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Biomedical subjects

G Stranz

Publications and source records attributed to G Stranz.

At least 19 recordsLinked to original sources

[Clinical value of CEA studies in patients with benign and malignant breast diseases with special reference to oncologic after care].

Carcinoembryonic antigen (CEA) was assayed by radio immunoassay in serum of 87 patients with breast cancer and 85 patients with benign breast tumors from 1983 to 1986. The sensitivity of 43%, the specificity of 89%, the predictive values in regard to a positive assay result of 75% and in regard to a negative assay result of 67% was determined in consideration of a changed prevalence. It is referred to the importance of the estimation of CEA in the individual diagnosis, monitoring and follow up of patients with breast cancer. It is claimed the follow up for the premature recording of a recurrency the aid of CEA-estimation in always the same technical variant at the same patient.

Breast Neoplasms

[Psychological adjustment to breast amputation].

50 women, observed after mastectomy in the oncology dispensaire Wismar, were submitted to a detailed medical exploration and the treatment with the "Freiburger Persönlichkeitsinventar" (FPI). We can say, that hitherto existing forms of psychological treatment of the patients with breast cancer are not sufficient and a change of treatment of these patients is suggested.

Adaptation, Psychological

[Prolapse of the umbilical cord--an intrapartum emergency situation].

There were 37 cases of prolapse of the umbilical cord among 16 177 deliveries (incidence of 0,2%). Therapy is firstly knee-chest positioning of the mother, control of fetal heart rate and acute tokolysis, secondly rapid delivery. The perinatal mortality of prolapsed cord was 13,5 per cent. Various methods of delivery are analysed.

Emergencies

[Is the treatment of breast diseases the responsibility of gynecologists?].

The answer is affirmative to the question whether mammary diseases should be treated by the gynaecologist. An attempt is made to substantiate this view by making reference to essential aspects relating to diagnosis and therapy of mammary diseases. Examination of the female breast is part of gynaecological routine diagnosis. Women with mammary complaints usually apply first to their gynaecologist. The female breast, after all is one of the reproductive organs exposed to endocrine effects, just as the genital organs are. Methods of endocrinological therapy have gained growing importance for both benign mammary diseases and mammary carcinoma.

Adult

[Is prognostic information obtainable from serum PZ level with imminent abortion? (author's transl)].

Reported in this paper are 359 abortion patients and 550 women with normal pregnancy from whom serum PZ (pregnancy zone protein), SP3, PAG, was determined, between 1974 and 1979. Serum PZ failed to enable any safe prognostic assessment of endangerment to early pregnancy. Evaluable diagnostic information was found to be not obtainable before the tenth week of pregnancy. Any drop of data below the critical limit of 200 mg/l must be taken to indicate with high probability that pregnancy is no longer intact.

Abortion, Incomplete

[Results obtained from lumbar catheterisation for epidural analgesia for painless labour (author's transl)].

Experience obtained from 115 childbirths with catheterisation for epidural analgesia is reported in this paper. Reduction of labour pain was optimum with all patients.--The rate of CTG alterations and acidosis of foetal blood was not beyond that recordable from normal deliveries. The rate of vaginal surgery was increased to 14.8 per cent due to one patient in whom expulsion was delayed and the expulsion period thus prolonged.

Anesthesia, Epidural

[Programmed childbirth - methods and results (author's transl)].

Reported are 304 patients with whom programmed childbirths were introduced, between 1976 and 1978. A control group was made up of 100 women in labour who had been hospitalised for spontaneous onset of labour but then given slow drip oxytocin infusions for secondary uterine inertia. The parameters tested (time of labour, FHF behaviour, pH of umbilical artery, Apgar score, weight, length, and perinatal mortality) did not reveal any aggravated risk to mother and child. Programmed childbirth may be recommended as another important preventive step towards lower infantile morbidity.

Apgar Score

[Experience from use of Cardiff system (author's transl)].

Reported in this paper are 128 tocometrically controlled oxytocin infusions, using the Cardiff system. The oxytocic intervals were clearly shorter in comparison to conventional oxytocin drip infusion. However, more deliveries had to be completed surgically for foetal emergency situations, which, probably, was attributable to excessive rapid increase in oxytocin infusion rate due to the instruments used.

Female

[Preventive version of breech presentation--first results and complications].

In breech presentation near term the prophylactic external cephalic version using tocolytic drugs represents a modern practice. This method needs a critical valuation. Report about 23 external versions with assistance of tocolytic drugs and insufflation anesthesia. In 17 cases the version was successful. In addition to the 3 unsuccessful attempts 3 complications appeared: twice a partial ablatio placentae and once a prolapse of the arm and umbilical cord on intact amniotic sac.

Anesthesia, Inhalation