Correlation of head circumference and crown-rump length in newborn infants. A potential indicator of congenital maldevelopment

A study of 305 consecutive neonatal autopsies done by two prosectors showed a high correlation between the head circumference (HC) and crown-rump length (CR). The calculated formula can be stated approximately as HC equals 0.9 CR + 2.5 cm, and the two measurements are for all practical purposes equal in the immediate neonatal period, regardless of race, sex, age and body weight. When the HC was found to be significantly larger than CR, hydrocephalus and certain types of chondrodystrophy were present. When the HC was significantly smaller than CR, there was a higher incidence of congenital heart disease, especially hypoplastic left heart syndrome, and congenital central nervous system disorders other than hydrocephalus. From a practical point of view, a significant difference is a discrepancy of more than 2.5 cm. 102 consecutive living neonates were also similarly studied. It appears that the CR length when carefully measured under standardized condition is more reliable than the crown-heel length.

Aeration of medical plastics

Because the metabolic reaction that gives ethylene oxide is sterilizing qualities also takes place with human protein, it is imperative that any residual gas be removed before the sterilized material is used on the patient. This paper presents a method of estimating aeration time required following sterilization of polyvinyl choride (PVC) to reduced toxic residues to a desired level. The method proposed involves calculation of the coefficient of diffusivity, and the use of a simplified diffusion equation to estimate aeration time.

An electron microscopic and radioautographic study on experimental kernicterus. II. Bilirubin movement within neurons and release of waste products via astroglia

Response of the neurons to bilirubin in asphyxiated newborn rabbits was studied in vivo with the use of the electron microscope and radioautographic technics. A morphologic basis for the mode of intraneuronal bilirubin movement in kernicterus has been established. The absorbed bilirubin had ready access to the Golgi complex from the dendrite through the neurotubules by a mechanism of centripetal dendroplasmic flow. The endoplasmic reticulum provided a subcellular canalicular system for the directed passage from the Golgi complex to the nuclear membrane. Proximodistal flow of bilirubin in the axoplasm caused spotty destruction of axons. The release of waste products from the affected neurons toward the capillaries is very likely an effect of reverse transastroglial transport.

Genetic studies on hypospadias in males

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An electron microscopic and radioautographic study on experimental kernicterus. I. Bilirubin transport via astroglia

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