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Biomedical subjects

O Lalos

Publications and source records attributed to O Lalos.

41 records · Page 3Linked to original sources

The effect of inhibitors of prostaglandin synthesis in primary dysmenorrhea studied with hysterometry.

The technique called hysterometry has been used for the quantitative evaluation of effect of naproxen sodium and naproxen on myometrial tension in vivo during dysmenorrhea. It was observed that "uterine tonicity" - the datum arrived at after hysterometric recording - decreased significantly during naproxen medication in comparison with placebo treatment. Decrease in uterine tonicity was well correlated with relief of pain.

Adolescent↗

Clinical experience of naproxen in the treatment of primary dysmenorrhea.

The effect of naproxen, Naprosyn, Syntex, in treatment of primary dysmenorrhea was studied in a double-blind, randomized, placebo controlled multicenter study. Nintyseven women, aged between 18--40 years, with severe dysmenorrhea, were treated with either naproxen, 48 women, or placebo, 49 women, for two consecutive menstrual cycles. No oral contraceptive was used. The patients were allowed to take supplementary analgesics 4--6 hours after the study drug was taken if adequate relief was not achieved. The recommended dose of naproxen was 1--2 tablets, 250 mg, as needed, with a maximum of 5 tablets daily. Medication was started at first sign of menstrual distress. Improvement was achieved in 70 per cent of the women in the naproxen group (good to excellent relief) but only in 30 per cent in the placebo group. This difference is statistically significant (p less than 0.001). There was much more supplementary medication used in the placebo group compared to the naproxen treated patients (p less than 0.001). Fewer patients had to stay in bed, or stay at home from work or school, in the naproxen group compared to the placebo group. Few side-effects were reported and most of them belonged to the dysmenorrhea symptomatology. No side-effects could be rement according to the patients' own judgement.

Adult↗

Amniotic fluid embolism: a review of the literature with two case reports.

Amniotic fluid embolism (AFE) is a rare but dramatic obstetric complication. In this study, the pathogenesis of AFE and the disorders of coagulation and fibrinolysis and postmortem gross pathologic and histologic findings resulting from it are reviewed. The 2 case histories examined in this report exemplify different clinical courses of amniotic fluid embolism. In the first case, there was a predominant activation of the coagulation system, with a fatal outcome. In the second case, generalized fibrinolysis dominated, and the woman survived. Finally, the authors wish to emphasize that the administration of fibrinogen is an incorrect approach to the management of this syndrome. A combination of Macrodex and heparin might be effective in preventing the formation of microthrombi, but increased fibrinolysis has to be treated by a sufficiently high dose of fibrinolytic inhibitors.

Adult↗

Spontaneous rupture of the uterus in the third trimester with a living fetus expelled into the abdominal cavity.

A case of rupture of the uterus during pregnancy with the living fetus expelled intra-abdominally is reported. The main symptoms were slowly increasing abdominal colicky pains. During the first five days of the hospital stay the woman's condition deteriorated and a paralytic ileus developed. The fetal lie changed between the second and third day from longitudinal to transverse and the fetus became situated at the umbilical level. At the same time the fetal heart sounds could no longer be detected and the tense uterine wall grew soft. The changed fetal lie and the paralytic ileus were radiologically substantiated. In spite of a delayed diagnosis the child and the mother were both saved. The etiology was possibly damage to the fundal wall at an earlier curettage carried out because of a spontaneous abortion. The differential diagnosis is discussed from the obstetrical as well as from the radiological and other methodological points of view.

Adult↗

Serum fibrinogen/fibrin degradation products in patients with ovarian carcinoma.

Fibrinogen/fibrin degradation products (FDP) in the serum of 50 patients with ovarian carcinoma was examined by Nyléhn's immunochemical method. FDP were rarely found in early but frequently in advanced stages of ovarian tumours. With successful treatment, FDP decreased; otherwise persistently high FDP concentrations were observed in the serum. The determination serum FDP might be a valuable aid in assessing the effect of treatment.

Adult↗