Postdatism -- a perinatal problem?

It has been traditionally accepted that maternal and fetal complications are at their lowest levels 37-42 weeks into gestation. 20% of pregnancies completed after 42 weeks gestation are thought to be affected by the postmaturity syndrome of uteroplacental insufficiency resulting in oligohydramnios, meconium passage, loss of fetal subcutaneous tissue, fetal asphyxia, and fetal death. Some workers, however, have also found that pregnancies completed between 40 and 42 weeks carry significant risk. The authors explored this question in a case-control study of 464 women seen at the Mahatma Gandhi Institute of Medical Sciences in Maharashtra, India. The cases of postdatism occurred in the absence of any other medical or obstetric problem. The operative delivery rate increased significantly among these patients compared to deliveries between 39 and 40 weeks. There was neither significant asphyxia nor perinatal loss in term completed normal patients. Asphyxia and perinatal mortality did, however, occur with postdatism. The authors note the likely role of oligohydramnios combined with placental dysfunction.     

Comparative Carcinogenicity of 5,5-Diphenylhydantoin with or without Perinatal Exposure in Rats and Mice

Volume 21, Number 2 (1993), in the article "Comparative Carcinogenicityof 5,5-Diphenyihydantoin with or without Perinatal Exposurein Rats and Mice," by R. S. Chhabra, J. R. Bucher, J. K. Haseman,M. R. Elwell, P. J. Kurtz, and B. D. Canton, pages 174–186:Since the publication of the above article, the authors havefound that the feed and estimated DPH consumption data reportedin Tables 2 and 6 were incorrect. The following Tables 2 and6 contain revised feed and DPH consumption data:     

Health of adolescents

Adolescents are the future adults of the world. While adolescence is typically regarded as a period of life relatively free from health problems, adolescents are actually in need of the attention of health professionals and health services, especially with regard to sexual health. A trend of decreasing age at menarche and increasing age at marriage presents adolescents with a substantial number of years in which they will experiment with their developing reproductive organs and sexuality. Substantial psychological and physical change takes place during this period. Inconsistent and suboptimal users of contraception, youths are at high risk for reproductive health problems and sexually transmitted diseases. Substance abuse, unintentional and intentional injuries and their sequelae, academic underachievement and illiteracy, and obesity may also be problematic for adolescents. Adolescents are, however, most damaged by internalized and externalized homophobia. The authors point out that adolescents may be persuaded to learn and change their behaviors more readily than adults. Appropriate messages could be conveyed through targeted information, education, and communication strategies to complement medical and health care services which are available, accessible, and acceptable.     

Post-lesion lateralisation shifts in a computational model of single-word reading

The mechanisms underlying lateralisation of language are incompletely understood. Existing data is inconclusive, for example, in determining which underlying asymmetries in hemispheric anatomy/physiology lead to lateralisation, the precise role of interhemispheric connections in this process, and exactly how and why lateralisation can shift following focal brain damage. Although these issues will ultimately be settled by experimentation, it is likely that computational modelling can be used to suggest, focus, and even interpret such empirical work. We have recently studied the emergence of lateralisation in an artificial neural network model having paired cerebral hemispheric regions, as the model learned to generate the correct pronunciation for simple words. In this paper we extend this previous work by examining the immediate and longer-term changes in lateralisation that occur following simulated acute hemispheric lesions. Among other things, the results demonstrate that the extent to which the non-lesioned model hemispheric region contributes to recovery is a function of lesion size, prelesion lateralisation, and assumptions about the excitatory/inhibitory influences of the corpus callosum. The relevance of these results to the currently controversial suggestion that language lateralisation shifts following focal damage to language areas, and that the unlesioned hemisphere contributes to recovery from stroke-induced aphasia in adults, is discussed.     

Juvenile angiofibroma: review of a case series and role of embolization

Here 15 cases of advanced Juvenile angiofibroma are presented. Advantages of wide tumour exposure and preoperative embolization are discussed.     

Perinatal toxicity and carcinogenicity studies of styrene-acrylonitrile trimer,a ground water contaminant

Styrene acrylonitrile (SAN) trimer is a by-product in the production of acrylonitrile styrene plastics. Following a report of a childhood cancer cluster in the Toms River section of Dover Township, New Jersey, SAN Trimer was identified as one of the groundwater contaminants at Reich Farm Superfund site in the township. The contaminants from the Reich Farm site's ground water plume impacted two wells at the Parkway well field. The National Toxicology Program (NTP) studied the toxicity and carcinogenicity of SAN Trimer in rats exposed during their perinatal developmental period and adulthood. The chronic toxicity and carcinogenicity studies in F344/N rats were preceded by 7- and 18-week perinatal toxicity studies to determine the exposure concentrations for the 2-year studies. Subsequently, Fisher 344 pregnant dams were exposed to SAN Trimer containing diet at 400, 800, or 1600 ppm concentrations during gestation, nursing and weaning periods of offspring followed by two year of adult exposures to both male and female pups. There was no statistically significant evidence of carcinogenic activity following SAN-Trimer exposure; however, rare neoplasms in the brain and spinal cord were observed in males and to lesser extent in female rats. These incidences were considered within the range of historical background in the animal model used in the current studies. Therefore, the presence of a few rarely occurring CNS tumors in the treated groups were not judged to be associated with the SAN Trimer exposure. The major finding was a dose-related peripheral neuropathy associated with the sciatic nerves in females and spinal nerve roots in males and females thereby suggesting that SAN Trimer is potentially a nervous system toxicant.