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P A Poma

Publications and source records attributed to P A Poma.

15 recordsLinked to original sources
PubMed1979

Acute management of the sexual assault victim.

Sexual assault victims usually seek emergency medical care at urban hospitals. The incidence of over 52,000 cases a year reported by the FBI does not include instances in which the victim died, cases of statutory rape (victim below the age of consent), or cases not confirmed by the police. It is well known that sexual assault is one of the most unreported crimes. The incidence of this crime in affluent communities is unknown. Rape occurs in any community but nonhospital professional services may be more easily available in some.The office practitioner may feel ill-equipped to deal with this kind of problem because such patients seldom come to a private office; although in a survey done in 1976, 33 percent of family practitioners stated that they see several rape victims each year. (1) The practitioner may be hesitant about getting involved in litigation. Experience indicates that by following the approach described and documenting facts clearly, physicians will prevent disruption of their busy schedules by unfamiliar court routines, and at the same time provide what society, the victim, and the alleged assailant expect of him as a member of the health care team.

Female↗
PubMed1979

Alopecia.

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Alopecia↗
PubMedDate not supplied

Use of labor graphs in a community hospital.

The large series reported by Friedman have established the importance of the time factor in relation to cervical dilatation and station of the presenting part during labor. Variations of the rate of dilatation and descent may be evident using a graph with the upper values of normal. This study was conducted in a Community hospital with an average of 200 deliveries a month. The attending physician followed labor as usual, unaware of the graphic recordings. The outcome of the labors with normal and abnormal graphic patterns were compared. There was a correlation between the abnormal labor pattern, arrest of cervical dilatation, with abdominal deliveries and lower apgar scores. The recognition of abnormal labors does not require a profound understanding of labor nor the range of normalcy.

Apgar Score↗