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European Journal of Ultrasound 2-2022
Valeria Tombini et al.
On Feb 21, 2020, the first person-to-person transmission of SARS-CoV-2 in Italy was reported. The clinical manifestations of SARS-CoV-2 infection are broad, ranging from a flu-like syndrome to a severe form of interstitial pneumonia with respiratory failure. During epidemic outbreaks, characterized by massive admittance to hospital emergency rooms, it is important to set clear management paths in order to quickly allocate resources and to quickly stratify patients at higher risk and needing closer monitoring. It is also crucial to safely discharge patients, thereby avoiding the collapse of the hospital system. Nevertheless, many facilities were unprepared for the impact of COVID-19, due to a lack of knowledge and the absence of tools for risk stratification.
Markus Hoopmann et al.
Gynecological sonography is the central and most frequently used technical examination method used by gynecologists. Its focus is on the clarification of masses of the uterus and the adnexa, fertility diagnosis, clarification of bleeding disorders and chronic and acute pelvic problems, pelvic floor and incontinence diagnosis as well as the differential diagnosis of disturbed early pregnancy. The indication for diagnostic and therapeutic interventions, preoperative planning and postoperative controls are largely based on the findings of gynecological sonography. These examinations are particularly dependent on the experience of the examiner.
Florian Matthias Stumpfe et al.
This retrospective cohort study included 165 singleton pregnancies with SGA fetuses (birth weight < 10th percentile) at term. Cases with planned vaginal delivery and documented pulsatility indices (PI) of the umbilical artery (UA), middle cerebral artery (MCA), and single deepest pocket (SDP) were included. CPR was calculated as the ratio between MCA PI and UA PI, UCR as the ratio between UA PI and MCA PI. AUCR was defined as follows: SDP/(UA PI/MCA PI). Adverse perinatal outcomes were defined as operative intervention (OI), OI due to fetal distress, admission to the neonatal intensive care unit (NICU), and composite adverse perinatal outcome (CAPO). Associations between Doppler parameters and these outcomes were estimated using regression analyses.