The electroencephalogram (EEG) tracings of seizure durations recorded by the MECTA SR-1 for 24 patients undergoing right unilateral electroconvulsive therapy (ECT) were estimated independently by four psychiatrists and a neurologist. Differences among raters were often large and, overall, were statistically significant. The literature on interrater reliability for the MECTA EEG ...

Falls in the elderly constitute a major problem confronting physicians. Their cost to individual patients and to society in terms of incidence, morbidity, and mortality is enormous. This paper attempts to outline some of the common etiological factors related to falls and a practical approach to the diagnosis and management. ...

In 1987, all practicing King County, Washington obstetricians (N = 181) were surveyed to determine the impact of rising malpractice premium rates and the threat of litigation on their obstetric practices. Six percent of respondents anticipated closing their practices over the next year, which means an additional 520 deliveries will ...

The author of this article discusses the basic diagnostic work-up for a physically based erection dysfunction and reviews the five current treatment options (medicinal, physical, surgical, counselling, and intracavernosal injection).

A total of 296 healthy males belonging to three national minority groups, Li, Miao and Hui, in Hainan Island, China, were screened for G6PD deficiency. 9 out of 139 Li (6.47%), 8 out of 48 Miao (16.67%), and 2 out of 109 Hui (1.83%) individuals were found to be G6PD ...

Ultrasonography has become an important tool in infertility and obstetric practice. Its use in gynecology, while effective, has been less. This article describes the use of a high-frequency 6.5 MHz probe specially designed for intravaginal use. The technique is presented, along with a description of its uses and findings by ...

Experience in using Barton's forceps for mid-pelvic arrest of the fetal head in 348 cases has proved that this instrument is both easy to apply and safe for the baby, provided rigid adherence to safety criteria are observed. As modern obstetric practice is favourably disposed towards mid-pelvic forceps vaginal delivery, ...

Two hundred eighty-two active members of the Ohio Academy of Family Physicians responded to a survey questionnaire regarding the content of obstetrics in their practices. Factors that may influence physicians to discontinue obstetrics were also evaluated. Sixty respondents (21 percent) were performing vaginal deliveries in 1987. Only 45 (16 percent) ...

In a randomised double-blind trial comparing 1% lignocaine with 0.5% bupivacaine in digital ring block, the mean time of onset of complete anaesthesia was 5.8 minutes (range 5 to 10 minutes) for lignocaine and 11.2 minutes (range 8 to 20 minutes) for bupivacaine. The duration of action was 59.6 minutes ...

All 853 active members of the Washington Academy of Family Practice were surveyed in the summer of 1985 to determine the impact of rising malpractice premiums on patterns of obstetric practice. Of the 685 physicians who responded, 61% are currently practicing obstetrics. The median number of deliveries per year was ...

Obstetric flying squads operate from most maternity units in the United Kingdom. The 20 years from 1965 to 1984 saw 860 calls being made to the obstetric flying squad in the Liverpool urban area, with striking changes occurring in both the number of calls made and the reasons for making ...

The pathway employed for pentachlorophenol (PCP) degradation by an aerobic, chlorophenol-utilizing Flavobacterium sp. was initiated by conversion of PCP to tetrachloro-p-hydroquinone (TCH). 18O labelling experiments demonstrated that the first dechlorination, where a hydroxyl replaced the chlorine at PCP ring position number 4, involved a hydrolytic reaction. Then two reductive dechlorinations ...

Chlamydia trachomatis has assumed a critically important role in the pathogenesis of gynecologic/perinata/neonatal infectious morbidity. C. trachomatis is responsible for several infectious syndromes in the non-pregnant woman, the mother and her offspring. Detection and treatment of chlamydia infections are as important as that of other sexually transmitted diseases (STDs) such ...

This report identifies those individuals who are conducting investigative protocols at Tripler Army Medical Center. An abstract of each project giving abbreviated technical objectives, methods, and progress is presented. Departments involved in this research include: Clinical Investigation; Dentistry; Medicine; Obstetrics and Gynecology; Pediatrics; Psychiatry; Surgery; Directorate of Nutrition Care; Pharmacy ...

The demands made upon the Bristol obstetric flying squad over the past 14 years have been analysed. During this period, the number of calls received per year has decreased dramatically. The reasons for this are discussed in the context of current obstetric practice. The management of retained placenta is reviewed. ...

Nuclear medicine utilizes radioisotopes to diagnose and in some cases treat disease. Modern instruments can image their accumulation in an organ and provide quantitative data when indicated. The strength of these procedures is in the unique physiologic information they provide, rather than the presentation of precise anatomic detail.

