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Biomedical subjects

A B Bergman

Publications and source records attributed to A B Bergman.

At least 55 records · Page 3Linked to original sources

Changing spectrum of serious child abuse.

To determine whether the spectrum of serious child abuse has changed over the past decade, hospital and medical examiner records in the Seattle area were reviewed for the years 1971 to 1973 and 1981 to 1983. Although the incidence of hospitalized cases was similar in the two time periods (81 v 93), the proportion of severe injuries that occurred increased significantly (from 32% to 54%). The large number of cases in which the perpetrator was unknown makes generalization difficult. However, changes in the sex distribution for known perpetrators suggest that child abuse, especially serious and fatal cases, may be occurring more frequently at the hands of men.

Child↗

Academic hubris.

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Education, Medical, Undergraduate↗

Epidemiology of childhood injuries. II. Sex differences in injury rates.

The development of sex differences in children's injury rates was explored by analyzing data from 197,516 consumer product-related injuries reported in 1978. The results indicated that sex differences in injury rates appear within the first year of life for most types of injuries. Burns, ingestions, and poisonings were important exceptions. The sex differences were not completely explained by differences in exposure to risk. Sex differences in behavior begin to appear at the same age as the differences in injury rates and correlate with injury type. Injury prevention efforts should take these developmental differences into account and focus attention on the high-risk child.

Accidents, Home↗

Computed tomography of the larynx.

The normal computed tomographic anatomy of the larynx and surrounding structures is illustrated and discussed. An attempt is made to distinguish various types of tissues in cross-sectional display. The advantages of computed tomography over other modalities used for imaging the laryngeal region include the capacity to depict structural relationships in cross-section, to better define cartilaginous involvement by adjacent neoplasms, and to identify vascular components with contrast enhancement. The clinical application of computed tomography with respect to radiation therapy treatment planning of laryngeal tumors in an important feature of this imaging technique.

Humans↗

Ultrasonographic evaluation of pericholecystic abscesses.

Pericholecystic abscess formation is a serious complication of cholecystitis that develops after gallbladder perforation and is usually associated with acute inflammatory signs and symptoms. Ultrasonographic findings in three surgically proven cases of pericholecystic abscess are reported. The findings ranged from a well defined band of low-level echoes around the gallbladder to multiple, poorly defined hypoechoic masses surrounding an irregular, indistinct gallbladder outline. The former situation correlated with a well encapsulated pericholecystic inflammatory process, while the latter was associated with extensive abscess formation resulting from gallbladder rupture. Cholelithiasis was identified in two of the three cases. Ultrasound for preoperative detection of pericholecystic abscess is discussed.

Abscess↗

A "Retreat" for pediatric interns.

For the past two years, pediatric interns at the University of Washington have been relieved of their clinical duties for five days to participate in a "retreat". Their places were taken by pediatric practitioners as a continuing education experience. The chief benefit of the retreat was the coming together of the intern group and the subsequent support they were able to give to each other. The educational content was deemed less important than the fact that the retreat occurred.

Attitude of Health Personnel↗

Computed tomography in the detection of retroperitoneal hemorrhage after translumbar aortography.

Direct imaging of retroperitoneal hemorrhage following translumbar aortography was performed using computed tomography. Seven patients were scanned over the area of aortic entry immediately after undergoing angiographic examination. In five cases, there was definite evidence of periaortic hematoma, most commonly seen as a discrete soft tissue density with absorption coefficients between +20 and +35 EMI units. Other signs of retroperitoneal bleeding were less consistently present (e.g., loss of aortic contour, aortic displacement, and thickening of diaphragmatic crura). The clinical implications of detecting significant hemorrhage following translumbar aortography are also discussed.

Aortography↗

Complete esophageal obstruction from cricopharyngeal achalasia.

A patient with complete esophageal obstruction from cricopharyngeal achalasia in whom adequate cricopharyngeal myotomy failed to alleviate the dysphagia is described. The importance of pre-operative radiological evaluation of patients with neurologically related dysphagia is discussed, specifically, the degree of obstruction, range of tongue movement, and presence of aspiration. These factors have a predictive value in assessing the benefits of planned cricopharyngeal myotomy.

Adult↗