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Mabogunje O A - - 1989
Of the 35 women who sustained burn injuries during the puerperium in Zaria, 31 had practised ritual hot baths or "Wankan-jego" which caused severe scalds. Five of the women also developed peripartum cardiac failure. Two died. Three of the newborns also died partly as a result of the mothers' illness. ...
Chagnac A - - 1989
Treatment with total lymphoid irradiation (TLI) and corticosteroids markedly reduced activity of systemic lupus erythematosis in 10 patients with diffuse proliferative lupus nephritis (DPLN) complicated by a nephrotic syndrome. Physiologic and morphometric techniques were used serially before, and 12 and 36 mo post-TLI to characterize the course of glomerular injury. ...
Colohan A R - - 1989
The authors report data collected prospectively on 551 cases of head injury in New Delhi, India, and 822 cases in Charlottesville, Virginia. The mortality rate, adjusted for initial severity of injury, was 11.0% in New Delhi versus 7.2% in Charlottesville (p less than 0.02). There was a striking similarity in ...
DeVivo M J - - 1989
An epidemiologic study of 5131 patients sustaining spinal cord injuries between 1973 and 1980 was conducted to determine and characterize the leading causes of death in this population. Patients who were studied had been admitted to one of seven federally designated regional spinal cord injury care systems and they survived ...
Perlman J M - - 1989
The systemic manifestations of "asphyxia" were evaluated prospectively in 35 consecutively intubated term newborn infants. The following systemic organ injuries were identified most often: (1) renal, ie, oliguria less than 1 mL/kg per hour for at lest 24 hours (40%), an elevated urinary beta-2-microglobulin concentration (57%), azotemia (11%), and an ...
Green J R - - 1989
Rectal injury during childbirth is a complication with potentially debilitating long-term consequences. Several factors have been suggested as influencing the risk of rectal injury. Among these are parity, infant birth weight, and various procedures performed by the birth attendant, including episiotomy. Whether episiotomies protect against or provoke laceration of the ...
Hadley M N - - 1989
The cases of 13 infants (median age, 3 months) who sustained nonaccidental trauma were reviewed. All presented with profound neurological impairment, seizures, retinal hemorrhages, and intracranial subarachnoid and/or subdural hemorrhages. Of 8 infants who died, autopsy was performed on 6. No patient had a skull fracture, and only one had ...
Brown B S - - 1989
In a study of a teaching hospital's newborn records 1986-1987, the definition of severe neurological injury in Virginia's Injured Infants Act was found to be associated with neonatal death, prematurity, and a preexisting maternal condition likely to contribute to poor outcome. The incidence of severe neurologic injury did not approach ...
Kleinman P K - - 1989
In 1984 we started a two-year program in Worcester (Mass.) and Boston to provide additional radiologic data for the medical investigation of suspected fatal infant abuse. During that period the investigation of 12 cases of unexplained infant death included the review of complete radiographic skeletal surveys by a pediatric radiologist. ...
Clancy R R - - 1989
The role of spinal cord injury in the pathogenesis of abnormal motor signs (depressed tone and reflexes) following severe perinatal hypoxia-ischemia was prospectively evaluated by clinical, electrophysiological, and neuropathological examinations in 18 asphyxiated neonates. All infants had an abnormal mental status (lethargy or coma), and seizures were present in 12. ...
Baba S P - - 1989
In Southern Sudan it is a commonly held belief that the unerupted deciduous canine tooth is injurious to the health of infants and that it causes diarrheal diseases. The teeth are therefore often removed by native extractors in an attempt to alleviate the symptoms of these dangerous diseases. This study ...
Hope P L - - 1988
Abnormalities detected by a mechanical sector scanner were compared 'blind' with autopsy findings in the brains of 56 infants born at less than 33 weeks gestation. Intraventricular haemorrhage was found in 53 of 112 hemispheres and had been accurately diagnosed by ultrasound (sensitivity 91 per cent; specificity 81 per cent). ...
Ellis W G - - 1988
Neuropathologic evidence of prenatal brain damage, chiefly in cerebral white matter, was found in 25% of infants who died at 7 days of age or less, with a total of ten preterm (16%) and 12 term (48%) infants among the 89 subjects studied. Few clinical features distinguished infants with prenatal ...
Miller H J - - 1988
This study reviews pneumobelt use in an acute rehabilitation facility. All pneumobelt users between 1976 and 1986 were identified. Their age, sex, diagnosis, and time required to adjust to the pneumobelt were studied, as were patterns of use at discharge. Information was collected about use after discharge and about reported ...
Rogers R W - - 1988
This study assessed the effects of dashboard stickers and signature sheets on safety belt use among occupants of state-owned vehicles in three Florida agencies. The stickers and signature sheets contained information regarding a regulation requiring safety belt use and a consequence of a 25% reduction in benefits for noncompliance if ...
Bull M J - - 1988
Correct use of car seats for small children is essential to prevent serious injuries and death from automotive accidents. Failure to use a car seat properly can contribute to serious injury or death of a child. A case study in which misuse of a car seat occurred is reported. The ...
