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Biomedical subjects

N Wahl

Publications and source records attributed to N Wahl.

16 recordsLinked to original sources

Long-term tocolysis with combined intravenous terbutaline and magnesium sulfate: a 10-year study of 1000 patients.

OBJECTIVE: To determine whether long-term intravenous (IV) tocolysis using combined terbutaline and magnesium sulfate is safe and effective. METHODS: One thousand consecutive women in preterm labor were treated with combination IV tocolytic therapy. Terbutaline was initiated with an infusion rate of 1.75 micrograms/minute and increased to a maximum of 80 micrograms/minute. Magnesium sulfate was infused at 2 g/hour without any bolus and increased to maintain a serum level of 6.5-7.5 mg/dL. Tocolysis was continued until fetal lung maturity was achieved or delivery occurred. RESULTS: Combination tocolytic therapy prolonged pregnancy by a mean (+/- standard deviation) of 61 +/- 23.6 days in 751 women with intact membranes and by 20.5 +/- 17.4 days in 249 with ruptured membranes. The longest durations of continuous IV tocolysis were 123 days in a patient with intact membranes and 77 days in one with ruptured membranes. The most common side effects were nausea and vomiting, followed by chest tightness and shortness of breath. CONCLUSION: Long-term IV tocolysis appeared to be safe and to have acceptable side effects, allowing patients to receive combined terbutaline and magnesium sulfate until delivery.

Adult↗

Only the rich kids had 'em.

Seven former orthodontic patients who were treated during the 1920s, '30s, and early '40s were questioned with respect to their perceptions of treatment. Two of the subjects were orthodontists and one was a general dentist, thus offering technological insights. Emphasis was placed on treatment acceptance, social and financial impact, pain, techniques, and overall result. Replies indicate that, while technological improvements were yet to come, patients coped at least as well as do today's counterparts. Orthodontic treatment in those days, like life in general, was simple and stern. Nevertheless, there was overall patient satisfaction with both the doctor and the result.

History, 20th Century↗

The role of maternal diabetes in repetitive spontaneous abortion.

The role of maternal diabetes as a cause of repetitive early pregnancy loss was evaluated by examining the reproductive performance of 154 diabetic patients in 489 pregnancies. The overall incidence of spontaneous abortion among gestational diabetics (12.7%) and frank diabetics (12.2%) was not significantly different from that of matched controls (10.9% and 14.5%, respectively). The frequencies of repetitive (two or more) miscarriage were also similar among both gestational diabetics versus matched controls (10.6% versus 9.1%) and frank diabetics versus matched controls (14.6% versus 16.7). It is concluded that diabetes per se is not a frequent cause of repetitive pregnancy loss and that routine glucose tolerance testing is not indicated in the evaluation of patients with a history of habitual abortion.

Abortion, Habitual↗