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S M Weissberg

Publications and source records attributed to S M Weissberg.

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Recurrent vaginal and cervical ulcers associated with tampon use.

Three cases of recurrent vaginal and cervical ulcers were associated with tampon use. We review the diagnosis, treatment, and management and discuss the possible etiologic mechanisms. Prevention of recurrent ulceration may be best approached by discontinuation of tampon use.

Adolescent

Evaluation of a dipstick for candida.

Differentiation of the infecting organism is important in determining effective therapy for vaginitis. The utility of a simple, dehydrated culture strip in detecting Candida infections was assessed by culturing specimens from 203 patients, 83 with symptoms of vaginitis. Parallel culture (Sabouraud's medium) and identification were performed in every fourth case by an independent clinical laboratory; KOH preparations for Candida were examined in every case. In 48 of 50 cases, the strip agreed with Sabouraud's culture; one culture was lost due to laboratory error, and one strip did not become positive until after 48 hours' incubation. Only 70% of KOH preparations revealed Candida when the strip culture was positive. Diagnostically superior to the KOH preparation and nearly equal to a Sabouraud's culture, the strip was simple to use, inexpensive, and reliable; as such, it is a useful addition in the ob-gyn office or clinic for routine screening for vaginal candidiasis.

Candida

Membrane stripping to induce labor.

A group of 91 pregnant women at term were studied randomly to see the effect of digital stripping of the membranes from the lower uterine segment upon the onset of labor. The women with unfavorable cervices (Bishop score 0 to 5) demonstrated a significant increase in the onset of labor within 48 hours as compared to controls. When the cervix was favorable (Bishop score 6 to 10), there was no significant effect. The overall success rate for induction of labor was not significantly altered (43.5% in membrane-stripped patients, 22.2% in controls). There were no major complications of the procedure.

Cervix Uteri

Fetus acardius.

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Abnormalities, Severe Teratoid