Assessment of BCG vaccination in newborn babies.
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Biomedical subjects
Publications and source records attributed to M A Rahim.
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A patient with intestinal anthrax, the first documented surviving patient to be described in detail, presented with an acute condition within the abdomen. Intestinal anthrax should be considered in the differential diagnosis of abdominal conditions in areas in which anthrax is prevalent, especially when a history is available of ingesting putrid or improperly cooked meat. Clinical and therapeutic details are given as a guide in future cases.
In the present study, 1736 cases of cancer has been analysed by major sites, sub-sites and mortality trend. The most common cancerous lesion in the male was in the lungs and in the female in the uterine cervix. The second common lesion in male and female were larynx and breast respectively. In children, retinoblastoma was the commonest type of cancer.
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Analysis of 2,064 cases of malignant neoplasms was done to determine the male/female ratio and site distribution. Attendance of female patients with malignant conditions were less in number and the male/female ratio was 2.3:1. In the females malignant neoplasms of the sex organs (cervix uteri and breast) were more prevalent and in the males malignant neoplasms of the trachea, bronchus, lungs, larynx and oropharynx were more frequent.
Cord blood immunoglobulin M was measured in 3474 consecutive newborn infants. A group of 147 infants with elevated IgM values (>/=19.0 mg./100 ml.) were compared with 92 unselected newborn infants with normal IgM values. One infant with clinically unsuspected congenital rubella was detected in the study group while no cases of intra-uterine infection were found among the controls. A greater proportion of mothers in the study group had a history of viral infection. The study group also contained a larger number of mothers who might be considered to be at greater risk of infection with agents known to cause intra-uterine disease. Follow-up studies at 6 months of age revealed no differences between the two groups aside from an increased incidence of minor motor abnormalities in the study group. While it is recognized that infants with cord blood IgM levels truly in excess of 30 mg./100 ml. may represent a high-risk group with respect to proved or subclinical intra-uterine infection, it is concluded that routine cord blood screening for elevated IgM values is not a high-yield procedure for the detection of intra-uterine infection in our population.
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