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Biomedical subjects

F E BRYANS

Publications and source records attributed to F E BRYANS.

12 recordsLinked to original sources
PubMed1965

MATERNAL MORTALITY IN BRITISH COLUMBIA: A STUDY OF 145 DEATHS FROM 1955 TO 1962.

Between 1955 and 1962, 145 maternal deaths were reported in the Province of British Columbia. One hundred of them were due to obstetrical causes. Of these deaths, hemorrhage was by far the commonest cause (40 cases), followed in frequency by vascular accidents (23 cases), infections (17 cases), toxemia (10 cases), anesthetic deaths (five cases), and other causes (five cases). Significant avoidable factors were noted in 80%. Indirect obstetrical deaths accounted for 29 cases, or 20% of all maternal mortalities. The most frequently encountered causes of indirect obstetrical deaths were cardiac (nine cases) and vascular accidents (six cases). Avoidable factors were considered to be present in 19 of the 29, an incidence of 65%.When all deaths were considered together, 72% were felt to have significant avoidable factors when judged against an academic standard. It was also apparent that some 40% to 50% of deaths were intimately involved with social factors.

Abortion, Illegal↗
PubMed1964

THE CYTOLOGY PROGRAM IN BRITISH COLUMBIA. III. MANAGEMENT OF PRECLINICAL CARCINOMA OF THE CERVIX.

Between 1949 and 1961, 200,509 women were examined by routine cervical cytology in the Province of British Columbia. Cone biopsy is done when cytology is suspicious or positive, because the authors believe that proper management can be planned only after step serial sections of an adequate biopsy specimen. If the cone biopsy shows in situ carcinoma or microscopic foci of invasion, total hysterectomy is carried out in most cases. If occult but fully confluent invasion is present, radiotherapy is used. Of 1177 cases of preclinical carcinoma found in this study, 1051 were purely in situ carcinoma; 73 showed, in addition, microscopic foci of invasion; and 53 showed confluent active invasion but had not produced a clinical lesion. Mean age studies of the different groups of preclinical carcinoma support the contention that all are sequential stages of a single disease process. The only instances of recurrent invasive disease or mortality have been in the occult invasive group.

Biopsy↗