ANALYSIS AND ASSESSMENT OF A SERIES OF HEMIPLEGICS AT THE PASSMORE EDWARDS MEDICAL REHABILITATION UNIT, CLACTON: PRELIMINARY REPORT

Eighty-three hemiplegic patients, admitted to the Passmore EdwardsRehabilitation Unit, Clacton, Essex, over a six-month periodwere studied on admission, at discharge, and three months afterdischarge. Among the right hemiplegic patients a group was foundwho had both severe dysphasia and dysarthria and dressing difficulties.There was a general improvement in activities of daily livingwhich correlated with intellectual improvement following thestay at Passmore Edwards which was maintained by the follow-upassessment. In an attempt to assess the value of measurementparameters, brick-building and body image drawing showed nocorrelation with dressing or dysphasia. ^* Paper read at the Annual Meeting of the British Associationfor Rheumatology and Rehabilitation, London, April 1975.     

THE PERUGIA HOSPITAL-BASED STROKE REGISTRY: REPORT OF THE 2ND YEAR

This study reports the characteristics of stroke patients admitted to our hospital in the period Jan 1st, 1998–Dec 31st 1999. Seven hundred and ninety seven consecutive subjects (412 males; mean age 71?±?13 years) with a first-ever stroke were registered. Two-thirds of patients (65%) were admitted to the Stroke Unit (SU). The remaining part was managed in six general medicine wards (GM) or other services [neurosurgery and intensive care units (ICU+NS)]. Ischemic stroke occurred in 534 subjects (67%). The high prevalence (30.1%) of haemorrhages can be partly explained by the presence of specialized neurosurgical services. Athero-thrombotic infarctions occurred in 21.7% of patients, lacunar in 24.7%, cardioembolic in 18.1%, other determined in 6.1%, and other undetermined in 27.5%. Overall hospital mortality was 10%. In cerebral hemorrhage mortality was 18% (44/240) vs. 6.3% (32/534) in ischemic stroke (p<0.05). The distribution of stroke types and mortality was similar to other previous reports.     

REPORT TO THE SOCIETY FOR THE STUDY OF ADDICTION

Professor Golla has recently retired from the post of Director of the Burden Neurological Institute so the time seems appropriate to review the work on alcohol carried out with the support of the Society's Monthly Bulletin Research Fund.     

急性血吸虫病误诊2例分析

我站近年收治2例急性血吸虫病误诊病例,现分析如下。1　临床资料例1:男,学生,11岁,于2 0 0 3年8月19日入院,主诉:高热10 d。入院前在省级医院按“败血症”治疗,经头孢类、红霉素类等抗生素治疗,高热不退。期间行血培养、骨髓穿刺、实验室检查等均正常。10日后触诊肝脏肿大,血液细胞学示:嗜酸粒细胞增多症,患儿父亲提示来自血吸虫病疫区后转入我站。体格检查:T39.2℃,P10 0次/ min,R2 2次/ min,Bp14 / 8.5 k Pa,肝区有压痛,肝剑突下3cm,肋下4 cm,质中。血常规:WBC 19.3×10 9/ L,N 0 .6 2 ,L 0 .2 0 ,E 0 .18,IHA1∶2 0阳性。询问病史,…     

急性血吸虫病误诊1例

1　临床资料患儿 ,男 ,学生 ,8岁 ,于 2 0 0 3年 8月 13日入院。主诉 :高热 30 d。入院前在附近多家医院就诊无效 ,后到武汉市儿童医院以“发热待查”按“肺炎”治疗。经用青霉素、头孢类等抗生素治疗 15 d,高热仍不退 ,症状也未改善 ,因而转入本院。询问病史 ,患儿居住在孝感市沦河 (血吸虫病重疫区 ) ,1月前曾到沦河游泳过数次。体格检查 :T 39.4℃ ,P 98次 /m in,R 2 1次 /min,Bp 12 0 /6 5 m m Hg,肝区有压痛、肝剑突下 3cm,肋下 4 cm ,质中 ,血常规 :WBC 2 0 .4× 10 9/L ,E 18% ,血吸虫免疫学检查 ,IHA 1∶ 4 0 ,COPT 10 % ,E…