Effects of rural poverty on the health of California's farmworkers.
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Biomedical subjects
Publications and source records attributed to A Gilbert.
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Half of 1,135 children medically examined as a part of Project Head Start in California had one or more conditions that warranted referral to a physician or dentist, and only one-fifth of these were under care. In the judgment of the examining physicians, one-third of the referable medical conditions were described as "major." Follow-up procedures were variable and not very successful. Increased local medical society participation in planning the health services for these children is recommended as an especially important step in securing care for the problems that are identified.
In order to find ways to decrease mortality from hemolytic disease of the newborn, a study was undertaken by physicians of the California Medical Association in cooperation with the California State Department of Public Health. Neonatal deaths during a two and a half year period were investigated and analyzed by review committees with the view of evaluating presumed deficiencies in management. The findings indicate that proper prenatal prediction and preparation by the physician for the management of HDN calls for earlier and more comprehensive use of warning signals, as well as a constant reappraisal of current technology. New advances in the management of HDN require increasingly close cooperation between patients, their physicians and consultants.
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A study of the effect of gamma-globulins on sleep was conducted in 8 patients aged 1 to 35 years with epilepsy not responding to any of the conventional treatments. Two polygraphic recordings were carried out during the 4th and 5th nights following a placebo injection and then an injection of gamma-globulin 16 Merieux (1 ml/kg). The short-term effects of the gamma-globulins were : --reduction in percentage of paroxysms, --an acceleration in the electroencephalographic tracings of the different stages of sleep and those of the waking period, --a statistically significant increase in the percentage of paradoxical sleep, though the general organization of sleep remained unchanged.
The authors studied the dorso-lateral cutaneous branches of the radial artery in 26 forearms of fresh cadavers following injection of latex. Three to eight branches were identified, with frequent anastomoses. Extensive venous drainage was also observed. One to three cutaneous branches arose within a 3-cm region close to the radial styloid precess. This provides a basis for an island flap supplied by these branches and thus, it is possible to maintain the radial artery intact.
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Twenty one cases of birth palsy of the brachial plexus have been explored surgically. The patients were aged from seven weeks to nine years. The results of pre-operative examination are described and myelography is considered to be especially important. It was found that ruptures of the upper roots at the junction of C5-C6 were frequent and could be repaired by nerve graft. Avulsion from the spinal cord was more frequent in the lower roots. It is concluded that surgical exploration and attempted repair should be done early, preferably at the age of two or three months in cases of absence of spontaneous recovery.
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This paper looks at the progress of an estate-based public health post in the first six months of its existence. It examines some of the tools used in this critical period, rather than describing the estate in detail. The activities of the post are reviewed in terms of information-gathering, action networking and analysis of needs and strengths. The paper describes a framework which seeks to reconcile the demand for community action with the development of mainstream services. The challenges of making wider use of the post's activities in the traditional primary health care team are explored. The development of health-gain indicators for the post is also highlighted.