We then compared these for gestational weight gain within data-based interquartile ranges (25th to 75th percentile) and interdecile ranges (10th to 90th percentile) of gestational weight gain by

maternal weight category (underweight, normal weight, overweight, selleck and obese).

RESULTS: In underweight and normal-weight mothers, adherence to Institute of Medicine criteria was significantly associated with fewer preterm deliveries and small-for-gestational-age births (prevalence [95% confidence interval] for preterm delivery in normal-weight women: 5.33 [5.23-5.43] within Institute of Medicine criteria compared with 5.45 [5.36-5.54] in interquartile range). Overweight and obese mothers gaining weight within the Institute of Medicine recommendations had less preeclampsia and nonelective caesarean deliveries but had higher risks ARN-509 ic50 for gestational diabetes, small-for-gestational-age births, preterm delivery, and perinatal mortality compared with gestational weight gain within the respective interquartile ranges and interdecile ranges (prevalence for preterm delivery in overweight women: 8.14% [7.87-8.42] within

Institute of Medicine criteria compared with 5.77% [5.60-5.93] in interquartile range).

CONCLUSION: Although underweight and normal-weight women should be encouraged to aim for a gestational weight gain according to Institute of Medicine guidelines, different gestational weight gain recommendations in overweight and obese women might lessen some adverse short-term pregnancy outcomes. (Obstet Gynecol 2010;116:1111-8)”
“Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is a rare disorder with an indolent clinical course that leads to nonspecific symptoms, dysfunction, and anatomic distortion of the TMJ. We describe a case of SC in an 82-year-old male that presented as an incidental 2 cm cystic tumor of the left TMJ, during diagnostic work-up for unrelated symptoms. A fine

needle aspiration of the lesion yielded fragments of abnormal mature cartilage and myxoid fluid. The diagnosis of SC was suggested after correlating the clinical and pathologic findings. Open TMJ surgery was performed for definitive diagnosis and therapy. This manuscript describes the clinical, Selleck SC79 radiologic, cytologic, and pathologic features of this entity, and relates the differential diagnosis to other cartilaginous lesions and neoplasms of the TMJ. Awareness of this disorder is important to provide adequate care and avoid overtreatment.”
“Treatment with an oral fluoropyrimidine plus cisplatin is widely used for advanced gastric cancer, but patients with severe peritoneal metastasis often cannot tolerate such treatment, due to inadequate oral intake or massive ascites. The aim of this study was to assess the efficacy and safety of systemic chemotherapy for advanced gastric cancer with severe peritoneal metastasis.