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At least 1,171 records · Page 65Linked to original sources
PubMedDate not supplied

[Monitoring the seeds of chronically irradiated indigenous populations of Plantago lanceolata L. Variability in the progeny].

The results of the morphometric study of Plantago lanceolata L. grown, in nursery, from seeds of the first and second post-accident reproductions within the thirty-kilometer zone around the crippled Chernobyl reactor show no relationship between the alterations in some quantitative indices and the variability of gamma-radiation background in places where maternal plants grow.

Accidents↗
PubMed1990

The tethered spinal cord. Etiology and clinical manifestations.

Tethering of the spinal cord is frequently associated with myelomeningocele. However, orthopaedic surgeons must be familiar with the primary tethered cord, which is associated not with an overt myelomeningocele but with more subtle clinical findings, particularly in the pediatric patient. The charts of patients with tethered spinal cords from the Honolulu Unit of the Shriners Hospital for Crippled Children are reviewed to highlight potential diagnostic and treatment problems. Tethered spinal cord should be considered in the differential diagnosis of patients who present with isolated lower extremity deformities and/or subtle neurologic findings. Appropriate evaluation may require magnetic resonance imaging, ultrasonography, or metrizamide computed tomography. Urologic function must also be evaluated and monitored. The literature supports an aggressive diagnostic and, where indicated, surgical approach to the tethered spinal cord. Diagnosis and treatment at a young age has been shown to correlate with optimal results.

Adolescent↗
PubMedDate not supplied

TSRH instrumentation: evolution of a new system. Part 1. Texas Scottish Rite Hospital.

The TSRH System was designed at Texas Scottish Rite Hospital for Crippled Children in Dallas, Texas, to correct spinal deformities in a three-dimensional plane. The system's greatest advantage is its application in spinal revisions. The other advantage to the TSRH system is the crosslink system used in linking paralleling rods for spinal fusion. The TSRH spinal system is paralleled to the Cotrel-Dubousset (CD) system. Advantages of both systems are discussed in this article.

Child↗
PubMedDate not supplied

A patient care trainee program.

For the past 2 years, a special program at Shriners Hospital for Crippled Children, Tampa Unit (SHCC) has been tremendously successful. The hospital hired college students to work as patient care trainees (PCTs). The program was designed because the hospital needed cost-effective personnel and wanted to participate in education and development of health care professionals. The success of the program with respect to improvements in quality of care, evidence of effective education, and savings in salary is described.

Florida↗
PubMed1990

Selective dorsal rhizotomy: neurosurgical treatment of cerebral palsy.

Cerebral palsy is a syndrome characterized by abnormal motor function, with spasticity being one of the most crippling manifestations. Selective dorsal rhizotomy, a neurosurgical procedure, has successfully decreased the degree of spasticity for the child with cerebral palsy. The utilization of this procedure may enable the child with cerebral palsy to demonstrate improved motor function, creating an exciting nursing challenge. This article describes dorsal rhizotomy and the nursing care involved. The protocol of treatment and care provided at Texas Children's Hospital is also described.

Cerebral Palsy↗
PubMedDate not supplied

Sever-L'Episcopo transfers in obstetrical palsy: a retrospective review of twenty cases.

Since 1963, 25 patients have undergone Sever-L'Episcopo transfers for obstetrical birth palsy at the St. Louis Unit of the Shriners Hospital for Crippled Children. A follow-up of 2-6 years was possible with a retrospective review of 16 patients. Substantial improvement in shoulder external rotation as well as subjective functional improvement was obtained by all patients. Three transient and one permanent axillary nerve palsies resulting from this procedure are reported.

Activities of Daily Living↗
PubMed1990

[Genetically determined diseases of the hip joint (a conceptual model)].

The authors consider the problem of pathology of the hip joint from the point of view of the conception "Dysplasia-coxarthrosis". A single system of the ideas concerning dysplastis pathology is presented, which will allow to unify the methods of diagnosis and treatment of dysplasia of the hip joint in children, adolescents and adults with the aim of prevention of crippling diseases of the joint.

