Biomedical subjects
Publications and source records attributed to M Mogilner.
A case of microcephaly that developed intrauterine is described. Since it began three weeks after a car accident during second trimester of pregnancy, we attribute it to "brain disruption sequence" resulting in an arrest of brain development after the injury.
Forty consecutive patients with uterine hyperactivity, defined as either tachysystole and/or hypertonus during the active phase of vertex delivery, were treated with intravenous ritodrine (50 up to 300 micrograms/min, in 50 micrograms increments/5 min). Thirty-four patients (85%) responded within 20 min with termination of the uterine dysfunction and all (21, 52%) concomitant fetal heart rate distress signs disappeared. The treatment did not prolong labor, as this was significantly correlated to parity and cervical dilation when treatment was initiated (P less than 0.0006 and P less than 0.008, respectively). Fifteen patients were delivered by cesarean section (37.5%) mainly for cephalopelvic disproportion. Multiparas were older and had shorter ritodrine initiation-delivery intervals, but these were the only significant differences when compared to primiparas. Ritodrine is therefore suggested as an effective treatment of uterine hypercontractility dysfunction.
The effects of nimodipine, on total and regional cerebral blood flow and cardiovascular function of the newborn chloralose-anesthetized lamb were investigated following intravenous bolus infusions (0.2, 0.6 and 2.0 micrograms/kg). At 2.0 micrograms/kg, the mean arterial blood pressure increased from 72.3 to 85.8 mm Hg. Total cerebral blood flow 45 min after infusion increased by 93%, as did regional flows to the gray (101%) and white (77%) matter and subcortex (108%). In a separate series of experiments we decreased arterial blood pressure from 71 to 40 mm Hg by phlebotomy. Nimodipine (30 micrograms/kg) bolus infusion significantly increased blood flow above control values to the total brain (41%), gray matter (53%), subcortex (76%) and brainstem (69%) 10 and 40 min later. However, no further increase in flow or decrease in cerebrovascular resistance was observed when compared to hypotension alone. Nimodipine appears to be well tolerated in the newborn lamb, and appears to increase cerebral flow during normotension. At the levels of hypotension used in the current experiments, nimodipine produced no further increases in cerebral blood flow.
A family is presented in which ano-rectal malformation and features common to Alport Syndrome appear to be present in three generations. The possibility of a new syndrome based on a single gene defect is discussed.
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Acute appendicitis with perforation in a premature baby, weighing 1 050 g, is described. Initially the infant did well after surgery, but succumbed to sepsis, as a result of hyperalimentation, eleven days later. This is the smallest infant suffering from appendicitis reported in the English literature.