The problem-oriented record (POR) is a medical record format that consists of a standard data base, a problem list, problem-oriented plans and problem-oriented progress notes. It has been claimed repeatedly that the use of a POR improves medical care. The effect of the standard data base and problem list components ...

Awareness of the age at which various pediatric hip disorders present and familiarity with their characteristics greatly aid in early detection. A properly performed physical examination is still the mainstay of early diagnosis. The earlier a hip disorder is discovered and treated, the less the chance of lasting harm to ...

Bronchoscopy in infants and children has been facilitated by recent technologic advances. Better optical systems, intense "cold" light sources, and miniaturization of instrumentation have all contributed to the more effective use of the bronchoscope as a diagnostic and therapeutic tool. Despite these advances, two persistent problems remain major concerns for ...

The dermatologic problems observed in athletes are related to their skin type, age, sex, sporting activities, environment, and hereditary factors. The most common dermatologic problems are acne; bacterial, fungal, and viral infections; infestations, and contact dermatitis. The dermatologic conditions that exclude an athlete from participating in the sporting event are ...

Efficacy of an eight-week rotation in developmental and behavioral pediatrics for second-year pediatric residents was evaluated. Pretesting and posttesting disclosed that our residents felt more competent with biosocial problems, had more favorable attitudes toward patients with biosocial problems, and had increased factual knowledge in developmental and behavioral pediatrics. When reevaluated ...

Physical signs, excluding epilepsy, were studied in 97 individuals with tuberous sclerosis. While the red facial rash (adenoma sebaceum) is taken to be one of the classic symptoms, depigmented skin macules were more common. The depigmented patches and raised areas (shagreen patches) appeared in early childhood, and sometimes were present ...

It is understandable that clinically normal skin may show abnormalities when examined with the light microscope, but paradoxical that biopsy of a clinically significant skin disorder may show a histologic picture that looks like normal skin. From the perspective of the dermatopathologist, the invisible dermatoses are clinically evident skin diseases ...

For the past four years, the Department of Oral and Maxillofacial Surgery at the University of Florida College of Dentistry has participated in a respiratory physiology workshop, using nitrous oxide analgesia as a teaching aid. By using clinical faculty to teach an area both clinically relevant and with a strong ...

This review focuses on the pediatric nosocomial problems of the past few years, with emphasis on those found in community hospitals. The nosocomial infection problem of congenital rubella syndrome, genital herpes exposures, diarrhea, common childhood diseases and major lower respiratory infections are emphasized. Opinions about current problems are stated with ...

Laboratory methods evaluating pediatric patients for diabetes mellitus, cystic fibrosis, kernicterus and congenital hypothyroidism lack standardization of analyte and/or methodology. While these are the more common metabolic disorders of children the problems of the methods may result in improper diagnosis and treatment. In addition to standardization problems, glycosylated hemoglobin, free ...

The most frequent problems after subcutaneous mastectomy involve capsule formation, inadequate resection of breast tissue, and a poor aesthetic result as a consequence of nipple-areolar ptosis. These problems can be largely avoided by the submuscular placement of implants and, in patients with moderate-to-severe ptosis, by performing concomitant mastopexy or skin ...

Skin specimens were taken without any anaesthesia from four volunteers before and after a 1 hour's exposure to heat. No glycocalyx could be demonstrated in the resting gland, but it usually appeared, however, after one hour of thermal sweating--although not in all the sections. The possible implication of this phenomenon ...

Recognition of common eye problems affecting children is essential in the everyday practice of pediatrics. The physician should become familiar with a systematic approach for all ocular problems, including the examination of the newborn as well as trauma cases. The eye is a very accessible organ and the diagnosis of ...

Infantile asthama is an important pediatric problem and may cause substantial morbidity and mortality in this age group. The pathophysiology of allergic asthma involves a type I hypersensitivity reaction that is mediated by reaginic antibodies of the IgE class. Various factors predisposing to infantile asthma have been suggested but not ...

Exploration of the history, terminology, and classification of cerebral palsy reveals it as a complex entity. Criteria exist that may make early diagnosis and appropriate intervention possible. Dealing with patients who have cerebral palsy requires recognition of the associated problems and deficits. Comprehensive management usually requires a multidisciplinary setting, which ...

Extracts of the skin of some amphibians from Australia and Papua New Guinea contained, in addition to the usual 5-hydroxyindolealkylamines and histamine: a. two new, hitherto unknown indolealkylamines, i.e. O-sulphate of bufotenidine and 2-(3-indolyl) ethyltrimethylammonium, a quaternary ammonium base of tryptamine. The rare O-sulphate of bufotenine was also present, the ...

A semi-flexible socket fitted to a series of 47 consecutive below-knee amputees is evaluated, and the problems in assessing prosthetic components and appropriate methodology are discussed. The results suggest that this type of socket deserves wider use and further evaluation in active amputees, where comfort, perspiration control or the condition ...

Conservative vertical hemilaryngectomy poses the problem of relating the need to remove the tumor completely to the aim of reconstructing an adequate airway lined with epithelium. An attempt has has been made in experimental animals to overcome this problem using pedicled skin and homograft cartilage. The findings suggest that this ...

An outbreak of skin sepsis due to beta-haemolytic streptococcus group A M33, T3/13/B3264 occurred in a closed community. Staphylococcus aureus was also present in many of the lesions, but different strains were recognizable by phage typing. Environmental contamination was found. The outbreak was controlled by isolating infected boys and decontaminating ...

Seven cases of infants whose hips were clinically normal at birth, and in whom hip dislocation was later recognized, are reported. In spite of the widespread practice of routine examination of the hips of newborn babies, infants and young children are still presenting with congenital dislocation of the hip. This ...

Schoolchildren were tested on one arm with human sensitin RT 23 and simultaneously on the other arm with one of the sensitins prepared from atypical mycobacteria: nonchromogen, RS 10; photochromogen, RS 30; or scotochromogen, RS 64. Testing was made with low and with high doses of sensitins. Because of the ...

AIM: To establish the level and type of skin problems in people with obesity and the extent to which they sought advice on their problem. METHOD: A self-report survey was carried out in a specialist nutrition clinic in Scotland during 2001. A convenience sample of 100 patients was selected. RESULTS: ...

Dry skin (xerosis) is a common problem, and ranges from mild dryness through to severe dryness and skin breakdown. The use of emollients continues to be the main therapeutic approach to this problem. However, patients and healthcare professionals do not always appreciate the importance of emollient therapy, and are faced ...

Skin integrity is essential for the normal usage of a stoma appliance. There is little published on the prevalence, prevention or management of stoma skin problems. Allergic contact dermatitis is often cited as the cause, usually without evidence from formal investigations. The authors approached, by postal questionnaire, 525 patients who ...