Biomedical subjects
J Bourke
Publications and source records attributed to J Bourke.
Fifty years survival after cervical fracture and fusion.
A patient who survived for 50 years after two cervical injuries is described. Among other effects he showed remarkable compensatory changes in the vertebrae above and below a cervical fusion operation. He also developed a meningeal pseudocyst following lumbar laminectomy. The history and pathological findings are considered to be instructive.
Spontaneous mitral valve rupture in a normal heart.
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Experiences with nicotine chewing-gum in resistant smokers.
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Reversal of finger clubbing after resection of a leiomyoma of the ileum.
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IDEA (Intellectual Disability Exploring Answers): a population-based database for intellectual disability in Western Australia.
Despite the demands it places on individuals, families and the community, intellectual disability (ID) is a neglected area of public health. Accurate estimates of prevalence are sparse and range from 0.5 to 3.0%. The cause of the condition is unknown in at least 50% of cases. This paper describes the Intellectual Disability Exploring Answers (IDEA) database set up in Western Australia to provide an infrastructure for research and to facilitate the planning of service provision for people with ID. Since 1953 a database for ID has been maintained in Western Australia, a state with a population of 1.95 million in an area of 2.52 million km2. The current IDEA database aims to obtain ongoing population-based ascertainment of ID from providers of clinical and educational services, with the potential for linkage to a network of other state databases. The average prevalence of ID for children born in Western Australia over the years 1983-1996 was 15.2 per 1000 live births, with 50% ascertained only through the education system. During this time period 60% of cases were male. Of children with an ID born in Western Australia in 1980-1999 and surviving to 1 year, 30.1% had a birth defect, and the prevalence ratio of birth defects in this group compared to the population with no birth defects was 6.5 (CI 6.3-6.8).
What's ahead for health care executives?
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Latex allergy--implications for Irish patients and healthcare workers.
A 34-year-old lady presented with an exacerbation of her atopic dermatitis. She also gave a history of angioedema during labour. Type I latex hypersensitivity was confirmed by serological and epicutaneous testing. Virtually unrecognised until the 1980s, latex hypersensitivity is now being reported more and more frequently, particularly in spina bifida patients, atopics and healthcare personnel. The importance of this problem for patients and healthcare personnel is discussed.