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Biomedical subjects

G S Wilson

Publications and source records attributed to G S Wilson.

At least 109 records · Page 6Linked to original sources
PubMed1980

Evaluation of bone scan in preoperative clinical staging of breast cancer.

Two hundred and thirty-five patients underwent a bone scan prior to, or within two weeks of, instituting surgical treatment for cancer of the breast. These patients were staged clinically according to the TNM classification. There were three patients with abnormal bone scans of a total of 173 patients in clinical stages I and II; none of 86 patients had stage I disease and only three of 87 patients had stage II disease. The conclusion from the study is that routine preoperative bone scans are of no value for staging purposes in patients with clinical stage I disease. In clinical stage II, bone scans are difficult to justify, considering the low yield (3.4%) and the cost per abnormal scan.

Aged↗
PubMed1980

The very low birth weight infant after discharge from intensive care: anticipatory health care and developmental course.

Despite intensive research, the data available on the long-term effects of prematurity on development of the child have not led to clearcut conclusions, particularly when the investigations are based on infant or perinatal factors alone. Previous research does indicate that the infant is "at risk" through school age and that the parents' perception of the child and the harmony between the child and his environment are powerful determinants of outcome. The implications for medical care, however, are clear. The developing low birth weight infant is best served by close medical supervision, particularly during the turbulent early years. Health care should be planned to include ongoing developmental assessment and screening at least through school entrance so that emerging vulnerabilities or deficits may be addressed as early as possible, thus impeding developmental progress minimally. An optimal care plan includes active partnership with the parents in detection of weaknesses, reinforcement of strengths, and formulation of recommendations for behavioral and educational management. For the physician this will require clinical acumen, an understanding of the child within the context of his environment, an attitude of supportive realism and a long view.

Child Development↗
PubMed1979

Addiction and pregnancy: two lives and crisis.

Medical service comes consistently into contact with the addicted family at a time critical for change: pregnancy and childbirth. Neonatal withdrawal is life-threatening for the infant and very unsettling to a mother's self-confidence and her parenting ability. Medical treatment for the drug abusing mother is best coordinated with psychosocial and drug treatment in order to minimize perinatal complications, to anticipate risks to the child and to support the mother in her maternal role. This article advocates comprehensive care for the pregnant addict. It is drawn from the author's experience in the Maternal Narcotics Addiction and Child Development research project at Jefferson Davis Hospital, Houston, Texas.

Delivery, Obstetric↗
PubMed1979

The development of preschool children of heroin-addicted mothers: a controlled study.

Disturbances of growth and behavior in infants and toddlers of women addicted to heroin during pregnancy have been reported in uncontrolled studies. In this study, 3- to 6-year-old children of heroin-addicted mothers were compared to three other groups matched for age, race, sex, birth weight, and socioeconomic status. Heroin-exposed children weighed less and were shorter than those in the comparison groups; 14% had a head circumference below the third percentile. Heroin-exposed children were rated by parents as less well adjusted than control children and they differed significantly in perceptual measures and on subtests of the Illinois Test of Psycholinguistic Abilities and McCarthy Scales of Children's Abilities relating to the process of organization. These findings suggest that chronic intrauterine exposure to heroin may affect growth and behavior as well as perceptual and learning processes in preschool children.

Child↗