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A Katsulov

Publications and source records attributed to A Katsulov.

At least 19 recordsLinked to original sources

[The HELLP syndrome--one hypothesis].

On the basis of current literary data the author presents clinical, laboratory and histomorphological parameters, which show that HELLP syndrome and acute fatty dystrophy of liver during pregnancy have equal clinical picture, equal laboratory results, equal clinical management, equal therapeutic treatment, equal early and late prognosis for the mother and fetus (infant). The indicated up to now "specific" histological finding in the liver during fatty dystrophy of the liver of pregnant women is not sufficient foundation for division of these syndromes, because it is found in the HELLP syndrome as well, because fatty vacuoles depositions in the kidneys are discovered in (grave) preeclampsia. The author concludes that the acute fatty dystrophy during pregnancy is a manifestation, a form of HELLP syndrome, but not a disease, a syndrome sui generis.

Eclampsia

[Short-term antibiotic prophylaxis with doxycycline in abrasio residuorum].

The short-lived antibiotic prophylaxis finds wider and wider usage in the present obstetric practice. The authors aim to examine clinically and to use in the obstetric practice short-lived antibiotic prophylaxis with doxycycline after interruption of pregnancy and residual abrasion due to incomplete abortion. The treatment of women from the experimental group was 500 mg of doxycycline per os at once, but 100 mg twice for 6 days in women from the control group in accordance with the common usage. Attention was paid to 3 basic symptoms: temperature over 37 degrees C, pains at the lower part of the abdomen and need of additional treatment. An inference i made that inflammatory complications after the two types of antibiotic prophylaxis does not differ in frequency (p greater than 0.05). The advantages of short-lived usage are evaluated as well.

Abortion, Incomplete

[The plasma amino acid profile of women with a normal pregnancy and in pre-eclampsia].

The authors studied the level of some amino acids in the plasma of 10 women with normal pregnancy as well as of 16 women with moderate form of pre-eclampsia. 21 amino acids were determined by a liquid chromatograph, consisting of an automatic controller of the gradient, nonautomatic injector, fluorimetric detector and recording device. The results showed that there were differences in amino-amides of women with normal pregnancy and of nonpregnant women. Concentrations of a large part of amino acids were not changed, but some of them increased--aspargic acid, glutamate, threonine and phenylalanine or reduced--cytroline, methionine, ornithine, glycine, aspargine, alpha-amino acid during pregnancy. The values of amino-acids in women with normal pregnancy and in women with moderate form of preeclampsia did not differ. Ethanol-amine is the only exception and it is found in almost half of the women with preeclampsia. This is an original finding, which deserves further study.

Adolescent

[Pregnancy and myocardial infarct].

The authors described the pregnancy and delivery of a woman with unstable angina pectoris (ECG data for ischemic disease of the heart). Delivery occurred through the vagina without complications for the mother and fetus. The literary references treat the question about course of pregnancy, way of delivery and analgesia in women with myocardial infarction during pregnancy.

Adult

[Vaginal delivery after 2 and more cesarean sections].

Eight women with deliveries after undergone two and more cesarean section are described. Delivery occurred vaginally in 6 of them, but cesarean section was performed in two of them, whose indications were diagnosed after full dilatation of the cervical canal because of nonadvancement of delivery. A review of literature on this question is presented. Taking into consideration the literary data and their own observations an opinion is expressed that there is basis for a change in the present management of pregnant women with two and more undergone cesarean sections and is proposed to accept the concept for "trial of labor"--evaluation of the cases for vaginal delivery and those for elective cesarean section, taking into consideration criteria for delivery after cesarean section.

Adult

[A single dose of doxycycline for preventing infections after cesarean section].

The effect of a single prophylactic dose of 500 mg of doxacycline was studied on infectious morbidity in 50 women, undergone caesarean section. There was a reduction in the number of women with puerperal infection in comparison with a control group of women, who received long regimen of prophylactic antibiotics--ampicillin and gentamicin. The reduction was manifested mostly in women with endometritis and febrile state. It is suggested that this could be due to long-lasting monotonous prophylaxis, causing resistance of the microorganisms.

Adult

[Labor after having had a cesarean section].

The authors describe current literature, in which they defend a concept for wider vaginal delivery in women, undergone caesarian section (greater than or equal to 2/3 according to the literature). These figures are low--from 20 to 40%, unduly according to their experience. It is indicated that oxytocin induction and stimulation should be used more freely as well as stimulation under suitable conditions--high pelvic score, lack of pelviofetal disproportion. Absolute contraindication for vaginal delivery are not women, undergone more than one caesarian section. The authors report on successful case reports.

Bulgaria