Out of a total of 54,236 outpatient women treated from 1975 up to December 1983, there were 515 cases (relative value 0,010) of leptotrichosis diagnosed on the basis of the analysis of the vaginal smear stained by the Gram and Pappenheim method. Out of this number, there were 664 pregnant women in whom leptotrichosis was diagnosed in 8 cases (relative value o.12). In the urine samples of 5 married couples, the wives being ill with leptotrichosis, the disease was diagnosed in 3 cases, while in men in none. The question is whether leptotrichosis is only a genital or genito-urinary infection in women possibly also in men.
{"title":"[Recognition of the problem and significance of genitourinary leptotrichosis].","authors":"B Berić, J Durdević, D Nikolin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Out of a total of 54,236 outpatient women treated from 1975 up to December 1983, there were 515 cases (relative value 0,010) of leptotrichosis diagnosed on the basis of the analysis of the vaginal smear stained by the Gram and Pappenheim method. Out of this number, there were 664 pregnant women in whom leptotrichosis was diagnosed in 8 cases (relative value o.12). In the urine samples of 5 married couples, the wives being ill with leptotrichosis, the disease was diagnosed in 3 cases, while in men in none. The question is whether leptotrichosis is only a genital or genito-urinary infection in women possibly also in men.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"24 1-2","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17560166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 41-year-old patient with enormous tumour in the abdomen, which by its form, size, and position corresponded to a large ovarian tumour, suddenly developed the picture of acute abdomen. Emergency laparotomy revealed a ganglioneurinoma of the right suprarenal gland, 13 X 18 X 20 cm in size, weighing 5.5 kg. The tumour was removed in toto. The postoperative course was normal. So was the finding of the follow-up examination after six months.
患者41岁,腹部巨大肿瘤,其形态、大小和位置与卵巢大肿瘤相对应,突然出现急腹症。急诊剖腹探查发现右侧肾上腺神经节神经鞘瘤,大小13 X 18 X 20 cm,重5.5 kg。肿瘤全部切除了。术后疗程正常。六个月后的随访检查结果也是如此。
{"title":"[Ganglioneuroma of the suprarenal glands in gynecologic practice].","authors":"D Vasić, D Stepanović, V Rakić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 41-year-old patient with enormous tumour in the abdomen, which by its form, size, and position corresponded to a large ovarian tumour, suddenly developed the picture of acute abdomen. Emergency laparotomy revealed a ganglioneurinoma of the right suprarenal gland, 13 X 18 X 20 cm in size, weighing 5.5 kg. The tumour was removed in toto. The postoperative course was normal. So was the finding of the follow-up examination after six months.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"24 1-2","pages":"32-3"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17560170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In Slovenia and Croatia breast cancer is registered as the most frequent kind of cancer in women. In 2951 women clinical findings were compared to those obtained by mammography, thermography, palpation and cytology. The analysis showed a statistically significant difference between them. In the analysed group, 41 patients with cancer were detected, of whom only in 28 (76%) was the disease confirmed by the clinical examination. The results of clinical examinations not satisfactory, especially in the early stage of carcinoma.
{"title":"[The role of clinical examination in the diagnosis of breast cancer].","authors":"B Gorisek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Slovenia and Croatia breast cancer is registered as the most frequent kind of cancer in women. In 2951 women clinical findings were compared to those obtained by mammography, thermography, palpation and cytology. The analysis showed a statistically significant difference between them. In the analysed group, 41 patients with cancer were detected, of whom only in 28 (76%) was the disease confirmed by the clinical examination. The results of clinical examinations not satisfactory, especially in the early stage of carcinoma.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"24 1-2","pages":"34-6"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17560171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In a ten-year period the frequency of pregnant women with heart disorders amounted to 0.50%. In 83.87% of cases the disorders were acquired and in 16.13% congenital. According to the functional condition of the heart, 95% of the women observed belonged to the first and the second stage. In 82.26% the deliveries were spontaneously vaginal. The frequency of cesarean section proved four times as frequent as that in the control group (P less than 0.05). In not a single case was heart trouble alone the indication for cesarean section. Newborn children of women with heart disorders were slightly asphyxial (Apgar index 7-4) in 9.68% of cases as compared with 5.0% in the control group (P less than 0.05). The average birth mass of these newborns was 3491.9 +/- 2 SD 780.5 g and that in the control group 3,767.5 +/- 2 SD 824.2 g (P less than 0.05). Sixteen (25.8%) newborns in the early neonatal days had one or more neonatal complications, while those in the control group developed such complications in 14.2% of cases (P less than 0.05). Not a single child died perinatally. In the course of pregnancy, delivery, and puerperium only 3 (4.84%) women received cardiotonics and 22 (34.84%) antibiotics. The second day after delivery one puerpera developed paroxysmal tachycardia, while in all the remaining women the course of pregnancy, delivery, and puerperium was normal.
