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Biomedical subjects

J Martel

Publications and source records attributed to J Martel.

94 records · Page 6Linked to original sources

[Perpetrators of child abuse].

The authors have deliberately left out the historical background. They have endeavoured to throw light on the personalities of beaten children's parents. This study has made use 31 records of psychiatric expertises. It confirms what a favourable background young age represents for the child victim of his parents' brutality, as well as a frustrating social economic background, alcoholism, and an unhappy childhood for the parents. It also demonstrates that, besides those determining factors, there exists in the parents a genuine psychopathology which legitimates a new therapeutic approach.

Age Factors↗

Spondyloepiphyseal dysplasia tarda.

OBJECTIVE: To present a case of spondyloepiphyseal dysplasia (SED) tarda in a 14-yr-old boy. CLINICAL FEATURES: The patient suffered from chronic bilateral hip pain and range of movement was decreased. Radiographic examination showed findings consistent with skeletal dysplasia tarda. INTERVENTION AND OUTCOME: The patient was given specific stretching exercises and encouragement to stay active. Physiotherapy was provided to strengthen the hip adductor muscles. CONCLUSION: The presence of short stature, symmetrical hip dysplasia and abnormal vertebral bodies should raise the suspicion of a skeletal dysplasia, specifically spondyloepiphyseal dysplasia.

Adolescent↗

Charcot-Marie-Tooth disease.

OBJECTIVE: To discuss the similarities and differences in the clinical presentation of Charcot-Marie-Tooth Disease, an inherited peripheral neuropathy, and acquired lumbar spinal stenosis. CLINICAL FEATURES: Patients with lumbar spinal stenosis causing nerve root entrapment often have leg pain and weakness during such activities as walking or standing. Additional symptoms of poor balance, foot deformity and signs of cerebellar and sensory ataxia suggest a diagnosis of peripheral neuropathy rather than nerve root entrapment. INTERVENTION: Electrodiagnostic testing and nerve conduction studies reveal abnormal conduction velocities in cases of peripheral neuropathy such as Charcot-Marie-Tooth Disease. CONCLUSION: Sciatica and leg weakness may be due to a variety of causes, including nerve root entrapment and peripheral neuropathy. A diagnosis of Charcot-Marie-Tooth Disease should be considered in a case of progressive lower limb weakness associated with loss of balance and sensory ataxia. This diagnosis can be confirmed using nerve conduction studies.

Charcot-Marie-Tooth Disease↗