UNLABELLED: Dermatoglyphic traits are formed under genetic control early in development and do not change thereafter, thus maintaining stability not affected by age. METHODOLOGY: We determined the dermatoglyphic traits of mothers of children with spina bifida cystica and compared then with controls matched for number, age and parity, by counting and classifying palmar, plantar and digital ridge pattern configurations of arches, loops, whorls and ridges based on standard techniques. RESULTS: Palmar pattern types, showed absence of arches, significantly higher frequency of whorls (P > 0.05), lower total finger ridge count (TFRC) and higher Pattern Intensity Index (PII) in these mothers than in the controls (P > 0.001). However, no significant differences were observed between both groups in atd angle and a-b ridge count (P = 130, 0.70 respectively). Plantar pattern types showed loops restricted to the first two digits and absence of arches in the first digit in these mothers compared to controls in whom there were loops in the first four digits and a 100% frequency of arches. Similarly, PII was higher and Dankmeijer's Index (DI) lower in these mothers than in controls. CONCLUSION: Our findings demonstrate dermatoglyphic differences between both groups that suggest that mothers presenting with these traits are more predisposed to giving birth to children with spina bifida cystica.

Case-Control Studies↗

PubMedDate not supplied

Scalp closure without fracture elevation does not reduce the risk of infection in patients with compound depressed skull fractures.

We conducted this study in order to determine whether suturing the scalp wound prior to referral for definitive surgery reduces the rate of wound infection in patients with compound depressed skull fracture and to propose guidelines for the initial management of the wound. We conducted a retrospective analysis of 79 patients with compound depressed skull fractures treated surgically in our unit between January, 1987 and August, 1998 and compared the rate of infection in patients who presented with open wounds with the rate in patients whose scalps were sutured prior to presentation to us. Adults and children were nearly equally represented in this study group. The male to female ratio was 3.6:1. Majority (49/79) of the fractures resulted from vehicular accidents. A total of 27 wounds were infected giving a rate of infection of 34%. Nine of the infections were present pre-operatively while the remaining 18 occurred post-operatively. Of the 52 patients with open wounds (OW) at presentation, 15 had wound infection. In the remaining 27 patients in whom the scalp had been sutured prior to referral (SW), there were 12 wound infections. There was no significant difference in the proportions of infected wounds between the two groups (X2 = 1.92, P > 0.5). In compound depressed skull fractures, suturing the scalp laceration alone prior to referral for definitive surgery did not reduce the rate of infection of the cranial wound. We recommend haemostasis, thorough irrigation of the scalp wound and application of sterile dressings prior to transfer for definitive management, in patients who do not have immediate access to neurosurgical care. Prospective studies are required to validate these findings.

Accidents, Traffic↗

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