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G E Stiles

Publications and source records attributed to G E Stiles.

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Spontaneous rupture of the diaphragm in labour: a case report.

Spontaneous rupture of the diaphragm during normal labour is extremely rare. It requires emergency surgical correction. The authors report what they believe is only the second reported case. Eleven hours after delivery of a male infant, a 27-year-old woman experienced severe epigastric pain, vomiting and dyspnea, followed by cardiopulmonary arrest. Although the ruptured diaphragm was diagnosed and repaired, she suffered severe anoxic encephalopathy and died 3 weeks after operation without regaining consciousness. Clinicians must be aware of the existence of this rare condition because failure to diagnose and treat the ruptured diaphragm will almost certainly lead to the patient's death.

Adult

Evaluation of a new rapid slide test for pregnancy.

A new latex-inhibition slide test for pregnancy, Gest female State, with the use of polystyrene latex particles to which human chorionic gonadotropin (hCG) has been bound, is described. The sensitivity of this test was found to be 2 to 4 1.U. of hCG per milliliter of urine. Clinical trials with the Gest female State in urine samples from 328 patients (203 positive, 125 negative) showed one false negative and no false positive results. Urine containing drugs or high concentrations of various ingredients and abnormal urine did not result in interference with expected test results. The new test was comparable with or superior to other commercially available rapid slide tests for pregnancy.

Evaluation Studies as Topic

The reagin screen test: a new reagin card test for syphilis.

A new card test for syphilis, the reagin screen test (RST), employs a stabilized cardiolipin--cholesterol-lecithin antigen stained with Sudan black. The sensitivity and specificity of the RST are essentially the same as those of the Venereal Disease Research Laboratory (VDRL) test. The RST is quick and is easy to perform since the specimen of serum does not have to be inactivated by heat or transferred from the tube into which blood was drawn. The results of the test are read macroscopically on a card. The RST antigen is ready to use at all times, and it is stable for at least two years.

Antibodies