Showing papers on "Labor Complication published in 1954"

Incoagulability of blood after accidental haemorrhage.

Abstract: precipitating causes on a soil already prepared. Put in another way, the affective manifestation of anxiety and depression might seem to be some sort of preformed cerebral function occurring in the personality type and potentially manifesting itself when the right precipitating factor came along. Malamud et atl. (1941) take a similar view, and feel that in the \"development of the psychoses the pre-morbid personality and catastrophic occurrences before the onset of the illness are of outstanding importance.\" From a purely practical point of view, exhaustive evaluation of any physical anomalies seen in association with this type of illness, even if, as in these cases, the whole background seems to be characteristic of involutional depression, is clearly of the utmost importance.

Discussion on rupture of the uterus in pregnancy and labour.

Abstract: (7) The gynxcologist should, if he so wishes (and many do), personally insert the radium with the technical assistance of the radiotherapy team. The quest for that elusive internal os can be humiliating even in cases of dysmenorrhoea and infertility. In some malignant cases it can defeat both the patience and skill of an experienced operator. False passages, perforations and total failure to insert the central tube are much more likely in the hands of the inexperienced, and for these the patient pays a heavy price. In some centres this essentially gynecological procedure is entrusted to a radiotherapy registrar. (8) Inpatients should be accommodated in gynecological beds or, at least, in beds over which the gynecologist and his team can exercise some supervision and control. A few of the beds in a radiotherapy centre might be reserved for joint research. (9) Follow-up should be a joint responsibility, and should be carried out in a gynecological department properly equipped and staffed for this intimate type of examination. There is much to be said for the system whereby these patients attend the ordinary follow-up clinics of the gynecological department. Segregation of malignant cases may have undesirable effects, psychological and otherwise. (10) The undergraduate student should be given every opportunity of seeing these patients in the outpatient department, of observing their preliminary investigation, of taking part in the technical examination under anaesthesia, and of interesting himself in the after-care and follow-up. He will thereby become imbued with the paramount importance of overall gynicological supervision, and, by the same token, will be vastly less likely after registration to refer his own patients direct to the radiotherapist.