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1.
Anal Bioanal Chem ; 388(5-6): 1235-47, 2007 Jul.
Article in English | MEDLINE | ID: mdl-17492275

ABSTRACT

In the present study, solid-phase microextraction in photochemical studies was used to investigate UV light induced photodegradation of five pyrethroids (empenthrin, transfluthrin, allethrin, phenothrin and cyphenothrin) and a synergist (piperonyl butoxide), which are common ingredients of household insecticides. Gas chromatography coupled with mass spectrometry was used to separate and tentatively identify the parent compounds and their corresponding photoproducts generated in the same polydimethylsiloxane fibre. Kinetics curves were obtained and apparent first-order rate constants and half-lives were estimated. Twenty-six photoproducts were tentatively identified and photodegradation pathways for the compounds investigated were proposed. It is a matter of some concern that three of the photoproducts identified [(3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropanecarboxylic acid, 3-phenoxybenzaldehyde and (3-phenoxyphenyl)methanol] have been reported to be endocrine disruptors. There is no record of previous studies of cyphenothrin and empenthrin photodegradation, and therefore the present study represents the first attempt to elucidate the photochemical behaviour of these compounds. Figure Photo-SPME for Pyrethroids.


Subject(s)
Chemistry Techniques, Analytical/methods , Insecticides/analysis , Photochemistry/methods , Pyrethrins/analysis , Solid Phase Microextraction/methods , Chromatography, Gas , Gas Chromatography-Mass Spectrometry/methods , Kinetics , Light , Mass Spectrometry , Models, Chemical , Spectrophotometry, Ultraviolet , Ultraviolet Rays
2.
J Chromatogr A ; 1152(1-2): 156-67, 2007 Jun 08.
Article in English | MEDLINE | ID: mdl-17234200

ABSTRACT

An alternative sample preparation method for photochemical studies, which overcomes all the disadvantages associated with classical approaches, is proposed. The method is based on Solid Phase Microextraction (SPME) and can be considered as being within the scope of "green photochemistry", especially when it is combined with sunlight irradiation. To demonstrate the potential of the procedure, photochemical studies of synthetic pyrethroids were carried out. Photodegradation pathways for five dihalogenovinyl-substituted pyrethroid pesticides: permethrin, deltamethrin, cyfluthrin, cypermethrin and lambda-cyhalothrin, are proposed, and kinetic curves and parameters provided. This information, obtained by rapidly carried out, green experiments, allows us to corroborate photoproducts reported by other authors and to identify the photoproducts proposed for the first time in the present study.


Subject(s)
Photochemistry/methods , Pyrethrins/chemistry , Solid Phase Microextraction/methods , Kinetics , Pyrethrins/radiation effects , Spectrophotometry, Ultraviolet , Ultraviolet Rays , Water Pollutants, Chemical/chemistry
3.
Water Sci Technol ; 52(8): 29-35, 2005.
Article in English | MEDLINE | ID: mdl-16312948

ABSTRACT

Thirteen pharmaceutical and cosmetic compounds have been surveyed along the different units of a municipal sewage treatment plant (STP) to study their fate across each step and the overall removal efficiency. The STP studied corresponds to a population of approximately 100,000 inhabitants located in Galicia (northwest Spain), including three main sections: pre-treatment (coarse and fine screening, grit and fat removal); primary treatment (sedimentation tanks); and secondary treatment (conventional activated sludge). Among all the substances considered (galaxolide, tonalide, carbamazepine, diazepam, diclofenac, ibuprofen, naproxen, estrone, estradiol, ethinylestradiol, roxitromycin, sulfamethoxazole and iopromide), only significant concentrations were found for two musks (galaxolide and tonalide), two antiphlogistics (ibuprofen and naproxen), two natural estrogens (estrone, estradiol), one antibiotic (sulfamethoxazole) and the X-ray contrast media (iopromide), being the other compounds below the quantification level. In the primary treatment, only the fragrances were partly removed, with efficiencies of 20-50% for galaxolide and tonalide. However, the aerobic treatment caused an important reduction in all compounds detected, between 35 and 75%, with the exception of iopromide. The overall removal efficiency of the STP ranged between 70 and 90% for the fragrances, 45 and 70% for the acidic compounds, around 67% for estradiol and 57% for the antibiotic sulfamethoxazole.


