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1.
Science ; 364(6445)2019 06 14.
Article in English | MEDLINE | ID: mdl-30923171

ABSTRACT

Saturn's main ring system is associated with a set of small moons that either are embedded within it or interact with the rings to alter their shape and composition. Five close flybys of the moons Pan, Daphnis, Atlas, Pandora, and Epimetheus were performed between December 2016 and April 2017 during the ring-grazing orbits of the Cassini mission. Data on the moons' morphology, structure, particle environment, and composition were returned, along with images in the ultraviolet and thermal infrared. We find that the optical properties of the moons' surfaces are determined by two competing processes: contamination by a red material formed in Saturn's main ring system and accretion of bright icy particles or water vapor from volcanic plumes originating on the moon Enceladus.

2.
Geophys Res Lett ; 42(10): 3746-3754, 2015 May 28.
Article in English | MEDLINE | ID: mdl-27656006

ABSTRACT

We examined the spectral properties of a selection of Titan's impact craters that represent a range of degradation states. The most degraded craters have rims and ejecta blankets with spectral characteristics that suggest that they are more enriched in water ice than the rims and ejecta blankets of the freshest craters on Titan. The progression is consistent with the chemical weathering of Titan's surface. We propose an evolutionary sequence such that Titan's craters expose an intimate mixture of water ice and organic materials, and chemical weathering by methane rainfall removes the soluble organic materials, leaving the insoluble organics and water ice behind. These observations support the idea that fluvial processes are active in Titan's equatorial regions.

3.
Nature ; 500(7461): 182-4, 2013 Aug 08.
Article in English | MEDLINE | ID: mdl-23903658

ABSTRACT

Saturn's moon Enceladus emits a plume of water vapour and micrometre-sized ice particles from a series of warm fissures located near its south pole. This geological activity could be powered or controlled by variations in the tidal stresses experienced by Enceladus as it moves around its slightly eccentric orbit. The specific mechanisms by which these varying stresses are converted into heat, however, are still being debated. Furthermore, it has proved difficult to find a clear correlation between the predicted tidal forces and measured temporal variations in the plume's gas content or the particle flux from individual sources. Here we report that the plume's horizontally integrated brightness is several times greater when Enceladus is near the point in its eccentric orbit where it is furthest from Saturn (apocentre) than it is when near the point of closest approach to the planet (pericentre). More material therefore seems to be escaping from beneath Enceladus' surface at times when geophysical models predict its fissures should be under tension and therefore may be wider open.

4.
J R Army Med Corps ; 156(2): 125-8, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20648954

ABSTRACT

The aim of this review was to assess the workload of theatres in the role 3 Multinational Field Hospital in Kandahar, Afghanistan and to identify what period of day most emergency admissions arrived. During the period 05 August 2006 to 21 December 2006, 288 operations were performed on 259 patients and comprised 393 individually quantifiable procedures. 98% of these operations were to treat acute injuries. Oral and Maxillofacial surgeons were involved in 24% of operations. 63% of procedures done at these operations involved upper or lower limbs, 19% the head and neck and 18% involved the torso. An analysis of emergency admissions in November 2006 showed that most occurred between 18.00 and midnight. Although theatre timetabling made provision for this, whenever possible, elective surgery was scheduled for the following morning when emergency injury admissions were at their lowest.


Subject(s)
Afghan Campaign 2001- , Blast Injuries/surgery , Hospitals, Military/statistics & numerical data , Maxillofacial Injuries/surgery , Oral Surgical Procedures/statistics & numerical data , Blast Injuries/epidemiology , Canada , Debridement/statistics & numerical data , Humans , Incidence , Maxillofacial Injuries/epidemiology , Orthopedic Procedures/statistics & numerical data
5.
Science ; 327(5972): 1470-5, 2010 Mar 19.
Article in English | MEDLINE | ID: mdl-20299586

ABSTRACT

We review our understanding of Saturn's rings after nearly 6 years of observations by the Cassini spacecraft. Saturn's rings are composed mostly of water ice but also contain an undetermined reddish contaminant. The rings exhibit a range of structure across many spatial scales; some of this involves the interplay of the fluid nature and the self-gravity of innumerable orbiting centimeter- to meter-sized particles, and the effects of several peripheral and embedded moonlets, but much remains unexplained. A few aspects of ring structure change on time scales as short as days. It remains unclear whether the vigorous evolutionary processes to which the rings are subject imply a much younger age than that of the solar system. Processes on view at Saturn have parallels in circumstellar disks.


