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Biomedical subjects

M J Schulte

Publications and source records attributed to M J Schulte.

13 recordsLinked to original sources

A method to track surgical site infections.

We present an approach to assessing the impact of surveillance for surgical site infections and providing feedback to surgeons on their progress, as part of continuous quality improvement. Adjusting for patient risk factors using the Standardized Mortality Ratio, there was a marked decrease over time in both SMR (1.3 to 0.27) and crude infection rates (32 to 10 per thousand operations per year). These declines cannot be explained by decreased length of hospital stay.

Benchmarking↗

[Lethal achondrogenesis: a review of 56 cases (author's transl)].

54 cases with lethal achondrogenesis from the literature as well as two own cases are reviewed and analyzed with regard to the following characteristics: sex, hydramnios, breech presentation, duration of pregnancy, length and weight at birth, head circumference, length of upper and lower extremities, clinical and radiological data, age of mother and father at time of birth, familial occurrence and consanguinity of parents, histological, histochemical and electronmicroscopic tissue examination.

Birth Weight↗

[Congenital atresia of the extrahepatic bile-ducts in two siblings (author's transl)].

Congenital atresia of the extrahepatic bile-ducts in two siblings (boy and girl) with parental consanguinity is reported. Diagnosis is based on liver biopsy. In one case (boy) laparotomy was performed. An attempt at reconstructive surgery of the biliary tract was unsuccessful and the boy died at the age of 13 months. Only a small number of cases with familiar congenital extrahepatic biliary atresia have been published to date.

Bile Ducts↗

[Pseudohermaphroditism due to XY gonadal absence syndrome (author's transl)].

A case about a 16 year old individual is presented, in whom no internal genitals and vagina were found; no signs of breast development, axillary and pubic hair growth could be detected. The external genitals were hypoplastic. A sinus urogenitalis was present. The sex chromosome pattern was normal male (XY). On both sides of the pelvic wall rudiments of the Fallopian tube were observed by laparoscopy. Testosterone, estradiol, 17 alpha-OH-progesterone as well as androstendione-secretion could not be stimulated by HCG. Basal and LH-RH stimulated gonadotropins indicated a hypergonadotropic state. Height and bodyweight were in the range of a 12-year old boy, the bone age correlated with 14 years.

Adolescent↗