Three cases of conjoined twins are presented: two thorocopagus and one craniopagus. The diagnosis of conjoining varied from late second trimester to time of term delivery. Delivery mode was both by vaginal and cesarean routes, and occurred at both level one and level three hospitals. Antenatal diagnostic procedures and issues ...

Human bite injuries of the hand may become complicated and therefore demand an organized approach to management. Thirty-two patients with human bites to the hand, admitted to Toronto's Wellesley Hospital between 1981 and 1985, were analyzed. The history and etiology, delay before presentation, microbiology results versus time from injury, and ...

Typical two dimensional solubility parameter maps for ethyl cellulose, hydroxypropyl methylcellulose and hydroxypropyl cellulose have been constructed using literature data. The maps of the polymers showed some degree of overlap indicating some mutual compatibility. Compatibility between ethyl cellulose and hydroxypropyl cellulose was greater than between ethyl cellulose and hydroxypropyl methylcellulose. ...

We use the term ala ptosis to describe a condition in which the nostril sidewall is bulbous with overhanging of the alar margin. This hides the columella from view, especially in profile. The management of ala ptosis in Oriental rhinoplasty is done in two steps, i.e., to reduce the bulbous ...

In the Mahale Mountains National Park of Tanzania, a group of about 33 chimpanzees were observed to surround a leopard den containing a mother and at least one cub and to drag out and kill the cub. This is the first report of chimpanzees or any other primate species killing ...

This paper describes several recurring problems in implementing the obstetrics curriculum for residents in family medicine. Four broad remedial goals are proposed: to reduce tension between departments of family medicine and of obstetrics-gynecology; to maintain a curriculum that has a balance between family-centered obstetrics and high-risk obstetrics; to help residents ...

Fertility of 104 gilts artificially inseminated (AI) at a predetermined time (scheduled AI) after estrous synchronization with altrenogest (15 mg X gilt-1 X d-1 for 18 d) was compared with that of 103 gilts checked for estrus (estrus checked) and inseminated after altrenogest. Scheduled-AI gilts were inseminated once on d ...

Normal tRNAs can cause two- and four-base translocation errors by mistranslating certain noncognate codons. Several cases have been reported that reveal the identities of the frameshift-provoking tRNAs--i.e., the shifty tRNAs--and the mRNA sequence encompassing the site of frameshifting--i.e., the shifty codons. Here, a striking uniformity between the anticodon loops of ...

Bennett shift was measured at an arbitrary hinge axis position and at the hinge axis position in 10 subjects. Sixty percent of the arbitrary hinge axis positions were within 5 mm of the hinge axis position. There was no significant difference in the Bennett shift measurements made at the hinge ...

External cephalic version (ECV), the transabdominal manipulation of a breech-presenting fetus into a head-down position before birth, is common in traditional ethno -obstetric systems as well as in the modern scientific obstetrics of Europe. In the United States, this practice has fallen out of use and is no longer taught ...

The prenatal diagnosis of omphalocele by real-time sonography is important for intrauterine and neonatal management and prognosis. The prognosis and mortality rate is determined rather by the presence of serious associated anomalies such as cardiovascular and chromosomal defects, than by the omphalocele itself. Obstetric management in the presence of an ...

A revised scheme of management of the third stage of labour was recently introduced in the Midwife Obstetric Units in Cape Town. Patients received synthetic oxytocin (Syntocinon; Sandoz) 5 IU intramuscularly with the delivery of the anterior shoulder and ergometrine maleate 0.5 mg intramuscularly after delivery of the placenta. A ...

Elderly patients with established brain failure present the family doctor with problems of longterm management for which there are, at best, limited pharmacologic solutions. An organized plan of management developed jointly with the significant other(s) will help achieve treatment objectives. By assessing the patient's physical and mental function, it is ...

Five hundred consecutive births in which continuous lumbar epidural block was used for analgesia were reviewed retrospectively. We wished to evaluate the safety and practicality of this anesthetic technic as done by practicing obstetricians in a predominantly private practice. Although many of the results confirmed those of previous studies, the ...

The results of a preliminary clinical appraisal of a newly designed vacuum extractor - the McGoldrick rotational vacuum extracter is presented. This instrument is designed to combine the rotation advantages of the various rotating obstetric forceps with the multiple advantages of the conventional vacuum extractor in the management of persistent ...

