PubMed · 7065992
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J Murtagh. 1982. The embedded tick.. https://pubmed.ncbi.nlm.nih.gov/7065992/
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Four areas of concern for the pediatric practitioner are examined by the review of recent literature on the topics of immunization, animal-induced illness and injury, neonatal jaundice, and viral infections. An attempts to place these subjects into the perspective of the primary care office and into the current social and political climate as it applies to health care will also be made. By highlighting the literature of the past year on the above categories, I hope to provide topical information for pediatricians as they care for patients and their families.
Nurse practitioners working in primary care are often called upon to assess and repair wounds. This article examines the physiology of wounds, and uses this information to improve assessment skills. Depending on the mechanism of injury, certain wounds may require suturing. The organized examination, appropriate cleaning and debriding, and various suturing techniques are discussed. Special wounds and after-care instructions are covered. Recent changes in infection control technique are examined in terms of their impact on wound care.
A 56-year-old Japanese male patient with Down's syndrome was bitten by a hepatitis B envelope antigen (HBeAg) carrier and become an asymptomatic HBeAg carrier without seroconversion. His mitogen response of T cells was poor compared with that of healthy controls. An impaired T cell response to hepatitis B virus infection may be responsible for the HBeAg carrier with Down's syndrome.