Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Feb 1981
Case Reports[An unusual case of repeated self mutilation (author's transl)].
An unusual case is presented of repeated, life-threatening self mutilation, elicited by the topical application of sodium hydroxide, which necessitated several operations, including amputation of the left lower leg. Histological examination revealed colliquation necrosis and a striking eosinophilia. The latter feature, which was not reproducible in an animal experiment, may be related to a defect of leucocyte locomotion in the present case.
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Socio-psychiatric relevant data were excerpted from our own records of patients whose cases had been followed up for years and from 67 questionnaires on suicide prophylaxis established by the "Work Group for Preventive and Social Medicine" (Arbeitskreis für Vorsorge- und Sozialmedizin). The following items were dealt with: age and sex distribution, social status, habitation structure, kind of suicide attempt and, particularly, its diagnostic category. ⋯ The new group is distinguished by loss of cognitive and emotional stability. This socio-psychiatric study closes with a discussion of the therapeutic aspects of prevention and intervention, the significance of which is emphasized by the high rate of repeated suicide attempts.
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Wien. Klin. Wochenschr. · Mar 1979
Clinical Trial[The effect of antibiotic prophylaxis in vaginal obstetric procedures (author's transl)].
202 cases of vaginal obstetric procedures (forceps and vacuum extraction, breech delivery and manual removal) were reviewed with regard to assessing the value of prophylactic administration of antibiotics. Criteria for the evaluation were fever post partum, duration of stay in hospital and involution of the uterus. ⋯ Hence, in view of the risk of allergic reactions, toxicity and the selection of resistant strains the prophylactic administration of antibiotics does not seem to be justified in vaginal obstetric procedures. Scrupulous aseptic precautions during all vaginal or intrauterine procedures are considered essential for the prevention of infection.
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Wien. Klin. Wochenschr. · Feb 1979
[Femoro-crural reconstruction in preference to amputation (author's transl)].
22 cases of arterial occlusion below the branching of the popliteal artery and 1 case of traumatic subtotal amputation of the calf were revascularized by autogenous femoro-crural vein bypasses. All patients had pain at rest and/or gangrene. So far, with an average bypass patency of 15 months in two of three equal parts of the operated legs, the decision to try reconstruction instead to amputate has met with successful results. The operative technique is described in detail and the speical problems of this group of patients and the particular difficulties of this technically sophisticated bypass procedure are discussed.