly elevated risks for abnormal amounts of amniotic fluid, abruptio placentae, neonatal tachypnea, and malformations but lower rates of placenta previa (P <.05). The incidence of postpartum hemorrhage, preeclampsia, placenta previa, macrosomia, postdate pregnancy, and low Apgar scores was significantly higher in grand multiparas than in multiparas, whereas the proportion of induction, forceps delivery, and total labor complications was significantly lower than in the multiparous group (P <.05). Similar frequency of maternal diabetes, infection, uterine wall scar rupture, variations in fetal heart rate, fetal death, and neonatal mortality was found in the 3 groups. CONCLUSION: Both high-parity groups have their own risk factors, but the rate of some complications decreases with higher parity. In addition, perinatal mortality remains low in these patients, and therefore, under satisfactory socioeconomic and health care conditions, high parity should not be considered dangerous.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
grand multipara
great-grand multipara
risk factors
Megjelenés:American Journal Of Obstetrics And Gynecology. - 181 : 3 (1999), p. 669-674. -
További szerzők:Kerényi D. Thomas Török Olga (1956-) (szülész-nőgyógyász, humángenetikus) Grazi, Victor Lapinski, Robert H. Berkowitz, Richard L.
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM054149
Első szerző:Póka Róbert (szülész-nőgyógyász, klinikai onkológus)
Cím:Public health approach to activated protein C resistance assay / Robert Póka, É. Ajzner, I. Balogh
Dátum:1997
ISSN:0002-9378
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:American Journal of Obstetrics and Gynecology. - 177 : 5 (1997), p. 1271-1272. -
További szerzők:Ajzner Éva (1968-) (laboratóriumi szakorvos) Balogh István (1972-) (molekuláris biológus, genetikus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM045999
Első szerző:Póka Róbert (szülész-nőgyógyász, klinikai onkológus)
Cím:Variable effect of prothrombotic factors on fetomaternal circulation / Robert Póka, S. Vad, I. Balogh, É. Ajzner
Dátum:2005
ISSN:0002-9378
Tárgyszavak:Orvostudományok Elméleti orvostudományok szerkesztői levél
Megjelenés:American Journal of Obstetrics and Gynecology. - 193 : 6 (2005), p. 1280-1281. -
További szerzők:Vad Szilvia (1976-) (nőgyógyász) Balogh István (1972-) (molekuláris biológus, genetikus) Ajzner Éva (1968-) (laboratóriumi szakorvos)
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4.

001-es BibID:BIBFORM036787
035-os BibID:PMID:8420339
Első szerző:Póka Róbert (szülész-nőgyógyász, klinikai onkológus)
Cím:Microinvasion of the amniotic cavity increases the risk of post-cesarean section endometritis / R. Póka, L. Lampé
Dátum:1993
ISSN:0002-9378 (Linking)
Tárgyszavak:Orvostudományok Klinikai orvostudományok levél
Amniotic Fluid/*microbiology
Cesarean Section/*adverse effects
Endometritis/*epidemiology
Female
Humans
Pregnancy
Puerperal Infection/*epidemiology
egyetemen (Magyarországon) készült közlemény
Megjelenés:American Journal of Obstetrics and Gynecology. - 168 : 1 Pt1 (1993), p. 275-276. -
További szerzők:Lampé László (1929-2021) (szülész-nőgyógyász)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM106247
035-os BibID:(scopus)85144801792
Első szerző:Slama, Jiri
Cím:Analysis of risk factors for recurrence in cervical cancer patients after fertility-sparing treatment : The FERTIlity Sparing Surgery retrospective multicenter study / Slama Jiri, Runnebaum Ingo Bernard, Scambia Giovanni, Angeles Martina Aida, Bahrehmand Kiarash, Kommoss Stefan, Fagotti Anna, Narducci Fabrice, Matylevich Olga, Holly Jessica, Martinelli Fabio, Koual Meriem, Kopetskyi Viacheslav, El-Balat Ahmed, Corrado, Giacomo, Căpílna Mihai Emil, Schröder Willibald, Novak Zoltán, Shushkevich Alexander, Fricová Lenka, Cibula David, FERTIlity Sparing Surgery (FETISS) study
Dátum:2023
ISSN:0002-9378
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:American Journal Of Obstetrics And Gynecology. - 228 : 4 (2023), p. 443.e1-443.e10. -
További szerzők:Runnebaum, Ingo Bernard Scambia, Giovanni Angeles, Martina Aida Bahrehmand, Kiarash Kommoss, Stefan Fagotti, Anna Narducci, Fabrice Matylevich, Olga Holly, Jessica Martinelli, Fabio Koual, Meriem Kopetskyi, Viacheslav El-Balat, Ahmed Corrado, Giacomo Căpîlna, Mihai Emil Schröder, Willibald Novák Zoltán Shushkevich, Alexander Fricová, Lenka Cibula, David Póka Róbert (1960-) (szülész-nőgyógyász, klinikai onkológus) FERTIlity Sparing Surgery (FETISS) study
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6.

