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H Wyss

Publications and source records attributed to H Wyss.

5 recordsLinked to original sources

[Rumania January 1990: acute medical deficits and chronic shortage--an evaluation at the site].

Between January 4 and 8, 1990, a medical delegation of the University Hospital Zurich (three surgeons, one OT-nurse) was sent to Bukarest. They escorted a large sending of surgical and pharmacological equipment. The assignment was 1. to evaluate the situation in the hospitals around the Bukarest area; 2. to determine the feasibility and the need of medical emergency support; 3. to assess the usefulness and practicability of medium-term relief. A total of 11 hospitals were visited in Bukarest, Pitesti, Racovita and Schitu-Golesti. It was found that 1. a sufficient number of doctors and medical personnel is available; 2. emergency aid is important regarding pharmaceuticals (local anesthetics, analgetics, insulin), infusions, dressing material, surgical instruments and external fixation equipment; 3. medium-term support is need for the complete medical equipment (syringes, injection and infusion sets, probes, suture material, etc.). Local medical literature and journals are worthless. Doctors long for high-quality medical books and periodicals. We can help!

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Prolactin and deficient luteal function.

The possibility of prolactin-dependent subfertility was investigated in a group of 8 women, with luteal insufficiency exhibiting moderately elevated plasma prolactin (PRL) levels and/or galactorrhea. Another group of 10 normal women volunteers served as the control group. A "luteal index" was elaborated by integration of the area below the curve of plasma progesterone (P) values recorded throughout the postovulatory period. The calculated index for normal women was 177 +/- 35 (SD) expressed as [(ng/ml) x time], and the value of 107 (--2 SD) was adopted as the lower limit of normality (97.5% confidence limit). All 8 patients had luteal indexes (range 20--105) below the established limit. Therapy with bromocriptine (CB 154), 5 mg/day, suppressed PRL to normal levels and prolonged the postovulatory hyperthermic phase in 6 out of 8 women. This was accompanied by an improvement in the luteal index, and 5 women conceived. It is concluded that prolactin may interfere with normal progesterone synthesis by the corpus luteum, as demonstrated by the prompt restoration of fertility by bromocriptine treatment in women with regular cycles and inadequate luteal function.

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