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Biomedical subjects

D D Mathews

Publications and source records attributed to D D Mathews.

At least 19 recordsLinked to original sources
PubMed1979

A double-blind trial of single-dose chemoprophylaxis with co-trimoxazole during vaginal hysterectomy and repair.

Twenty-five patients received 10 ml co-trimoxazole (800 mg sulphamethoxazole and 160 mg trimethoprim) and 25 a placebo by intravenous infusion during one hour from the commencement of surgery for vaginal hysterectomy with anterior colporrhaphy and posterior colpo-perineorrhaphy. Single-dose chemoprophylaxis with co-trimoxazole was shown to be effective in reducing the incidence of postoperative febrile morbidity and urinary tract infection, especially that caused by Proteus species.

Aged↗
PubMed1978

Fetal well-being in gravidas with diminished fetal activity at term.

Twenty-five patients reporting a marked diminution in fetal activity at term in otherwise normal pregnancies were compared with 25 controls, matched for age, parity, and other factors, in whom movements were reported to be vigorous. Fetal well-being was assessed by maternal serum human placental lactogen concentration, maternal urinary estriol excretion, and fetal scalp blood acid-base values and hemoglobin concentration. Fetal biologic maturity was assessed by liquor creatinine concentration, percentage of orange cells on Nile blue staining, and "shake" testing. The 2 groups of patients showed no difference in fetoplacental well-being or degree of fetal biologic maturity.

Acid-Base Equilibrium↗
PubMed1978

A randomized controlled trial of a short course of cephaloridine in the prevention of infection after abdominal hysterectomy.

One hundred patients took part in a randomized controlled trial to test the efficacy of three 1 g doses of cephaloridine in preventing infection after abdominal hysterectomy. The first dose was given as an intravenous bolus at the commencement of surgery and the second and third as intramuscular injections 6 and 12 hours later. Given in this way, cephaloridine was found to be very effective in preventing febrile morbidity, abdominal wound infection and urinary tract infection. It was less effective in preventing pelvic wound infection and postoperative colonization of the vagina with Escherichia coli.

Cephaloridine↗
PubMed1977

A double-blind trial of single-dose chemoprophylaxis with co-trimoxazole during total abdominal hysterectomy.

Thirty patients received 10 ml co-trimoxazole and 29 a placebo by intravenous infusion during one hour from induction of anaesthesia for total abdominal hysterectomy. The incidence of postoperative urinary tract infections was significantly lower in patients who had received co-trimoxazole. Co-trimoxazole was also found to inhibit postoperative colonization of the upper vagina with Escherichia coli. The incidences of postoperative pyrexia (38 degrees C or over) and both early and late abdominal wound abscess formation were almost identical in the two groups of patients.

Clinical Trials as Topic↗
PubMed1977

A randomized controlled trial of bed rest and sedation or normal activity and non-sedation in the management of non-albuminuric hypertension in late pregnancy.

One hundred and thirty-five patients took part in a randomized controlled trial designed to determine whether bed rest and sedation are of any general benefit to either the mother or the baby in pregnancies complicated by mild non-albuminuric and non-symptomatic hypertension after the 28th week. The results suggest that they are not.

Adult↗
PubMed1976

A randomised controlled trial of an oral solution of prostaglandin E2 and oral oxytocin used immediately after low amniotomy for induction of labour in the presence of a favourable cervix.

A randomised controlled trial was carried out in 50 primigravidae and 50 multigravidae to compare the effectiveness in induction of labour after low amniotomy of prostaglandin E2, given as an oral solution, and oxytocin, given as buccal tablets. The results showed that in dosages recommended by the manufacturers, both oxytocic preparations were almost equally effective. With oral oxytocin, once labour had been established and dosage was left to the discretion of the staff, there appeared to be a potentially dangerous tendency to continue giving large doses despite adequate uterine contractions. The authors comment that this was probably the reason why oxytocin-treated multigravidae having normal deliveries within 24 hours had labours significantly shorter on average than those of other successfully induced patients.

Administration, Oral↗
PubMed1975

Maternal assessment of fetal activity in small-for-dates infants.

Fifty consecutive obstetric cases have been analyzed in which there was a clear history of either vigorous or reduced fetal activity during the week preceding delivery resulting in the birth of an infant weighing 2.5 kg or less after the 37th week. Especially in such hypertensive pregnancies, a maternal history of reduced overall fetal activity is very suggestive of impending fetal death, while a history of vigorous fetal activity tends to denote that the fetus is in no immediate danger. A plea is made for a greater awareness of this econimical "test" of fetal well-being. It is suggested that in some circumstances both impaired fetal growth and reduced fetal activity may be teleologic adaptations to the threat of a negative energy balance.

Adult↗
PubMed1972

Delay in labour.

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Female↗