Firearms continue to be the leading cause of injury mortality in Texas.
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Biomedical subjects
Publications and source records attributed to M J Preece.
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The incidence of anencephalic births among Texas residents for the period 1981 through 1986 is described. The annual incidence of this birth defect varied from 3.8 to 4.3 cases per 10,000 total births (live births and stillbirths). The highest mean annual incidence was found in East Texas and South Texas. Within all ethnic and racial groups studied, females had higher rates of anencephaly than males, and Spanish-surnamed residents had the highest incidence of this defect, with 5.0 cases per 10,000 live births. Mothers with three or more previous live births or a history of stillbirths were more likely to have anencephalic offspring than were those without these documented histories. Differences in the incidence of anencephalic births between Spanish-surnamed and non-Spanish-surnamed whites were not explained by differences in parity.
A patient is presented with ischemic heart disease and mitral regurgitation; the patient's pulmonary artery wedge "V" waves and left ventricular end diastolic pressure decreased during exercise. Possible explanations for this unusual hemodynamic response are discussed.
The findings in two patients with hemodynamic evidence of intermittent severe mitral regurgitation with cyclic variation in right and left ventricular pressures are presented. Both patients had aortic and mitral valvular regurgitation of unknown etiology without definite evidence of papillary muscle dysfunction. The basis for the variation in the degree of mitral regurgitation is unclear.
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