The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective

Bruises commonly occur in children and are most often the result of a minor accidental injury. However, bruises can also signal an underlying medical illness or an inflicted injury (maltreatment). Although bruising is the most common manifestation of child physical maltreatment, knowing when to be concerned about maltreatment and how to assess bruises in this context can be challenging for clinicians. Based on current literature and published recommendations, this practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising.     

Management of mandibular fractures

Background: To evaluate the cases of mandibular fractures treated by open reduction and rigid fixation at the Armed Forces Medical College, Pune.     

香烟烟雾、霉菌及兄长对婴幼儿的健康影响

许多环境暴露已被证实会影响儿童的呼吸系统健康,但对婴幼儿健康的影响却鲜见报道。目前美国国立环境卫生科学研究院资金资助者,辛辛那提大学和辛辛那提儿童医院医学中心的Gracek．LeMasters、JocelynM．Biagini及其同事们在其研究中首次揭示婴幼儿对环境香烟烟雾接触和过敏之间的关系。     

Left atrial myxoma. Evaluation with transoesophageal echocardiographic and real time three-dimensional imaging

Myxoma is the most common benign cardiac neoplasm. A 66-year-old woman presented with a large left atrial myxoma, which was detected by a real-time three-dimensional echocardiography (RT3DE) and a real-time three-dimensional transoesophageal echocardiography (RT3D-TEE) approach. RT3DE and RT3D-TEE proved to be techniques that can provide additional contributions to the diagnostic investigation of structural heart diseases.