Murray F - - 1988
The effects of joint action of SO(2) and HF on three Eucalyptus species were studied by exposing them to combinations of < 13, 122 or 271 microg m(-3) of SO(2) and 0.03, 0.39 or 1.05 microg m(-3) of HF in open top chambers for 120 days. HF and SO(2) reduced ...
Wikström I - - 1988
The risk of traumatic injury and low Apgar score was studied in 473 infants with a birth weight of 4500 g or more at term (LFD) and 473 infants with normal weight (NFD, birth weight +/- 1 SD of mean for the respective gestational age). The LFD group comprised 3.2% ...
Roland E H - - 1988
We report the clinical, radiological, and neuropathological features of selective brainstem injury in an asphyxiated term infant. Disproportionate injury to thalamus, basal ganglia, and brainstem with relative sparing of cortex and subcortical white matter is observed occasionally after acute total asphyxia. Although this entity has been well documented neuropathologically, the ...
Brodsky L - - 1987
Microscopic pathology of the distal trachea at autopsy was retrospectively reviewed in 51 low birth weight infants (less than 1250 g). Twenty-six patients from 1977 who had nasal and/or orotracheal intubation and who underwent suctioning with uncontrolled deep suctioning technique were compared to 25 patients from 1980 who had orotracheal ...
Fife D - - 1987
An injury event related to a person's death may be recorded on the death certificate as the underlying cause of death, as an event associated with death but not necessarily causing it, or both. Of the 5,882 deaths in Los Angeles during 1980 with a related injury event recorded on ...
White S J - - 1987
Birth injuries of the shoulder and proximal humerus of infants can be difficult to evaluate on plain radiographs because of lack of ossification in the proximal humeral epiphysis. We here describe arthrography of the infant shoulder and advocate it as a useful diagnostic procedure in the evaluation of humeral fractures ...
Perkins R P - - 1987
The author presents a perspective on perinatal brain injury from the point of brain development, and discusses subsequent adverse outcomes. It is stressed that injury is frequently attributed to perinatal causes and avoidable circumstances when in fact the obstetrician could not possibly foresee or circumvent it. Evidence of the dramatic ...
Amodio J - - 1987
Ten cases of large pleural collections, all of which were iatrogenically induced in premature infants, are presented. There were five instances of hypopharyngeal tears communicating with the right pleural space, three of chylothorax secondary to superior vena caval obstruction in patients undergoing total parenteral nutrition catheterization (TPN), and two of ...
Waugaman R M - - 1987
The patient's therapeutic regression intensifies certain unconscious meanings of the analytic couch. In addition to representing the analysis or the analyst in general, the couch can represent the unconscious, or it may take on the symbolic significance of the analyst's or mother's arms, lap, breasts, or womb. When the genetic ...
Wintemute G J - - 1986
Injury mortality is commonly viewed as a 'disease of development'--a viewpoint which may well be incorrect. This exploratory study found no relationship between reported injury mortality rates and per capita gross national product for 46 developing and industrialized countries; the highest rates reported were all from developing or transitional nations. ...
Rieder M J - - 1986
Infant walkers have been described as a cause of unexpected trauma in the first year of life. We conducted a prospective study to determine the mechanism and pattern of walker injuries presenting to an urban pediatric teaching hospital. We also studied the patterns of walker use. All injuries sustained by ...
Knobel G J - - 1986
The unrest situation in South Africa since September 1984 has led to the escalation of violence and numerous incidents of confrontation between security forces and unruly crowds. The failure of routine law enforcement methods to alleviate the situation resulted in declaration of a State of Emergency in various parts of ...
Kaulesar Sukul D M - - 1986
A description is given of carpal boss, an arthritic deformity based on an additional ossal growth centre of the carpus in which degenerative changes were induced by (trivial) injury, mostly in young patients. Nine patients are reported in whom operative treatment viz. excision of the carpal boss, produced excellent results.
Kleinman P K - - 1986
The metaphyseal lesions in abused infants have highly distinctive radiologic characteristics. The so-called "bucket-handle" and "corner" fractures often form the basis for the diagnosis of abuse. However, despite the great familiarity with the radiologic appearances, no systematic histopathologic study of the metaphyseal lesions in abused infants has been carried out. ...
Bergman I - - 1986
We present a newborn with a unilateral complete facial palsy caused by birth trauma, and discuss the differential diagnosis, pathophysiology, and management of this common, usually benign, condition. This child made a rapid, complete, spontaneous recovery despite a severe initial injury. Surgical exploration of the facial nerve should be considered ...
- - 1986
The Food and Drug Administration (FDA) is proposing to require the filing of a premarket approval application (PMA) or a notice of completion of a product development protocol (PDP) for the infant radiant warmer, a medical device. The agency is also summarizing its proposed findings regarding: (1) the degree of ...
Dykes L J - - 1986
In 1974 John Caffey described a form of abuse in infants which he called "The Whiplash Shaken Infant Syndrome." This syndrome involves vigorous manual shaking of infants by the extremities or shoulders, with whiplash-induced intracranial and intraocular bleeding, but with no external signs of head trauma. This article reviews the ...
