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Biomedical subjects

H W Vaillant

Publications and source records attributed to H W Vaillant.

9 recordsLinked to original sources

Long-term survival of 224 patients with myocardial infarction treated in a community hospital.

In a retrospective, five-year follow-up study of 224 patients treated for acute myocardial infarction in a community hospital, there was an 82 percent in-hospital survival rate and an overall 57 percent five-year survival rate. Corrected for expected mortality, the five-year survival rate was 68 percent. Patients who had had a previous infarction had a lower five-year survival rate, 40 percent. Survival decreased significantly with age, but was not affected by hypertension, diabetes, smoking, sex, or obesity (when corrected for age differences). Women and nonsmokers who had myocardial infarctions could expect to have longer lifespans than men and smokers because they were older at the time of their infarction. At the time of their infarction, women averaged 68 years of age, men 60 years. Nonsmokers averaged 67 years, smokers 55 years.

Adult

Insertion of Lippes loop by nurse-midwives and doctors.

Follow-up studies of 7 to 19 months of two groups of 500 women each in Barbados, in one of which a Lippes loop had been inserted by a doctor and in the other by a nurse-midwife, showed a slightly higher incidence of pregnancy and expulsion of the loop in the second group, though the difference was not statistically significant. The insertion of loops by paramedical personnel when this is an economic necessity is thought not to be contraindicated, but adequate training is essential.

Female