Biomedical subjects

D Rozenman

Publications and source records attributed to D Rozenman.

22 records · Page 2Linked to original sources

PubMed1980

Third trimester induction of labor with fetal death in utero.

Labor was induced in 64 women in the third trimester, after antepartum fetal death. In 26 patients, hypertonic saline solution was instilled into the uterus; in 24, surgical rupture of the membranes, followed by oxytocin, was tried, and in 14, induction was by amniotomy only. A definite advantage of the last two methods was shown, the mean induction delivery interval being 22.55, 8.96 and 7.20 hours, respectively. Considering also the possible dangers of hypertonic saline solution, the simple method of amniotomy is preferred.

Adult↗

PubMed1979

Significance of urinary enzymes in gestosis.

The levels of five enzymes were examined in the urine and the serum of pregnant women. They included leucine aminopeptidase (LAP), alkaline phosphatase (AP), N-acetyl-beta-glucosaminidase (ABG), lactic acid dehydrogenase (LDH) and glutamic-oxaloacetic transaminase (GOT). After establishing the normal curve and upper confidence limits in healthy pregnant patients (138 examinations in 52 women), the the enzymes were examined in the urine and the serum of 21 severe and 23 mildly toxemic cases. The mean urinary levels of ABG, AP and LAP in the severe cases were significantly higher than in the normals, and by examining all three enzymes, at least one of them was found to be above the upper confidence limit in 95% of the severely ill women. The changes did not show up early enough to form a good diagnostic and prognostic sign in moderate pregnancy-induced hypertension, but severe kidney damage may be revealed earlier than by the regular kidney function tests, and patients with a bad remote prognosis can be singled out by this method.

Acetylglucosaminidase↗

PubMedDate not supplied

Maternal mortality in an Israeli hospital: a review of 23 years.

In spite of great strides in obstetrics, maternal mortality has been completely eliminated. Possible changes in the causes of mortality are examined for three periods of time (1954-1961, 1962-1971 and 1972-1976). The overall incidence was 3.6/10 000, changing through the three periods from 4.9 to 4.3 and finally to 3.0/10 000. Vascular accidents were the cause of death in almost one third of the cases, emerging as the most important etiologic factor. Older age and higher parity did not seem to influence the incidence of obstetric deaths. Cesarean section was involved in ten of 23 cases in which the death was directly related to the pregnancy and delivery. In six patients there was a rupture of the uterus. The number of preventable deaths has decreased steady, but research into the problem of vascular accidents and dampening of the enthusiasm for cesarean sections may further improve the situation.

Anesthesia, Obstetrical↗

PubMedDate not supplied

Ovarian malignancies in pregnancies complicated by colonic perforation.

Primary or secondary ovarian carcinoma in pregnancy is very rare. The entity is difficult to diagnose and is not infrequently fatal. Two unusual cases of ovarian carcinoma during pregnancy, complicated by perforation of the colon, are described. Treatment depends upon the time of diagnosis, the stage of growth, and possible complications. More attention should be paid to complaints concerning bowel function during pregnancy, and pelvic sonography and bowel studies may enable earlier diagnosis.

Adenocarcinoma↗