{"title":"[Pregnancy and labor in women with heart diseases].","authors":"F Mikulandra, I Merlak, M Perisa, M Kimer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a ten-year period the frequency of pregnant women with heart disorders amounted to 0.50%. In 83.87% of cases the disorders were acquired and in 16.13% congenital. According to the functional condition of the heart, 95% of the women observed belonged to the first and the second stage. In 82.26% the deliveries were spontaneously vaginal. The frequency of cesarean section proved four times as frequent as that in the control group (P less than 0.05). In not a single case was heart trouble alone the indication for cesarean section. Newborn children of women with heart disorders were slightly asphyxial (Apgar index 7-4) in 9.68% of cases as compared with 5.0% in the control group (P less than 0.05). The average birth mass of these newborns was 3491.9 +/- 2 SD 780.5 g and that in the control group 3,767.5 +/- 2 SD 824.2 g (P less than 0.05). Sixteen (25.8%) newborns in the early neonatal days had one or more neonatal complications, while those in the control group developed such complications in 14.2% of cases (P less than 0.05). Not a single child died perinatally. In the course of pregnancy, delivery, and puerperium only 3 (4.84%) women received cardiotonics and 22 (34.84%) antibiotics. The second day after delivery one puerpera developed paroxysmal tachycardia, while in all the remaining women the course of pregnancy, delivery, and puerperium was normal.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"24 1-2","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17560167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
From 1971 to 1975, when beta sympathicomimetics were not used, from total 13 561 deliveries 6.06% were preterm deliveries. In years 1976-1980, when these tocolytics are routinely used from total 15 242 deliveries 5.24% were preterm deliveries. Significance is statistically characteristic, p = = 0,01. In the anamnesis of all parturients in both periods, frequency of factors which effect on the rate of preterm deliveries is equal.
{"title":"[The frequency of premature labor before and after administering beta-sympathomimetics in clinical practice].","authors":"N Durić, N Smiljanić, M Podobnik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From 1971 to 1975, when beta sympathicomimetics were not used, from total 13 561 deliveries 6.06% were preterm deliveries. In years 1976-1980, when these tocolytics are routinely used from total 15 242 deliveries 5.24% were preterm deliveries. Significance is statistically characteristic, p = = 0,01. In the anamnesis of all parturients in both periods, frequency of factors which effect on the rate of preterm deliveries is equal.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"23 5-6","pages":"126-9"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17734128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Two cases of skeleton malformations found by ultrasonic diagnostics are described. One was osteogenesis imperfecta and other achondroplasia. The possibility of malformation was postulated in 36th gestation week in the first case, and in 37th gestation week in the second. The authors discuss on malformations and their early diagnosis.
{"title":"[Prenatal ultrasonic diagnosis of skeletal malformations].","authors":"S Cecuk, J Polak, M Plesa, S Jukić, V Gorski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases of skeleton malformations found by ultrasonic diagnostics are described. One was osteogenesis imperfecta and other achondroplasia. The possibility of malformation was postulated in 36th gestation week in the first case, and in 37th gestation week in the second. The authors discuss on malformations and their early diagnosis.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"23 5-6","pages":"136-40"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17734131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A case of lipoleiomyoma uteri in a 44-year old women is presented. The tumor, 9 cm in diameter, was situated beneath the serous membrane, at the back wall. There were also smaller leiomyomas, but the tumour described differed from them in being pale-yellow and having a somewhat softer consistency.
{"title":"[Lipoleiomyoma of the uterus].","authors":"M Marcikić, A Trosić, N Ljubojević","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of lipoleiomyoma uteri in a 44-year old women is presented. The tumor, 9 cm in diameter, was situated beneath the serous membrane, at the back wall. There were also smaller leiomyomas, but the tumour described differed from them in being pale-yellow and having a somewhat softer consistency.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"23 5-6","pages":"122-3"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17741292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The technique and the success of ultrasonically guided punctures of nonpalpable breast cysts are presented. A total of 43 cysts were punctured. The average lesion diameter (means +/- SD) was 16.4 +/- 5.4 mm. The puncture was not successful in 20.9% of cases. The cell material obtained by puncture was adequate for analysis in 32 (74.4%) cases, in 11 (25.6%) cases the aspirates were not suitable for the setting of a diagnosis because of an insufficient number of cells or the absence of the cell material. Inflammation as a complication of the intervention was registered twice (4.6%).
