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Re: Christmas early pregnancy and the pizza connectionFrom: Terry J DuBose (tjdubose@juno.com)Sat Dec 23 17:54:59 2000
Dr. Moroder, a very nice set of slides, indeed. Yes, of course, you and anyone may use the Embryonic Heart Rate to Age graphs... please give the URL to the article as a citation... thanks. Also, while your Italian comments translate pretty well to the English of Latin root ;-), an English translation would be very welcome. If you are interested, I would like to invite you to submit your presentation to the Ultrasound section of OBGYN.net for peer-review and possible posting there. Also, what presentation software did you use. I have seen Microsoft PowerPoint2000, and it produces very nice Web presentations, but it is a bit different from yours. Thanks very much for sharing with us... and for the acknowledgment of the EHR for Age. Merry Christmas! Peace, Terry J DuBose, M.S., RDMS Chair Editorial Advisory Board, Ultrasound OBGYN.net --------------------------
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-- -------------------------- On Sat, 23 Dec 2000 12:52:48 -0600 womorode@tin.it (Wolfgang Moroder, MD) writes: > Dear Dr. Malpani, Dr. Garkusha, dear Andrea and dear Josh! > > Thank you all for your enthusiastic comments on my early pregnancy > presentation. > Only now I realize that I did not include any references since it > was > merely designed for a basic ultrasound course. Unfortunately I did > not > think that putting it in the web I could infringe some copyright > laws. > Therefore I am afraid that I will have to remove the graphs I > published > without permission. > > The graph on the growth of the yolk sac was published by K. > Grouboeck, > N. Zosmer and D. Jurkovic: Ultrasound features of early pregnancy > development. Pages 41-52 in Ultrasound and Early Pregnancy. Edited > by > D. Jurkovic and E. Jauniaux.The Partenon publishing Group limited. > London 1996. > > The graph on the multiple pregnancy was published by A. Monteagudo, > S. > Haberman and I.E. Timor-Trish: The diagnosis of multiple pregnancy > in > the first trimester. Pages 19-30 in Ultrasound and Early Pregnancy. > Edited by D. Jurkovic and E. Jauniaux.The Parthenon publishing > Group > limited. London 1996. > > The third graph was actually taken from the net and is the result of > the > studies by Terry Dubose > http://www.obgyn.net/english/pubs/features/dubose/ehr-age.htm > I hope he is ... listening and will give me permission to keep the > image. > The Presentation program is KAI Powershow 1,5 by ScanSoft. This > programm is very very intuitive but less powerful than some more > standard slide presentation programs but i like it a lot and it > allows > to make presentations very quickly and effectively. > I am very pleased if Dr. Garkusha can use my images and glad to > give > him the permission. > Andrea Corda has some more questions. > The growth curve of the yolk sac refers to menstrual age and > probably > Andrea talks of 8 postconceptual weeks, which would be 10 wks > menstrual > age. This is a common error happening comparing different "weeks". > This > nice study shows how the circulatory function of the yolk sac > declines > at 10 wks: A. Kurjak; S. Kupesic; L. Kostovic.Vascularization of > yolk > sac and vitelline duct in normal pregnancies studied by transvaginal > colour and pulsed Doppler.J Perinat Med, 22(5):433-40 1994. > The blighted ovum is more a pathological term and some authors > suggest > to dismiss that term and use "early embryonic demise" instead: I#d > suggest this book Problems in early Pregnancy, Edited by J.G. > Grudzinskas and P.M.S. O'Brien. RCOG Press 1997 (You can by it on > line > at rbarber@rcog.org.uk). > You are right with your observation but in the picture showing a > haematoma the area if not anechoic looks uniformely echodense which > could be also an artifact due to reverberation or excessive gain. > The > point of the slide is rather to show that a haematoma adapts to the > form > of the uterine cavity or the membranes, while in the other slides > the > area of bleeding contains echolucent and irregular echodense > structures > which could be clots in a fluid collection. > > Best regards > Wolfgang > > At Sat, 23 Dec 2000, Andrea Corda wrote: > > > >Dear Wolfgang, > >I saw your presentation at tripod. > >There are a few questions: > >In a graph you show that the yolk sac grows up to +-7 mm in size at > the 10th > >week. > >We know from embriology that the secondary yolk sac begins its > involution at > >the 8th week.Also,it is a common knowledge that enlarged y.s. in > very early > >pregnancy do bring bad news in terms of chromosomal anomalies and > pregnancy > >viability.Do we have to consider your measurements only valid to a > certain > >extent? > >About ehr:did you refer to T J DuBose work on embryonic heart rate > and its > >increase up to the 11th week? (10 beats per minute every 3 days?) > >Although we know that it is the result of an early embryonic > demise,you did > >not mention the blighted ovum,which is a common occurrence. > >With regards to blood clot and hematoma,it seems to me that the > blood clot > >looks like an hematoma and vice-versa,because of their > echogenicity.In a > >blood clot blood sould be coagulated ,therefore more > echodense,while in a > >hematoma is it still fluid? > >My best regards > >Andrea Corda MD > > > >-----Messaggio Originale----- > >Da: "Wolfgang Moroder, MD" <womorode@tin.it> > >A: "Multiple recipients of list ULTRASOUND" > ><ultrasound@mail.medispecialty.com> > >Data invio: sabato 23 dicembre 2000 1.51 > >Oggetto: Christmas early pregnancy and the pizza connection > > > >> Dear All > >> Since I was invited to Naples to the first accreditation course > for > >> Ultrasound in Obstetrics sponsored by the Italian Society of > Ultrasound > >> in Obstetrics and Gynecology http://www.sieog.it , I had the > pleasure > >> and the honor to give the first lecture on ultrasound in early > >> pregnancy. I used a new slide presentation program which allows > easily > >> to produce a sery of pictures apt to be uploaded by ftp and to be > shown > >> on internet and accessible on this URL > >> http://members.tripod.com/~fetalmedicine/prt/frame0001.html > >> > >> If you are interested let me know and I will consider translating > the > >> captions in English. > >> Have a Christmas with peace and full of love! > >> Wolfgang > >> > >> -- > >> Wolfgang Moroder, MD > >> Prenatal Unit > >> Bolzano General Hospital Italy > >> > > -- > Wolfgang Moroder, MD > Prenatal Unit > Bolzano General Hospital Italy
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