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Biomedical subjects

C E Koop

Publications and source records attributed to C E Koop.

At least 55 records · Page 3Linked to original sources
PubMed1991

Why CME?

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Acquired Immunodeficiency Syndrome↗
PubMed1989

The silver anniversary.

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Anniversaries and Special Events↗
PubMed1989

Cryptorchidism, orchiopexy and infertility: a critical long-term retrospective analysis.

We assessed the fertility of 40 patients who underwent orchiopexy between 1950 and 1960. Testicular biopsies also had been performed at operation, a practice exceptional for the era. Of 23 patients with unilateral undescended testes who attempted to have children 20 (87 per cent) were successful. In contrast, only 3 (33 per cent) of 9 patients with bilateral undescended testes fathered children. Over-all sperm counts in 16 patients were low but they were not predictive of paternity. Testicular biopsy specimens were reviewed and the fertility index was determined. In most cases a good correlation was found between histological status and paternity status.

Adult↗
PubMed1989

Responding to the patient who has AIDS.

Acquired immune deficiency syndrome (AIDS) has burrowed its way into the fabric of American society. Unless we recognize the extensive and permanent damage it can do there, we are going to lose more than human lives. The tradition of medicine is that physicians do not abandon the sick, whoever they are and whatever they have done, and overall Americans can be proud of the way we have successfully faced the challenge of fairness. Now, however, we need to focus on the "professional will to respond." Doing so means providing support to the individual physician, ensuring that everyone in the profession is informed about AIDS and makes all necessary adjustments of behavior and commitment. The medical profession must lead the public and other health professionals in responding morally, ethically, personally, and professionally to the AIDS epidemic. Otherwise, physicians will be relegated to the sidelines as the electorate, courts, and government agencies debate and adjudicate AIDS issues.

Acquired Immunodeficiency Syndrome↗
PubMed1989

Post abortion syndrome: myth or reality?

What are the health effects upon a woman who has had an abortion? In his letter to President Reagan, dated January 9, 1989, Surgeon General C. Everett Koop wrote that in order to find an answer to this question the Public Health Service would need from 10 to 100 million dollars for a comprehensive study.

Abortion, Legal↗
PubMed1988

Surgical experience with thirteen conjoined twins.

Conjoined twins occur in approximately one in 50,000 or so births, and most do not survive. The authors report herein their experience with 13 conjoined twins over the last 30 years, involving those of the following forms: thoracopagus (4 cases), omphalopagus (1 case), ischiopagus (4 cases), pygopagus (1 case), craniopagus (1 case), and incomplete or parasitic varieties (2 cases). The various diagnostic and imaging studies used are described in detail for each form of twinning. Separation is best delayed until such infants are relatively mature (i.e., 6-12 months of age). Operative survival was 50% in those operated on in the neonatal period, but 90% in those over 4 months of age. Ten separations were attempted in 13 sets of twins, with 16 operative survivors. Significantly, up to 10 years after surgery, there were six late deaths due to serious associated congenital anomalies, predominantly cardiac. Improved recent survival is probably the result of the availability of more accurate imaging studies and better anesthetic and operative techniques, with great emphasis on performing immediate reconstruction whenever possible. Use of skin expanders and prosthetic mesh has facilitated wound closure. In the future, ex vivo cardiac reconstruction and autotransplantation may permit separation of twins with complicated conjoined hearts.

Female↗