Subject(s)
Cosmetics/metabolism , Pharmaceutical Preparations/metabolism , Waste Disposal, Fluid/methods , Water Pollutants, Chemical/metabolism , Adsorption , Biodegradation, Environmental , Cosmetics/analysis , Cosmetics/chemistry , Pharmaceutical Preparations/analysis , Pharmaceutical Preparations/chemistry , Spain , Waste Disposal, Fluid/instrumentation , Water Pollutants, Chemical/analysis
4.
Anal Chem ; 77(18): 6012-8, 2005 Sep 15.
Article in English | MEDLINE | ID: mdl-16159135

ABSTRACT

A solid-phase microextraction (SPME) procedure for the simultaneous determination of volatile alkanethiols (i.e., methane-, ethane-, propanethiol) and dihydrogen sulfide in aqueous samples as stable thioethers followed by GC/MS determination was developed. Accordingly, N-ethylmaleimide as derivatization reagent in the aqueous phase was used for the first time, improving the analyte stability and method sensitivity in comparison to the determination of free forms. Thus, pH of the aqueous medium, reaction time, and derivatization reagent concentration have been evaluated, and the main parameters affecting the SPME process (i.e., coating selection, extraction mode and time profile, extraction and desorption temperatures) optimized. At the selected derivatization and extraction conditions, the proposed method provided no matrix effect either in the derivatization reaction or in the microextraction steps. RSD values were lower than 11% and LODs from 0.74 to 5.2 ng L(-1). The developed procedure was successfully applied to different water and wastewater samples, where dihydrogen sulfide and some of the target alkanethiols were identified at low-microgram per liter concentrations.

5.
Chemosphere ; 60(7): 922-8, 2005 Aug.
Article in English | MEDLINE | ID: mdl-15992599

ABSTRACT

In this work the photochemical behaviour of a technical mixture of polybrominated diphenyl ethers (PBDEs) (BDE-47, BDE-99, BDE-100, BDE-153 and BDE-154) has been studied. The mixture of BDEs was extracted from aqueous solutions using SPME fibers that were subsequently exposed to different UV irradiation times, procedure so-called Photo-SPME. PBDEs photochemical studies in such medium have been accomplished for the first time. Twenty one different photoproducts, all of them generated by successive bromine atoms losses, have been identified, being their photoformation-photodegradation curves easily determined by the Photo-SPME technique.


Subject(s)
Flame Retardants , Phenyl Ethers/chemistry , Polybrominated Biphenyls/chemistry , Bromine/chemistry , Dimethylpolysiloxanes/chemistry , Gas Chromatography-Mass Spectrometry , Oxidation-Reduction , Photochemistry
6.
J Chromatogr A ; 1048(1): 73-80, 2004 Sep 03.
Article in English | MEDLINE | ID: mdl-15453421

ABSTRACT

Photodegradation kinetics of four nitro musks (musk xylene, musk tibetene, musk ketone and musk moskene) in solid-phase microextraction (SPME) fibres ("photo-SPME") and in an aqueous system were studied by means of gas chromatography-mass spectrometry (MS) detection. Musks fragrances were extracted from aqueous solutions using SPME fibres that subsequently were exposed to different UV irradiation times, generating photoproducts easily characterized by their mass spectra. Aqueous photodegradation studies followed by SPME were also performed and compared to photo-SPME. The same fourteen photoproducts have been detected in both media. The potential of this approach to readily calculate apparent rate constants (from 10(-4) to 10(-3) s(-1)), half-life times (from 3 to 32 min) and reaction orders (n = 1) in both media is stated. The main photoreaction determined was photocyclization, but products of photoreduction and photorearrangement have also been detected. Tentative photodegradation pathways for musk moskene and musk tibetene are proposed for the first time.


