881 research outputs found
Debra Bruce, 25th Annual Literary Festival
No full textDebra Bruce is the author of three books of poetry, Pure Daughter, Sudden Hunger, and most recently, What Wind Will Do. Her poems have appeared in such journals as The American Poetry Review, The North American Review, Poetry, and The Virginia Quarterly Review, and she has received grants in writing from the National Endowment for the Arts, the National Endowment for the Humanities, and the Illinois Arts Council. She is Associate Professor of English at Northeastern Illinois University
Debra Monroe, 22nd Annual ODU Literary Festival
No full textDebra Monroe is the author of three books of fiction: The Source of Trouble which won the Flannery O\u27Connor Award for Short Fiction in 1990; a second story collection published in 1995, A Wild, Cold State, which appeared on best books lists in Vanity Fair and Elle magazine, and a novel, Newfangled, which was nominated for the National Book Award. Evelin Sullivan of the San Francisco Chronicle praised the novel as being written with the seemingly effortless grace that is the hallmark of true mastery. Monroe is an associate professor in the MFA program at Southwest Texas State University
Update on the Pathology of Gestational Trophoblastic Disease
No full textGestational Trophoblastic Disease can be a challenging area for pathologic evaluation. An update with a focus on pathologic challenges is presented.Peer reviewe
Lesions and Neoplasms of the Scrotum and its Contents: A Review
No full textA review of the scope of scrotal and testicular lesions and neoplasms that may present are presented to assist in developing a differential diagnosis if a patient with such a lesion is encountered. A familiarity will assist with recognition, as well as when consultation is needed
Endometrial Stromal Neoplasm in the Placenta: report of a case and review of the literature
No full textPeer reviewe
Lesions of the Anus and Perianus: a Review
No full textThe anus and perianus may become involved by a variety of conditions. As providers of gynecological healthcare branch out into the evaluation of anal neoplasia, a familiarity with other anal and perianal lesions will be helpful if a patient with such a lesion is encountered.Peer reviewe
Lesions of the Broad Ligament: A Review
No full textThe differential diagnosis of lesions arising in the broad ligament is quite large. Many of these lesions can be clinically interpreted prior to surgery as adnexal or uterine neoplasms. While some lesions are similar to those arising in other Müllerian sites, there are unique lesions as well. The lesions are uncommon, and may prove challenging to clinicians. The purpose was to review the scope of lesions affecting the broad ligament. A literature review was conducted. A Medline search was used, using the terms broad ligament, mesosalpinx, and mesovarium. A review of the scope of broad ligament lesions is presented to assist in developing a differential diagnosis if a patient with such a lesion is encountered.Peer reviewe
A Review of Lesions of the Posterior Fourchette, Posterior Vestibule (Fossa Navicularis), and Hymen
No full textLesions specific to the posterior fourchette, posterior vestibule (fossa navicularis), and hymen are reviewed. A knowledge of these regional lesions will be helpful if such a patient is encountered.Peer reviewe
Placenta accreta and placenta increta: an approach to pathogenesis based on the trophoblastic differentiation pathway
No full textObjectives: Although classical teaching is that morbidly adherent placentas are due to absence of decidua, recent thinking suggests there may be a major role for abnormalities of trophoblast.
Methods: This report presents representative cases of placenta accreta and increta collected over 30 years; analyzed with sonographic-pathologic correlation; with adjunctive trichrome , actin and keratin stains.
Results: The sonographic finding of an abnormal retroplacental zone differed between accreta and increta. The site of morbid adherence was also different. Accreta was adherent to smooth muscle of large dilated vessels in the basal plate; with irregular destruction of vascular smooth muscle; endovascular trophoblast on keratin stain, and foci of intravascular villi. Increta was adherent to myometrium, while the fetal membranes could also be morbidly adherent. In increta, keratin stains showed nonvillous trophoblast (NVT) as the invading front, with villous trophoblast following behind. In accreta, there was a retroplacental spongy zone composed of dilated vessels and dilated glands. In increta there was a retroplacental zone of shriveled, inflamed, edematous myometrium, with foci of intravascular villi. In both accreta and increta, the sonographic finding of intraplacental blood lakes appeared to be due to supply from larger deeper vessels than seen in normal implantation, transformed by endovascular NVT.
Conclusions: True accreta primarily reflects excessive action of endovascular NVT while increta also reflects excessive action of interstitial NVT. We speculate that there may be a role for protease inhibitor deficiency abnormalities.The final publication is available at Springer via http://dx.doi.org/10.2350/15-05-1641-OA.1.Peer reviewe
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