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Biomedical subjects
Publications and source records attributed to H W Foster.
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The uterus is often justifiably removed when anatomically it is a normal organ. Unfortunately, such surgery often is viewed with suspicion because there is failure to communicate the justification to patients and uninformed critics. An effort is made in this manuscript to categorize procedures and thus more clearly delineate the indications for removal of the normal uterus. Reviewed is a total of 485 hysterectomies performed over a ten-year period in a medical school affiliated hospital providing training in obstetrics and gynecology for second-year residents and for third- and fourth-year medical students. Eighty-two of the 485 uteri removed (16.9%) were considered anatomically normal by the criteria set forth. The morbidity associated with these cases was minimal.
The amount of total lipids of the amniotic fluid of normal human subjects increases progressively with gestational age and is found to be maximum in labor at term. The lecithin/sphingomeylin ratio, which invariably increased with gestational age, is 2:1 or greater beyong 34 weeks of pregnancy and becomes maximum at term labor. No definite correlation exists between the palmitic acid content of total lipids and gestational age; but the palmitic acid content of the lecithin fraction increases with gestational age and this increase is markedly accelerated near the 34th week of pregnancy. Also it is observed that the arachidonic acid of cholesterol esters increases with gestational age. Therefore, it is suggested that both the palmitic acid level of lecithin and the arachidonic acid level of cholesterol esters might serve as more reliable indices that current methods being employed for the assessment of fetal lung maturity.
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