Prognosis in diffuse injury. A cooperative study.
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Biomedical subjects
Publications and source records attributed to A Werner.
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In the light of one case of epidermal cyst of the maxilla, the authors emphasize the operative difficulties and the need, in the presence of a severe abnormality of the pedicles of the upper wisdom teeth, to perform a careful tomographic examination of the head.
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A 68-year-old hypertensive male suffering from acute sciatica with pronounced motor disturbances and urinary retention, was found to be suffering from aneurysm of the hypogastric artery. Surgical treatment of the aneurysm resulted in an incomplete recovery. The possible relationships of the aneurysm to the symptoms and treatment are discussed.
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A sixfole increase in the risk of thyroid cancer was observed among 10,902 persons irradiated for scalp tinea in childhood as compared to two matched control groups. The dosimetry studies demonstrated that the original mean dose given to the thyroid was less than 9 rads, yielding a risk of 6.3/10(6)/year. This carcinogenic effect of low-level radiation must be considered in the planning of safety measures against potential public health hazards.
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45 patients suffering from carcinomas of the upper airway and digestive tract were studied from an immunological standpoint, by estimation of serum immunoglobulins and by a series of skin tests. This latter technique gave the most interesting results. It showed that immunodepression is statistically more frequent in extensive forms and that the prognosis in immunodepressed patients is much more severe than in those who have retained normal immune reactions.
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Thirty-five individuals aged 17 to 24 in whom severe chronic hyperactivity had been diagnosed 10 years before were studied together with 25 matched controls. There were no significant differences in mean height or weight or in electroencephalographic findings, but the mean pulse rate was significantly higher in the hyperactive group. Cognitive style tests indicated continued difficulty in reflection (resulting in more errors) but less impulsivity (longer reaction time) in the hyperactive individuals. Compared with controls, hyperactive subjects were continuing to have more scholastic difficulty, although this difference seemed to be less pronounced than 5 years before. Their adjustment in work situations and living arrangements did not differ significantly from that of the controls. Restlessness, both reported and observed, continued to be a problem for the hyperactive individuals, and socialization skills and sense of well-being continued to be poorer than in the controls. The hyperactive individuals did not show significantly more antisocial behaviour, nonmedical use of drugs or serious psychiatric disturbances.