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At least 1,189 records · Page 66Linked to original sources
PubMed1979

Accuracy of birth certificate data for detecting facial cleft defects in Arkansas children.

A comparison of facial cleft defects reported on birth certificates during the period 1943 to 1974 that were reported on birth certificates was made with records maintained by the Arkansas Crippled Childrens Services (CCS). A total of 506 cases were reported of which 331 (65%) were recorded on the birth certificate. Moreover, the accuracy of the reporting was not good. Only 243 (48%) cleft malformations were correctly classified on the birth certificate. Birth certificate information is an inadequate measure of the true facial cleft occurrence in Arkansas. Caution must be exercised when this data source is used in epidemiological surveys because over one-third of such defects were not recorded. These findings serve to reemphasize the national need to improve the quality of such vital health statistics sources.

Arkansas↗
PubMed1986

[Incurable keratitis and chronic palmoplantar hyperkeratosis with hypertyrosinemia. Cure using a tyrosine-restricted diet. Type II tyrosinemia].

One should henceforth systematically search for hypertyrosinemia which, too often, goes unrecognized for years, in patients presenting chronic keratitis associated with palmar and plantar hyperkeratosis. As a matter of fact, this highly crippling disease may be cured with an appropriate diet and the diagnosis, once suspected, is easily confirmed by simple investigations.

Adolescent↗
PubMed1987

[Psychology of the physically handicapped patient--an outline of development in Germany].

The present article is directed at giving a broad account of the emergence and subsequent differentiation of a specific "psychology of the physically disabled" in Germany, based on articles by selected authors, that appeared in "Zeitschrift für Krüppelfürsorge" (1909-1943) and "Jahrbücher der Fürsorge für Körperbehinderte" (1951-1962). With the cripple care sector just beginning to organize itself around the turn of the century, a historical-chronologically oriented overview is given of those psychological currents that have made decisive contributions toward shaping today's understanding of rehabilitation. Essential positions are brought out, with core ideas presented by original quotations. It turns out in this process that many of our contemporary ideas, which are deemed so modern and novel, have in fact originated already in the first half of the century.

Adaptation, Psychological↗
PubMed1979

[Evaluation of the limits of orthodontic treatment possibilities in surgically treated patients with clefts by means of teleradiography].

Using indices elaborated by himself for the evaluation of lateral teleradiographs, the author attempted to systematize the very divergent forms of postoperative jaw crippling in cleft patients. By substantiating the characteristics on inhibition in growth of the upper jaw, and by establishing a mandibular macrognathia, it is possible to judge of the limits of an orthodontic treatment.

Cleft Lip↗
PubMed1985

Cataract surgery. Outcome assessments and epidemiologic aspects.

Part one defines the topics and study purposes. The 12 studies reviewed in this survey focuses on following 3 topics of which the current knowledge is very limited: Assessment of outcome of cataract surgery (effectiveness studies). Pre-operative prediction of outcome of cataract surgery. Epidemiologic aspects of cataract surgery. These three topics were chosen as study objectives because more accurate knowledge of these points is necessary to assure a better cataract treatment in future, and as a basis for securing sufficient resource allocation to cataract surgery in the public health care. Each topic will be treated separately in the following 3 parts. Part two concerns the effectiveness studies on cataract surgery (publ. I-VI). Primary, a visual functioning index is presented and evaluated. The index is meant as a new supplementary tool for evaluation of the rehabilitation effect. This index, together with visual acuity and other outcome evaluators, was then used for assessment of the effectiveness of cataract extraction generally and in different sub-groups, supplemented with quantitative assessment of rehabilitation problems and analysis of outcome predictors. In a consecutive series of patients, in which intraocular lenses were not used, it was found, that 82% of the patients obtained a final visual acuity of 0.5 or better and 74% of the patients had normal or near normal basic visual functioning at one year follow-up. In spite of these good results, the rehabilitation of these aphakics were difficult. The difference between the two figures above represents some of the 'aphakic vision cripples' with severe difficulties of adaptation to aphakic spectacles. 26% of cataract extracted patients in a normal consecutive group were found to be dissatisfied with the outcome. Two main reasons for dissatisfaction were found: macular disease and low quality of vision with aphakic spectacles, especially in monaphakics, of which 75% had complaints about vision. Although monaphakics nearly reach the same level in basic functioning as the biaphakics, the latter are much more satisfied. It seems likely that basic visual functioning is gained by first eye surgery and more delicate visual functioning and a subjective 'visual comfort' is obtained by second eye surgery. Adaptation to aphakic spectacles seem to be far less difficult for the biaphakics. In series of patients rehabilitated with intraocular lenses or extended-wear contact lenses, the monaphakics appear to have a generally better visual functioning and they are much more satisfied with outcome than spectacles corrected monaphakics.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMedDate not supplied

Hereditary hypophosphatemia rickets: an important awareness for dentists.