Subject(s)
Ice , Saturn , Evolution, Planetary , Spacecraft , Water
6.
J Dairy Sci ; 93(4): 1511-22, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20338428

ABSTRACT

The objectives of this study were to determine the concentration of endotoxin, determine 20 water quality variables, and identify and enumerate fungal and bacterial pathogens from United States southern High Plains dairy lagoons and control lakes during summer and winter. Water samples were collected in triplicate from the north, south, east, and west quadrants of each body of water. The mean (+/- SEM) winter dairy lagoon endotoxin concentration was significantly higher (9,678+/-1,834 ng/mL) than the summer concentration (3,220+/-810 ng/mL). The mean endotoxin concentration of the 2 control lakes (summer: 58.1+/-8.8 ng/mL; winter: 38.6+/-4.2 ng/mL) was significantly less than that of the dairy lagoons. Two hundred-one Salmonella enterica spp. isolates were identified, 7 serovars were recovered from the dairy lagoons, and 259 Salmonella ssp. were identified from 5 other dairy locations (milk barn, ditch effluent, settling basin, feed alley pad flush, and center pivots). Twenty-eight Salmonella spp. were identified from center pivot water. Escherichia coli O157:H7 pathogens were isolated from other dairy locations but not from lagoons. Neither Salmonella spp. nor E. coli O157:H7 were identified from control lakes. Enterobacteriaceae opportunistic pathogens were isolated from both dairies and control lakes. Important mesophilic and thermophilic catabolic (to manure biosolids) fungal isolates were identified from dairy effluent locations, but no thermophilic fungal isolates were cultured from the control lakes. Adequate curing of green forage following center pivot irrigation is important to kill lagoon water enteric pathogens, even though the lagoon water is mixed with fresh water. Recirculating lagoon water to flush the feed alley pad, where cows stand while eating, to remove manure and using lagoon water to abate dairy dust in loafing pens and unimproved dairy roads is inconsistent with good environmental practice management.


Subject(s)
Endotoxins/analysis , Enterobacteriaceae/isolation & purification , Fresh Water/analysis , Waste Management/methods , Water Microbiology , Animals , Cattle , Dairying , Environmental Microbiology , Female , Fresh Water/microbiology , Hygiene , Manure , Salmonella/isolation & purification , Seasons
7.
J Dairy Sci ; 92(12): 6033-45, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19923606

ABSTRACT

The objectives were to quantify and size ambient aerosolized dust in and around the facilities of 4 southern High Plains dairies of New Mexico and to determine where health of workers might be vulnerable to particulate aerosols, based on aerosol concentrations that exceed national air quality standards. Ambient dust air samples were collected upwind (background) and downwind of 3 dairy location sites (loafing pen boundary, commodity, and compost field). The indoor milking parlor, a fourth site, was monitored immediately upwind and downwind. Aerosolized particulate samples were collected using high-volume sequential reference air samplers, laser aerosol monitors, and cyclone air samplers. The overall (main effects and estimable interactions) statistical general linear model statement for particulate matter (PM(10); particulate matter with an aerodynamic diameter of up to 10 microm) and PM(2.5) resulted in a greater mean concentration of dust in the winter (PM(10) = 97.4 +/- 4.4 microg/m(3); PM(2.5) = 32.6 +/- 2.6 microg/m(3)) compared with the summer (PM(10) = 71.9 +/- 5.0 microg/m(3); PM(2.5) = 18.1 +/- 1.2 microg/m(3)). The upwind and downwind boundary PM(10) concentrations were significantly higher in the winter (upwind = 64.3 +/- 9.5 microg/m(3); downwind = 119.8 +/- 13.0 microg/m(3)) compared with the summer (upwind = 35.2 +/- 7.5 microg/m(3); downwind = 66.8 +/- 11.8 microg/m(3)). The milking parlor PM(10) and PM(2.5) concentration data were significantly higher in the winter (PM(10) = 119.5 +/- 5.8 microg/m(3); PM(2.5) = 55.3 +/- 5.8microg/m(3)) compared with the summer (PM(10) = 88.6.0 +/- 5.8 microg/m(3); PM(2.5) = 21.0 +/- 2.1 microg/m(3)). Personnel should be protected from high aerosol concentrations found at the commodity barn, compost field, and milking parlor during the winter.