Adolescent↗
PubMed1990

[Anal incontinence--pathophysiology and treatment].

The prevalence of anal incontinence is probably far greater than has hitherto been admitted. As a result of the appearance, and the knowledge of new methods of treatment an increasing number of patients seek help for this, often socially crippling, condition. The pathophysiology, the methods of investigation, and the possibilities of treatment, chiefly based on the author's own studies, are described in this review article.

Adolescent↗
PubMed1978

Subtle sequelae of brain damage. Perplexity, distractibility, and fatigue.

Subtle problems of perplexity, distractibility, and fatigue accompany all kinds of brain injury for they appear to result from disruption of accustomed neural pathways and loss or change of mental function. Emotional disturbances may mask these subtle problems, but they can also result from them. Clinical experience indicates that these problems are more apt to become stressful when the patient misinterprets or copes ineffectively with them. That these common problems of brain injured adults may be overlooked in the usual clinical examination was shown in a comparison of clinical records of 50 patients referred for neuropsychological consultation with records of 46 patient-participants in a longitudinal neuropsychological study. Significantly more reports of these problems appeared in the latter group of records. However, consultation records did reflect emotional distress. Irritability, depression, or anxiety affected all but six consultation patients and appeared with equal frequency among working patients as among those unable to work or needing full-time care. This suggests that some of their emotional distress resulted from less obvious problems than those impairing mobility, strength, or competency. Counseling can reduce the patient's vulnerability to the psychologically crippling effects of perplexity, distractibility, and fatigue. Specific recommendations for patient and family counseling are offered.

Adult↗
PubMed1989

[Myotonic dystrophy. Genetic, neonatologic and neuropsychological aspects].

Dystrophia myotonica (DM) is an autosomally dominant hereditary multi-organ disease which is characterized primarily by myotonia and muscular atrophy and thereafter by cataract and disturbances in cardiac conduction. The prevalence is stated to be 2.5-5.5 per 100,000. The disease may be manifest at birth or may become manifest later, right up to the age of 60-70 years, on an average about the age of 20 years. The earlier the commencement of the disease, the more severe the course and the condition becomes crippling. The survival is reduced on an average by 25 years. The diagnosis is based on the clinical findings, information about familial occurrence of DM, electromyography and split lamp examination. The penetration of the DM gene is practically 100% by the age of 14 years but the expression varies greatly. By examination of chorion villi in informative families it will be possible to predict with 96-98% probability whether an embryo will develop DM or not. Genetic research in recent years has rendered prenatal diagnosis possible and diagnosis of the DM gene prior to conception in clinically healthy family members. No specific treatment is available.

Adult↗
PubMedDate not supplied

[Open reduction of the elbow. Apropos of 29 neglected dislocations].

The authors describe results and technical difficulties faced in a series of 29 elbow dislocations using the open technic, then observed over a period between 5 years and 4 months. Results obtained are satisfactory, taking into consideration the primary stiffness. Results on stability are better than those obtained by resection of the lower part of the humerus. Dislocations by the open technic have to be envisaged first in neglected luxations. Indications are limited to patients crippled and limited to non-functional position.

Adolescent↗
PubMed1989

[Pulmonary arteriovenous fistula. Apropos of 12 cases].

Arteriovenous fistula of the lung is a relatively rare lesion with various clinical manifestations. It may be clinically silent and discovered by chance on X-ray films of the chest or during evaluation of Rendu-Osler-Weber disease with which it is associated in about one-half of the cases. It may also have loud manifestations when complicated. The fistula is diagnosed in successive steps, mainly by respiratory function tests and pulmonary angiography. Conservative treatment should be the rule, especially in case with multiple fistulae, but it must begin at an early stage to avoid the dramatic complications of this abnormality, such as acute neurological disorders, haemoptysis, haemothorax, etc. Wide and crippling lung resection must be avoided. Aneurysmorrhaphy or embolization is sufficient to cure most of these multiple angiomas. The results obtained are measured by calculating the blood flow rate in the shunt, as it should theoretically disappear after surgery.