Because X-linked hypophosphatemia VDRR is reported to be the most common form of rickets in the United States today, it is important for dentists to be aware of this condition. Characteristic dental findings are often the first clinically noticeable signs of the disease. The confirmation of hypophosphatemia with dental findings will permit early diagnosis and prevent crippling rachitic deformities, otherwise certain to follow. Reports in the literature confirm the validity of conservative, prophylactic full coverage restorations in patients with VDRR.

Child↗
PubMed1988

Office management of urinary stomas.

The postoperative care of stoma patients is truly life long. With the excellent stoma equipment available, no patient should be a "stoma cripple." New advances in continent reservoirs will improve patient acceptance and lessen the fear associated with stomas. Finally, close follow-up by both the enterostomal therapy nurse and the surgeon is essential for the complete care of the stoma patient.

Ambulatory Care↗
PubMed1985

A prospective scintigraphic study of avascular necrosis of bone in renal transplant patients.

Avascular necrosis of bone (AVN) may cripple a patient who has had a successful renal transplant. The authors have attempted to gain more knowledge of this condition by undertaking a prospective survey to determine as accurately as possible the incidence of AVN in renal transplant patients. Routine six-month whole body bone scans were performed with 99mTechnetium Methylene Diphosphonate in 42 consecutive surviving renal transplant patients. The survey started in 1978-79, and patients were followed for a minimum of two years and a maximum of three years. As a result, seven were found to have AVN that would have remained undetected in two of the patients if routine whole body bone scanning had not been conducted. Despite a reduction in steroid dosage in recent years, the incidence of AVN in the authors' patients remains high at 17%. Bone scan appearances in renal transplant patients were classified and subdivided into four groups. By linking bone scans and radiographic and postmortem appearances of the femoral head, one very early case of AVN was detected. Routine bone scanning provided a more accurate estimation of the incidence of fractures in renal transplant patients (12%).

Adolescent↗
PubMedDate not supplied

[Development of laryngeal papillomatosis in children. Apropos of 17 cases].

Seventeen children (ages ranging from 2 to 11 years at the onset of the study) were followed for 24.5 +/- 15 months (3 to 47 months) for a laryngeal papillomatosis requiring tracheotomy in 14. In 8 of the children evolution was low with a decrease or disappearance of relapses. On the contrary, 9 children, i.e. more than half the cases, presented with highly crippling disease, with frequent relapses of the laryngeal papillomas, extension of the lesions to the trachea, bronchi or even lungs, and local laryngeal complications (synechiae, sub-glottic stenosis). Medical anti-proliferative treatments had no effect. These children were submitted to iterative excisions. In 4 of them tracheotomy remained necessary after 3 years of evolution and their vital prognosis might become involved, either because of local complications or due to the extension of the lesions.

Child↗
PubMed1988

Rehabilitation for the post-cleft nasolabial stigma.

The post-cleft central facial stigma is a psychologically crippling deformity that challenges the reconstructive surgeon's imagination. Rewarding improvements can be achieved through a combination of an "elephant trunk" open approach and restoration of existing structural elements with addition of a central cartilage or bony columellar strut capped by cartilage to provide nasal tip projection. The entire deformity must be considered and, if needed, maxillary or lip revisional surgery must be done to obtain optimal results.

Bone Transplantation↗
PubMed1987

Kashin-Beck disease.

Kashin-Beck disease is the most frequent rheumatologic problem of children in China. Although it is acquired environmentally and frequently leads to life-long crippling, the etiology remains an enigma.

Arthritis, Juvenile↗
PubMed1987

Research in pediatric otolaryngology: an overview.

Pediatric otolaryngology research, most of the time, relies on basic research in animals. This is especially evident when looking at the neonatal period on which this paper is mainly focused. Most of perinatal hearing pathologies are related to the existence of sensitive periods during development. Major improvements of evoked potential techniques have permitted early recognition of hearing losses. This paper also deals with problems involving secretory otitis media, laryngeal stenosis and drooling in crippled children. Finally, there is brief mention of future research domains: immunology and vestibular pathology.

Child↗
PubMed1987

Acute pyogenic bone and joint infections.

Acute infections of bone and joints is a curable condition and the chance of cure is related to a number of factors like type and virulence of the organism, resistance of the host, choice of antibiotics, early drainage of the joint in septic arthritis and appropriate treatment after early diagnosis with adequate dosage and duration of antibiotic therapy. Late diagnosis and inadequate treatment can often lead to high mortality and morbidity and leave the patient with crippling sequelae like chronic osteomyelitis, joint destruction, pain, shortening, deformity and limp.

