PubMed HealthSearch

Biomedical subjects

D Millet

Publications and source records attributed to D Millet.

At least 37 records · Page 2Linked to original sources

Protrusion of the laryngeal ventricle in a pediatric patient following nasotracheal tube intubation.

Nasotracheal intubation has been well established as a method for maintaining an artificial airway in children. Approximately 0.5% to 1.0% of cases have complications that require surgical intervention to correct the laryngeal trauma. A complication described as protrusion of the laryngeal ventricle following nasotracheal intubation is reported. The clinical presentation and a rationale for the treatment plan are discussed.

Child

[Male hypogonadotropic hypogonadism. Success of treatment of sterility with HMG plus HCG].

Ten typical cases of male eunuchoidism (two with anosmia) are reported. After administration of clomifene citrate to five patients, there is no change in blood levels of gonadotrophins in four cases; in the fifth, a small and transitory increase of LH is noted. The intravenous injection of LHRH (100 mug) to five patients induces an increase of serum LH in all cases and serum FSH in three cases. The initial site of the dysfunction is possibly hypothalamic with secondary gonadotrophic pituitary insufficiency. Among six patients anxious for paternity, prolonged treatment (for 36 to 98 weeks), with HCG (250-1 000 I.U. daily) +HMG (65-120 I.U. FSH daily) results in appearance of spermatozoa in the seminal fluid in five cases and a pregnancy was obtained in four cases. Comments are done upon methods of treatment.

Adult

[Chromosome abnormalities in male sterility].

A study of the caryotype in 281 cases of male secretory sterility. Chromosomal anomalies were found in 81 cases, i.e. 78 cases, of azoospermia, 3 cases of oligospermia. Barr bodies were found in 66 cases of Klinefelter syndrome or one of its varieties. In the remaining 15 cases, there was no Barr chromatin: 7 of them bore gonosomal abnormalities with or without mosaicism. In 8 cases reciprocal translocations were found: in 2 of them a sexual chromosome was involved. The high rate of chromosomal anomalies should be stressed: every male secretory sterility, especially with azoospermia, warrants a chromosomal study. In the group of translocations, FSH and LH rates are not elevated in spite of the existence of azoospermia, whereas they are consistently increased in all the other chromosomal abnormalities: this so far undescribed phenomenon has no present explanation. The role played by translocations in male secretory sterility, although difficult to understand, is well documented, since translocations occur ten times more frequently in male sterility than in the general population.

Chromosome Aberrations

[Adaptation of a cervical cap for human artificial insemination].

The authors have designed a cervical cap in plastic throught which artificial insemination can be practised. The material allows prolonged contact between semen and the cervical mucus. Tests carried out 24 hours after insemination have shown that after 159 inseminations there were mobile spermatozoa in the mucus in 145 cases.

Female

Hearing impaired clinic--a one-year survey.

The Hearing Impaired Clinic was established at Children's Hospital Medical Center in Cincinnati for the purpose of integrating a multifaceted effort of habilitation of the child with a hearing impairment. This article discusses the rationale for such a clinic and presents the data obtained from the first year that the clinic was functioning. Details of audiological and otological evaluations indicate that there is still a significant delay in the habilitation of these children that could be countered by a greater awareness of the significance of hearing loss in the young child.

Adolescent