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Biomedical subjects

O Huter

Publications and source records attributed to O Huter.

At least 37 records · Page 2Linked to original sources
PubMed1992

[Postpartum diabetes screening: value of fructosamine determination].

After birth of an infant with a birthweight of 4000 g or more maternal glucose tolerance should be examined. We measured blood glucose values after a 100 g oral glucose challenge and compared them with serum fructosamine values of the same subjects. 40 women who had given birth to an infant with macrosomia (group I) were matched with 40 women who had delivered babies with normal birthweight (group II). Impaired glucose tolerance was found in 6 women (15%) of group I, and in one woman (2.5%) of group II. Fructosamine values were within the normal range in each of the seven women (1.74 + 0.2 mmol/l vs 1.73 + 0.2 mmol/l). Thus, fructosamine determination is not sensitive enough to detect impaired glucose tolerance in asymptomatic women post partum. It is not feasible to replace the oral glucose tolerance test in screening for gestational diabetes mellitus.

Birth Weight↗
PubMed1991

[Pethidine or nalbuphine for obstetric analgesia?].

Because of the risk of ventilatory depression, agonistic and partially agonistic/antagonistic opiates are well suited for providing pain relief in obstetrics. We compared two groups of 20 women each with pregnancy on term who received equipotent doses of nalbuphin (0.1 mg/kg) and pethidin (0.8 mg/kg) intramuscularly. We found a significantly longer (6h) and better analgesic effect in the nalbuphin group but also a significantly more pronounced sedation. Other side effects were fewer in this last-named group. There were no differences in the behaviour of the babies between both groups. We consider that because of the "ceiling effect" of ventilatory depression, nalbuphin may allow better analgesia without the risk of ventilatory depression of both mother and newborn.

Adult↗
PubMed1991

[Recurrent multicystic peritoneal mesothelioma in endometriosis of the pelvis].

In the case of a 21-year old woman, who complained of chronic pelvic pain and where cystic structures in the adnexal region had been diagnosed ultrasonically and by laparoscopy, a tumour made up of many small cysts was discovered in the pouch of Douglas next to a typical endometrial cyst. Both the endometrial cyst and the cystic tumour were excised by laparotomy. Histology established the tumour as a multicystic peritoneal mesothelioma. Postoperative recurrence was noticed by ultrasound less than one year later. Laparotomy revealed a 5 cm serous cyst of the right ovary and again countless liquid-filled grape-like small cysts in the pouch of Douglas. Histology revealed a multicystic peritoneal mesothelioma identical to the previously excised tumour. Multicystic peritoneal mesothelioma is a rare soft tissue tumour noted for its frequent recurrences. Most authors agree, that it belongs to the morphological spectrum of reactive mesothelial proliferative lesions and not the neoplastic spectrum. It appears mostly in women, often concomitant with endometriosis and pelvic inflammatory disease and frequently in women, who had previous surgical interventions in the abdominal region.

Adult↗
PubMed1990

Cerebral metastasis of endometrial carcinoma.

The case of a woman who died from cerebral metastasis of adenocarcinoma of the uterine corpus, clinical stage IA at the time of first referral, is described. Three months after preoperative endocavitary radiotherapy followed by radical surgery followed by postoperative radiotherapy, the 59-year-old patient developed neurological symptoms. A cerebral tumor was diagnosed and subsequently excised. Histology showed metastasis of an adenocarcinoma. The patient died 3 weeks after cranial surgery. Meticulous postmortem examination failed to reveal any other tumor besides the endometrial neoplasm. Comparative immunohistochemical examination of the primary tumor and the cerebral process supported the assertion that the brain metastasis derived from the adenocarcinoma of the endometrium. Literature reports on cerebral metastasis of endometrial carcinoma are discussed.

Adenocarcinoma↗
PubMed1990

[The "vanishing twin"].

Three cases of a vanishing twin are reported. We observed twin pregnancies in three women, who had their ultrasound examination before the 10th week of pregnancy. Positive heartbeat was registered in both embryos. When a further sonographic examination took place at the 11th week, intrauterine death of one of the embryos was observed. All three pregnancies continued as singleton pregnancies to uneventful term deliveries. When the placentae and chorionic membranes were examined after delivery, small nodular pigmented areas were observed. Histological examination showed the remains of the embryo, who had vanished in the first trimester of pregnancy.

Embryo, Mammalian↗
PubMed1990

Diagnosis of extrauterine pregnancy with transvaginal ultrasound.

We reviewed all cases of suspected ectopic pregnancy (EP) that had transvaginal ultrasound (TVU) prior to surgery from 1987 to 1989. Of 265 patients who had culdocentesis and laparoscopy for suspected EP, 206 had EP. IN 28 of the 59 cases that proved negative at laparoscopy, EP was suspected at TVU. An ectopic embryo was seen at TVU in 28 cases where laparoscopy confirmed the TVU diagnosis. In 163 cases where EP was considered probable at TVU this was confirmed at laparoscopy. 15 cases of EP were overlooked at TVU.

