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R Pool

Publications and source records attributed to R Pool.

At least 55 records · Page 3Linked to original sources

Desmoplastic fibroma. A case report.

A desmoplastic fibroma occurring in the distal forearm of a 14-year-old black boy is described and the historical background of the tumour together with an outline of the disease emphasizes the differential diagnosis between this condition and other fibrous lesions of soft tissue and bone. The clinical and radiological features as well as the treatment of desmoplastic fibroma are discussed. It is believed that this is the first such patient reported in Africa.

Adolescent

Hot and cold as an explanatory model: the example of Bharuch district in Gujarat, India.

The concepts of hot and cold are important in disease etiologies and systems of food classification in many parts of the world. A number of writers on hot-cold beliefs have assumed that the classification of foods is the central element in this system of beliefs, and that it is consistent. They have then proceeded to explain these beliefs in symbolic or adaptive terms, generalizing from systems of classification which have only local applicability. More recently a number of writers have recognized the importance of intracultural variation in the hot-cold classification of foods, and have turned their attention to revealing the underlying principles of classification. But because food classifications are only consistent within a limited geographical area, if they are consistent at all, these 'general principles' are only applicable to a single area or limited cultural context. In this article I describe the hot-cold system in a rural area of the Indian state of Gujarat. I show that by proceeding from the classification of diseases, and not from the classification of foods, it becomes possible to reveal certain underlying classificatory principles which also appear to be applicable to other manifestations of the hot-cold system. These principles seem to be based on the phenomena which accompany temperature changes in nature. Finally I suggest that hot-cold beliefs should be seen as an explanatory model which seeks to make the puzzling and threatening phenomena of disease and death more acceptable and predictable.

Cold Temperature

Intrafamilial variability of popliteal pterygium syndrome: a family description.

Popliteal pterygium syndrome is one of the autosomal dominant limb pterygium syndromes. It has incomplete penetrance and extreme phenotypic variability that leads to difficulty in diagnosis. A case is presented to emphasize the variable phenotype of this disorder. The absence of pterygia in the family members led to the misdiagnosis of van der Woude's syndrome. However, the presence of a pyramidal fold of skin over the nail of the hallux in family members suggested the diagnosis of popliteal pterygium syndrome. It is concluded that the presence of this distinctive nail abnormality in infants with cleft lip, cleft palate or both suggests the diagnosis of the popliteal pterygium syndrome.

Abnormalities, Multiple

Pessimism concerning palliative bypass procedures for established malignant esophagorespiratory fistulas: a report of 18 patients.

Eighteen patients with established malignant esophagorespiratory fistulas due to primary esophageal cancer were managed by substernal gastric bypass and isolation of the cancerous esophageal segment. Seven fistulas were esophagotracheal and 11 were esophagobronchial. Ten patients died in the hospital between two days and six weeks after operation. Eight patients left the hospital, surviving an average of 3 1/2 months, but 2 patients lived 5 and 7 months, respectively. Unrelenting respiratory infection and clinical inanition caused 7 hospital deaths in patients reestablished on oral alimentation with their fistulas disconnected. Anastomotic leaks occurred in 5 patients; three of these leaks closed. In the other 2 patients, cervicomediastinal sepsis and bilateral pneumonia with respiratory failure caused death. One patient died of anoxic cardiac arrest 48 hours postoperatively. Fifteen of the 18 patients resumed oral alimentation, but the overall results of palliative surgical therapy achieved in this series were not observably worthwhile for the majority.

Adult