Subject(s)
Gas Chromatography-Mass Spectrometry/methods , Kinetics , Photochemistry
7.
Anal Chem ; 76(4): 1054-62, 2004 Feb 15.
Article in English | MEDLINE | ID: mdl-14961738

ABSTRACT

Solid-phase microextraction has been applied for the first time to the determination of trace concentrations of some brominated flame-retardant compounds (BFRs) in water samples. For the development of the method, six polybrominated diphenyl ethers and two polybrominated biphenyls were considered as target analytes. The factors expected to influence the extraction process are fully discussed. Quantification has been performed by gas chromatography/tandem mass spectrometry using an ion trap mass analyzer. This is also the first time that tandem mass spectrometry is applied with these analytes. Unlike conventional methods for BFR analysis, which involve solvent extraction and several cleanup steps before gas chromatography, the proposed method uses headspace extraction and hard contamination of the chromatographic system is prevented. In addition, tandem mass spectrometry provides selectivity and sensitivity in the detection process. The method performs well achieving good linearity (R(2) > 0.997), precision, and detection limits (S/N = 3) ranging from 7.5 to 190 pg/L. The method has been applied to a variety of water samples.

8.
Anal Bioanal Chem ; 374(3): 547-53, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12373408

ABSTRACT

A sample-preparation procedure (extraction and saponification) using microwave energy is proposed for determination of organochlorine pesticides in oyster samples. A Plackett-Burman factorial design has been used to optimize the microwave-assisted extraction and mild saponification on a freeze dried sample spiked with a mixture of aldrin, endrin, dieldrin, heptachlor, heptachorepoxide, isodrin, transnonachlor, p, p'-DDE, and p, p'-DDD. Six variables: solvent volume, extraction time, extraction temperature, amount of acetone (%) in the extractant solvent, amount of sample, and volume of NaOH solution were considered in the optimization process. The results show that the amount of sample is statistically significant for dieldrin, aldrin, p, p'-DDE, heptachlor, and transnonachlor and solvent volume for dieldrin, aldrin, and p, p'-DDE. The volume of NaOH solution is statistically significant for aldrin and p, p'-DDE only. Extraction temperature and extraction time seem to be the main factors determining the efficiency of extraction process for isodrin and p, p'-DDE, respectively. The optimized procedure was compared with conventional Soxhlet extraction.


Subject(s)
Hydrocarbons, Chlorinated , Insecticides/analysis , Microwaves , Ostreidae/chemistry , Animals , Chemistry Techniques, Analytical/methods , Spain
9.
J Environ Monit ; 4(4): 490-7, 2002 Aug.
Article in English | MEDLINE | ID: mdl-12195989

ABSTRACT

A new strategy for preparing composite samples of special interest and applicability in environmental screening studies is presented. The use of supersaturated experimental design matrices to conduct the sample composition of water sample specimens in screening studies is demonstrated. In contrast to well known conventional sample composition, this strategic approach provides analytical objects allowing the accurate prediction of analyte concentration levels in the original individual sample specimens while fixing the number of experiments to be carried out down to the very number of sample specimens. This will be of special importance when dealing with analytes that require complicated, labour intensive and expensive analytical processes. To reach this goal, two main conditions must be fulfilled. The first one is the sparsity effect (Pareto principle) which holds for the specimens in the sampling campaign. This means that the number of really anomalous or contaminated specimens, as compared to the total number of specimens to be analysed, is low. In environmental screening studies, frequently this situation can be reasonably assumed. The second condition is to have an effective manner to develop and solve the experimental designs required to build-up the composite samples. The challenging problem of screening PCBs in water samples has been tackled to show the usefulness of this strategic approach by combining chemometrically assisted sample composition and rapid analysis using solid-phase microextraction of the composite samples.


Subject(s)
Environmental Pollutants/analysis , Polychlorinated Biphenyls/analysis , Water Pollutants, Chemical/analysis , Environmental Monitoring/methods , Gas Chromatography-Mass Spectrometry , Quality Control , Reproducibility of Results , Specimen Handling , Time Factors
10.
J Chromatogr A ; 963(1-2): 37-47, 2002 Jul 19.
Article in English | MEDLINE | ID: mdl-12187992

ABSTRACT

The photodegradation kinetics of polychlorinated biphenyls "on-fibre" is described. The utilisation of solid-phase microextraction (SPME) fibres to monitor photolysis pathways and determine photoproducts constitutes a new approach that exploits the solvent-free aspect and concentration possibilities of this technique. Direct photolysis of aqueous solutions containing polychlorinated biphenyls (PCBs) was also undertaken and SPME was used in this case for photoproduct extraction purposes. Reductive dechlorination was the main decomposition mechanism in both procedures. Less-chlorinated biphenyls are the principal photoproducts and, among these, some toxic coplanar species have been detected. The influence of irradiation time was evaluated for both treatments. SPME was found to be a good choice for the extraction of photoproducts in experiments conducted in the classical way (extraction after photolysis). Moreover, it is demonstrated that photolysis of PCBs "on fibre" is realistic and provides the possibility of evaluating the phototransformation of these pollutants at environmental levels.