This article deals with the question "What should you do when you suspect that a colleague's ability to practice medicine has become impaired?" The scope of the problem is now known, and the medical profession's response has been to organize provincial committees to help the impaired doctor. Several patterns suggesting ...

This paper describes the use of a rigid polyurethane foam to construct a stump socket for immediate or early prosthetic fitting in 15 patients with amputation through the leg. The foam plaster is poured into a prepared cotton sleeve, with a zip incorporated, and rolled out to a layer 4 ...

What is contained in Roots, the 587-page narrative that captured an entire world population? The answer is not simple, nor is it overly complex, but rather an admixture of significant psychological, sociological, and timing factors that served to ignite the fuse of human fascination for the unknown, the hidden truths, ...

A list of important topics in general practice was constructed and a trainee was asked to indicate his confidence about each topic on a one to five scale. Repeated use showed different confidence ratings by the same trainee, and an attempt was made to correlate factual knowledge by using a ...

Growing interest in the emergence of subspecialties within obstetrics and gynecology prompted a survey of all Junior Fellows of the ACOG. That survey, representing the attitudes and expectations of 1702 housestaff and practitioners, disclosed that nearly 31% of obstetric-gynecologic residents planned to subspecialize as contrasted to 19.5% of postresidency obstetrician-gynecologists ...

Shoulder dystocia is a serious obstetric complication and remains an enigma to most obstetricians. Because of its rarity (1:10 000), improvements in management can hardly be gained through the experience of a single individual. However, a new obstetric instrument (shoulder born) has been developed by the author that may prove ...

Riboflavin, the biosynthetic precursor of the 5,6-dimethylbenzimidazole moiety of vitamin B12, is transformed non-enzymatically into 5,6-dimethylbenzimidazole in small yield on treatment with 1 N or 5 N NaOH at 100 degrees C. Besides 5,6-dimethylbenzimidazole 1,2-diamino-4,5-dimethylbenzene, 1,2-dihydro-6,7-dimethyl-2-keto-1-D-ribityl-3-quinoxaline carboxylic acid and N-1-D-ribitylamino-2-amino-4,5-dimethylbenzene can be detected. When [1 degree -14C]riboflavin is used the ...

The formal development of subspecialities with obstetrics and gynecology has focused attention on problems of physician supply and demand. The need for subspecalized practitioners appears to be 750 in maternal-fetal medicine and 350 each in reproductive endocrinology and gynecologic oncology. Taken together, this number represents about 10 per cent of ...

The obstetric management and outcome of normal patients presenting to two obstetric teams working in the Cardiff Maternity Hospital are compared over a five-year period. One team induced labour with amniotomy and oxytocin infusion three times more frequently than the other. No advantage or disadvantage of this practice was demonstrated ...

This paper recounts our experience on the use of a modified Lytic-cocktail regime in the management of eclampsia at the University Obstetric Unit, General Hospital, Kandy, Sri Lanka. Our results have been compared with those obtained with the original Lytic-cocktail use by earlier workers and the regime, though studied only ...

A resume of the main uses of echography in obstetrics and gynaecology in a private practice is presented. The procedure is a simple, atraumatic one, without danger of X-radiation to the fetus or the hazard of angiography to the patient, and can be repeated without risk. It has a high ...

Clinically normal gingivae adjacent to natural teeth did not exhibit dilated capillaries. The morphologies of the capillary loops were of the normal and mixed types. More than one fourth of the capillary loops in the gingivae adjacent to the complete crowns showed dilatation. The capillary loops were of the mixed ...

Acute puerperal inversion of the uterus is an uncommon but potentially fatal obstetric complication. In the 15 year period ending December 31, 1974, 11 inversions have been managed at the University of Virginia Hospital. All were recognized immediately and manually replaced and there was no significant postpartum morbidity. Successful management ...

The odour threshold bimodality for exaltolide described by Whissell-Buechy & Amoore (1973) among American whites is confirmed for a population sample in London. A highly correlated bimodality presumed to be caused by the absence of inactivity of certain receptor sites is shown to exist for another structurally different musk substance, ...

This 81-page report was published in 2006 by the World Health Organization's Department of Making Pregnancy Safer. Its aim is to improve management of obstetric fistula by disseminating recommended interventions. The report is divided into two sections: Understanding the problem and developing a national approach; and Basic principles for caring ...

The practice of obstetric anaesthesia and analgesia ranges from the sublime to the ridiculous. Try to contrast the satisfaction of having produced an effective epidural block with the agonizing personal loneliness of failing to intubate at emergency caesarean section, and you may begin to understand our position: we either love ...