Culture model for investigation of cartilage matrix formation.
Explore the source record for details and available documents.
Animals↗
Biomedical subjects
D R Dickens
Publications and source records attributed to D R Dickens.
Efficacy of surgical management for scoliosis in myelomeningocele: correction of deformity and alteration of functional status.
The effect of spinal fusion for paralytic scoliosis in 49 patients with myelomeningocele was studied. Improved sitting balance was seen in 70% of the patients following anterior and posterior fusions, 67% following posterior fusion alone, and 28% after anterior fusion alone. The ability to ambulate was adversely affected in 67% of the patients who had undergone combined anterior and posterior fusions, in 57% following anterior fusion alone, and in 27% following posterior fusion alone. Sitting is likely to be improved but ambulation may be more difficult following spinal correction and fusion.
Child↗
Osteochondritis of the first metatarsal epiphysis.
Two cases of painful osteochondritis of the basal epiphysis of the first metatarsal are described. Complete resolution without deformity was achieved in both patients. We suggest that this condition be considered in the differential diagnosis of transitory foot pain in childhood.
Adolescent↗
AIDS and pregnancy. Survey of knowledge, attitudes, beliefs, and self-identification of risk.
A descriptive educational needs assessment was conducted at a southwestern military medical center on knowledge, attitudes, beliefs, and self-identification of risk factors for acquired immunodeficiency syndrome (AIDS). A self-report questionnaire was administered to 700 pregnant women. Misinformation and lack of knowledge about AIDS were identified. A small group of women reported that they were at risk for AIDS. The study findings support a need for AIDS educational programs for childbearing women.
Acquired Immunodeficiency Syndrome↗
Which implant for proximal femoral osteotomy in children? A comparison of the AO (ASIF) 90 degree fixed-angle blade plate and the Richards intermediate hip screw.
We reviewed the clinical and radiologic results of 164 proximal femoral osteotomies in 132 children using the AO (ASIF) 90 degree fixed-angle blade plate and the Richards intermediate hip screw to establish the clinical and radiologic outcomes, establish the incidence of complications, and determine the relative indications and contraindications for the two implants. The incidence of complication in this series was 9% (15 complications in 14 osteotomies in 13 patients) including one bursitis, one wound breakdown with exposure of the underlying plate, five infections, two peroneal nerve palsies, one fractured shaft of femur, one fractured neck of femur, two technical errors, one painful nonunion, and one loss of fixation. There were five (3%) revisions in total. Fifty-six osteotomies in 44 patients were performed using the Richards intermediate hip screw, and 108 osteotomies were performed in 88 patients using the AO 90 degree fixed-angle blade plate. We found that both implants were effective with an acceptable rate of complications and revision surgery.
Adolescent↗
Bilateral hypoplastic calcanei.
A previously undescribed anomaly of the calcaneus occurred in an otherwise healthy 2-month-old girl. There was marked bilateral hypoplasia of the calcanei, involving approximately the posterior half of each. The child stood at 15 months and walked at 22 months. At age 5 years, the child had a slight in-toed gait that corrected with dorsiflexion. Her only problem has been some difficulty with shoeware. The etiology of this anomaly remains conjectural.
Calcaneus↗