Volume 54, Number 10, October2009

  Editorials
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Lawrence D. Devoe, M.D.
 
 
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593
Approach to Obesity in Patients with Pelvic Floor Dysfunction 
Kavita Juneja, M.D., and Janet B. McGill, M.D.
 
 
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  Original Articles
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Vijaya L. Vella, M.D,�William Jaffe, M.D.,�Jeff Lidicker, B.A.,�John Meilahn, M.D.,�and�Vani Dandolu, M.D.
Rapid weight loss subsequent to bariatric surgery resulted in a significant improvement in stress incontinence symptoms and quality of life in morbidly obese women.
 
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603
Medical Students� Awareness of Traditional Southwest Native American Values During Pregnancy: A Randomized, Controlled Trial 
Jeanine L. Valdez, M.D.,�Lawanda Jim, M.D.,�Anne M. Fullilove, M.I.S.,�Ronald M. Schrader, Ph.D.,�Brittany B. Albright, B.S.,�and�William F. Rayburn, M.D., M.B.A.
Attendance at rural and urban specialized prenatal clinics enhanced medical students� comfort in discussing spiritual beliefs, tribal ceremonies and complementary medicine with pregnant Native American women.
 
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609
Why the Twinning Rate is Higher in Africa Than Elsewhere: An Analysis of Selected Factors 
Gary Steinman, M.D., Ph.D.
The twinning rate can be taken as a barometer of the population�s biologic attempt to perpetuate its gene pool expeditiously when an existential threat occurs.
 
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617
Endometrial Ablation with Paracervical Block 
Josien P. M. Penninx, Prof., M.D.,�Ben Willem Mol, M.D.,�and�Marlies Y. Bongers
Endometrial ablation performed under local anesthesia is a safe, feasible and efficacious procedure.
 
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621
Risk Factors for Complete Molar Pregnancy: A Study in Iran 
Maryam Kashanian, M.D.,�Hamid Reza Baradaran, M.D.,�and�Nasim Teimoori, M.D.
Previous molar pregnancy is the most important risk factor for molar pregnancy, followed by maternal age, history of previous abortion and consanguinity.
 
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625
Tumor Necrosis Factor-alpha�Induced Cyclooxygenase-2 Overexpression in Eutopic Endometrium of Women with Endometriosis by Stromal Cell Culture Through Nuclear Factor-kappaB Activation 
Young Ah Kim, M.D.,�Ji Yeon Kim, M.S.,�Mi Ran Kim, M.D.,�Kyung Joo Hwang, M.D.,�Doo Young Chang, M.D.,�and�Myung Kwon Jeon, M.D.
Increased sensitivity of tumor necrosis factor-alpha-dependent cyclooxygenase-2 expression in eutopic endometrial stromal cells from women with endometriosis may play a critical role in the pathophysiology of endometriosis development.
 
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631
Comparison of 2 Commercially Available Human Chorionic Gonadotropin Immunoassays Used in the Management of Gestational Trophoblastic Neoplasia 
Hideo Matsui, M.D., Maki Kihara, M.D.,�Hirokazu Usui, M.D.,�Shinichi Tate, M.D.,�Akira Mitsuhashi, M.D.,�and�Makio Shozu, M.D.
Both commercial human chorionic gonadotropin assays, which reacted with different human chorionic gonadotropin molecules, might be useful in the management of gestational trophoblastic neoplasia.
 
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  Case Reports
636
Conservative Surgical Management of Placenta Accreta: A Report of 3 Cases 
Steven Pliskow, M.D.,�Xiaorong Dai, M.D.,�Andrew Kohner�and� Jason Kapnick, M.D.
Resection of the abnormal placental implantation site, a conservative type of surgical management, was performed for 3 cases of placenta accreta diagnosed at delivery.
 
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639
Breast Mass in a Patient with Ovarian Cancer: A Case Report 
Suresh Gayathri,�Sunil Badve, M.D.,�and�Daniela Matei, M.D.
Accurate differentiation between primary breast tumors and metastases to breast is essential because treatment and prognosis vary.
 
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645
Ischiorectal Abscess and Ischiorectal-Vaginal Fistula as Delayed Complications of Posterior Intravaginal Slingplasty: A Case Report 
Heidi Wen-Chu Chen, M.D.,�Marsha K. Guess, M.D.,�Kathleen A. Connell, M.D.,�and�Richard S. Bercik, M.D.
A delayed complication of an ischiorectal abscess accompanied by an ischiorectal-vaginal fistula occurred after placement of a posterior intravaginal slingplasty.
 
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649
Ovarian Ectopic Pregnancy 6 Years After Supracervical Cesarean Hysterectomy: A Case Report 
Donald L. Fylstra, M.D.
The gynecologist should be wary of performing a hysterectomy during the postovulatory luteal phase of the menstrual cycle in those fertile women using no method of contraception because a preoperative pregnancy test will not be helpful prior to implantation.
 
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652
Ruptured Tuboovarian Abscess and Septic Shock with Clostridium perfringens in a Postmenopausal Woman: A Case Report 
Amanda Wagner, M.D.,�Carol Russell, D.O.,�Jane M. Ponterio, M.D.,�and� Joanna C. Pessolano, M.D.
An unusual case of nontraumatic/spontaneous clostridial gas gangrene occurred, localized to the adnexa in a postmenopausal woman and associated with occult endometrial carcinoma.
 
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655
Laparoscopic Gonadectomy in a Kidney Transplant Patient with Pure Gonadal Dysgenesis: A Case Report 
Yukihiro Terada, M.D., Ph.D.,�Maiko Arai-Kikuch, M.D.,�Tomohisa Ugajin, M.D.,�Rei Yokomizo, M.D., Ph.D.,�Hiroyuki Kikuchi, M.D., Ph.D.,�and� Nobuo Yaegashi, M.D., Ph.D.
Laparoscopic gonadectomy was successfully performed to address a sexual differentiation disorder in a patient who previously received a kidney transplant.
 
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