ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

ABSTACTTo determine the developmental outcome of premature infants weighing 1,750 gm or less at birth and who had grade III intraventricular hemorrhage (IVH), we followed up ten infants with IVH confirmed by computed tomography (CT) and ten CT-negative control infants until they were 12 months corrected age. The infants were evaluated at three-month intervals with neurologic examinations; hearing, speech, and language assessments; Bayley testing; and evoked response studies. Normal criteria were defined in each area. Eight of the ten grade III IVH survivors had identifiable defects, with a predominance of motor deficits, as assessed by two or more parameters. Only three of the ten patients without IVH had two or more suspicious or abnormal assessments. Infants with grade III IVH may have widespread damage. A multidisciplinary approach to evaluating these patients is mandatory to determine the full extent of various deficits. Similar studies of infants with all degrees of IVH may help to define its full impact on their long-term development.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

ABSTACTDocumented fetal inactivity is strongly suggestive of fetal jeopardy, but the significance of excessive activity over a prolonged period has not been reported. Using data gathered from fetal movement charts recorded by 931 patients, fetal hyperactivity was defined statistically as 40 or more movements perceived per hour for at least 14 days shortly before delivery. No association between excessive fetal activity and premature labor or umbilical cord complications was found. All 47 (5%) fetuses found to be hyperactive remained vigorous during any trial of labor and with appropriate nursery care did well after delivery. Follow-up examination of 24 infants between 3 and 18 months of age has revealed no unusual growth, developmental, or temperamental patterns. Although the reason for excessive fetal activity remains unclear, this finding does not appear to be a worrisome prognostic sign.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

ABSTACTIn assessing fetal lung maturity, an amniotic fluid profile, consisting of a total phospholipid (as phosphorus) (TPP) and total lecithin (LT) concentration, has been shown to yield a predictive accuracy of 97.5% with a false-negative rate of 2.4%. The LThad a range of specificity of 93% to 99%, whereas the one for the TPP was 88% to 96%. The cut-off values were 0.14 mg P/dl and 3.5 mg lecithin/dl of amniotic fluid. The analytical variables for laboratory tests for measuring amniotic fluid phospholipids led to the development of the quantitative tests used for this study. The proposed profile appears to offer the clinician an excellent means of judging how to manage the high-risk pregnancy.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

ABSTACTOur study of 390 patients enrolled in a birthing suite program revealed that antepartum or intrapartum problems allowed only 160 (41%) to actually give birth in the birthing suite. Antepartum complications included premature labor in ten (2.5%), premature ruptured membranes in 31 (8%), postdatism in 50 (13%), preeclampsia in 27 (7%), and diabetes mellitus in five (1.3%). Intrapartum complications included meconium in 62 (16%), arrest of labor in 64 (16%), oxytocin use in 85 (22%), and fetal heart rate decelerations in 28 (7%). Two hundred ninety-seven births (76%) were spontaneous. Forty-two low-forceps deliveries (10%), 12 mid-forceps deliveries (3%), and 39 cesarean sections (10%) were done in the traditional labor and delivery suite. Puerperal complications included one uterine inversion, two cases of placenta accreta, one rectovaginal fistula, and two requirements of blood transfusion. Neonatal morbidity included 22 low Apgar scores (7%), two shoulder dystocia, three cytomegalovirus infestations, and one lethal anomaly. Six infants had meconium aspiration, two with severe hypoxia. Any of these complications would overwhelm the patient in home birth. Intense prenatal screening may decrease some risk factors, but the intrapartum period was found to pose unacceptable risks for home birth in this population.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

ABSTACTTo evaluate the efficacy of ultrasonography in detecting acute cholecystitis, we retrospectively reviewed the ultrasonic findings after cholecystectomy in 34 patients with acute cholecystitis and 90 patients with chronic cholecystitis. The sonographic findings evaluated included the length and width of the gallbladder, thickening of the gallbladder wall, good identification of the wall, and the presence or absence of sludge or stone. A “halo” sign (an echo-free space around the gallbladder wall) was seen in 26% of the patients with acute cholecystitis.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

ABSTACTBulimia occurs in roughly half of obese and anorexic patients. A recent study found 19% of female and 5% of male college students to be bulimic. Binge eating usually comes to the physician's attention from problems associated with purging measures—diuretics, laxatives, or self-induced postprandial vomiting—used by one out of ten bulimic patients. Continuous vomiting causes parotid enlargement, sore throat, spontaneous regurgitation, and severe electrolyte imbalance. We report a case illustrating the bulimic's distorted body image, review alternative treatment methods, and suggest needed areas of research, particularly those elucidating the relationship between bulimia and affective disorders.

ISSN:0038-4348    

出版商:OVID    

年代:1983

数据来源: OVID