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The tracing in the Figure was obtained from a 59-year-old woman with a long history of smoking. She presented with acute dyspnea and atypical chest pain. Because of moderate respiratory difficulty, this was the best quality tracing obtainable. In full acknowledgment of its suboptimal technical quality, how would you interpret this ECG? What findings may be of potential concern?
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In December, a group from Austria published a report evaluating outcomes of infants presenting at term with breeches whose mothers were scheduled to have either an elective cesarean section or a planned vaginal birth.
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As the new kid on the OB/GYN Clinical Alert block, and as the generalist among the editors, I intend to focus on topics that come up commonly in my own practice of obstetrics and gynecology. The beauty of having this format is that cutting edge science can be presented, but also sacred cows can be challenged.
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Moderate levels of activity, including walking, are associated with substantially lower risks of hip fracture in postmenopausal women.
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Delay in treatment to allow for fetal maturity is safe in patients with early stage I cervical carcinoma associated with pregnancy.
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A single dose of 1.5-mg levonorgestrel and a single low dose of 10-mg mifepristone are effective methods for emergency contraception.
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Ventilation/perfusion scanning appears to be safe and effective, at least in ruling out significant clinical pulmonary embolism in pregnant patients. However, prospective studies over longer time periods should be undertaken to validate these conclusions.
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The FDA has mandated a Black Box warning for all estrogen and estrogen/progestin products for use by postmenopausal women. The new warnings are based on analysis of data from the Womens Health Initiative (WHI) study that was published July 2002.
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