Subject(s)
Aerosols/analysis , Air/analysis , Dairying , Environmental Monitoring , Particle Size , Particulate Matter/analysis , New Mexico , Seasons
8.
Science ; 326(5952): 568-72, 2009 Oct 23.
Article in English | MEDLINE | ID: mdl-19779151

ABSTRACT

The search for water on the surface of the anhydrous Moon had remained an unfulfilled quest for 40 years. However, the Moon Mineralogy Mapper (M3) on Chandrayaan-1 has recently detected absorption features near 2.8 to 3.0 micrometers on the surface of the Moon. For silicate bodies, such features are typically attributed to hydroxyl- and/or water-bearing materials. On the Moon, the feature is seen as a widely distributed absorption that appears strongest at cooler high latitudes and at several fresh feldspathic craters. The general lack of correlation of this feature in sunlit M3 data with neutron spectrometer hydrogen abundance data suggests that the formation and retention of hydroxyl and water are ongoing surficial processes. Hydroxyl/water production processes may feed polar cold traps and make the lunar regolith a candidate source of volatiles for human exploration.


Subject(s)
Hydroxyl Radical , Moon , Water , Extraterrestrial Environment , Minerals , Spacecraft , Spectrum Analysis , Sunlight , Temperature
9.
Nature ; 454(7204): 607-10, 2008 Jul 31.
Article in English | MEDLINE | ID: mdl-18668101

ABSTRACT

Titan was once thought to have global oceans of light hydrocarbons on its surface, but after 40 close flybys of Titan by the Cassini spacecraft, it has become clear that no such oceans exist. There are, however, features similar to terrestrial lakes and seas, and widespread evidence for fluvial erosion, presumably driven by precipitation of liquid methane from Titan's dense, nitrogen-dominated atmosphere. Here we report infrared spectroscopic data, obtained by the Visual and Infrared Mapping Spectrometer (VIMS) on board the Cassini spacecraft, that strongly indicate that ethane, probably in liquid solution with methane, nitrogen and other low-molecular-mass hydrocarbons, is contained within Titan's Ontario Lacus.

10.
Nature ; 448(7149): 54-6, 2007 Jul 05.
Article in English | MEDLINE | ID: mdl-17611536

ABSTRACT

Hyperion, Saturn's eighth largest icy satellite, is a body of irregular shape in a state of chaotic rotation. The surface is segregated into two distinct units. A spatially dominant high-albedo unit having the strong signature of H2O ice contrasts with a unit that is about a factor of four lower in albedo and is found mostly in the bottoms of cup-like craters. Here we report observations of Hyperion's surface in the ultraviolet and near-infrared spectral regions with two optical remote sensing instruments on the Cassini spacecraft at closest approach during a fly-by on 25-26 September 2005. The close fly-by afforded us the opportunity to obtain separate reflectance spectra of the high- and low-albedo surface components. The low-albedo material has spectral similarities and compositional signatures that link it with the surface of Phoebe and a hemisphere-wide superficial coating on Iapetus.

11.
Nature ; 435(7043): 786-9, 2005 Jun 09.
Article in English | MEDLINE | ID: mdl-15944697

ABSTRACT

Titan is the only satellite in our Solar System with a dense atmosphere. The surface pressure is 1.5 bar (ref. 1) and, similar to the Earth, N2 is the main component of the atmosphere. Methane is the second most important component, but it is photodissociated on a timescale of 10(7) years (ref. 3). This short timescale has led to the suggestion that Titan may possess a surface or subsurface reservoir of hydrocarbons to replenish the atmosphere. Here we report near-infrared images of Titan obtained on 26 October 2004 by the Cassini spacecraft. The images show that a widespread methane ocean does not exist; subtle albedo variations instead suggest topographical variations, as would be expected for a more solid (perhaps icy) surface. We also find a circular structure approximately 30 km in diameter that does not resemble any features seen on other icy satellites. We propose that the structure is a dome formed by upwelling icy plumes that release methane into Titan's atmosphere.