Subject(s)
Polychlorinated Biphenyls/chemistry , Mass Spectrometry/methods , Photolysis , Spectrophotometry, Ultraviolet
11.
Chemosphere ; 47(6): 607-15, 2002 May.
Article in English | MEDLINE | ID: mdl-12047072

ABSTRACT

The known advantages of solid-phase microextraction as a simple, one-step, rapid and solvent free extraction technique are exploited to study the photodegradation kinetics of polychlorinated biphenyls "on-fibre". The obtained results show the possibilities of this new approach not only to monitor the photolysis pathways of such compounds but to determine the photoproducts produced at different irradiation times and/or wavelengths. Photoproducts of PCB decomposition were less chlorinated biphenyls, among them some coplanar congeners have been found, which is important from a toxicological point of view.


Subject(s)
Environmental Pollutants/analysis , Gas Chromatography-Mass Spectrometry/methods , Polychlorinated Biphenyls/chemistry , Kinetics , Photolysis
12.
Anal Chem ; 73(24): 5858-65, 2001 Dec 15.
Article in English | MEDLINE | ID: mdl-11791554

ABSTRACT

A saponification-HSSPME procedure has been developed for the extraction of PCBs from milk samples. Saponification of the samples improves the PCB extraction efficiency and allows attaining lower background. A mixed-level fractional design has been used to optimize the sample preparation process. Five variables have been considered: extraction time, agitation, kind of microextraction fiber, concentration, and volume of NaOH aqueous solution. Also the kinetic of the process has been studied with the two fibers (100-microm PDMS and 65-microm PDMS-DVB) included in this study. Analyses were performed on a gas chromatograph equipped with an electron capture detector and a gas chromatograph coupled to a mass selective detector working in MS-MS mode. The proposed method is simple and rapid, and yields high sensitivity, with detection limits below 1 ng/mL, good linearity, and reproducibility. The method has been applied to liquid milk samples with different fat content covering the whole commercial range, and it has been validated with powdered milk certified reference material.


Subject(s)
Milk/chemistry , Polychlorinated Biphenyls/analysis , Animals , Chromatography, Gas , Fats/analysis , Indicators and Reagents , Mass Spectrometry , Reproducibility of Results , Sensitivity and Specificity
13.
BJOG ; 108(12): 1272-6, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11843390

ABSTRACT

OBJECTIVE: To compare maternal serum leptin concentration in women with pre-eclampsia and women with normal pregnancy, and to evaluate the relationships between leptin and several inflammatory cytokines. DESIGN: Prospective clinical study. SETTING: University Hospital of Puerto Real, Cadiz, Spain. SAMPLE: Twenty-seven women with pre-eclampsia and 25 normotensive pregnant women. METHODS: Maternal serum levels of TNF-alpha, TGF-beta1, interleukin 6, and leptin were measured using a commercially available immunoassay. MAIN OUTCOME MEASURES: Maternal serum levels of leptin and its relationship to levels of TNF-alpha, TGF-beta1 and interleukin 6. RESULTS: Maternal serum leptin levels were higher in women with pre-eclampsia, but this difference was of borderline statistical significance (median 15.9 ng/mL; interquartile range (5.4-31.9) vs 30.5 ng/mL (13.9-64) (P = 0.05). The concentration of maternal serum leptin was correlated with pre-gestational and gestational body mass index (r = 0.45, P = 0.03; r = 0.44, P = 0.04), TNF-alpha concentration (r = 0.57, P = 0.002) and interleukin-6 level (r = 0.46, P = 0.02) in women with normal pregnancy. In women with pre-eclampsia, only a significant correlation between maternal serum leptin level and TNF-alpha concentration (0.47, P = 0.01) was found. CONCLUSIONS: The level of maternal serum leptin is increased and correlates positively with the level of TNF-alpha in women with pre-eclampsia. In women with a normal pregnancy leptin levels not only correlate with TNF-alpha, but also with IL-6 and body mass index.


