Biomedical subjects
R V Lee
Publications and source records attributed to R V Lee.
Essential hypertension in men and women.
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Parasites and pregnancy: the problems of malaria and toxoplasmosis.
Infections caused by parasites are common and not limited to the developing world. The spectrum of interactions between pregnancy and parasite infection ranges from minor discomfort to fetal death and are well illustrated by the problems of toxoplasmosis and malaria.
Erythrocyte filterability in normal and high-risk pregnancy.
Erythrocyte filterability was studied longitudinally in normal pregnancy and in certain categories of high-risk pregnancy. Study subjects included ten normal controls, 12 insulin-dependent diabetics, eight gestational diabetics, and five essential hypertensives. Our results indicate that erythrocyte filterability remains relatively stable over the course of normal gestation. We noted no differences between controls and essential hypertensives or gestational diabetics, although a favorable effect of insulin therapy was suggested in gestational diabetics. Erythrocyte filterability and mean arterial blood pressure were not related. Insulin-dependent diabetics demonstrated a significantly elevated and widely varying erythrocyte filterability, and individual patient trends correlated well with outcome. Fibrinogen levels in diabetics rose precipitously and were significantly higher than normal throughout gestation. Fibrinogen levels paralleled changes in erythrocyte filterability, with the two parameters positively correlated. Mean glucose control had no influence on filterability. We conclude that in the diabetic pregnancy, varying erythrocyte filterability is related to altered fibrinogen metabolism and may contribute to perinatal morbidity.
Southeast Asian folklore about pregnancy and parturition.
Southeast Asian refugees immigrating to the United States bring many traditional beliefs about pregnancy and childbearing to their new home. Harmony with nature, dualistic concepts of disease, and pathogenetic metaphor are important ingredients of indigenous health practices. Pregnant and postpartum women must be protected against "wind," lost of "heat," and poisons. Because these notions and the behaviors used to carry them out may seem bizarre to unsuspecting Western-trained health care personnel, it is important for Westerners to understand the basis for these beliefs.
The jaundiced view: riding the fences.
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Olfaction--and the smell of summer.
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The jaundiced view: malpractice malaise.
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Cardiopulmonary resuscitation of pregnant women.
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The jaundiced view: winter solstice.
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Total parenteral nutrition during pregnancy.
Parenteral hyperalimentation or total parenteral nutrition has become an established therapy for patients with a wide variety of conditions that preclude oral feeding. Because pregnancy is an infrequent event in poorly nourished women with acute or chronic illness, total parenteral nutrition has not been widely used for pregnant patients. Some obstetricians believe that total parenteral nutrition entails risks in excess of its potential benefit to pregnancy and demands skills and knowledge that are either not available or are in limited supply. Sufficient favorable clinical experience has accumulated over the past 15 years so that total parenteral nutrition can be recommended in the management of malnutrition during pregnancy. The purpose of this report is to review the authors' experience and the literature about total parenteral nutrition during pregnancy.
T-cell lymphoma associated with immunologic evidence of retrovirus infection in a lowland gorilla.
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