RESUMO
BACKGROUND: High psychosocial risk pregnancies require specialized multidisciplinary help and follow-up in order to improve the outcome of babies. POPULATION AND METHODS: Thirty pregnancies were selected among 3500 and followed by a multidisciplinary team during 1990 and 1991. Evaluation included risk predictors, neurodevelopmental outcome of children at 9 and 24 months, number and time of judicial notifications. Evaluation of the mother-to-baby relationship by a psychologist as well as the environmental variables were performed. RESULTS: Four families had one or two, 20 families three or five and six families, six or more of the 15 risk predictors studied. Over the babies followed-up until the age of 24 months, four were placed out of the family, three hospitalizations were medically unjustified and there was no hospitalization for child abuse or neglect. Twelve children had development delay and two developed an environmental-related staturo-ponderal delay. Judicial notifications were realized 18 times during pregnancy or just after delivery and six times during the follow-up for child abuse and neglect. CONCLUSIONS: Taking care of high psychosocial risk pregnancies could be improved in special hospitalization units for mother and child. A better awareness of this problem could also improve the outcome of children, which remains very alarming.
Assuntos
Maternidades , Adolescente , Pré-Escolar , Deficiências do Desenvolvimento/enfermagem , Deficiências do Desenvolvimento/psicologia , Feminino , Seguimentos , França , Hospitais Universitários , Humanos , Lactente , Relações Mãe-Filho , Gravidez , Fatores de Risco , Apoio SocialRESUMO
Aneurysmal bone cysts are uncommon lesions, especially in the spine. Seventy-eight cases have been previously documented in the English literature and an additional fourteen cases are now reported. There is a definite predilection for the lumbar region and the neural arch is the part of the vertebra most commonly affected. It is recommended that treatment should consist of total excision or when this is not possible, curettage. Radiotherapy should be reserved for those few cases where operation is inadvisable.
Assuntos
Cistos Ósseos/diagnóstico , Doenças da Coluna Vertebral/diagnóstico , Adolescente , Adulto , Cistos Ósseos/etiologia , Cistos Ósseos/terapia , Doenças Ósseas/diagnóstico , Criança , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Prognóstico , Doenças da Coluna Vertebral/etiologia , Doenças da Coluna Vertebral/terapiaRESUMO
The macroscopic courses of the posterior primary rami in the lumbar spine are described and illustrated from fresh cadaver dissections.