Acute Disease↗
PubMed1986

Human bites to the hand.

Because of the virulence of human oral flora, complications from relatively common human bites can be far more serious than those caused by animal bites. Types of infection of various kinds of human bites, the common pathways of extension of these infections and the appropriate treatment for these injuries as well as the prevention of what may be devastating and crippling sequelae are reviewed.

Anti-Bacterial Agents↗
PubMed1988

Effect of antibiotic and fluid resuscitation upon survival time in experimental intestinal ischemia.

Acute massive intestinal ischemia is an abdominal catastrophe. Prompt diagnosis and restoration of blood flow is essential; otherwise, massive intestinal resection occurs, leading to death or, in the survivors, intestinal cripples. In this study, the time of warm reversible ischemia in the canine intestine was explored. After this time was established, fluids and antibiotics were administered to note change in survival times. Massive intestinal ischemia (superior mesenteric artery was clamped) was tolerated without death for five hours (20 dogs in each group). With six hours of ischemia, a 10 per cent mortality rate occurred; with seven hours of ischemia, a 90 per cent mortality rate occurred. These dogs had a maintenance of 75 milliliters of fluid administered per hour. Using this group of dogs as the control (that is, the group with seven hour clamping time of the superior mesenteric artery with maintenance intravenously administered replacement), fluids were given to dogs in the experimental group to keep the pulmonary artery wedge pressure at a normal value (average of 300 milliliters per hour). This group of dogs had an increased survival rate of 40 per cent (ten dogs). Antibiotics were given to the dogs in the experimental group both before and after clamping, increasing the over-all survival rate to more than 80 per cent (46 dogs). Aggressive fluid replacement and antibiotic coverage may lengthen the so-called golden period in which intestinal ischemia may be reversed by revascularization.

Animals↗
PubMed1987

Profile of denials of durable medical equipment for SCI patients by third party payers.

The difficulty in obtaining approval for payment of durable medical equipment by third party payers has impeded the rehabilitation program and discharge planning of many spinal cord patients throughout the country for many years. To gain some insight as to the number and level of patients affected, the kinds of equipment denied, the reasons given for the denial, which third party payers were mostly involved and how the patient and his/her family managed to cope or resolve this problem, a survey was undertaken. Letters were sent to 259 members of the American Spinal Injury Association (ASIA) asking them to list representative cases where requests for equipment deemed necessary were denied. Twenty-eight responses from different institutions were received from sixteen states describing 110 patients and 180 pieces of durable medical equipment denied in 1984 and 1985. Manual wheelchairs, motorized wheelchairs, shower/commode chairs, and environmental control units were the four most common equipment items denied by the third party payers. Government agencies ie., Medicaid, Medicare, Vocational Rehabilitation Departments and State Crippled Children's Services were the most frequent deniers, comprising 54% of the total sample. They were followed by private insurance (31%) and Workman's Compensation (3%). By far, the two most common reasons given for denials were: it was not covered by the insurance policy (38%) and it was not medically necessary (30%). Ninety (90) pieces of equipment (50%) were eventually obtained, most often by charity, or through the patient's family resources.

Data Collection↗
PubMedDate not supplied

Incidence of temperature elevations after a full mouth dental rehabilitation under general anesthesia.

Fifty-seven patients underwent a full-mouth dental rehabilitation under general anesthesia at Texas Scottish Rite Hospital for Crippled Children. Thirty-eight subjects had complete data collected to monitor for temperature elevation. Nineteen subjects were discarded from the study due to incomplete data. The results showed 45 percent (seventeen subjects) had a significant temperature elevation to 38 degrees C or above. Sex of the subject made no difference. The significance temperature elevations occurred in the younger age-groups, especially in the one- to-five-year age-group. In the subjects with a significant temperature elevation after surgery, no definite pattern was evident as to when it would occur or how long it would last. The study population was divided into two groups, one with a significant temperature elevation to 38 degrees C or above, and the control group with temperatures below 38 degrees C. These groups were then compared to see whether their preoperative Oral Hygiene Index, Gingival Index, and soft tissue trauma or extraction of teeth showed a difference. No significant difference was found. This study is the first designed specifically to monitor temperature. It reported the highest percentage of subjects (45 percent) to have a postoperative temperature elevation, in comparison to other studies. Although no single factor could be found as the cause of the postoperative temperature elevation, combinations of the factors mentioned or the effects of anesthetic may have caused the elevations.

Adolescent↗