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Biomedical subjects

C Cunningham

Publications and source records attributed to C Cunningham.

187 records · Page 11Linked to original sources
PubMedDate not supplied

Hearing loss and treatment in young Down's syndrome children.

Twenty-four home-reared Down's syndrome children aged 9-32 months were assessed by trained audiologists on three separate occasions (summer, autumn and spring 1977-1978). Distraction test procedures were used; all failed to pass the screening test and 80-85% registered as having moderate to profound losses. Seventy-five per cent were categorized as having a conductive loss and some improvements were found over the test sessions as a result of surgical and decongestant treatment. Approximately 50% of the infants had been passed on similar screening procedures by the local health services. The results are discussed in relation to language development and service needs.

Child, Preschool↗
PubMedDate not supplied

Health problems in children with Down's syndrome.

The health problems of 117 children with Down's syndrome were identified through a questionnaire to their mothers, as part of a wider study of the process of adaptation among families in the Manchester Down's Syndrome Cohort. At the time of the present study, the children were all of school age: mean age 9 years 2 months, range 6 to 14 years. Results from the current study are compared with that from earlier studies involving these children. Vision and hearing problems and respiratory infections were identified as the most common health problems, affecting a large percentage of the children. While a high proportion had been hospitalized and had undergone operations, the proportion of children who had missed more than 4 weeks of schooling in the previous 12 months was not high compared to the general child population. Equally, the numbers who had suffered accidents did not appear unduly high. Poor child health was found to be associated with a higher level of behaviour problems and increasing maternal stress over time. The need for health screening to continue during this period of childhood is identified.

Adolescent↗
PubMedDate not supplied

Social life of school children with Down's syndrome.

Frequency of participation in organized activities and informal play contacts with other children were investigated for a group of 118 children with Down's syndrome. Measures were based on mothers' reports. As part of a study of child and family functioning, a wide range of child, parent and family variables was measured and the relationships of these to the extent of the children's social contacts were investigated in multivariable analyses. Family variables of social class, parental education, marital relationship, and achievement and recreational orientation were found to be significantly related to the measures of the child's social life. In addition, children at the lower end of the IQ range in this sample were likely to have fewer informal play contacts. These results point to the influence of the family in stimulating and maintaining the children's social activities.

Adolescent↗
PubMedDate not supplied

Liposarcoma of the maxilla.

A clinically appearing, well-encapsulated lipoma was locally excised from the right posterior upper buccal gingival sulcus of a 24-year-old man and diagnosed histologically as pleomorphic liposarcoma. A right maxillectomy with preservation of orbital function was followed by 5,000 rads of planned postoperative radiation therapy. Four months later the tumor recurred outside of the original site, which has been controlled by further radiation and chemotherapy to these areas.

Adult↗
PubMedDate not supplied

Results of coloanal anastomosis for rectal cancer.

It is now accepted that, in the absence of direct invasion of the anal sphincter, cancers of the middle and lower rectum can be successfully treated with sphincter-preserving surgery. Conservation of the sphincter mechanism should never compromise the oncologic outcome of surgery and the method of neorectum construction must provide acceptable function for patients. This review describes the results of coloanal anastomosis following rectal excision. The oncological and functional results of both straight coloanal and colonic-J-pouch anal anastomosis are presented in detail. The authors discuss recent evidence supporting the functional superiority of colonic-J-pouch reconstruction after rectal excision.

Anal Canal↗
PubMedDate not supplied

Communitywide laboratory-based influenza surveillance focused on older persons, 1989-1992.

We collected surveillance data as part of the Medicare Influenza Vaccine Demonstration to describe communitywide epidemiology of influenza, focusing on the elderly. Laboratory-based surveillance was established in medical practices, hospitals, and nursing homes in a two-county demonstration in upstate New York. Time course and intensity of epidemic influenza were compared between counties, between influenza A and B epidemics, and among several levels of surveillance involving elderly persons as well as children during the years 1989-1992. The counties experienced parallel epidemics during each of the three demonstration years. Influenza A/H3N2, predominant in 1989-1990 and 1991-1992, was equally intense among young and old, accounted for 11%-28% of acute cardiopulmonary hospitalizations of older persons, and caused focal outbreaks in 30%-40% of nursing homes in the respective epidemics. Influenza B, predominant in 1990-1991, showed modest impact among the elderly as compared with children. Influenza A/H1N1 occurred among children each year but was virtually absent among the elderly. Systematic surveillance during the "influenza season" consistently confirms widespread infection among older patients, both in the community and in institutions. However, much febrile respiratory illness in this age group during periods of epidemic influenza is culture-negative for influenza virus and thus may be caused by other respiratory pathogens.

Aged↗