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Biomedical subjects

J L Emery

Publications and source records attributed to J L Emery.

At least 145 records · Page 8Linked to original sources

Hypoxia and asymmetrical fibrosis of the liver in children.

The liver in children contains a greater amount of connective tissue in relation to parenchymal tissue than in adults and there is often more in the left than in the right lobe. Livers from 150 children who died between birth and 12 years of age, under different circumstances, were studied.The findings suggested that hypoxia was an important factor leading to increase in fibrous tissue in children's livers. Children who had cyanosis at birth and prolonged hypoxia associated with pathological conditions showed the highest ratio of connective tissue to liver parenchyma. The predominant non-hepatic lesions found were cyanotic congenital heart disease, coarctation of the aorta, acute respiratory distress, congenital malformation of the central nervous system, and shock after abdominal surgery.

Aortic Coarctation↗

The postnatal development of lymphoreticular aggregates and lymph nodes in infants' lungs.

A quantitative study has been made of standardized sections taken from the right middle lobe of 316 children's lungs. Lungs showing no pathological state showed that lymph nodes are present at birth and these increase in prominence if not in numbers throughout the first year after birth. Lymphoreticular aggregates are not present among the alveoli of the normal infant lung at birth. These first appear around a week after birth and progressively increase in number throughout infancy and early childhood, being almost universally present by the age of 5 years. The development of peripheral lymphoreticular aggregates in the lungs of infants appears to be entirely environmentally and antigenically stimulated.

Age Factors↗

Welfare of families of children found unexpectedly dead ("cot deaths").

Families in whom cot deaths occur are a particularly neglected group. They are subjected to unnecessary psychological trauma as part of the process of the exclusion of unnatural death. Paediatricians should make the welfare of the family units part of their own concern and take steps to help both parents and siblings. It is suggested that possibly the coroner or the general practitioner could make an appointment for the family to see a paediatrician interested in cot deaths. This would do much to alleviate suffering associated with them.

Autopsy↗