Catastrophic shoulder dystocia and emergency symphysiotomy
An emergency surgical procedure involving separation of the mother's pelvic cartilage called a symphysiotomy may become necessary during deliveries complicated by the infant's shoulder being stuck in the birth canal. Doctors performed symphysiotomies during three deliveries complicated by shoulder dystocia after attempts with all conventional techniques failed. Brain damage associated with the impaired oxygen supply during delivery developed in all infants. All infants died within 3 months. Two mothers reported later difficulties with urinary control. One mother required and responded to treatment for the incontinence.
Publication Name: American Journal of Obstetrics and Gynecology
Psychoactive drug use and progression of HIV infection
Different psychoactive drugs may have different effects on immune functioning and therefore, on HIV progression. Some tests indicate that such effects may be negative, positive or mixed depending on whether it is habitually used, infrequently used, or if habitual use if stopped. In the early epidemiology of AIDS, it was believed that there was clear evidence of different progression of the infection between injecting drug users, and men who had sex with men. More recent studies show no differences in rate of progression whether the infection is contracted via injection, male-to-male-sex, or heterosexual sex.
Publication Name: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
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