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Biomedical subjects

D T Cass

Publications and source records attributed to D T Cass.

61 records · Page 4Linked to original sources
PubMed1982

Colon interposition: a modification of the Waterston technique using the normal esophageal route.

Intrathoracic colon interposition in children with esophageal atresia has been available for 30 yr. The retrosternal and left pleural cavity have been the preferred routes. The posterior mediastinal route does not appear to have been tried in children. Sixteen cases treated by the principle author (N.V.F.) using this route are presented. The mortality, anastomotic leakage and stricture rate (at each anastomosis) were 12.5%, respectively. The posterior mediastinal route is suggested as an alternative route for interposition of the colon or any other conduit.

Body Weight↗
PubMedDate not supplied

Childhood drowning in New South Wales 1990-1995: a population-based study.

OBJECTIVE: To review the circumstances of children drowning in New South Wales (NSW), 1990-1995, and to analyse trends. DESIGN: The NSW Paediatric Trauma Death Review Data Unit received coronial notification of childhood drowning deaths. Age-specific annual drowning rates per 100,000 population were calculated. SUBJECTS: Children aged 0-14 years who died of drowning. RESULTS: 132 children drowned (96[73%] aged 0-4 years). There was was an overall decrease in incidence of drowning, from 2.0 to 1.5 per 100,000 population, and a decline in domestic pool drownings (from a peak of 15 in 1992 to five in 1995), and in drownings in waterways (from nine to six over the six-year period). However, drownings in baths and dams did not decrease. In general, boys were at higher risk than girls. CONCLUSIONS: Analysis of the drowning incidents indicates that, despite the decreases documented, we should not be complacent, and preventive programs are still warranted. All pools and dams should have well maintained fences between the body of water and the house. All infants aged under three and all epileptic children should be supervised in the bath by an adult. Children should be taught to swim, warned of the dangers of rivers and surf, and adequately supervised.

Adolescent↗
PubMedDate not supplied

Horse-related injuries in children.

OBJECTIVES: To identify the frequency, spectrum and outcome of horse-related injuries in children. DESIGN AND SETTING: Retrospective case series of horse-related injuries in children admitted to the Children's Hospital at Westmead (CHW) from January 1988 to December 1999, the John Hunter Children's Hospital (JHCH) from January 1991 to December 1997 and deaths reported to the New South Wales Paediatric Trauma Death (NPTD) Registry from January 1988 to December 1999. MAIN OUTCOME MEASURES: Circumstances of injury; helmet use; adult supervision; type and number of injuries identified. RESULTS: 232 children were admitted with horse-related trauma, 97 to the CHW over 12 years and 135 to JHCH over seven years, with one death at each hospital. There were six deaths reported to the NPTD Registry over 12 years. The median age was 11 years (range, 1-17). Girls accounted for 65% of those injured and 75% of children were injured while riding. Falls caused the injury in 76.3% of cases. Head and upper-limb trauma accounted for 216 of the injuries (73%). Five out of six children with severe head injuries died. In the CHW group, helmet use was documented in only 24 riders (38%) and adult supervision in 22 (22.9%). CONCLUSIONS: Horse-related trauma accounts for a considerable number of deaths and injuries in children in NSW. The use of a Standards-approved helmet for riding or horse-related activities might have decreased the severity of head injuries.

Adolescent↗
PubMedDate not supplied

The impact of work related trauma on the psychological health of nursing staff: a cross sectional study.

This study aims to investigate the effects of work-related trauma exposure on the health of nursing staff in hospitals. The survey was conducted using a randomised sample of 314 nurses. Half (52.2%, n = 189) of staff surveyed had multiple exposures to different kinds of trauma. Results on the General Health Questionnaire (GHQ) and Beck's Depression Inventory--Revised (BDI-R) suggested that nearly 40% of staff experienced poor health, while nearly 10% experienced moderate to severe depression. Results of the logistic analyses, after adjusting for confounders, suggested that high and long term trauma exposure is detrimental to the mental health of nurses. These findings indicate that hospital nursing staff, in particular those who have high exposure to trauma, are in urgent need of support services such as debriefing and counselling.

Accidents, Occupational↗