The infectious complications in 23 patients with mutilating wounds due to trauma during corn harvesting were compared with those in 41 patients with factory-related hand injuries of similar severity. Initial cultures revealed bacterial growth in 89% of the agricultural wounds and in 63% of the factory wounds. A mean of 3.8 initial bacterial species were isolated per corn-harvesting wound vs. 0.9 species per factory wound. Gram-negative rods were recovered from 81% of the agricultural wounds; the commonest of these organisms were Enterobacter species and Xanthomonas maltophilia. Only 7% of factory-wound cultures grew gram-negative rods. Osteomyelitis, all with gram-negative rods, developed in five (22%) of the patients with farm injuries but did not occur in patients with factory wounds. More gram-negative rods were recovered from environmental cultures of corn-harvesting machines and corn plants than from those of factory machinery.

Adult↗

PubMedDate not supplied

Soluble contrast particles for intravascular use. First clinical experience.

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Accidents, Traffic↗

PubMedDate not supplied

Menopausal transition and psychological development.

OBJECTIVE: To study women's psychological development during menopause and to examine the relationship between women's appraisal of menopause and symptom reporting. DESIGN: A population-based sample of 130 healthy women was assessed annually for 5 consecutive years using semistructured interviews, a menopausal symptom rating scale, and the Symptom Checklist-90 rating scale. RESULTS: Qualitative analyses of the interviews showed that the majority of the women (57%) had neutral beliefs about menopause, whereas 31% were pessimistic and 12% were optimistic. Optimistic and neutral expectations were associated with low levels of symptom reporting, whereas the pessimistic appraisal was significantly related to elevated symptom scores. The majority of the neutral and pessimistic women reappraised menopause during the study period, and at the last follow-up, 67% appraised menopause positively. A positive reappraisal among the initially pessimistic women was associated with more frequent statements about personal growth compared with the other subgroups. CONCLUSIONS: Menopause has a developmental potential and is a positive period for most women.

Adaptation, Psychological↗