Subject(s)
Extraterrestrial Environment/chemistry , Gases/analysis , Ice/analysis , Infrared Rays , Moon , Photography , Saturn , Atmosphere/chemistry , Gases/chemistry , Geography , Hydrocarbons/analysis , Hydrocarbons/chemistry , Methane/analysis , Methane/chemistry , Spacecraft
12.
J Anim Sci ; 83(3): 722-31, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15705770

ABSTRACT

Emissions of ammonia, as well as other gases and particulates, to the atmosphere are a growing concern of livestock producers, the general public, and regulators. The concentration and ruminal degradability of CP in beef cattle diets may affect urinary and fecal excretion of N and thus may affect ammonia emissions from beef cattle feed yards. To determine the effects of dietary CP concentration and degradability on potential ammonia emissions, 54 steers were randomly assigned to nine dietary treatments in a 3 x 3 factorial arrangement of treatments. Treatments consisted of three dietary CP concentrations (11.5, 13, and 14.5%) and three supplemental urea:cottonseed meal ratios (100:0, 50:50, and 0:100 of supplemental N). Steers were confined to tie stalls, and feces and urine excreted were collected and frozen after approximately 30, 75, and 120 d on feed. One percent of daily urine and feces excretion were added to polyethylene chambers containing 1,550 g of soil. Chambers were sealed, and ammonia emissions were trapped in an acid solution for 7 d using a vacuum system. As the protein concentration in the diet increased from 11.5 to 13%, in vitro daily ammonia emissions increased (P < 0.01) 60 to 200%, due primarily to increased urinary N excretion. As days on feed increased, in vitro ammonia emissions also increased (P < 0.01). Potential ammonia losses were highly correlated (P < 0.01) to urinary N (r2 = 0.69), urinary urea-N (r2 = 0.58) excretion, serum urea-N concentration (r2 = 0.52), and intake of degradable protein N (r2 = 0.23). Although dietary composition can affect daily ammonia losses, daily ammonia emissions must be balanced with effects on animal performance to determine optimal protein concentrations and forms in the diet.


Subject(s)
Ammonia/analysis , Animal Nutritional Physiological Phenomena , Cattle/physiology , Diet/veterinary , Dietary Proteins/metabolism , Manure , Animal Feed/analysis , Animals , Blood Urea Nitrogen , Carbon/analysis , Feces/chemistry , Hydrogen-Ion Concentration , Male , Manure/analysis , Random Allocation , Regression Analysis , Time Factors , Urine/chemistry
13.
Am J Vet Res ; 62(9): 1402-7, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11560268

ABSTRACT

OBJECTIVE: To determine the impact of feedyards on endotoxin concentration, fecal coliform count, and other water quality measurements during winter and summer in feedyard playas (shallow lakes). SAMPLE POPULATION: Water samples obtained from 7 feedyard playas and 3 nonfeedyard control playas. PROCEDURE: Surface water samples were collected from each playa and at various depths from 3 feedyard playas. Endotoxin concentrations, 22 water quality variables, and fecal coliform counts were determined in samples collected in summer and winter from various combinations of playas. RESULTS: Cattle numbers per feedyard ranged from 40,000 to 175,000 head/y. Mean endotoxin concentrations were significantly lower in control playas than in feedyard playas in winter and summer. Endotoxin concentration appeared to be homogenous at various water depths. Values for 20 of 22 water quality variables were higher in the feedyard playas than in control playas in winter and summer. In winter only, mean total fecal coliform concentration in feedyard playas was significantly greater than in control playas. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that feedyards have the potential to impact water quality in playas, and cattle should not be allowed access to them. Feedyard playa water should not be used under high pressure to settle dust in pens with cattle or to cool cattle, because aerosols containing pathogens and high concentrations of endotoxin are a health hazard for humans and cattle?


