摘要:

In 5 years the maternal and infant care projects of the Children's Bureau have had significant impact. They have extended comprehensive maternal health services to significant numbers of women of low socioeconomic status, apparently have catalyzed a reduction in infant and perinatal mortality, and have demonstrated models for maternal and infant care to medical students and other members of the health team. The projects have also revealed problems in the administration of health services by political subdivisions, difficulties in evaluation of service programs, and a sincere concern about maintenance of standards of care.

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

From 1938 through 1967, 866 cesarean hysterectomies were performed by a group of supervised resident physicians. During early years, some of the operations were of the subtotal type, but none has been performed since 1951. Of the 866 operations, 177 were of emergency nature because of uncontrollable hemorrhage. More than 60% of the 689 elective cesarean hysterectomies were performed because of a defective uterine scar; sterilization was the acknowledged or implied reason in only 88 patients. There were 9 maternal deaths, 2 following elective and 7 after emergency cesarean hysterectomy; only 2 of the 9 occurred after 1952. No complications eventuated in 90% of the elective operations and in nearly 50% of the emergency operations. Urinary tract infection was the most common postoperative complication, occurring in 23%. The author's data indicate that cesarean hysterectomy is safe and useful.

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

A review of the history of trophoblastic disease and its treatment and the assimilated experience of one of the regional centers is presented. The advent of single-agent chemotherapy raised the remission rate of nonmetastatic disease to 93% and of the metastatic form to 74%. Several new vigorous, initial therapeutic methods have been introduced at the SE Regional Center for patients who had developed resistance to all forms of single-agent therapy and for those with poor prognosis, as based upon prolonged duration of disease, high initial HCG titer, and cerebral or hepatic metastases.

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

Taking the treatment of cancer out of the hands of the occasional operator or the occasional radiotherapist remains the major problem. Anyone can obtain an Ernst applicator; anyone with operating privileges capable of holding a scalpel can accomplish a simple hysterectomy for invasive disease or an inadequate radical hysterectomy. At present we must educate our residents, in addition to the men within our specialty and the medical profession in general, to know that carcinoma of the cervix (and other complex malignancies) represent special conditions that should receive therapy in those medical centers specifically interested, staffed, and equipped to provide optimum cancer care.

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1970

数据来源: OVID