Culdoscopy↗
PubMed1990

[Acinetobacter as a problem pathogen in patients with long-term tocolysis].

A hospital outbreak of Acinetobacter Calcoaceticus in a ward with patients with intravenous tokolysis is reported. Within 2 months 9 pregnant women who had tokolysis for premature labour developed septic fever that only subsisted after the administration of tokolysis was stopped. In 7 cases blood culture was positive for Acinetobacter Calcoaceticus. This endemic outbreak was responsible for premature deliveries in four cases, leading top post partum death of two infants. Source identification was inconclusive, no further outbreaks have occurred since the reported endemic occurrence. Dangers of nosocomial infections in patients with intravenous tokolysis are discussed.

Acinetobacter↗
PubMed1990

[Cerebral malformations in the 30th-36th pregnancy week--diagnosis and consequences].

When serious cerebral malformations of the fetal cerebrum are diagnosed, the pregnancy is in most cases so far advanced, that termination would be difficult medically, controversial ethically and--depending on legislation--impossible legally. Most cerebral malformations associated with hydrocephalus appear late in the 2nd and early in the 3rd trimester. Routine pregnancy ultrasound scan of the fetal brain is difficult due to the dynamic changes in cerebral anatomy during normal pregnancy and due to the artefacts produced by intra-cranial reverberations. The concept that there is a "right time" for in utero diagnosis of fetal hydrocephalus is reviewed. Unequivocal early diagnosis is only possible in cases of anencephaly. 15 cases of severe cerebral malformations that were seen during prenatal ultrasound at Innsbruck University Hospital are presented "Nonaggressive Obstetric Management" as a novel and structured approach to such cases is discussed.

Abortion, Induced↗
PubMed1990

[Twin pregnancy with discordant abnormalities].

3 cases of severe discordant malformations diagnosed by ultrasound (anencephaly, myelomeningocele, prune belly-syndrome) in multiple pregnancies have been described. Operations have been given up consciously.

Adult↗
PubMed1989

[Communication, compliance and perinatal risks of Turkish females in Tyrol].

Migrant workers from Turkey and their families make up 1% of the population of the Tyrol province in the west of Austria. They are the largest group of aliens. 152 Turkish women who were seen at our obstetrics department were investigated. Records of 121 women who had given birth to infants in the years 1984-86 were compared. 31 pregnant women were interviewed in their native language. More than 80% of all women studied went for routine check-ups four times or more during pregnancy. A number of conditions that would otherwise remain undetected are being diagnosed at routine pregnancy checks: tuberculosis, diabetes, genetic disease. Although patient compliance is good in this group, communication problems often put a successful outcome of the pregnancy at risk. Many women, who have been living in Austria for many years, are still unable to speak and understand German. Unqualified interpreters (husbands, children, relatives, hospital cleaning staff that is composed largely of Turks) often create problems by making up things the doctor would like to hear. The rate of cesarean sections is 11% in this group. Perinatal infant mortality rate is much higher than in the native Austrian population. The strict hygienic rules of Islam, the support and nurture supplied by the tightly-knit family structure of Turkish emigrants and a basically confident and trusting attitude towards doctors and nurses, if these can make themselves understood, should be recognised as positive factors and should be used to reduce perinatal risks in pregnant Turkish women.

Austria↗
PubMed1989

[Prolonged action of vecuronium in neurofibromatosis (von Recklinghausen's disease)].

It is reported on an abnormally prolonged action of vecuronium in a female patient with known neurofibromatosis (Morbus von Recklinghausen). In this female patient an increased sensitivity to vecuronium (0.06 mg/kg) was observed during anaesthesia for Caesarean section. A 100% block lasted 50 minutes and the neuromuscular recovery from 75% block to 25% block amounted to 25 minutes. This prolonged neuromuscular block can also be due to overdosing, relative hypovolaemia during arterial hypertension and the previous application of suxamethonium.

Adult↗
PubMed1988

[Lead content of breast milk in heavy traffic and light traffic areas of Tyrol].

The lead content of the milk of 28 breast feeding mothers from various regions in Tyrol was examined using flameless atomic absorption spectrometry. These examinations showed that the milk of women living in places with heavier traffic had a seven-fold higher lead level as compared with the data in women from regions with little traffic. This difference was statistically significant. We also determined the lead level of specimens of drinking water from 7 towns in Tyrol. The mean level was half the value found in maternal milk from women living in low-traffic regions.

Adult↗
PubMed1987

[One year after Chernobyl--radioactive cesium in breast milk].

Radioactivity in human breast milk was determined in 32 women in February and March 1987 by means of a Germanium detector. At this time radioactivity increased again by feeding the hay to the cattle harvested in the weeks following the disaster of Chernobyl. 8 (25%) of the values were above 0.3 nCi/l for babies milk recommended by the local authorities.

Accidents↗