Subject(s)
Cattle/physiology , Endotoxins/analysis , Enterobacteriaceae/growth & development , Feces/microbiology , Water Microbiology , Animals , Linear Models , Seasons
14.
Am J Physiol Cell Physiol ; 280(6): C1422-30, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11350737

ABSTRACT

Endotoxin (LPS) is a potent inducer of tumor necrosis factor-alpha (TNF-alpha) and manganese superoxide dismutase (MnSOD). Recent evidence suggests that LPS induction of TNF-alpha and MnSOD mRNAs is mediated through distinct intracellular signal transduction pathways. Membrane CD14 (mCD14) and Toll-like receptor-4 (TLR4) mediate LPS induction of TNF-alpha in macrophages. In the current study, we evaluated the role of mCD14 and TLR4 in LPS induction of MnSOD using peritoneal macrophages from CD14 knockout (CD14-KO) mice and mice with the Tlr4 gene point mutation (C3H/HeJ) or deletion (C57BL/10ScCr). We studied mCD14-dependent (1 and 10 ng/ml) and mCD14-independent (1,000 ng/ml) concentrations of LPS. Compared with control (BALB/c) macrophages, LPS at 1 and 10 ng/ml failed to induce TNF-alpha or MnSOD mRNA in CD14-KO macrophages. However, LPS at 1,000 ng/ml induced TNF-alpha and MnSOD mRNAs equally in macrophages from CD14-KO and control mice. LPS (1, 10, or 1,000 ng/ml) failed to induce TNF-alpha or MnSOD mRNA and failed to activate nuclear factor-kappaB in C3H/HeJ or C57BL/10ScCr macrophages. Measurements of TNF-alpha and MnSOD enzyme activity paralleled TNF-alpha and MnSOD mRNA levels. These data demonstrate that, like TNF-alpha, induction of MnSOD by LPS is mediated by mCD14 and TLR4 in murine macrophages.


Subject(s)
Drosophila Proteins , Lipopolysaccharide Receptors/genetics , Macrophages, Peritoneal/enzymology , Membrane Glycoproteins/metabolism , Receptors, Cell Surface/metabolism , Superoxide Dismutase/genetics , Tumor Necrosis Factor-alpha/genetics , Animals , Gene Deletion , Gene Expression Regulation, Enzymologic/drug effects , Gene Expression Regulation, Enzymologic/physiology , Lipopolysaccharide Receptors/metabolism , Lipopolysaccharides/pharmacology , Macrophages, Peritoneal/drug effects , Mice , Mice, Inbred BALB C , Mice, Inbred C3H , Mice, Inbred C57BL , Mice, Knockout , NF-kappa B/metabolism , RNA, Messenger/metabolism , Superoxide Dismutase/metabolism , Toll-Like Receptor 4 , Toll-Like Receptors , Tumor Necrosis Factor-alpha/metabolism
15.
Science ; 283(5410): 2062-4, 1999 Mar 26.
Article in English | MEDLINE | ID: mdl-10092224

ABSTRACT

Spatially resolved infrared and ultraviolet wavelength spectra of Europa's leading, anti-jovian quadrant observed from the Galileo spacecraft show absorption features resulting from hydrogen peroxide. Comparisons with laboratory measurements indicate surface hydrogen peroxide concentrations of about 0.13 percent, by number, relative to water ice. The inferred abundance is consistent with radiolytic production of hydrogen peroxide by intense energetic particle bombardment and demonstrates that Europa's surface chemistry is dominated by radiolysis.


Subject(s)
Extraterrestrial Environment , Hydrogen Peroxide/analysis , Jupiter , Hydrogen Peroxide/chemistry , Ice , Spectrophotometry, Infrared , Spectrophotometry, Ultraviolet , Water/chemistry
16.
Science ; 279(5357): 1692-8, 1998 Mar 13.
Article in English | MEDLINE | ID: mdl-9497282

ABSTRACT

The Thermal Emission Spectrometer spectra of low albedo surface materials suggests that a four to one mixture of pyroxene to plagioclase, together with about a 35 percent dust component provides the best fit to the spectrum. Qualitative upper limits can be placed on the concentration of carbonates (<10 percent), olivine (<10 percent), clay minerals (<20 percent), and quartz (<5 percent) in the limited regions observed. Limb observations in the northern hemisphere reveal low-lying dust hazes and detached water-ice clouds at altitudes up to 55 kilometers. At an aerocentric longitude of 224 degrees a major dust storm developed in the Noachis Terra region. The south polar cap retreat was similar to that observed by Viking.