Adult↗
PubMed1989

Inherited collagen disorders.

The investigation of the inherited matrix disorders has been an example of progress on two parallel fronts. Two decades of protein chemistry have provided detailed background information on the structure, if not the function, of collagen. This has been used to identify the likely candidate genes for analysis using DNA markers. Segregation analysis has in turn sorted out which diseases are caused by collagen gene mutations and which are not. This information is now concentrating effort on defining the mutations in the linked diseases and establishing linkages to other genes in the rest. Using the background structural information, efficient and specific strategies for rapidly identifying individual mutants are being designed. Best of all, prenatal diagnosis is now a reality for many parents faced with the prospect of having a severely crippled child.

Collagen↗
PubMed1989

Cold injuries.

Until recently, military personnel have had the greatest risk for cold injuries. During the past two decades, however, destitute persons without adequate clothing or shelter, and sports enthusiasts participating in snowmobiling, mountain climbing, and skiing have been responsible for the increased incidence of cold exposure seen in a large civilian population. Consequently, cold injury remains a crippling problem. Although research is opening new avenues of accurate diagnosis and expeditious treatment, the standard against which these methods must be measured continues to be a rational treatment plan that often prevents the sequelae of cold injuries.

Body Temperature Regulation↗
PubMed1989

The surgical treatment of intracranial abscesses today.

The indications and the results of different surgical procedures for the management of intracranial abscesses are dealt in a cooperative study. Two series, amounting 68 patients altogether, collected in epidemiologically homogeneous areas with high percentage of rural population without adequate medical control, are appraised. Due to the high rate of chronic lesions, particularly in the pre-CT scan era (1968-1975), radical excision was required in 70.6% of cases. Overall postoperative mortality was 14.7%: 7.3% during the hospital stay, mostly due to pyrogenic ventriculitis in patients with large deep located abscesses, and 7.4% for different complications, both intra- and extracerebral, at home or other institutions several months after surgery. 29% of patients recovered completely and 45.6% have only minor disability, only 10.3% remained severely crippled and dependent. The results of the surgery, both in terms of operative mortality and functional recovery seem to depend on the neuropathological background rather than on the kind of therapeutic procedure implemented. Even though it must be acknowledged that at present conservative and minor surgical procedures are more often successfully used, radical excision still appears to keep far from negligible indications.

Adolescent↗
PubMed1989

HIV infection in women.

Acquired immunodeficiency syndrome (AIDS) cripples the immune system, making the patient susceptible to a variety of infections and disorders. AIDS is caused by direct blood contact with a transmissible agent, now known as the human immunodeficiency virus (HIV). The pathophysiology, clinical disease, and treatment of HIV infection in women are discussed.

Female↗
PubMed1977

Cobalt radiation to prevent reankylosis after repeated surgical failures: report of case.

This is the first reported case of the use of cobalt 60 radiation for the prevention of recurrent TMJ ankylosis after repeated surgical treatment had failed. Although radiation therapy is not usually indicated for benign conditions, 2,000 rads can be used safely to treat this crippling condition. Although no conclusions can be drawn from a single case, successful treatment of this patient is indicated by a 3 1/2-year follow-up.

Ankylosis↗
PubMed1989

Pyoderma gangrenosum.

Pyoderma gangrenosum is an uncommon skin disorder often associated with systemic disease, especially chronic ulcerative colitis (Figures 1, 2, and 3). Therapy is twofold--local care and control of the underlying illness. While the overall prognosis is good and the disease is rarely fatal, pyoderma gangrenosum is physically and mentally crippling with a propensity for recurrence.

Aged↗