001-es BibID:BIBFORM034307
Első szerző:Török Olga (szülész-nőgyógyász, humángenetikus)
Cím:Multifetal pregnancy reduction is not associated with an increased risk of intrauterine growth restriction, except for very-high-order multiples / Török Olga, Lapinski Robert, Salafia Carolyn M., Bernasko James, Berkowitz Richard L.
Dátum:1998
ISSN:0002-9378
Megjegyzések:OBJECTIVE: Our purpose was to investigate whether multifetal pregnancies reduced to twins have an increased risk of intrauterine growth restriction and discordant birth weight. STUDY DESIGN: This retrospective cohort study investigated the rates of birth weight discordance > 20% and intrauterine growth restriction using both twin and singleton birth weight curves in 441 twin deliveries after multifetal pregnancy reduction (233 reduced from triplets, 156 from quadruplets, and 52 from quintuplets or greater) compared with 136 nonreduced dichorionic twins. RESULTS: No significant difference was found in the frequency of birth weight discordance and in the overall incidence of intrauterine growth restriction by both twin and singleton birth weight curves when pregnancies that underwent multifetal pregnancy reduction were compared with the control group. There was, however, an almost twofold increase in the rate of intrauterine growth restriction in pregnancies with a starting fetal number of 5 or more (23.1%) compared with that in those reduced from triplets or quadruplets (12.1%) when the twin curve standard was used (P = .03). This difference disappeared when these groups were compared with a singleton nomogram. CONCLUSION: This study suggests that multifetal pregnancy reduction is not associated with an increased risk of intrauterine growth restriction unless the starting fetal number is > or = 5. This finding provides a further rationale to avoid transferring excessive numbers of preembryos after in vitro fertilization.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
multifetal pregnancy reduction
intrauterine growth restriction
twins
Megjelenés:American Journal Of Obstetrics And Gynecology. - 179 : 1 (1998), p. 221-225. -
További szerzők:Lapinski, Robert H. Salafia, Carolyn M. Bernasko, James Berkowitz, Richard L.
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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7.

