RESUMO
The aim of the study was to provide a preliminary basis for advising women with cerebral palsy (CP) who choose to initiate pregnancy regarding the course of parturition and the outcomes for their newborn infants. The authors studied 22 women with CP who had 38 pregnancies at a mean age of 26 years. Eight pregnancies were electively terminated and two resulted in miscarriage. Of the 28 viable pregnancies, one resulted in a preterm stillborn infant and two in preterm liveborn infants. Delivery was vaginal in 18 cases and by cesarean section in nine (one pregnancy was lost to follow-up). Pregnancy outcomes were reassuringly normal in this small, select sample of women with relatively mild CP. Possible effects of pregnancy and childbirth on general adaptive skills or specific child-care skills of women with CP could not be assessed in this retrospective study.
Assuntos
Paralisia Cerebral , Complicações na Gravidez , Resultado da Gravidez , Aborto Induzido , Aborto Espontâneo , Adolescente , Adulto , Índice de Apgar , Peso ao Nascer , Paralisia Cerebral/complicações , Parto Obstétrico , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Estudos Retrospectivos , Índice de Gravidade de DoençaRESUMO
In the United Kingdom there appears to be little available information concerning the prevalence and the patterns of head and of facial injuries sustained in road traffic accidents by motorcyclists wearing protective helmets. The present preliminary survey was of 56 accidents in urban traffic. 50 per cent of surviving motor-cyclists incurred head injuries. Soft tissue facial wounds were sustained by 38 per cent and fractures of facial bone and teeth by 11 per cent of the injured. The majority of the accidents occurred at speeds of 30 m.p.h. or less to riders of machines of small cubic capacity. Motor-cyclists wearing open-face style helmets had more facial damage after accidents than those wearing full-face style helmets. The results of the survey suggest the need for research into the degree of protection against head and facial injuries offered by the various helmet styles and their constituent materials.
Assuntos
Acidentes de Trânsito , Traumatismos Craniocerebrais/epidemiologia , Dispositivos de Proteção da Cabeça , Traumatismos Maxilofaciais/epidemiologia , Equipamentos de Proteção , Adulto , Traumatismos Craniocerebrais/prevenção & controle , Humanos , Londres , Traumatismos Maxilofaciais/prevenção & controleAssuntos
Traumatismos da Coluna Vertebral , Transporte de Pacientes , Emergências , Humanos , MétodosRESUMO
There is no substitute for the use of intelligence and common sense both in the drawing up and interpretation of a disaster plan; for compromise in dealing with other rescue services; for ingenuity in filling the gaps in the equipment with which you find yourself provided; and, finally, perhaps most important, for self-discipline. None of us is indispensible--there are always others equally able to make decisions.
