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Biomedical subjects

A Staudach

Publications and source records attributed to A Staudach.

At least 73 records · Page 4Linked to original sources

[Struma ovarii, a rare ovarian tumor].

Teratomas, which consist only or predominantly of thyroid tissue, are termed struma ovarii. Two cases are reported, where after previous strumectomy the histologic diagnosis was struma ovarii. Because of postoperative TSH-rise hormonal activity can be assumed. The proper diagnosis is seldomly made preoperatively, this could be done by abdominal scintigraphic imaging of radioiodine uptake in the tumour.

Female↗

[Primary hyperaldosteronism (Conn syndrome) and pregnancy].

Because of the atypical symptomatology, which can mimic an EPH-gestosis, the physiological elevation of serum aldosterone in the third trimester and restricted diagnostic possibilities, the diagnosis of primary hyperaldosteronism during pregnancy is difficult. A case of an adrenal adenoma during pregnancy is reported.

Adenoma↗

[Assessment by sonography and palpation of the cervical closure system].

Sonography or palpation alone are inadequate procedures in evaluating cervical function. Only by combining both methods cervical incompetence can be detected at an early stage, adequate therapy instituted and unnecessary cerclage operations prevented. The value of sonography lies in the possibility of studying the functional changes of the cervix in premature labour.

Cervix Uteri↗

[Induction of ovulation using pulsatile GnRH administration to infertile females].

6 infertile women with primary or secondary amenorrhoea or anovulation, who failed to ovulate after clomiphene and HMG/HCG treatment, underwent 11 treatment cycles with pulsatile GnRH therapy using a portable pump. Normal ovulation occurred in 9 out of 11 treatment cycles; the luteal phase was normal in 6 cycles. One woman conceived in the second treatment cycle.

Adult↗

Facial anatomy of the fetus.

Real-time ultrasonography was used in this study to demonstrate details of the anatomy of the face and neck of the fetus. Details such as the ocular globe, vitreous body, lens, anterior chamber, rectus muscles, optic nerve and disc, and the ophthalmic artery are visible at the level of the eye. The helix, scaphoid fossa, triangular fossa, concha, antihelix, antitragus, intertragic incisure, and lobule can be seen at the level of the ear. The tip of the nose, the alae nasi, and the columna are also seen. The epiglottis is visible in the vestibulum of the larynx. The fetal face is an important structure that can provide invaluable information in the search for congenital malformations, and possibly also in fetal behavior.

Cheek↗

[Analysis of perinatal mortality and its consequences].

Perinatal mortality at Landesfrauenklinik Salzburg was recorded by annual analysis of 19,533 births for the period between 1972 and 1979. Differentiation of 374 perinatal deaths was undertaken by antepartum, intrapartum, and postpartum mortality as well as by weight groups above and below 2500 g. All 129 antepartum deaths were attributable to preclinical situations, since all cases concerned had been pregnancies with attention outside hospital and with stillbirths on first admission. All 45 intrapartum deaths were separately analysed by causes for the purpose of elucidating avoidable cases. Failures due to shortcomings in terms of personnel, equipment, and organisation were discussed for each year. Organisational consequences drawn from such evaluation are reported together with effects. Stepwise target-oriented re-organisation helped to reduce unpurified mortality from 24 to 7.7 per thousand (WHO) in the period under review, while purified perinatal mortality dropped from 12.5 to 1.0 per thousand.

Apgar Score↗

[Tocolysis in imminent premature delivery: limits of indication--assessment of success--sources of error (author's transl)].

303 imminent premature deliveries were treated from 1977 to 1978 with hexoprenaline (Gynipral) on an inpatient basis. Indication for tocolysis was obtained according to the tocolysis index (Baumgarten). Cases with an index of three and more were evaluated only. This criterion enabled accurate separation between prophylactic and therapeutic tocolysis. By means of postpartal determination of the age of gestation via the Dubowitz score, the period of gestation was controlled which had been determined at the beginning of the tocolysis. This made it possible to detect erroneous indication due to false estimation of the gestation period. Tocolysis success was assessed according to two different aspects. Pharmacodynamic success was assumed if 15 or more points were attained according to the Weidinger success score. This occurred in 56,5% of all treated patients. Clinical success, defined by delivery of a child which did not die perinatally nor suffered from the respiratory distress syndrome, was seen in 90.7% of all treated patients.

Adult↗

[Initial experience with a tocolysis ward (author's transl)].

Premature labour is best treated in a special ward, the tocolysis ward. From 1972 to 1975 there were around 8% premature deliveries. During the first six months of 1976 there were still around 8% premature deliveries. During the second six months of 1976 the premature rate was lowered to 6% in the tocolysis ward. This is a decrease of the 25%.

Adrenergic beta-Agonists↗

[Development of perinatal mortality rate in a central hospital (author's transl)].

Perinatal mortality rate is an important parameter of the obstetrical efficacy. The analysis of case reports of 10 590 newborn infants results in the fact, that perinatal mortality could be decreased from 27,15% to 20,11%. Special interest is directed to subpartual mortality, being the proportion of entire mortality reflecting the quality of intrapartal supervision. Critical and precise single case analysis of subpartual deaths was performed in order to detect failures of the supervision system with consequential amelioration of perinatal care. Methods of intensive obstetrical care, introduced since 1973 such as ultrasonic diagnostic, screening for placental insufficiency, amniotic fluid diagnostics tocolysis, cardiotocography and micro-blood analysis, resulted in a significant raise of quality. Unselected perinatal mortality could be decreased by approximately 25%.

Austria↗