Subject(s)
Extraterrestrial Environment , Mars , Atmosphere , Carbon Dioxide , Carbonates , Ice , Iron Compounds , Magnesium Compounds , Minerals , Silicates , Spacecraft , Spectrum Analysis , Temperature , Water
17.
Science ; 278(5336): 271-5, 1997 Oct 10.
Article in English | MEDLINE | ID: mdl-9323203

ABSTRACT

Five absorption features are reported at wavelengths of 3.4, 3.88, 4. 05, 4.25, and 4.57 micrometers in the surface materials of the Galilean satellites Callisto and Ganymede from analysis of reflectance spectra returned by the Galileo mission near-infrared mapping spectrometer. Candidate materials include CO2, organic materials (such as tholins containing C(triple bond)N and C-H), SO2, and compounds containing an SH-functional group; CO2, SO2, and perhaps cyanogen [(CN)2] may be present within the surface material itself as collections of a few molecules each. The spectra indicate that the primary surface constituents are water ice and hydrated minerals.


Subject(s)
Carbon Dioxide/analysis , Jupiter , Nitriles/analysis , Sulfur/analysis , Hydrocarbons/analysis , Ice , Spectrum Analysis , Sulfur Dioxide/analysis , Water
18.
Synapse ; 23(3): 125-31, 1996 Jul.
Article in English | MEDLINE | ID: mdl-8807740

ABSTRACT

Recent studies indicate that an increase in serotonergic (5-HT) activity in the nucleus accumbens (NAc) produces an increase in dopamine (DA) release, providing a possible mechanism for the involvement of DA in the therapeutic action of selective serotonin reuptake inhibitor (SSRI) antidepressants. However, acutely administered fluoxetine (2.5, 5.0, or 10.0 mg/kg, i.p.) failed to elevate extracellular levels of DA, or its metabolites in the NAc or caudate-putamen (CP). In fact, the highest dose produced a small (20%) decrease in DA levels in the NAc. Extracellular levels of the 5-HT metabolite 5HIAA were consistently decreased at all doses of fluoxetine in both structures. Since SSRIs generally require several weeks of treatment to be effective clinically, a second experiment examined the effect of chronic administration of fluoxetine. Chronic (21 day) daily treatment with 5 mg/kg had no effect on NAc basal levels of DA, DA metabolites, or 5HIAA, relative to a saline-treated control group. Finally, pretreatment with fluoxetine appeared to slightly enhance the elevation of NAc DA induced by an injection of cocaine (10 mg/kg, i.p.), an effect that was not quite significant (P < .06). In conclusion, the 5-HT-induced facilitation of NAc DA neurotransmission described in the literature may not be relevant to the therapeutic action of fluoxetine.


Subject(s)
Antidepressive Agents, Second-Generation/pharmacology , Caudate Nucleus/metabolism , Dopamine/metabolism , Fluoxetine/pharmacology , Nucleus Accumbens/metabolism , Putamen/metabolism , Animals , Antidepressive Agents, Second-Generation/cerebrospinal fluid , Caudate Nucleus/drug effects , Chromatography, High Pressure Liquid , Extracellular Space/drug effects , Extracellular Space/metabolism , Fluoxetine/cerebrospinal fluid , Male , Microdialysis , Nucleus Accumbens/drug effects , Putamen/drug effects , Rats , Rats, Sprague-Dawley , Time Factors
19.
Science ; 255(5051): 1551-3, 1992 Mar 20.
Article in English | MEDLINE | ID: mdl-17820166

ABSTRACT

Spectra obtained from recent telescopic observation of 1-Ceres and laboratory measurements and theoretical calculations of three component mixtures of Ceres analog material suggest that an ammoniated phyllosilicate is present on the surface of the asteroid, rather than H(2)O frost as had been previously reported. The presence of an ammoniated phyllosilicate, most likely ammoniated saponite, on the surface of Ceres implies that secondary temperatures could not have exceeded 400 kelvin.

20.
Pediatr Rev ; 12(5): 149-59, 1990 Nov.
Article in English | MEDLINE | ID: mdl-2284215

ABSTRACT

This paper has presented the characteristic features of those types of dwarfism that are manifest at birth. This information has been presented in a fashion that should assist the pediatrician in arriving at an appropriate diagnosis without excessive delay or extensive diagnostic studies. However, variable expressivity may result in subtle presentation and, in those cases, diagnosis may be more challenging.


Subject(s)
Bone Diseases, Developmental/congenital , Dwarfism , Bone Diseases, Developmental/diagnosis , Dwarfism/diagnosis , Humans , Infant, Newborn
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