001-es BibID:BIBFORM103064
035-os BibID:(WoS)000911496500001 (Scopus)85136295331
Első szerző:Vitale, Salvatore Giovanni
Cím:Risk of endometrial cancer in asymptomatic postmenopausal women in relation to ultrasonographic endometrial thickness : systematic review and diagnostic test accuracy meta-analysis / Vitale Salvatore Giovanni, Riemma Gaetano, Haimovich Sergio, Carugno Jose, Pacheco Luis Alonso, Perez-Medina Tirso, Parry John Preston, Török Peter, Tesarik Jan, Della Corte Luigi, Cobellis Luigi, Di Spiezio Sardo Attilio, De Franciscis Pasquale
Dátum:2023
ISSN:0002-9378
Megjegyzések:Objective: To evaluate the risk of endometrial carcinoma (EC) and atypical endometrial hyperplasia (AEH) in asymptomatic postmenopausal women in relation to the endometrial thickness (ET) measured by transvaginal ultrasonography (TVS) stratified by threshold categories used for performing subsequent endometrial sampling and histologic evaluation. Data sources: MEDLINE, Scopus, ClinicalTrials.gov, Scielo, EMBASE, the Cochrane Library at the CENTRAL Register of Controlled Trials, LILACS, conference proceedings and international controlled trials registries were searched without temporal or geographical or language restrictions. Study eligibility criteria: Studies were selected if they had a cross-over design evaluating the risk for AEH and EC in postmenopausal asymptomatic women and calculated the diagnostic accuracy of TVS thresholds (at least 3.0 mm) confirmed by histopathological diagnosis. Study appraisal and synthesis methods: We conducted a systematic review and diagnostic test accuracy meta-analysis according to PRISMA-DTA and SeDATE guidelines. ET thresholds were grouped as follows: from 3.0 mm to 5.9 mm; between 6.0 and 9.9 mm; between 10.0 and 13.9 mm; and equal or greater than 14.0 mm. Quality assessment was performed using QUADAS-2 tool. Publication bias was quantified by Deek funnel plot test. Co-primary outcomes were risk for AEH or EC according to ET and diagnostic accuracy of each threshold group. Results: A total of 18 studies provided the data of 10,334 women who were all included in the final analysis. Overall, at an ET threshold of at least 3.0 mm, the risk for AEH or EC was increased three-fold relative to women below the cut-off (relative risk (RR) 3.77, 95% confidence interval (CI) 2.26 to 6.32, I2=74%). Similar degrees of risk were reported for thresholds between 3.0 and 5.9 mm (RR 5.08, 95% CI 2.26 to 11.41, I2=0%), 6.0 and 9.9 mm (RR 4.34, 95% CI 1.68 to 11.23, I2=0%), 10.0 and 13.9 mm (RR 4.11, 95% CI 1.55 to 10.87, I2=86%) and over 14.0 mm (RR 2.53, 95% CI 1.04 to 6.16, I2=78%) with no significant difference among subgroups (p=0.885). Regarding diagnostic accuracy, the pooled sensitivity decreased from thresholds below 5.9 mm (0.81, 95% CI 0.49 to 0.85) to above 14.0 mm (0.28 95% CI 0.18 to 0.40) Meanwhile, specificity increased from 0.70 (95% CI 0.61 to 0.78) for ET between 3.0 mm and 5.9 mm to 0.86 (95% CI 0.71 to 0.94) when the ET is 14.0 mm or greater. For 3.0-5.9 mm and 10.0-13.9 mm thresholds, the highest diagnostic odds ratio of 10 (95% CI 3 to 41) and 11 (95% CI 2 to 49), with an area under curve of 0.81 (95% CI 0.77 to 0.84) and 0.82 (95% CI 0.79 to 0.86) respectively were retrieved. The summary point analysis revealed that, compared to the other subgroups, the 3.0-5.9 mm cut off point was placed higher in the summary receiver operator curve space, indicating increased EC or AEH diagnosis using these cut-offs. Conclusions: Both low and high ET thresholds in postmenopausal asymptomatic women seem equally effective in detecting EC and AEH. However, although using a 3.0 to 5.9 mm cut off results in lower specificity, the offsetting improvement in sensitivity may justify using this cut off for further endometrial evaluation in patients with suspected endometrial malignancy.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Atypical Endometrial Hyperplasia
Cut-off
Endometrial cancer
Endometrial thickness
Transvaginal ultrasonography
Megjelenés:American Journal Of Obstetrics And Gynecology. - 228 : 1 (2023), p. 22-35.e2. -
További szerzők:Riemma, Gaetano Haimovich, Sergio Carugno, Jose Pacheco, Luis Alonso Perez-Medina, Tirso Parry, John Preston Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Della Corte, Luigi Cobellis, Luigi Di Spiezio Sardo, Attilio De Franciscis, Pasquale
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