{"title":"[Ultrasonically guided puncture of nonpalpable breast cysts].","authors":"V Vlaisavljević","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The technique and the success of ultrasonically guided punctures of nonpalpable breast cysts are presented. A total of 43 cysts were punctured. The average lesion diameter (means +/- SD) was 16.4 +/- 5.4 mm. The puncture was not successful in 20.9% of cases. The cell material obtained by puncture was adequate for analysis in 32 (74.4%) cases, in 11 (25.6%) cases the aspirates were not suitable for the setting of a diagnosis because of an insufficient number of cells or the absence of the cell material. Inflammation as a complication of the intervention was registered twice (4.6%).</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"23 5-6","pages":"141-3"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17734130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E Maćas, E Suchanek, V Grizelj, V Simunić, I Puharić, P Drobnjak
Extracorporeal fertilization of 363 oocytes was applied in 148 patients with tubal infertility. The aspiration of the follicles was performed 36 to 38 hrs after the onset of the endogenous LH rise or 36 hrs after injection of hCG. Oocytes maturity was evaluated on the basis of the morphological appearance of the cumulus oophorus. The eggs were incubated in culture medium before insemination. The duration of delayed insemination had a marked effect on the proportion of fertilized oocytes and the development of embryos (X2 = 10.34, P = 0.05). After maturation of 1.5 to 3.5 hrs, minimal preovulatory oocytes were fertilized and developed to embryos. Maturation of 3.5 to 5.5 hrs increased the number of fertilized oocytes from 56% to 71.7% and the number of embryos from 50% to 55.1%. After 5.5 to 7.5 hrs of maturation significantly more fertilized oocytes (t = 2.4, P less than 0.02) and developed embryos (t = 2.41, P less than 0.02) were obtained. Preincubation of intermediary preovulatory or immature oocytes had no beneficial effect on the fertilization rate and the development of embryos.
应用363个卵母细胞体外受精治疗输卵管性不孕症148例。在内源性LH升高后36 ~ 38小时或注射hCG后36小时进行卵泡抽吸。根据卵积云的形态形态来评价卵母细胞的成熟度。授精前将卵在培养基中孵育。延迟授精时间对受精卵比例和胚胎发育有显著影响(X2 = 10.34, P = 0.05)。成熟1.5 ~ 3.5小时后,少量的排卵前卵母细胞受精并发育成胚胎。成熟3.5 ~ 5.5小时后,受精卵数从56%增加到71.7%,胚胎数从50%增加到55.1%。成熟5.5 ~ 7.5 h后,受精卵数量(t = 2.4, P < 0.02)和胚胎发育数量(t = 2.41, P < 0.02)显著增加。中间排卵前卵母细胞或未成熟卵母细胞的预孵育对受精率和胚胎发育无有利影响。
{"title":"[The effect of delayed insemination on fertilization in vitro and the development of human embryos].","authors":"E Maćas, E Suchanek, V Grizelj, V Simunić, I Puharić, P Drobnjak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Extracorporeal fertilization of 363 oocytes was applied in 148 patients with tubal infertility. The aspiration of the follicles was performed 36 to 38 hrs after the onset of the endogenous LH rise or 36 hrs after injection of hCG. Oocytes maturity was evaluated on the basis of the morphological appearance of the cumulus oophorus. The eggs were incubated in culture medium before insemination. The duration of delayed insemination had a marked effect on the proportion of fertilized oocytes and the development of embryos (X2 = 10.34, P = 0.05). After maturation of 1.5 to 3.5 hrs, minimal preovulatory oocytes were fertilized and developed to embryos. Maturation of 3.5 to 5.5 hrs increased the number of fertilized oocytes from 56% to 71.7% and the number of embryos from 50% to 55.1%. After 5.5 to 7.5 hrs of maturation significantly more fertilized oocytes (t = 2.4, P less than 0.02) and developed embryos (t = 2.41, P less than 0.02) were obtained. Preincubation of intermediary preovulatory or immature oocytes had no beneficial effect on the fertilization rate and the development of embryos.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"23 5-6","pages":"106-11"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17734122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paraphrasing the recent Milunsky's commentary, authors emphasise the doctor's duty and the role in preventing the birth of abnormal children.
改写最近米伦斯基的评论,作者强调医生的责任和作用,以防止异常儿童的出生。
{"title":"[Genetics, the law and pregnancy].","authors":"N Canki, S Rainer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Paraphrasing the recent Milunsky's commentary, authors emphasise the doctor's duty and the role in preventing the birth of abnormal children.</p>","PeriodicalId":76065,"journal":{"name":"Jugoslavenska ginekologija i opstetricija","volume":"23 5-6","pages":"144-5"},"PeriodicalIF":0.0,"publicationDate":"1983-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17734132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}