Adjunctive treatment of compartment syndrome with hyperbaric oxygen.

Trauma-induced compartment syndrome and other acute traumatic peripheral ischemias have been effectively treated with hyperbaric oxygen therapy. We describe a case of compartment syndrome associated with an acute exertional injury. After surgical decompression, hyperbaric oxygen therapy reduced edema and improved tissue viability.

Synthesis and Downstream Reactions of 2-(Triphenylphosphino)-4,5-dicarbomethoxy-1,3-diselenole Tetrafluoroborate: X-ray Crystal Structure of a Nitroso Derivative of a 2-Ylidene-1,3-diselenole Stabilized by an Intramolecular O.Se Interaction.

The title 1,3-diselenole Wittig reagent 9 has been synthesised by a new, efficient route from readily-available starting materials and reacted with a variety of functionalized aldehydes to form the corresponding 2-ylidene-1,3-diselenones 12 in respectable yields. X-ray analysis of a nitrosated derivative 14e, prepared by the reaction of 12e with isoamyl nitrite, has provided the first direct evidence for the stabilization of such systems by intramolecular oxygen-selenium interactions.

Effect of sibship position on reproductive behavior of couples after the birth of a genetically handicapped child.

We compared the reproductive behavior of 132 white married couples of whom 44 had a child with cystic fibrosis, 44 with either Down Syndrome or neural tube defect, and 44 with cerebral palsy to that of the general USA white married population. The three groups of couples were similar respecting race, religion, maternal age, parental occupation and education, and sex of affected child. Most couples had received some genetic counseling and all were followed for at least 3 years after diagnosis of the affected child.

Pneumocele of the maxillary sinus. A second case report.

The term pneumocele refers to an expansile bone destructive air containing cyst-like lesion involving the sinus cavity proper, presumably due to obstruction of the major sinus ostium. It differs from pneumoceles described previously that have all been air pockets beyond a paranasal air sinus due to an abnormal fistulous communication, rather than expansion of the sinus cavity itself. In adding this second case to the literature we believe that this rare lesion may be encountered from time to time, and should be considered when an expanded maxillary antrum is found to contain air rather than fluid or soft tissue content.