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Biomedical subjects

G Kearns

Publications and source records attributed to G Kearns.

28 records · Page 2Linked to original sources

Eosinophilic fasciitis: a good response with conservative treatment.

A 52 year old man developed progressive painful swelling of both calves and difficulty walking. Physical examination showed asymmetrical localised swelling with induration and tenderness on palpation. Peripheral blood eosinophilia was noted. Biopsy of deep fascia and muscle showed typical features of eosinophilic fasciitis. He was treated with non-steroidal anti-inflammatory drugs and intensive physiotherapy. The clinical features had completely resolved six months later.

Anti-Inflammatory Agents, Non-Steroidal↗

Placement of an endosseous implant in a growing child with ectodermal dysplasia.

This article reports placement of a single mandibular endosseous implant in a 5-year-old patient with hypohidrotic ectodermal dysplasia and oligodontia. This congenital anomaly does not appear to retard healing and the osseointegration remains after 5 1/2 years of loading. Surgical, prosthodontic, and growth and development considerations are presented.

Anodontia↗

A probability nomogram to predict rectal temperature in children.

The relationship between rectal and peripheral-site temperature was investigated to achieve two objectives: 1) to evaluate a prevailing practice of intersite adjustment by use of an invariant temperature difference; and 2) to develop a statistical method for intersite temperature predictions in the individual child, especially for fever as defined by rectal measurement. Rectal, oral, axillary, left abdomen skin, and forehead skin temperatures (degrees F) were measured with an electronic thermometer in 257 children. Objective 1 was not achieved because a simple temperature difference between a peripheral site and the rectal site could not be used to predict rectal temperature reliably. For objective 2, intersite differences met three statistical criteria so that normal distribution theory could be used to derive the probabilities for occurrence of each difference. Accordingly, cumulative probability nomograms were constructed to estimate rectal-site fever from measurements at peripheral sites. This nomogram method produces a clinically reliable prediction of rectal-site fever from temperature measurement at peripheral sites, especially the oral and axillary sites. These predictions offer useful assessments of febrile illness severity when rectal temperature is not available.

Abdomen↗

Private property and public health reform in England 1830-70.

British cities of the mid-nineteenth century were unsanitary. In many cases lack of street paving, insufficient water, proliferating cesspools and open sewers turned them into cloying, degrading and offensive mires. Many of the urban workers, too poor to pay rent sufficient to meet the costs of these environmental services, were shuffled among damp dingy rooms into which the sun shone feebly and in which their physical odours were confined against any draughts. The relations between landlord and tenant were circumscribed by the indebtedness of the former and the penury of the latter. Water, sewerage and housing standards were left to the sway of the market while the effective demand for them was limited by low real wages. In the largest cities this filth was dangerous as well as offensive and public health reforms became ever more pressing. Yet the form in which this legislation was secured and the manner in which it was implemented were not as straightforward as this sketch of their crying necessity might suggest.

England↗