Seemayer T A - - 1985
Variable degrees of injury of the pancreatic islets of Langerhans, with sparing of the acinar pancreas, were observed in three infants (age range, 1 day to 3 months) who died of profound shock. The duration of shock varied from 19 to 48 hours. In two of the infants, the shock ...
Whitfield R A - - 1985
Illustrative projections of mortality from injuries, all accidents and motor vehicle crashes were developed based on current mortality rates. If exposure to existing injury sources is unchanged and unless more effective injury prevention countermeasures are employed, 8 million injury deaths may be expected to occur among the resident population of ...
Hargarten S W - - 1985
Fatalities among Peace Corps volunteers were analyzed for 1962 through 1983, with individual case histories reviewed for all deaths from 1977 through 1983. Unintentional injuries accounted for 70% of the 185 deaths of Peace Corps volunteers, with motor vehicle crashes the number 1 cause of death. The death rate from ...
Blue M G - - 1985
Minor accidents during natural mating are common occurrences during the breeding of horses. Mares may suffer from a variety of genital injuries including vulval separations, vaginal lacerations and, less commonly, vaginal rupture. Possible sequelae to, and management of, these injuries are described, with additional mention of false entry by the ...
Soni A L - - 1985
The present study was undertaken to evaluate the magnitude of risk factors associated with brachial plexus in infants born in hospital in Benghazi. A total of 7829 babies were examined over a period of 6 months. Twenty-eight had brachial palsy, giving an incidence of 3.6 per 1000 livebirths. Significant (P ...
Goodman R A - - 1985
Death certificates were used as a source of information to characterize fatalities associated with farm tractor injuries in Georgia for the period 1971-81. In this period, 202 tractor-associated fatalities occurred among residents of Georgia; 198 of these persons were males. The annual tractor-associated fatality rate for males based on the ...
Lipe H P - - 1985
Brain and spinal cord injuries are a frequent cause of death and long-term disability in motor vehicle accidents. Helmet use reduces death and head injury severity in motorcycle accidents. Proper use of child restraints can prevent death from falls and vehicle crashes. Auto lap and shoulder restraints, when in use, ...
van Zomeren A H - - 1985
In a follow up study of 57 patients who had sustained a severe closed head injury, 84% still reported some residual deficit in their psychological functioning after two years, with forgetfulness being the most common complaint. Expressing the severity of the injury in terms of both the duration of post-traumatic ...
Holcroft J W - - 1984
The pneumatic antishock garment is widely used in trauma patients because it compresses small veins and should augment venous return. If the garment does augment venous return, it should probably be used in all injured patients in shock, regardless of injuries and regardless of anticipated transport time. On the other ...
Raimer S S - - 1984
A neonate was noted to have two depressed scars on the upper part of the back at birth that we believe resulted from midtrimester amniocentesis; no underlying injury was apparent. Scar formation from needle puncture occurs in an estimated 1% to 3% of the infants whose mothers have undergone midtrimester ...
Neal P R - - 1984
Caput succedaneum is a common birth injury attributed to cervical, uterine, or vaginal pressure on the fetal presenting part. It usually consists of diffuse soft tissue swelling and bruising, which resolve in a few days without sequelae. We have seen two patients who had an unusual alopecic "halo" ring on ...
Levine M G - - 1984
The authors retrospectively studied 13,870 singleton full-term consecutive live births at a major teaching hospital and assessed the frequency of brachial plexus injury, clavicular fracture, and facial nerve injury in newborns delivered from January 1974 through December 1977 and from January 1979 through September 1981. Predisposing factors relating to mechanical ...
Kleinman P K - - 1984
In infants who are victims of abuse, fractures of the thoracic and lumbar spinous processes are likely to be the result of violent shaking. While initial radiographs may appear normal, subsequent studies may reveal extensive ossification within the adjacent soft tissues. These abnormalities are subtle and easily overlooked, in part ...
Helfer R E - - 1984
Four infants, three premature and one term, developed serious bony injury from parent- or caretaker-administered passive exercises. In the three infants born prematurely, the exercise program was prescribed by neonatal intensive care unit staff before discharge; in the fourth infant, the babysitter initiated the program. In each case the passive ...
Tolonen J - - 1984
The present investigation was based on the files of the Boards of Traffic Accident Investigation of insurance companies with regard to those fatal motor-car accidents in Finland during the period 1972-1979, where the driver or front seat passenger had died. The analysis concerned a total of 1197 fatalities. In collisions ...
Perry M O - - 1983
Iatrogenic injury is the most common cause of vascular insufficiency in infants; cardiac catheterization, arteriography and monitoring procedures are often implicated. Loss of limb is rare, but limb shortening is a frequent complication. The diagnosis is usually obvious; pulses are absent, and the extremity is cold, pale or mottled, and ...
Rutherford Y - - 1983
Traumatic femoral epiphyseal periostitis is a rare complication of breech delivery by cesarean section. The clinical course and management of a case of distal femoral periostitis recently encountered by the authors is discussed.
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