Human rights and medicine in Zimbabwe.
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Biomedical subjects
Publications and source records attributed to J A Gordon.
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Phalen's wrist flexion test may reproduce the sensory symptoms of carpal tunnel syndrome (CTS). We have used this test in conjunction with motor and sensory latency studies in 20 patients with symptomatic CTS in one or both hands. The test caused an increase in the motor or sensory latency in half the patients. In 2 patients the latencies were abnormal only after wrist flexion. The test may thus be useful in diagnosis of borderline cases.
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Positive cooperativity demonstrated by Scatchard plot analysis of concanavalin A (con A) binding was found with native or glutaraldehyde-fixed erythrocytes. This suggests that factors other than membrane changes might be involved in the apparent increase in receptor binding affinity with increasing site occupancy. The elution pattern of 125I-con A chromatographed on Bio-Gel P-150 with decreasing concentration showed a drop in average molecular weight compatible with con A dissociation to dimers, protomers, and protomer fragments. Similarly, the per cent of 125I-con A specifically binding to Sephadex G-75 fell with decreasing concentration of con A applied. The inclusion of unlabeled carrier con A suppressed the dissociation of labeled con A in Bio-Gel P-150 and increased the per cent binding to Sephadex G-75. Both labeled and unlabeled con A were multibanded in sodium dodecyl sulfate-polyacrylamide gel electrophoresis. As previously reported, the three major bands are consistent with intact protomer (approximately 25,000 daltons) and two fragments (approximately 13,000 and 10,000 daltons) with minor bands representing undissociated species. These observations indicate that there is a concentration-dependent association of Con A subunits which contribute to the observed positive cooperativity of con A binding to erythrocytes.
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A case of migration and extrusion of a testicular prosthesis with erosion of the fixation tab through the skin is reported. Predisposing factors are discussed. Trimming the corners of the tab prior to fixation is recommended as well as anchoring it firmly to the most dependent portion of the scrotum, using nonabsorbable sutures.
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A summary of the literature and a 20-year review of our own experience with testosterone rebound therapy is presented. Of 225 patients followed, 52% rebounded to fertile levels followed by pregnancy in the wives of 25%. Pregnancy occurred in 3 wives (8%) of the 38 initially azoospermic patients. There was only a 4% incidence of failure to return to at least the pretreatment sperm count following therapy, and no persistent azoospermia was observed. These results are consistent with other recent reports of several large series of patients. Proper screening and selection of patients is mandatory. Testosterone rebound is a neglected form of therapy meriting consideration in selected patients.
Stricture formation at the site of injection for vasography has been observed clinically. An animal model was developed to evaluate this occurrence. Bilateral vasopuncture with a 25-gauge needle was carried out in 25 male guinea pigs. The sites of vas punture were marked with tantalum clips in the perivasal tissue. The left-sided vasa were injected with contrast material and the right sides with normal saline. These 50 vasa were evaluated for radiographic and histologic evidence of inflammation and stenosis 3 months following injection. Ninety-four per cent of the 50 vasa studied showed no significant stenosis. Those vasa exhibiting obstruction were in the first four animals studied, with no correlation as to which material was injected. This finding implicates technical factors as a cause for these results. In the guinea pig, vasopuncture with a fine-gauge needle and meticulous technique does not result in a significant rate of stenosis regardless of the medium injected.
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The involvement of the Rhodesian Medical Association in providing medical services to both the troops and the African clinics because of the terrorist war is described. Experiences in the handling and evacuation of casualties by air or road are described, and immediate emergency measures are mentioned. Measures taken to meet a possible escalation of the conflict are reported.
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