Diastasis recti and umbilical hernia causes, recognition and repair.

Unlabelled: Among 1738 parous women who needed abdominal hysterectomies, 553 were found to have mild, 108 had moderate, and 12 had severe diastasis recti. Also, 97 had umbilical hernias. Methods of recognition and repair are diagramed and discussed.

Takayasu's arteritis in western South Dakota.

Takayasu's arteritis is an inflammatory condition affecting the large arteries. While most reported cases are from Latin America and the Orient, the disease has a worldwide distribution. Patients frequently complain of claudication, arthralgias and fatigue, and physical examination is remarkable for vascular bruits and pulse deficits.

Decreasing numbers of patients for vaginal hysterectomy and plasty.

Among 2904 patients who needed hysterectomy, the numbers of patients who needed vaginal hysterectomy and plasty have decreased steadily during the 40 years, 1948-88, although indications have remained constant. There has been a steady reduction in the severity and numbers of patients with uterine sagging. Likewise, there has been a notable decrease in the severity of, and numbers of, patients with old perineal lacerations.

OBRA--its effect on the mentally ill in South Dakota nursing homes.

Mental illness is quite prevalent in the nursing home population. The Omnibus Budget Reconciliation Act of 1987 (OBRA), as it relates to nursing homes, has many facets including preadmission screening, periodic assessment, formalized patient rights, and gives reviewers a broader list of sanctions for offending facilities. OBRA does away with the designation of skilled and intermediate levels of care.

Angular deformities of the tibia in children: a review of three cases.

Children born with prominent bowing of the tibia are an obvious concern to parents and physicians. Managing these congenital angulations requires early and accurate diagnosis. Classification is based on the direction of the angulation and its associated pathology.

Utilization of masks by Hutterite farmers.

Respiratory symptomatology and pulmonary function tests were evaluated among 199 male Hutterites who utilized masks during farming and 159 Hutterites who did not use masks. Anthropometric and pulmonary function tests were comparable between the two groups. Symptomatology, including cough, phlegm, and wheezing were more prevalent among mask wearers compared to non-mask wearers.

Elevated thyroxine and free thyroxine in euthyroid patients: familial dysalbuminemic hyperthyroxinemia.

An eleven year old male was evaluated because of persistent elevation of thyroxine levels and elevated thyroxine index calculated as "T7" but normal thyrotropin levels. The findings were demonstrated by thyroxine binding protein electrophoresis to be due to aberrant thyroxine binding to albumin. The abnormality was also documented in the patient's father.

The management of intoeing: a review.

Children presenting with an intoeing gait are the most common pediatric problem seen by orthopedists. Most parents are concerned that this rotational problem may result in a permanent disability or impediment of their child's physical performance. The etiologies of these conditions are still debated, although the structural conditions giving rise to intoeing can be correlated with the age of onset.

Hand tumors: extraskeletal chondroma and osteoma--case reports.

Superficially simulating ganglion, extra skeletal tumors of cartilage and bone may occur in the soft tissues of the hand with no relation to the skeleton. Typical examples are presented with the pathological findings and clinical findings.

Role of paraventricular nucleus (PVH) in baroreflex-mediated changes in lumbar sympathetic nerve activity and heart rate.

Electrophysiological and neuroanatomical studies indicate that reciprocal connections between the paraventricular nucleus (PVH) and medullary sites are involved in cardiovascular regulation. To determine whether the PVH is involved in the regulation of baroreflex responses, lumbar sympathetic nerve activity (LSNA) and heart rate (HR) changes were recorded in response to increases in arterial pressure (produced by bolus doses of phenylephrine i.v.

Acute effects of aspartic acid on ventilation of male and female rats.

The effects of aspartic acid (aa) on ventilation were evaluated in awake male and female rats prior to and 15, 30, and 45 minutes after saline, 100 mg/kg or 580 mg/kg aa was injected subcutaneously. Subsequently, rats were exposed to hypoxic and hypercapnic gas challenges. In males, 100 mg/kg aa increased ventilation (VE) by increasing inspiratory flow rate (VT/TI), tidal volume (VT), and frequency of breathing (f) by 30 minutes, whereas in females VT was increased above saline levels only at 15 minutes.