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Biomedical subjects

W H Replogle

Publications and source records attributed to W H Replogle.

8 recordsLinked to original sources
PubMed1991

The Cytobrush effect on Pap smear adequacy.

One hundred twenty-four Papanicolaou smears were studied to compare the yield of endocervical cells obtained with the Cytobrush/Ayre spatula method to that of the cotton-tipped applicator/Ayre spatula method. Forty-nine of the 62 Pap smears (79%) obtained with the combination Cytobrush/Ayre spatula method contained endocervical cells, compared to 22 of the 62 smears (35%) obtained with the cotton swab/Ayre spatula method (chi 2 = 24.02, P less than 0.0001). The Cytobrush/Ayre spatula method obtained endocervical cells in 14 of 17 (82.4%) of the patients with stenotic ora, compared to 0 of 12 (0%) patients for the cotton swab/Ayre spatula method (P less than 0.001). The Cytobrush/Ayre spatula method obtained endocervical cells in 8 of 11 (72.7%) postmenopausal patients, compared to 4 of 14 (28.6%) patients for the cotton swab/Ayre spatula method (P = 0.05). Using the cervical Cytobrush for Pap smears increases the recovery rate of endocervical cells, which may improve the detection of cervical dysplasia in the patient population as a whole, in postmenopausal women, and in women with stenotic cervical ora.

Adult↗
PubMed1988

Scuba diving injuries.

Scuba diving has become increasingly popular, and family physicians may encounter patients who have been injured in a dive. Manifestations of diving injuries may not occur until 12 hours or more after a dive. Initial treatment, based on knowledge of the pathophysiology of decompression sickness, lung expansion injuries and ear barotrauma, may prevent severe and permanent sequelae. Decompression sickness and air embolism are medical emergencies.

Air Pressure↗
PubMedDate not supplied

Chaperone use in primary care.

Two recently published surveys showed that a significant number of male adolescent medicine specialists performed unchaperoned pelvic examinations. Since this is a surprising finding, primary care physicians in Mississippi were surveyed to assess their use of chaperones during patient examinations. The survey found that male physicians typically did use chaperones for pelvic examinations. The frequency of chaperone use among male physicians when performing pelvic examinations did not vary by physician specialty. There was considerable variability in chaperone use by female physicians for both male and female patients.

Adolescent↗