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Introduction: Prenatal determination of placenta accreta spectrum (PAS) and its severity is crucial, as it is a highly morbid condition. The aim was to investigate the intraplacental fetal artery (IFA) as a novel ultrasonographic marker in predicting cesarean-hysterectomy need in PAS.

Methods: A prospective observational cohort study was conducted with a total of 62 women with placenta previa and ≥1 previous cesarean-section who were managed for PAS between September 2022 and January 2024.

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Evidence-based cesarean delivery: intraoperative management from skin incision until placental delivery (Part 8).

Am J Obstet Gynecol MFM

December 2024

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA. Electronic address:

The goal of standardizing the technique of the routine, uncomplicated cesarean delivery (CD) is to decrease maternal morbidity while optimizing neonatal outcomes. During the procedure, a family-oriented CD is recommended. The low transverse cesarean skin incision (created with either scalpel or diathermy) is preferred with either the Joel-Cohen or Pfannenstiel methods being acceptable.

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The study investigates the economics of sensor-assisted dairy health management and indicates a certain economic potential in the use of a commercial rumen bolus capable of tracking activity and core body temperature. The economic evaluation was performed applying a stochastic model with the net return (NR) of investment of the sensor system as the target variable. The calculated NR considers the gross margin (GM) for both sensor-assisted and visual health monitoring, time savings through sensor-assisted monitoring, additional time spent addressing false positive messages from the sensor system, labor costs, and all costs associated with the investment in the sensor system.

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Uterine rupture is a catastrophic separation of the uterine walls due to several risk factors. It is a common complication of scarred uterus during labor and delivery. Early detection is associated with better maternal and fetal outcomes.

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Brucellosis is a zoonotic bacterial disease that causes enormous economic losses in livestock populations and severe debilitation in humans globally. This study analyzes the seroprevalence of human brucellosis in Iran from 1970 to 2023, revealing key epidemiological trends based on data from 20,046 individuals. Through serological, culture, and molecular tests, it identifies the Brucella species affecting humans over five decades.

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