Jugoslavenska ginekologija i opstetricija最新文献

During the operation of abdominal pregnancy the placenta was left in the patient's abdominal cavity. Six years later the patient was again operated on for a swelling in the lower part of the abdomen where a cavity full of pus and the remains of placental tissue was found. In the authors' opinion, the abscess appears to have been causally connected with the necrosis of the non-resorbed placenta.

The author presents data on the first women obstetricians and gynecologists in the Yugoslav countries. Their work started in Belgrade in the last decade of the 19th century (Dr Eva Haljecka in 1892 and Dr Ljubica Godevac-Durić in 1896). The life, work, and other biographical data concerning Dr E. Haljecka (1869-1947) are given in more detail. She was the first woman obstetrician-gynecologist not only in Belgrade, Nis and the whole of Serbia but also in all Yugoslav countries. In 1920 she became the first head of the Gynecologico-Obstetric Department of the Nis Hospital, where she had worked since 1910. Before the First World War Dr E. Haljecka distinguished herself as a prominent fighter for the social and other rights and equality of women physicians in the then Kingdom of Serbia.

In the isolated strips of the individual parts of the human uterus (body, corns, cervix) histamine, promethazine, and cimethidine, proportionally to the dose applied, have proved to increase the muscular tonus. The blocking agents of histamine H-1 receptors (promethazine) and H-2 receptors (cimetidine), separately or jointly administered in the dose of 10 micrograms/ml, significantly diminish the tonicizing effect of histamine. The effect of histamine on the uterine muscular tonus is brought about through histamine H-1 and histamine H-2 receptors.

The authors describes an at-term stillborn, weighing 3900 g, with a total cyclopia, having one single orbita and one eye in the middle of the face. Obduction revealed several congenital defects in the cerebrum and the cerebellum.

The authors present 31 proliferative cystadenomatous tumours of the ovary discovered in the period from 1978 to 1981 and selected on the basis of the WHO classification: 10.4% of them were found among serous, 12.6% among mucinous, and 11.1% among seromucinous tumours.

The accuracy and reliability of the immunochemical tube test Gravinep for the early pregnancy detection were determined in comparison with another immunochemical test (Pregnosticon All-in) and with clinical data. The urine samples of 88 women were analysed. In 98.9% cases the result obtained with the Gravinep test was clinically confirmed and in 96.6% cases both immunochemical tests gave the same result. In a number of cases (6.8% with Gravinep and 5.7% with Pregnosticon) the result of the immunochemical reaction was doubtful, although it indicated the condition suggested by clinical examination.

A patient with uterine tumour morphologically identified as leiomyoma and having relapsed after the operation is reported. In spite of recidivation in the morphological finding, there was no evidence of leiomyosarcoma. The possibilities and reliability of the morphological diagnosis are discussed.

By the status quo method the age of menarche was investigated in 15,235 girls, aged 10.5 to 17.5 years, from 35 places in the Socialist Autonomous Province of Vojvodina. Menarche was recorded in 8,188 (53.74%) girls. It proved to appear (the median obtained by the probit analysis) at the age of 12.68 +/- 0.01 years, i. e. at that age 50% of girls had menarche. The confidence limits were 12.63 and 12.70 years. The age of menarche in relation to parents' profession showed no significant differences between different occupations. The highest difference was observed between daughters of fathers-intellectuals (12.56 years) and mothers-intellectuals (12,60 years) on the one hand and daughters of fathers-peasants (13.05 years) and mothers-housewives (12.87 years) on the other. According to monthly income per household member, the earliest menarche (12.59 years) was found in girls with the highest income (over 2500 Dinars) and the latest (12.90 years) in those with the lowest income (below 1500 Dinars), the difference not being statistically significant.