Biomedical subjects
Publications and source records attributed to W Reus.
The author reviews some archaeologic findings, interesting for medical history, in the field of gynaecology. Due to erroneous opinions, they were described a few years ago in an incorrect manner in wide-spread publications.
Microsurgical transfer of tissue has become a primary tool of the reconstructive surgeon. The elderly, as a growing segment of our society, are requiring free-tissue transfers in proportion to their numbers. To investigate the potential morbidity of free-tissue transfers in the elderly, we studied consecutive populations of 31 patients above the age of 65 years and 90 patients below the age of 65 years. Complication rates were 65 and 49 percent, respectively. Premorbid medical conditions were present in 87 percent of patients 65 years and older and in 72 percent of those under 65 years. Medically related complications in free-tissue transfers, previously unreported in the literature, were 35 percent in the elderly group and 10 percent in the younger group. Wound-healing complications were seen in equal proportions between groups. The rates of wound and medically related complications observed in the elderly group were nearly double those observed in the younger group; however, after correction for the presence of preexisting medical conditions, no significant differences were seen between the two groups. These observations suggest that age alone is not a variable in risk for free-tissue transfers. Elective microsurgery can be performed in the elderly patient with a high expectation of success.
The author describes the common ideas of the human uterus in Etruscan and early Roman Italy known from anatomical ex-votos and gems, most of them found in the regions of Etruria and Latium. In contrast, a medical or scientific concept of the human uterus can be found in various manuscript copies from ancient writers, especially in those derived from the Coan school of medicine, from ancient Greek philosophers and in those derived from Soranus of Ephesus, the best-known teaching authority on obstetrics in Roman medicine. Miscellaneous concepts were characteristic of drawings in later manuscript copies of the early middle ages.
Echocardiographic Doppler measurements of blood flow velocity are a noninvasive way of studying maternal central haemodynamics. Part 2 reports on additive and derived physiological parameters using different Doppler ultrasound techniques. This paper shows that quantitative assessment of adaptive maternal central circulatory regulation must be interpreted in respect of methods and machines. Technical requirements to be met by the Doppler equipment to avoid present limitations are discussed as are various aspects involved in such studies.
Echocardiographic Doppler measurements of blood flow velocity are a noninvasive way of studying maternal central haemodynamics. Part 1 reports on conditions as well as on practical and theoretical problems recognized as contributing significantly to the use and interpretation of Doppler ultrasound techniques in the assessment of adaptive central circulatory regulation in pregnancy. The significance of different techniques is shown by assessments of the peak velocity and the velocity time integral.
A technique of short-term tests in vitro by means of the incubation of tumor cell suspensions is utilized as a radioactive-biochemical method for pretherapeutic determination of the resistance in human cancers of the breast. Cell suspensions from primary tumors and metastases reveal individually different responses to cytostatics in vitro. It is possible, therewith, to differentiate two tumor collectives related to in vivo resistant or in vivo sensitive tumors. The responses of the primary lesion and the axillary lymphatic metastasis of the same carcinoma may in single cases also differ in vitro, according to clinical experience with the therapy of breast cancer. A distinct relation can be shown between the histological type of a carcinoma and its in vitro capacity of resistance.
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