Self-concept and cooperation with orthodontic instructions: a re-analysis.
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Biomedical subjects
Publications and source records attributed to S Sanders.
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Two patients diagnosed as having small intestinal hyperplastic villous atrophy and being treated with a gluten free diet were investigated because of persistent watery diarrhoea. Both were found to have collagenous colitis. Previous reports of this condition have emphasised the presence of normal small intestinal mucosal architecture and the association of collagenous colitis with intestinal villous atrophy has not previously been reported. Both cases responded to oral steroid therapy, but not to other previously recommended treatment regimens.
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Growth and intake of weanling rats on five casein-based purified diets and matched cereal-based diets were compared. The results support Lát's conjecture that the failure of animals to exhibit normal growth on some purified diets may be attributed to their failure to consume sufficient casein. Given a choice, the rats consumed both types of food, composing a diet in which the ratio of purified to cereal-based diet was 2:1, and they grew normally. Although the growth-promoting characteristics of caseins from different sources varied, the preference ratio between casein- and cereal-based diets was the same with one exception: a reduced preference for purified diet was shown by animals who had previously experienced subnormal growth for an extended period of time on a purified diet. These results show that all caseins are not equivalent in their growth-promoting properties. Further, they show that rats are exquisitely sensitive to the nutritional properties of their diets and, given the opportunity, can compose a diet which yields normal growth.
Forty-nine patients under the age of 65 years, who had a low anterior resection performed for cancer of the midrectum, were interviewed. Eight patients were sexually inactive before the operation and were excluded. Postoperatively thirty-five had normal sexual function. Two male patients developed transient erectile impotence while two female patients had given up active sexual life after the operation because of dyspareunia. Two patients, one male and one female had permanent impairment. It is concluded, that severe sexual dysfunction can be seen after low anterior resection for cancer, but no early conclusion about permanent sexual dysfunction should be drawn.
During a 5-year interval 72 consecutive patients with urethral strictures were treated by internal urethrotomy according to the method of Otis. The etiology, surgical technique, complications and postoperative management are discussed. The results after a mean followup of 29 months showed an over-all success rate of 82 per cent (95 per cent confidence limits 71 to 90 per cent). It is concluded that internal urethrotomy should be considered for primary treatment of urethral strictures, since the procedure is easy and complications are few.
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The value of urodynamic examination was studied in 44 women treated for genital prolapse and/or urinary incontinence. A preoperative urodynamic examination was done but not considered in the planning of the operations. The treatment performed after clinical examination was identical to that proposed after urodynamic evaluation in 20 of 34 incontinent patients (59 per cent), while the treatments differed in 14 (41 per cent). The results were considerably better 6 months postoperatively in the former than in the latter patients. Of the 44 patients 11 (25 per cent) had detrusor instability, which resolved 6 months postoperatively in 4 and the symptoms had vanished or decreased in 6.
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Twenty consecutive patients with carcinoma 7 to 12 cm from the anus underwent radical low anterior resection of the rectum; the anastomosis was performed by the EEA stapling instrument. One patient died from pulmonary complications. On urologic follow-up 6 to 8 months after the operation, five patients had significant symptoms from the urinary tract, and in three patients denervation of the bladder was demonstrated. The study establishes that bladder paresis, which is a well-known complication after extirpation of the rectum, also may follow very low anterior resection with anastomosis. The importance of careful follow-up is emphasized
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