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Biomedical subjects

J Bodurtha

Publications and source records attributed to J Bodurtha.

53 records · Page 3Linked to original sources

Femoral duplication: a case report.

Femoral duplication is a rare anomaly that has been described as an isolated entity and in association with other congenital defects. Since the description by Erlich in 1885, 24 additional cases have been reported. The present report concerns a 34-week black female infant with apparent bilateral femoral duplication associated with a meningocele and abdominal, genitourinary, vertebral, and lower-limb anomalies. The cause is unknown. Femoral duplication is a developmental field defect, hence causally heterogeneous.

Abnormalities, Multiple↗

Nail size in normal infants. Establishing standards for healthy term infants.

The nails of 48 healthy infants of 39 to 41 weeks' gestation were measured with dial calipers to establish both a method for measurement of nails and standards of nail size. Nail width and length were measured directly, and an estimated area was calculated. Nail area was compared between sexes and races and was not found to differ significantly except between races for the first fingernail. A description of the term newborn nail is presented.

Female↗

Aortic stiffness: a new Doppler echocardiographic measure predictive of systolic blood pressure in children.

Aortic stiffness, the maximal frequency shift in the descending aorta divided by the Doppler acceleration time, was studied in 384 eleven year old twin children. The extent to which this measurement provided a prediction of systolic blood pressure that was independent of body size, heart rate, cardiac contractility and left ventricular mass was investigated. Aortic stiffness, after adjustment for height and weight, correlated significantly with systolic blood pressure (r = 0.22, p less than 0.01), but not with diastolic blood pressure. The short- (r = 0.82) and longer- (r = 0.68) term reproducibility of aortic stiffness was high. This measure appears to be a more powerful predictor of systolic blood pressure than is left ventricular mass. Aortic stiffness is a highly reproducible Doppler variable that may explain in part the contribution of the aortic wall elastic properties to the level of systolic blood pressure in preadolescent children at rest.

Analysis of Variance↗

Seroepidemiology of cytomegalovirus and herpes simplex virus in twins and their families.

To determine the importance of intrafamilial transmission of cytomegalovirus and herpes simplex virus (types 1 and 2), the authors investigated the presence of immunoglobulin G antibody to one or both of these viruses in the sera collected between 1976 and 1985 from 1,115 members of 301 kinships from Virginia consisting either of juvenile twins and their parents or of adult twins, their spouses, and offspring. The sample included 486 children and 629 adults, aged 1-68 years. Among the 125 couples in whom the wives were seropositive, 78 (62%) of the husbands were found to be seropositive. Among 77 couples in whom the wives were seronegative, only 32 (42%) of the husbands were seropositive (p less than 0.01). Of 105 couples in whom the wives were seropositive for herpes simplex virus, 81 (77%) husbands were seropositive compared with 20 (47%) of 43 husbands with herpes simplex virus-seronegative wives (p less than 0.001). In families with cytomegalovirus-seropositive mothers, 54 (25%) of 213 children were seropositive for cytomegalovirus compared with 13 (8%) of 168 children in families with seronegative mothers (p less than 0.001). Childhood cytomegalovirus infections showed no association with infection in the father. In contrast, among families in which both parents were seropositive for herpes simplex virus, 48 (31%) of 156 children were seropositive compared with only two (4%) of 48 children without herpes simplex virus-seropositive parents (p less than 0.001). Among all siblings, there were strong associations for both herpes simplex virus and cytomegalovirus infections. These data are consistent with the venereal transmission of cytomegalovirus in married couples, provide evidence for the intrafamilial spread of herpes simplex virus, and confirm the importance of the maternal-child transmission of cytomegalovirus.

Adolescent↗

Goldenhar complex in discordant monozygotic twins: a case report and review of the literature.

In 1952, Goldenhar described a pair of monozygotic twins who were discordant for epibulbar dermoids, auricular appendages, malformations of the auricle, and hemifacial microsomia. Eighteen twin pairs have subsequently been described in which at least one member exhibited these manifestations. We report on an additional pair of discordant dichorionic monozygotic male twins. All of the 5 monozygotic twin pairs for which placental information is available have been discordant and 2 of these had dichorionic membranes. The failure of discordant monozygotic twins to be limited to monochorionic pairs argues against the hypothesis that developmental abnormalities arising from the placental vascular anastomoses that are commonly found in monozygotic twins is the probable explanation for the discordant expression of these traits in twins.

Female↗

Arthritis, bleeding disorder and a chromosome marker--a family study.

The presence of easy bleeding in a preadolescent white female with pauciarticular juvenile rheumatoid arthritis (JRA) and the presence of easy bleeding in some of her relatives led us to study the immune, genetic, and hematologic attributes of this family. Several members of the family showed abnormalities in the blood coagulation system suggestive of von Willebrand disease. The proband and her grandmother with the coagulation abnormality and rheumatic disorder also showed a particular chromosomal polymorphism (satellite chromosomes). While several interesting etiologic questions were raised, our results did not demonstrate a clear relationship between von Willebrand disease and JRA in this family.

Arthritis, Juvenile↗

The bacteriologically battered baby: another case of Munchausen by proxy.

We present a case in which a mother who had had self-inflicted infections as a teenager also caused life-threatening infections in her year-old child. After testing for and treating various immunologic deficiencies without success, it was apparent that the infection was caused by contamination of intravenous sites. Strict isolation of the patient, with restricted and observed visitations by the mother, was the critical step in stopping the infections. Because the woman took her child to several emergency departments, this case is presented to alert emergency personnel to this entity and to explain some of the dynamics and the social issues that cause the problem.

Adult↗

The density and distribution of intramembrane particles in erythrocytes from persons with muscular dystrophies.

Intramembrane particles in the freeze-fractured faces of erythrocyte membranes from persons with several different types of muscular dystrophy are examined. The density of particles in the protoplasmic face was lower than that of controls, although not at a statistically significant level. No altered pattern of aggregation of these particles was observed.

Erythrocyte Membrane↗

College women's awareness and consumption of folic acid for the prevention of neural tube defects.

PURPOSE: Awareness and consumption of folic acid in the context of neural tube defect prevention among college women were assessed. METHODS: Subjects documented folic acid awareness and multivitamin consumption. Beliefs about folic acid before and after an educational intervention were characterized using the Health Belief Model (HBM) and the Fetal Health Locus of Control Scale (FHLCS). RESULTS: Awareness of folic acid was not associated with multivitamin consumption. Belief variables were not associated with awareness or consumption of folic acid. CONCLUSION: This study does not support educational interventions based on the HBM or FHLCS to increase multivitamin consumption among college women.

Adolescent↗