Publications by authors named "Niemand I"

Objective: To assess feeding methods chosen by mothers of babies who spent time in a neonatal unit. Factors influencing this decision were investigated.

Design: Descriptive study.

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Objective: To document complications associated with cesarean section in HIV-infected women.

Method: A cross-sectional study was done on 307 women who delivered by cesarean section. All these patients, irrespective of their HIV-status, were managed according to the same preset protocol.

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Introduction: In a "developing country" the need exists for an inexpensive, simplistic yet sensitive screening procedure which furthermore, allows for the immediate referral of patients. Research has indicated that the acetic acid test is a most viable option. Screening, however, often occurs in less than ideal conditions thus implying the exposure of the acetic acid to various fluctuating elements.

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Objective: To compare the specificity of speculoscopy and the acetic acid test (AAT).

Methods: A randomized controlled trial was performed on 1150 women in a primary healthcare clinic. The main end-points were the sensitivity and specificity of speculoscopy and the AAT.

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Objective: To evaluate cytology as a screening method for cervical neoplasia in pregnancy and to compare it with cervicography and the acetic acid test (AAT).

Methods: In a large antenatal clinic in South Africa, 842 women were screened utilizing cytology, cervicography and the acetic acid test simultaneously. The proportion of positive results of the different tests were compared and the agreement calculated by the kappa statistic.

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Objective: We sought to determine the possible association among vaginitis, cervicitis, and cervical length in pregnancy.

Study Design: Primigravid volunteers, between 20 and 36 weeks' gestation (n = 210), were examined. Vaginitis was diagnosed by pH determination and wet mount smear, cervicitis was diagnosed by cervicography, and cervical length was diagnosed by vaginal ultrasonographic measurement.

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Objective: Our purpose was to review patients with granulosa and theca cell tumors as filed in the Emil Novak Ovarian Tumor Registry.

Study Design: Our study was a descriptive, retrospective study of 454 case records.

Results: The reviewed diagnoses were for 97 patients with granulosa cell tumors, 116 with theca cell tumors, and 97 with granulosa-theca cell tumors.

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The files of the Emil Novak Ovarian Tumor Registry (ENOTR) were searched for granulosa and theca cell tumors in children aged 12 years and less. In addition, an extensive literature search was done for English publications on children with these tumors aged 10 years or less. Of the 17 children from the ENOTR, 5 had adult-type granulosa cell tumors, 6 had juvenile granulosa cell tumors, and 1 had a luteinized granulosa cell tumor.

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Objective: To evaluate the effect of 5% acetic acid on the cells and cellular content of cervical smears.

Study Design: A randomized, controlled trial was performed with 42 patients in each group. The study group received acetic acid application to the cervix followed by a smear, while the sequence was reversed in the control group.

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Objective: Evaluation of an Australian system of reregistration with recommendations for a possible future South African system.

Design: Cohort descriptive study.

Setting: Gynaecologists from both private and full-time academic practices.

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Objective: Determination of the maternal mortality ratio and the main causes of maternal death.

Setting: Pelonomi Hospital, a tertiary care and referral hospital in Bloemfontein.

Methods: Review of prospectively completed structured questionnaires on all maternal deaths from 1986 to 1992.

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Objective: Testing of the profession's opinions and attitudes with regard to a possible reregistration system.

Methods: A questionnaire was sent to all the gynaecologists in South Africa to test their opinions and attitudes with regard to reregistration.

Results: After two mailings, 62.

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