Hypertension in pregnancy: toxemia or pheochromocytoma?
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Biomedical subjects
Publications and source records attributed to R D Martin.
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Tupaia offspring are maintained in a separate nest constructed by the male parent and are suckled by the female only once every 48 hours. The young are nevertheless able to maintain a constant external body temperature of 37 degrees C.
Recurrent penetrating midface cancer results from basal cell carcinoma, squamous cell carcinoma, adenocystic carcinoma, and chondrogenic and osteogenic sarcoma. In the past, surgical resection frequently resulted in meningitis. A combined neurosurgical and plastic surgical craniofacial approach has been used for total resection of these lesions. The floor of the anterior cranial fossa has been reconstructed with an extended glabellar flap incorporating a forehead Z-plasty. Over the past 2-and-a-half years, 10 patients have been operated on successfully. Five cases with a follow-up of over 2 years are presented.
Among haplorhine primates, the highly specialized Callitrichidae (marmosets and tamarins) are expected to have comparatively high reproductive costs, a feature that might be related to the evolution of a cooperative breeding system. Costs of reproduction in captivity were investigated on the basis of changes in energy intake and body weight during pregnancy and lactation in pair-living female and male common marmosets (Callithrix jacchus). The experimental design had little effect on carrying behavior, food intake, and body weight of adults, but a negative transitory effect of offspring body weight. Increased energetic requirements during pregnancy did not result in a higher energy intake in females. During lactation, females increased their energy intake up to 100% and gradually lost weight, suggesting even higher costs. Extensive carrying behavior by males, on the other hand, did not result in an increased energy intake in males, or in changes in male body weight. It is suggested that, at least in captivity, increased energetic demands during reproduction are reduced by behavior allocations towards energetically less expensive behaviors.
This paper critically reviews the values and perspectives evident in the formulation of the category of Somatoform Disorders in the widely used Diagnostic and Statistical Manual-IV (DSM-IV) [1] of the American Psychiatric Association. The conflict of values evident in the DSM Committee's elimination of causal issues and including only descriptive criteria in the final classification is emphasized. In this approach, causation was dismissed and only a description of popular clinical entities was allowed. It becomes clear that there was a conflict between causal and descriptive factors in the formation of the current classifications. The dubious logic and the inconsistencies that underlie the linking of the various diagnoses under the Somatoform Disorder (SD) rubric is presented. A heuristic model of the interaction of psychological and somatic variables is described. These variables act in a causal fashion and should be the basis for any nosological system of the SDs. There is ample evidence to support the importance of causal factors in the development of SDs, and the current descriptive nomenclature does not do justice to the rapidly growing field of Psychosomatic Medicine. A new scheme is proposed, using the presence or absence of stress as the connecting link for the diagnoses offered. The old nosology enhances the perpetuation of the mind-body dichotomy. Stress, representing the way in which the environment impinges on the human being, allows the mind-body dichotomy to be eliminated. The preferred synthesis of mind-body interaction as partly the result of experience in the environment becomes the basis for the new nosology.
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