ABSTRACT
We review the histories of 26 patients who were treated at the Royal Perth Hospital for retained rectal foreign bodies. The foreign bodies that were retrieved and the age, sex and marital status of each patient are recorded and a number of the histories is presented. The complications that arose from either the insertion or removal of the foreign body are discussed, as are the methods of treatment that were employed. The various methods that the practitioner has at his disposal for dealing with this increasing problem are reviewed, and a plan of management of patients with non-perforating rectal foreign bodies is suggested.
Subject(s)
Foreign Bodies/therapy , Rectum , Adolescent , Adult , Aged , Foreign Bodies/complications , Humans , Laparotomy , Male , Middle AgedABSTRACT
One hundred and seven patients with colorectal carcinoma were examined for their immune response to autologous tumour. Patient leucocyte migration inhibition by tumour antigen, migration inhibition of normal subject's leucocytes by patient's serum, and the assessment of lymphocyte invasion of the tumour specimen were used to measure the immune response. Forty-one and 51% of patients were immune by leucocyte migration inhibition and tumour invasion by lymphocytes respectively. The immune patients had a survival advantage at three years on Chi-squared analysis. Patients whose serum contained a factor that inhibited the migration of leucocytes obtained from normal individuals had a diminished survival prognosis. The donors of these sera had a 50% chance of dying or of developing recurrent disease. These same individuals represented 30% of all those tested by this method. The immune patients included the sera donors as a subgroup 30% of all those tested by this method. The immune patients included the sera donors as a subgroup who, if excluded from the life table analysis, left a group of immune subjects who had very superior survival features.
Subject(s)
Antibodies, Neoplasm/biosynthesis , Colonic Neoplasms/immunology , Rectal Neoplasms/immunology , Antigens, Neoplasm/immunology , Cell Migration Inhibition , Colonic Neoplasms/mortality , Colonic Neoplasms/pathology , Humans , Leukocytes/immunology , Lymphocytes/pathology , Prognosis , Rectal Neoplasms/mortality , Rectal Neoplasms/pathologyABSTRACT
The fortuitous discovery of a microscopic focus of poorly differentiated adenocarcinoma at the site of air-leak in a patient who had presented with spontaneous pneumothorax is described.
Subject(s)
Adenocarcinoma/diagnosis , Lung Neoplasms/diagnosis , Pneumothorax/diagnosis , Adenocarcinoma/complications , Diagnosis, Differential , Humans , Lung Neoplasms/complications , Male , Middle Aged , Pneumothorax/complicationsABSTRACT
A series of the 210 consecutive admissions of patients with spontaneous pneumothorax to a large teaching hospital over a five-year period, was reviewed and analysed with regard to age and sex of the patient, side of involvement, family history, association with exertion, association with respiratory tract disease, incidence of recurrence, method of management, duration of pleural cavity drainage, duration of hospitalization, and pattern of unit admission. Spontaneous pneumothorax was a disease of young males, with a peak incidence at 16 to 25 years of age. For the majority of patients it was an isolated event, with left-sided predominance. It was neither familial nor fatal, and most commonly occurred in the absence of a history of exertion or of clinical evidence of concurrent respiratory disease. The usual method of definitive treatment involved the insertion of an intercostal catheter and resulted in hospitalization for a period of up to ten days.
Subject(s)
Hospitalization , Pneumothorax , Adolescent , Adult , Age Factors , Aged , Australia , Child , Drainage , Female , Humans , Male , Middle Aged , Pneumothorax/epidemiology , Pneumothorax/surgery , Recurrence , Sex FactorsABSTRACT
Quantitative analysis of the lymphocyte infiltration at the periphery of colorectal carcinomata has revealed a statistically significant difference, p less than 0.001, in the distribution associated with Dukes B compared with Dukes C tumors of moderate differentiation.
Subject(s)
Colonic Neoplasms/pathology , Lymphocytes/pathology , Rectal Neoplasms/pathology , Cell Count , Female , Humans , Male , Prognosis , Statistics as TopicABSTRACT
Insertion of intravenous cannulae initially constitutes a technical challenge to medical students and doctors alike, but mastery of the mechanics of insertion and the commonness of the procedure has often resulted in complacency with regards attention to asepsis. Attention is drawn to several fundamental areas of inadequacy.
