The work of the community physician in England.
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Biomedical subjects
Publications and source records attributed to D J Hall.
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This paper reports a high incidence of minor congenital anomalies in boys and girls with Perthes' disease compared with that in a control population. There is a similarity of the incidence of minor anomalies in the children with Perthes' disease to that in babies with a single major congenital defect. Multiple major defects were more numerous and more severe than in the control children. It is speculated that there may be a congenital abnormality affecting skeletal development which in some way makes the hip susceptible to Perthes' disease at a later date.
The comprehensive management of Crouzon syndrome in a 14-year-old girl has been presented. Because of the complexity of the facial and associated problems, a multidisciplinary approach is necessary to provide maximum functional and esthetic results; however, with such a cooperative interdisciplinary effort, the improvement and benefits derived for these patients are rewarding to all concerned.
A new and easy technique for handling and applying a split-thickness skin graft to the vulva is described. The use of petrolatum gauze backing and application with the skin stapler, as well as postoperative management, are discussed.
A report of a case of Kaposi's sarcoma of the vulva is presented. A complete response of the tumor was obtained after 1 treatment cycle using a triple-drug chemotherapy regimen of actinomycin D, vincristine, and 5-(3,3-dimethyl-1-trazeno)imidazole-4-carboxamide (DTIC). Death occurred due to severe erythema multiforme, which was indirectly related to a complication of the chemotherapy.
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Slow, controlled, rates of critical point bomb heating and of gas venting have been shown to improve the preservation of biological specimens in critical point drying. A procedure that represents a balance between avoidance of specimen damage and speed of operation has been developed for use with CO2 as the transitional fluid. Bomb heating is automated and controlled electronically, and manual venting of the gaseous CO2 is monitored using a gas flow meter.
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Several recent court decisions have focused the attention of radiologists upon the medicolegal subject of informed consent. Some of the legal principles and precedents of this subject are reviewed, and the impact and implications of recent legal decisions considered.
Certain rules or laws of evidence are particularly applicable to diagnostic images in whatever form they are used in court as evidence. The legal principles and precedents of this subject, including opinion evidence, hearsay evidence rule, best evidence rule, and the role of the radiologist as a medical expert witness, are discussed.
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