[Group B streptococcal meningitis, septicemia and septic arthritis in neonates].
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Biomedical subjects
Publications and source records attributed to A Berger.
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Although not a common condition, benign lipomatosis of the neck (Madelung's disease) is well documented in the literature and to date we have failed to trace any reference to malignant change developing in this tissue. We wish therefore to report the case of a patient with benign lipomatosis of the neck in which malignant degeneration appeared after an interval of 6 years and in which this transformation from a benign to a malignant lesion was verified by histological examination.
Ninety-seven healthy newborns with a Sydney line in 143 palms were re-examined between the ages of 10 and 14 months. The Sydney line was no longer present at follow-up in 58.8 per cent of these infants and in 66.4 per cent of the palms. It appears that the Sydney line, unlike the simian line and its variants, is age-dependent and is not a permanent structure of early intrauterine origin.
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Two patients with chronic renal failure are presented who experienced thrombosis of an arteriovenous fistula not being used for hemodialysis at the time of occlusion. Preoperative subcutaneous heparin or intravenous dextran infusion, along with higher fluid allowances are recommended preventive considerations. Avoidance of malpositioning of the shunt extremity, intravenous infusion, and sphygmomanometry in the extremity with the fistula, are also advisable. The etiologic role of hypotension and low flow, whether as a complication of hemodialysis via another route, or resulting from unrelated surgery, is stressed.
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A series of eight free microvascular jejunal transfers for reconstruction of the inner lining of the mouth is reported. The technical details are discussed and especially the radical approach for the removal of the tumors are presented. Anatomical variations of the vessels to the jejunal graft are demonstrated. The high success rate and the fast recovery of the patients are supporting the indication of this microvascular procedure.
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The article reports on x-ray findings in the skeleton of 20 finger replants, one successful arm replant and two successful replants of toes to the hand in 23 children aged one to fourteen years. The quota of successful healing together or setting was 80% in finger replants. Setting of the fracture was delayed by an average period of seven days. Osteonecrosis and osteomyelitis were equally frequent in two children each (10%) and resulted in problems of differential diagnosis. In three children the bone fracture set in false position, without, however, causing any complaints. All epiphyses not destroyed by infection were preserved.
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Preemployment health examinations have long occupied a central role in industrial medicine, providing company physicians with baseline health status and physical limitations for each employee. We evaluated a similar multiphasic screening examination in 662 young, minority applicants to an urban manpower training program. Resulting from this screening was a substantial number of patients with positive serology (1%), positive gonorrhea cultures (3%), excessive daily ethanol ingestion associated with liver enlargement (13%), decreased visual acuity (24%) and dental caries (23%). These findings are markedly different than those reported for preemployment screening in industry, suggesting the need for a specific health screening protocol for applicants to manpower training programs.
Despite accurate preoperative investigation of the vessels of the lower part of the leg using angiography and plethysmography as a preparation for a free latissimus dorsi myocutaneous flap, problems can appear at the anastomosis during the operation. In the reported case using a free latissimus dorsi myocutaneous flap for coverage of a tissue defect at the lower leg, thrombosis appeared due to a difference between the calibers of the vein graft and the thoraco-dorsal artery. The existing difference of the calibers was therefore equalized by controlled narrowing of the vein graft. Thereby patency of the anastomosis was achieved and circulation in the free flap was guaranteed.
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