Subject(s)
Cytokines/blood , Leptin/blood , Pre-Eclampsia/blood , Adult , Female , Humans , Immunoassay/methods , Interleukin-6/blood , Lymphotoxin-alpha/blood , Pregnancy , Prospective Studies , Tumor Necrosis Factor-alpha/analysis
14.
J Chromatogr A ; 885(1-2): 291-304, 2000 Jul 14.
Article in English | MEDLINE | ID: mdl-10941678

ABSTRACT

Sample preparation for phenol analysis using solid-phase extraction (SPE) is reviewed. The scope of the review has been restricted to the literature dealing with the analysis of phenols as the main objective. The use, advantages and disadvantages of silica sorbents, polymeric, functionalized, carbon-based and mixed available sorbents, when applied to the separation and preconcentration of phenols, as well as the available experimental devices, are discussed. Other aspects such as phenol derivatisation prior to SPE, solid-phase microextraction, matrix effects and the storage of phenols in SPE cartridges, have been also discussed.


Subject(s)
Chromatography, Liquid/methods , Phenols/isolation & purification
15.
Talanta ; 48(2): 451-9, 1999 Feb.
Article in English | MEDLINE | ID: mdl-18967484

ABSTRACT

We have investigated the use of headspace solid phase microextraction (HSSPME) as a sample concentration and preparation technique for the analysis of volatile and semivolatile pollutants in soil samples. Soil samples were suspended in solvent and the SPME fibre suspended in the headspace above the slurry. Finally, the fibre was desorbed in the Gas Chromatograph (GC) injection port and the analysis of the samples was carried out. Since the transfer of contaminants from the soil to the SPME fibre involves four separate phases (soil-solvent-headspace and fibre coating), parameters affecting the distribution of the analytes were investigated. Using a well-aged artificially spiked garden soil, different solvents (both organic and aqueous) were used to enhance the release of the contaminants from the solid matrix to the headspace. It was found that simple addition of water is adequate for the purpose of analysing the target volatile organic chemicals (VOCs) in soil. The addition of 1 ml of water to 1 g of soil yielded maximum response. Without water addition, the target VOCs were almost not released from the matrix and a poor response was observed. The effect of headspace volume on response as well as the addition of salt were also investigated. Comparison studies between conventional static headspace (HS) at high temperature (95 degrees C) and the new technology HSSPME at room temperature ( approximately 20 degrees C) were performed. The results obtained with both techniques were in good agreement. HSSPME precision and linearity were found to be better than automated headspace method and HSSPME also produced a significant enhancement in response. The detection and quantification limits for the target VOCs in soils were in the sub-ng g(-1) level. Finally, we tried to extend the applicability of the method to the analysis of semivolatiles. For these studies, two natural soils contaminated with diesel fuel and wood preservative, as well as a standard urban dust contaminated with polyaromatic hydrocarbons (PAHs) were tested. Discrimination in the response for the heaviest compounds studied was clearly observed, due to the poor partition in the headspace and to the slow kinetics of all the processes involved in HSSPME.

16.
J Chromatogr A ; 824(1): 53-61, 1998 Oct 16.
Article in English | MEDLINE | ID: mdl-9818428

ABSTRACT

In this work we report the use of solid-phase microextraction (SPME) to extract and concentrate water-soluble volatile as well as semi-volatile pollutants. Both methods of exposing the SPME fibre were utilised: immersion in the aqueous solution (SPME) and in the headspace over the solution (HSSPME). The proposed HSSPME procedure was compared to conventional static headspace (HS) analysis for artificially spiked water as well as real water samples, which had been, equilibrated with various oil and petroleum products. Both techniques gave similar results but HSSPME was much more sensitive and exhibited better precision. Detection limits were found to be in the sub-ng/ml level, with precision better than 5% R.S.D. in most cases. To evaluate the suitability of SPME for relatively high contamination level analysis, the proposed HSSPME method was applied to the screening of run-off water samples that had heavy oil suspended in them from a tire fire incident. HSSPME results were compared with liquid--liquid extraction. Library searches were conducted on the resulting GC-MS total ion chromatograms to determine the types of compounds found in such samples. Both techniques found similar composition in the water samples with the exception of alkylnaphthalenes that were detected only by HSSPME. A brief study was carried out to assess using SPME for air monitoring. By sampling and concentrating the volatile organic compounds in the coating of the SPME fibre without any other equipment, this new technique is useful as an alternative to active air monitoring by means of sampling pumps and sorbent tubes.


