摘要:

&NA;The fever index, a quantitative measure of the total amount of fever in degree hours, was determined in obstetric‐gynecologic patients with bacteremia. Comparison of the mean fever index between those women with hospital‐ or community‐acquired infections, those patients monitored or not monitored during labor, or by grouping of single organisms recovered by culture revealed no significant differences. Bacteremia patients over the age of 40 had significantly more fever than those under the age of 40. Patients with postpartum bacteremia following cesarean section had a mean fever index significantly greater than women who had had vaginal delivery. The implications of these findings are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;During the past 2 years at the Los Angeles County‐University of Southern California Medical Center (LAC‐USC), there have been 2 deaths from pseudomembranous enterocolitis. Each of these deaths occurred postoperatively in previously healthy women who received prolonged antibiotic prophylaxis. The implications of these poor therapeutic results are discussed. The distinctive clinical symptology of a patient with pseudomembranous enterocolitis is described, and current treatment recommendations are presented.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;Serum FSH and LH levels were determined at different time intervals after the subcutaneous administration of 100 &mgr;g LHRH to 24 females. Serum FSH levels were of the same order in the oligomenorrhea‐amenorrhea and the Stein‐Leventhal group of patients but elevated in gonadal failure. There was a great degree of overlap between serum LH values in the three groups. Gonadal failure patients, however, could be distinguished from the other two groups because these patients had an elevation of both serum FSH and LH, and the response to LHRH was considerably exaggerated in comparison to the other two groups.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;Four women with phenotypic features of Turner's syndrome and with polycystic ovaries (PCO) are described. In addition to the phenotypic features, Case 1 had primary amenorrhea and small PCO, Case 2 had a 46,XX/45,X karyotype (Iymphocytes), Case 3 had enlarged PCO which contained a decreased number of oocytes, and Case 4 had enlarged PCO and was short in stature. These cases support the concept of a relation between PCO and the X chromosome. Some PCO may represent an intermediate condition in a spectrum that extends from the streak gonad of Turner's syndrome to the normal ovary. Evidence for X chromosome involvement in PCO is summarized. The concept is advanced that at least some cases of PCO may be due to X chromosomal factors causing an abnormal follicular apparatus.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;An attempt to correlate postmenopausal symptoms with the vaginal maturation index and plasma levels of estrogen was made in a group of patients with surgical menopause. The group was followed up monthly for 6 months in a double‐blind study during which the patients received equine esterified estrogen and synthetic esterifield estrogens. No statistical difference in plasma levels of estrogen was found between the group of patients with symptoms and the patients without symptoms, with or without estrogen therapy. There was no correlation of the maturation index with the presence or absence of symptoms or with the estrogen plasma levels.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;Sixty strips of vaginal wall obtained from 20 nonpregnant women (12 in the proliferative phase and 8 in the secretory phase of the menstrual cycle) were studiedin vitro.Described and illustrated are 1) their spontaneous contractility, 2) enhancement of this by prostaglandin F2&agr;, epinephrine, and norepinephrine, and 3)de novoinduction of contractions by these agents. Contractility was inhibited and suppressed by prostaglandin E&agr;, and after such suppression of norepinephrine‐induced contractions they could not thereafter be reestablished by norepinephrine. The physiologic implications of these findings for the processes of reproduction are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;The clinical and morphologic features, as well as the classification, of surgically excised cysts of the vagina were reviewed. Sixty‐four cysts were available for study. Classification was principally along developmental grounds, based on histologic and histochemical features of cyst epithelium. Detection of epithelial mucus production reduced significantly the incidence of Gartner's duct (mesonephric) cysts, indicating that this is an uncommon lesion. Cysts of müllerian origin, lined mainly by endocervical and occasionally by fallopian tubal epithelium, comprised one‐third of the cases. Inclusion cysts of surface mucosa constituted the most common, but usually a clinically insignificant, type of vaginal cyst. Dilatation of paraurethral glands and ducts could not adequately explain all the several cysts lined by urothelium. These lesions were difficult to distinguish on clinical grounds alone, although müllerian cysts were more symptomatic, due to their greater size.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;Forty‐four cases of melanoma of the vulva are reviewed. A leveling system comparable to that of Clark's (in cutane‐ous melanoma of nongenital origin), is described. Survival appears to be directly related to depth of invasion, with no patient with a Level II lesion succumbing to disease. Minimal therapy recommended is radical vulvectomy with bilateral inguinal‐femoral node dissection.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;Retrospective analysis of 22 cases of Stage I invasive carcinoma of the vulva showed 11 cases in which the depth of tumor invasion was 5 mm or less. All of these patients were treated with radical vulvectomy and lymphadenectomy. In 3 cases positive groin node metastases were discovered. A fourth patient with minimal stromal invasion (less than 5 mm) was prospectively managed with vulvectomy alone and subsequently developed groin node metastasis leading to death from disseminated tumor. Depth of the invasion alone, therefore, is not a reliable indicator of the likelihood of groin node involvement, and lymphadenectomy should continue to be considered for all patients with invasive squamous cell carcinoma of the vulva.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

&NA;A selected group of 136 patients with Stage I squamous cell carcinoma of the cervix was treated in six naval hospitals during the period 1957‐1965 using a three‐stage combined radiation therapy and surgery protocol. Treatment consisted of two radium applications to the cervix, followed in 6 weeks by extraperitoneal lymphadenectomy. If the lymph nodes were tumor‐negative, simple hysterectomy in 3 to 6 months completed the protocol. If the nodes were tumor‐positive, a course of external pelvic irradiation was given with midline shielding. The incidence of positive nodes was 9.6%. Actuarial survival for all patients was 89.4%, comparable to the rate obtained by radical surgery or radiation alone. Postoperative and postradiation complications were minimal, with no urinary or bowel fistulas. There was no operative mortality.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID