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Biomedical subjects

A F Connon

Publications and source records attributed to A F Connon.

At least 19 recordsLinked to original sources

An assessment of key aetiological factors associated with preterm birth and perinatal mortality.

The 4 main causes of preterm births in 303 women with consecutive deliveries in Flinders Medical Centre were premature rupture of the membranes (39%), spontaneous preterm labour (22%), pregnancy-induced hypertension (17%) and antepartum haemorrhage (12%). Premature rupture of the membranes occurred with equal frequency in singleton and multiple pregnancies and there was no difference in the frequency of this cause between the pregnancies with live outcomes and those with perinatal deaths. Spontaneous preterm labour was more common in multiple pregnancies (39%) than in singleton pregnancies (22%). One in 3 of the preterm births and 79% of the pregnancies with perinatal deaths occurred at less than 32 weeks' gestation. As it is unlikely that any single obstetric and social intervention will be able to reduce these causes of preterm birth research must continue to find markers to predict premature rupture of the membranes and spontaneous preterm labour.

Chi-Square Distribution

Anal size in children: the influence of age, constipation, rectal examination and defaecation.

With the increase in the number of reported cases of child abuse it is important that medical practitioners should know the normal values for the size of the anus. Children aged 3 months to 15 years, attending a paediatric gastroenterology clinic for a routine examination, had a photographic record made of the anus 30 seconds after exposure of the anus as part of a standardised examination protocol. Anorectal disease, including Crohn's disease was present in eight children. Analysis of the 54 children without anorectal disease indicated that the anteroposterior diameter of the anus was less than 10.0 mm and the transverse diameter was less than or equal to 2.0 mm. Age, sex of the child, digital rectal examination, time since last defaecation and the capacity and contents of the rectum were unrelated to the size of the anus. In view of the difficulties which arise in suspected child abuse, medical practitioners should gain experience of the normal appearance and size of the anus. This can best be validated within a medicolegal framework if some form of standardised examination protocol is used. The key element of such an examination is not the position in which the child is examined but the time taken to observe the anus, to allow any dynamic changes to occur. An inspection time of 30 seconds in a cooperating conscious child is recommended.

Adolescent

A comparative investigation of cervical cytology in Central Australian full-blooded aboriginal women.

The results of cytological screening of a group of full-blooded Aborigines are compared with the results of a similar study of women attending a teaching hospital cytology clinic. Abnormal appearances were found in the smears of four of the 430 Aborigines and 73 of the 1,069 women attending the clinic. The actual incidence of unsuspected dysplastic change was 0.23% for cervical dysplasia among the Aborigines and 0.75% for dysplasia and 0.84% for carcinoma-in-situ in the metropolitan group. Comment is made concerning the difference in appearance of the cervix in the two groups.

Australia