Subject(s)
Air Pollutants/analysis , Chromatography, Gas/methods , Hydrocarbons, Aromatic/analysis , Water Pollutants/analysis , Benzene/analysis , Environmental Monitoring , Naphthalenes/analysis , Sensitivity and Specificity , Toluene/analysis , Volatilization , Xylenes/analysis
17.
Anal Chem ; 70(13): 2510-5, 1998 Jul 01.
Article in English | MEDLINE | ID: mdl-21644772

ABSTRACT

A solid-phase microextraction (SPME) method has been developed for the quantification of polychlorinated biphenyls (PCBs) in water samples. Parameters such as sampling time, volume of water, volume of headspace, temperature, addition of salts, and agitation of the sample were studied. Because the time for reaching equilibrium between phases takes several hours or days, depending on the experimental conditions, it was necessary to work in nonequilibrium conditions to keep the sample analysis to a reasonable time. The possibility of sampling the headspace over the water sample (HSSPME), instead of immersing the fiber into the water (SPME), was also investigated, and despite the low partition of PCB into the headspace, HSSPME offered higher sensitivity than SPME at 100 °C. The adsorption kinetics for SPME at room temperature, SPME at 100 °C, and HSSPME at 100 °C were investigated and compared. The proposed HSSPME method exhibits excellent linearity and sensitivity. The detection limit was in the sub-ng/L level. This method has been applied to a real industrial harbor water and compared with liquid-liquid extraction. Both techniques offered similar results, but HSSPME was much more sensitive and considerably faster, by eliminating all the manual process intensive sample workup, and reduces solvent consumption entirely. The only drawback was that matrix effects were observed, but with the addition of deuterated surrogates to the sample or the use of a standard addition calibration, accurate quantification can be achieved.

18.
Eur J Gynaecol Oncol ; 11(1): 37-42, 1990.
Article in English | MEDLINE | ID: mdl-2347334

ABSTRACT

The extragonadal germ cell tumours represent 1-2% out of all the germ cell tumors. The retroperitoneal and the mediastinic spaces are the most common localizations. Visceral localizations are very infrequent. We present a case, the first described in literature, of immature teratoma of the uterine cervix in a 13 year old girl.


Subject(s)
Teratoma/pathology , Uterine Cervical Neoplasms/pathology , Adolescent , Female , Humans , Teratoma/surgery , Uterine Cervical Neoplasms/surgery
19.
Eur J Gynaecol Oncol ; 9(3): 246-9, 1988.
Article in English | MEDLINE | ID: mdl-3391196

ABSTRACT

A case of primary squamous carcinoma of the Endometrium is reported. Only 21 cases of this tumor type have been published in the medical literature for the moment.


Subject(s)
Carcinoma, Squamous Cell/pathology , Uterine Neoplasms/pathology , Female , Humans , Middle Aged
20.
Eur J Gynaecol Oncol ; 9(4): 345-9, 1988.
Article in English | MEDLINE | ID: mdl-3391211

ABSTRACT

A conization was performed on 81 patients with histological diagnosis of cervical intraepitelial neoplasia (CIN), whom and previously a rigorous colposcopic examination. 64 patients were younger than 35 years. The previous strict colposcopic examination determined that in none of the cases were the surgical margins of the cone biopsy affected: In 26 cases there was no correlation between the previous biopsy and the histological diagnosis of the cone biopsy. The latter was--higher in degree in 9 cases and, in addition to this, in the 23 histerectomies that were performed after the conization, 7 surgical specimens showed CIN in their histological study. The non-involved surgical margins--that could be obtained in those cases with a careful previous colposcopy,--can not guarantee the exeresis of all the CIN zones. The biopsy of an atypical zone, in a colposcopic extensive lesion, cannot be representative of the whole lesion. In the follow-up--5 years maximum and 1 year minimum--3 relapses had appeared and 9 pregnancies had been diagnosed, that had not showed an increase in the number of premature labours, nor in the cesareas-rate.


Subject(s)
Colposcopy , Uterine Cervical Dysplasia/diagnosis , Uterine Cervical Neoplasms/diagnosis , Adolescent , Adult , Biopsy , Female , Humans , Uterine Cervical Dysplasia/surgery , Uterine Cervical Neoplasms/surgery
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