Factors affecting occupational therapy services for patients with traumatic brain injury.

Background: Traumatic brain injury (TBI) is one of the top causes of disability in the younger population worldwide. Rehabilitation services should be accessible to all citizens to achieve universal health coverage.

Objectives: This study aimed to explore the barriers and facilitators influencing the provision of rehabilitation for patients with TBI from occupational therapists' perspectives in Gauteng, South African healthcare facilities.

The American and Canadian wartime godmothers of Belgian soldiers. Joseph de Dorlodot's Correspondence and Documentation Office (1915-1919).

Lieutenant Joseph de Dorlodot (1871-1941), a Belgian aristocrat and philanthropist, was the Director of the Belgian Correspondence and Documentation Office in Folkestone, England. This article uses the 'Joseph de Dorlodot' archive collection (Archives Générales du Royaume de Belgique, Bruxelles) to investigate the emotional support provided by the Correspondence Office during the First World War. Throughout the conflict, its mission was to facilitate the sending of mail between Belgians, to provide them with legal advice and to offer humanitarian assistance to those who were in material and emotional distress.

Feminist perspectives on the history of humanitarian relief (1870-1945).

Taking a Feminist perspective as a starting point, this introductory piece seeks not only to integrate women as the main agents within the history of humanitarian relief, but also to understand their assistance to victims, from the Franco-Prussian War to WWII, as a type of situated knowledge which was broadly associated with the notion of care through the implementation of practices such as dressing wounds, vaccinating, feeding and clothing vulnerable populations. This political and epistemological position allows us to analyse the agency of women humanitarians as a caring power involving strong gender, class, religious and colonial power relations within the history of Western Empires. Furthermore, our Feminist approach enables us to deconstruct the essentialist vision through which women humanitarians have frequently been depicted as compassionate mothers or loving angels, as well as to contextualize their contrasting experiences of complicity with Western Empires and resistance to male delegates and political and medical representatives.

Primary maternal cytomegalovirus infections: accuracy of fetal ultrasound for predicting sequelae in offspring.

Background: Cytomegalovirus infection is the most common perinatal viral infection that can lead to severe long-term medical conditions. Antenatal identification of maternal cytomegalovirus infections with proven fetal transmission and potential postnatal clinical sequelae remains a major challenge in perinatology. There is a need to improve the prenatal counseling offered to patients and guide future clinical management decisions in cases of proven primary cytomegalovirus infection.

Congenital cytomegalovirus infection: contribution and best timing of prenatal MR imaging.

Objective: To predict sensorineural hearing loss (SNHL) and neurological impairment in congenital cytomegalovirus (cCMV) infection using MR imaging and define the best timing in pregnancy for prenatal assessment.

Methods: In 121 patients with confirmed cCMV infection, brain features at MR imaging were respectively graded from 1 to 5: normal; isolated frontal/parieto-occipital hyperintensity; temporal periventricular hyperintensity; temporal/occipital cysts and/or intraventricular septa; migration disorders. Grading was correlated with postnatal SNHL and neurological impairment using regression analysis.

Is unicompartmental-to-unicompartmental revision knee arthroplasty a reliable option? Case-control study.

Background: In selected patients with failed unicompartmental knee arthroplasty (UKA), revision UKA is a reliable option and may even provide lower morbidity rates and better functional outcomes compared to revision total knee arthroplasty.

Material And Methods: In a multicentre retrospective study of 425 knees requiring revision surgery after UKA, 36 knees were managed with revision UKA.

Results: Of the 36 knees, 3 (8.

Invasive recurrence of an intestinal-type mucinous epithelial neoplasm of low malignant potential: case report and review of the literature.

Pseudomyxoma peritonei is only rarely seen in conjunction with primary ovarian tumors. It has been suggested that only ruptured mucinous tumors arising in ovarian mature cystic teratomas can result in this clinical picture. We describe a case of a late invasive recurrence of a mucinous intestinal-type borderline ovarian tumor arising from a mature teratoma after complete surgical debulking.

Specific congenital malformations after exposure to cyclophosphamide, epirubicin and 5-fluorouracil during the first trimester of pregnancy.

The treatment of pregnant women with chemotherapeutic drugs leads to congenital malformations in 10-20% of newborn children. We present a case of an ongoing 19-week-long pregnancy which was diagnosed in a 39-year-old woman who was being treated with CEF (cyclophosphamide, epirubicin, 5-fluorouracil) chemotherapy for an infiltrating ductal carcinoma of the breast. After termination of the pregnancy, subsequent examination of the fetus revealed micrognathia and bilateral malformations of the hands and feet.

Reliability of the Lagrange and Rigault classification system of supracondylar humerus extension fractures in children.

Introduction: The Lagrange and Rigault classification was designed to describe extension-type supracondylar fractures of the humerus. It can also help in treatment decision-making.

Hypothesis: The reliability of this classification has not yet been proven.

Nonsurgical treatment of pyomyoma in the postpartum period.

Background: Only 13 cases of pyomyoma related to pregnancy have been described since 1945. Treatment consists of hysterectomy, which exposes critically ill patients to operative risks and induces infertility.

Cases: Three cases of pyomyoma in the postpartum period are described.

Intramyometrial ectopic pregnancy in an ICSI patient following uterine artery embolization.

Myometrial pregnancy represents a rare subtype of ectopic pregnancy. A history of uterine artery embolization (UAE) because of symptomatic uterine fibroids, and assisted reproductive treatment may predispose to this unusual implantation site. A 40-year-old woman with a history of uterine fibroids underwent a transfer of two embryos after intracytoplasmic sperm injection treatment.

[False appearances of aortic arch in laryngomalacia (author's transl)].

The authors report six cases of congenital laryngeal stridor in which appearances of oesophageal compression had led to a diagnosis of abnormalities of the aortic arches. Two children underwent surgery, thoracotomy failing to reveal any abnormality. The other four were investigated by endoscopy which made it possible to eliminate the diagnosis of tracheal compression.