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Biomedical subjects

J J Kjer

Publications and source records attributed to J J Kjer.

At least 55 records · Page 3Linked to original sources

A follow-up study of the Marshall-Marchetti-Krantz vesicourethral operation for female incontinence.

A Follow-up study on 65 consecutive patients who underwent vesicourethral suspension (Marshall-Marchetti-Krantz' operation) in the period 1961-70 was carried out. Indications and results were evaluated. Forty-one patients completed the investigation. Twenty-five patients were operated on correct indication (pure stress incontinence). Twenty patients (80%) were cured and the vaginal examination were in accordance to this result.--Unfortunately several side-effects to this operation were observed (primarily infravesical obstruction, urge phenomenon and dyspareunia). Therefore posterior suspension of the bladder is recommendable. Carefully history, cystometry and colpo-cystourethrography seems necessary in the evaluation of female incontinence.

Adult↗

The diagnostic value of the Arias-Stella phenomenon.

A retrospective study was conducted into 146 hospitalised women with endometrial Arias-Stella phenomenon. Extra-uterine gravidity was recorded from only 24 cases (16 per cent). In 116 patients (79 per cent) the above phenomenon was observed in connection with spontaneous abortion or termination of pregnancy.

Adult↗

The concentration of free calcium ions and total calcium in pregnancies at term.

The concentration of free calcium ions (cCa2+), total calcium (ctCa) and pH was measured in 46 normal pregnancies at term. Measured with a combined Ca2+-pH electrode system in whole blood, maternal plasma cCa2+ was 1.18 +/- 0.03 mmol/l, and the corresponding plasma pH was 7.37 +/- 0.05 (mean +/- SD). In the cord vein, plasma cCa2+ was 1.44 +/- 0.07 mmol/l and pH 7.37 +/- 0.05. In the cord artery, plasma cCa2+ was 1.47 +/- 0.07 mmol/l and pH 7.29 +/- 0.07.

Calcium↗

Ovarian pregnancy in IUD-users.

Three cases of ovarian pregnancy are reported in the presence of an intrauterine device, bringing the total number of reported cases to 53. The literature concerning the frequency, the possible mechanism and some clinical characteristics of ovarian pregnancy is summarized.

Adult↗

Ovarian and placental hormones during prolactin suppression and stimulation in early human pregnancy.

Twenty-seven healthy females referred for legal abortion between the sixth and ninth week of pregnancy were treated for 1 week with either bromocriptine, metoclopramide or placebo. Serum prolactin was significantly (P < 0.01) elevated by metoclopramide and suppressed by bromocriptine. Despite a more than tenfold difference in circulating prolactin levels among these two groups, no significant difference was found in serum levels of progesterone, oestradiol, human chorionic gonadotrophin (hCG) human placental lactogen (hPL) or pregnancy specific B1-glycoprotein (SP1). These data suggest that circulating levels of prolactin below 150 ng/ml are without effect on either luteal or placental hormone secretion during early human pregnancy.

Adult↗

Bipolar cautery for laparoscopic sterilization.

Laparoscopic sterilization with a bipolar electrode was performed in 62 patients. The sterilization failed in one patient and was questionable in another. The effectiveness was assessed by hysterosalpingography (HSG) in 51 patients. No complications due to laparoscopy occurred. The method is considered to be advantageous because of the low risk of complications. The effectiveness of the method seems to be acceptable.

Abortion, Induced↗

Regret of laparoscopic sterilization.

A follow-up study with questionnaires was performed 4-8 years after laparoscopic sterilization. The follow-up questionnaires were answered for 90.5%. The study revealed that 7.1% of the women were dissatisfied at some stage with the decision to undergo sterilization. However, only 1.8% requested reversal of the sterilization. 40% of the dissatisfied women were between 25-29 years of age, and every fifth sterilized woman in this age group regretted the sterilization.

Adult↗