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Biomedical subjects

J McEwan

Publications and source records attributed to J McEwan.

12 recordsLinked to original sources
PubMed1977

Continuous intrauterine copper contraception for 3 years: comparison of replacement at 2 years with continuation of use.

A total of 1245 women had a copper 7 intrauterine contraceptive device (IUD) inserted in 1971-3 were followed up for three years (22 761-5 women months of use). After 24 months 483 women elected to continue with the same copper 7 (continuation group), and 183 had their copper 7 replaced with a new one (replacement group). The subsequent pregnancy and expulsion rates were both significantly lower in the replacement group. The higher pregnancy rate among the women who continued to use their copper 7 device for a third year suggests that although the copper is still there, it is not available for contraceptive action. Replacing the device at 24 months did not seem to cause again the problems that usually occur in the first six months of IUD use.

Adult↗
PubMed1977

Choosing which pill.

Explore the source record for details and available documents.

Contraceptives, Oral↗
PubMed1976

Liver function tests following anaesthesia.

Liver function tests were performed in 41 patients who required repeated anaesthetics for genito-urinary surgery, and who had received multiple halothane anaesthetics in the past, first following anaesthesia using halothane and then following an anaesthetic without halothane. There was a smaller frequency of disturbance of liver function after halothane than after the non-halothane anaesthetic. There was no obvious relationship between the number of anaesthetics, or the total duration of anaesthesia, and the disturbance of liver function tests.

Aged↗
PubMedDate not supplied

The British retrospective and prospective studies.

The clinician needs scientific evidence to enable him to advise patients efficiently and correctly. The sources of this evidence are listed and the part played by each discussed. The rarity of adverse effects from the use of oral contraceptive pills entails the need to make use of epidemiologic studies. The different types of study are briefly described, with examples from recent work carried out in Britain. The advantages and problems of interpretation associated with each are discussed. The present position taken by United Kingdom doctors working in the field of contraceptive practice is summarized.

Contraceptives, Oral↗
PubMedDate not supplied

Smoking, age and the pill.

A brief outline is given of alterations in the normal physiology caused by cigarette smoking, aging and taking combined oral contraceptive pills. There are similarities in some of these effects. Evidence is considered regarding the health risks of using the pill and the relationship of these risks to the age of the woman and her smoking habit. This evidence is derived from recent epidemiologic studies carried out in Britain on some aspects of morbidity and the death rates ascribable to the pill. The implications for prescribing clinicians are discussed and indications are given for reducing the overall risks to life and health for pill users.

Adult↗