A qualitative study of sleep quality in children and their resident parents when in hospital.

Objective: Poor sleep quality impairs immune responses and pain tolerance, both key to recovery from acute illness. Hospitalised children and their co-sleeping parents also risk emotional lability and impaired coping skills when sleep-deprived. We aimed to study the experiences of children and parents during hospital admissions.

Community rabies knowledge and pet vaccination practices after a skunk rabies outbreak in Eddy County, New Mexico.

Objective: To determine percentages of domestic cats and dogs vaccinated against rabies, identify barriers to vaccination, and assess knowledge about rabies in a semirural New Mexico community after a skunk rabies outbreak.

Design: Cross-sectional, door-to-door, bilingual, community-based participatory survey.

Sample: 366 residential properties in Eddy County, NM.

Case Report: Jejunal gastrointestinal stromal tumour, a rare tumour, with a challenging diagnosis and a successful treatment.

Gastrointestinal stromal tumours (GISTs) are rare. GISTs comprise 0.2% of gastrointestinal tumours and only 0.

Local origins impart conserved bone type-related differences in human osteoblast behaviour.

Osteogenic behaviour of osteoblasts from trabecular, cortical and subchondral bone were examined to determine any bone type-selective differences in samples from both osteoarthritic (OA) and osteoporotic (OP) patients. Cell growth, differentiation; alkaline phosphatase (TNAP) mRNA and activity, Runt-related transcription factor-2 (RUNX2), SP7-transcription factor (SP7), bone sialoprotein-II (BSP-II), osteocalcin/bone gamma-carboxyglutamate (BGLAP), osteoprotegerin (OPG, TNFRSF11B), receptor activator of nuclear factor-κβ ligand (RANKL, TNFSF11) mRNA levels and proangiogenic vascular endothelial growth factor-A (VEGF-A) mRNA and protein release were assessed in osteoblasts from paired humeral head samples from age-matched, human OA/OP (n = 5/4) patients. Initial outgrowth and increase in cell number were significantly faster (p < 0.

Remarkably reactive dihydroindoloindoles via palladium-catalysed dearomatisation.

Palladium-catalysed dearomatisation reactions allow access to a previously unknown class of indoloindole heterocycle: 5,10b-dihydroindolo[2,3-b]indoles. The highly reactive nature of these compounds is demonstrated by their facile reactions with water and with hydride, alkyl, aryl and allyl-based organometallic nucleophiles.

Reactive 4a-alkyl-4aH-carbazoles by catalytic dearomatisation, and their unusual dimerisation and dealkylation reactions.

Despite their intrinsic instability, 4a-alkyl-4aH-carbazoles can be generated by a catalytic dearomatisation process; their reactivity is demonstrated by facile dealkylation and highly unusual cyclodimerisation processes.

The use of MRI to detect occult fractures of the proximal femur: a study of 102 consecutive cases over a ten-year period.

An MR scan was performed on all patients who presented to our hospital with a clinical diagnosis of a fracture of the proximal femur, but who had no abnormality on plain radiographs. This was a prospective study of 102 consecutive patients over a ten-year period. There were 98 patients who fulfilled our inclusion criteria, of whom 75 were scanned within 48 hours of admission, with an overall mean time between admission and scanning of 2.

The epidemiology of ankle injuries in professional rugby union players.

Background: Ankle injuries represent a considerable proportion of injuries to professional rugby union players; however, there is a scarcity of detailed epidemiology about these injuries.

Purpose: To describe the epidemiology and assess the risk factors associated with ankle injuries sustained by a cohort of professional rugby union players.

Study Design: Descriptive epidemiology study.

Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis.

Replacement of the shoulder in juvenile idiopathic arthritis is not often performed and there have been no published series to date. We present nine glenohumeral hemiarthroplasties in eight patients with systemic or polyarticular juvenile idiopathic arthritis. The mean follow-up was six years (59 to 89 months).

Harvesting the radial artery: does it affect early postoperative hand function?

Background: The radial artery (RA) is increasingly being used as a conduit for coronary artery bypass grafting. Previous studies have demonstrated that there is no significant deterioration in hand function in the long term. The aim of this study was to assess whether removal of the RA caused any alteration in the function or power of the hand 5 days postoperatively that would affect the patient's ability for self care on returning home.

[Normal pressure hydrocephalus and lumbar neurinoma].

A 76-year-old man presented with gait disturbances, mental deterioration and urinary incontinence. CT and MRI suggested a normal pressure hydrocephalus. Because of a raised protein content of CSF, a spinal MRI was performed and revealed a lumbar neurinoma.

[Thalamo-peduncular germinoma].

A 24 year-old patient presented with chronic intracranial hypertension, palsy of both abducens nerves and upward gaze, and right hypoesthesia. CT scan and MRI showed a left thalamic tumor infiltrating the left cerebral peduncle. A stereotactic biopsy revealed a germ cell tumor.

Characteristics of ankle-foot orthoses for management of the spastic lower limb.

A retrospective study was done on the effects of a change in the design of ankle-foot orthoses used in the treatment of 29 hemiplegic children. Nine of 13 children treated with plantarflexed ankle-foot orthoses required surgery, compared with only one of 16 with dorsiflexed ankle-foot orthoses. This difference is highly significant.

A case of recurrent salmonella septicaemia in an infant.

A 6-month-old girl was admitted with a febrile illness. Salmonella eastbourne was isolated from the stool and blood cultures. Septicaemia was treated with antibiotics but recurred twice on cessation of therapy.

Amputation stumps studied by bone scanning. Work in progress.

Nine diabetic and 7 nondiabetic (post-trauma) patients 24 to 63 years of age (mean, 49) were scanned following amputation below the knee, which was bilateral in 4. A three-phase scanning technique (flow, blood pool, and delayed equilibrium images) was employed, using Tc-99m-etidronate. Duration of the arterial and capillary phases was estimated during flow.

A noninvasive technique for the study of cardiac hemodynamics utilizing C15-O2 inhalation.

A new technique for the study of cardiac hemodynamics is described which utilizes single-breath inhalation of C15O2 (T 1/2 = 124 sec.) and the recording of activity vs. time curves with scintillation counters placed externally over the left ventricle and right lung.