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At least 37 records · Page 2Linked to original sources

Long-term continuous subcutaneous insulin infusion in diabetics at home.

6 insulin-requiring diabetics were treated at home with continuous, long-term, dual-rate subcutaneous insulin infusion (CSII) by means of a portable syringe pump. The duration of infusion was 48--111 days. Patients were initially stabilised on CSII in hospital and then allowed home, where capillary-blood glucose control was monitored by the patients with glucose-oxidase reagent strips. Patients diluted and changed their own insulin for the pump, adjusting the dose according to the control achieved. Mean (+/- SD) blood-glucose values ranged from 4.8 +/- 1.6 to 7.5 +/- 1.6 mmol/l. In 1 longstanding diabetic insulin requirements fell from 92 U/day to about 35 U/day on CSII. 2 newly diagnosed juvenile-onset diabetics were also infused: in 1 patient requirements fell to zero after 48 days and in the other the dose fell to 14 J/day after 51 days of CSII. No cannula-site infection or significant palpable lipodystrophy was experienced. Patients treated with "open-loop" systems have little or no insulin reserve: potential loss of control--for example, during intercurrent illness-demands careful metabolic monitoring and prompt correction.

Adolescent

Palato-pharyngeal cine photography: a technique for developing continuing education films.

A method of Cine photography has been developed to record a variety of plastic and reconstructive surgical procedures in the oral cavity and pharynx. Effective classroom teaching of surgical closure of the cleft palate and the various palatal lengthening procedures including pharyngeal flaps, has been hampered by the lack of quality teaching films demonstrating surgical techniques in color. The small size of the structures involved and the delicate nature of the surgery requires that the surgeon work at close range and directly in front of the mouth. To avoid the shadows cast by the sides of the oral cavity, the surgeon's hands and frequent change of position by the professional photographic team, a head-mounted Cine camera was employed. A "through the surgeon's eye" view for the camera was accomplished by using a parallelogram of beam-splitting mirrors. The resulting photographic film provides the classroom audience with a sense of being in the surgeon's operating position thus having a view superior to that obtained by the surgeon's first assistant. An elaborate system of counter-balancing provides the surgeon with a weightless camera, mirror, and light complex mounted on a football helmet. The football helmet merely served as an interlocking unit enabling the surgeon to compose his own movie while operating.

Audiovisual Aids

[Bowen carcinoma following many years' use of a "radium cushion" (author's transl)].

A case is reported of a 73-year old female patient in whom precancerous symptoms appeared in the mid-abdominal area of application which for a long time were mistaken for chronic eczema, until after 7 years the development of a skin carcinoma was clinically and histologically confirmed. The case provides a reason to draw attention to the "Radium Cushion" and to restate publicly that they should be delivered to the health authorities. Suspected cases must be thoroughly investigated medically.

Aged

[Result of a user inquiry for the improvement of hand propelled wheelchairs (author's transl)].

The contribution describes the results of an inquiry of handicapped wheelchair drivers which have been compiled by evaluating 3482 questionnaires with 268,144 informations using an IBM 1130 computer. Divided into "rim" and "lever" propulsion the driving quality, the manoeuvrability, the seat comfort, problems of driving mechanism and the transportation suitability as well as the wear of the vehicles are analysed. Finally some recommendations for the design of future wheelchair models are given on the basis of the observed drawbacks.

Activities of Daily Living

CHRC eating aid.

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Child