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Background: Silicone gel dressings decrease scar volume and soften hypertrophic tissue, allowing it to be more easily controlled by other methods. Although silicone does not appear to be an essential component of the treatment, nonsilicone dressings have been reported to cause no change in physical parameters during a 2-month treatment period., Objective: To compare silicone and nonsilicone gel dressings in the treatment of keloids and hypertrophic scars, including a control group, and to evaluate the effectiveness of these treatments using two new assessment techniques., Methods: Patients were randomly chosen to receive silicone or nonsilicone gel dressings in a 4.5-month controlled prospective study. Scar size, induration, and symptoms were evaluated before and after the treatment. Scar color was visually measured using a color palette catalog, and a new device was developed to measure intracicatricial pressure., Results: All of the measured parameters were significantly reduced in both silicone- and nonsilicone-treated groups, as compared to the control, with no significant differences between them., Conclusion: Silicone and nonsilicone gel dressings are equally effective in the treatment of keloids and hypertrophic scars.

Hahn-echoes have been observed in stray-field gradients of 37.5 T/m and 74.5 T/m for deuterium in heavy water in a number of forms: liquid, ice, and coordinated in solid copper sulfate and silica gel. In the diamagnetic samples, the application of many pulses (> 1000 or more) in long pulse-trains produced many sustained echoes. This lengthening of T(echo) is caused by T1-weighting of the components of the Hahn echo (even in the absence of spin-locking). In contrast, for the paramagnetic complex, the shortening of T1 greatly reduces T(echo) and only few echoes are obtained. A new protocol for stray field imaging is suggested when T1 is long: long echo-train summation (LETS). The observed magnetisation is much greater for heavy ice than for heavy water because the line-width, and hence the thickness of the excited slice, is greater.

We look at the awareness of grammatical distinctions in children with reading difficulties, and at their ability to use this awareness in order to learn about the conventional spellings for morphemes like "ed" at the end of past verbs. Using longitudinal methods we show that, initially, children who are to become poor readers are actually better in this aspect of spelling and also in grammatical awareness tasks than younger children of the same reading level: but they are worse than these other children in tasks that tax their knowledge of phonologically based letter-sound correspondences. Later on, however, the poor readers lose their initial advantages in the conventional spelling of morphemes. We conclude that poor readers are initially held back by a failure to learn about letter-sound correspondences, and that this deprives them of successful reading experience, which in turn hampers the growth of their grammatical awareness and their learning how to spell morphemes.

A report is presented on the observation of Hahn echoes from the following quadrupolar nuclei of half integer spin (I) in polycrystalline solids in the large static magnetic field gradient (37.5 T/m) which exists in the fringe field of a superconducting solenoid: 7Li, 23Na, 11B, 65Cu (I = 3/2); 27Al (I = 5/2); 51V, 59Co (I = 7/2); and 115In (I = 9/2). 23Na echo-trains from NaCl (with non-selective excitation) and from Na2SO4 (with selective excitation) are compared quantitatively for two different RF pulse sequences: 90x-(tau-90y-tau-echo-)n and 90x-(tau-90x-tau-echo-)n. The signals obtained from RF pulses corresponding to non-selective 90 degrees pulses were shown to be quantitative, whereas in the selective case smaller signals were obtained since only the central transition contributed. The loss of signal from this cause can be distinguished from small signals resulting from low density of nuclei by use of the second sequence. A 7Li image obtained from LiF in a cylindrical glass-vial is shown.

The spelling of many words in English and in other orthographies involves patterns determined by morphology (e.g., ed in past regular verbs). The authors report a longitudinal study that shows that when children first adopt such spelling patterns, they do so with little regard for their morphological basis. They generalize the patterns to grammatically inappropriate words (e.g., sofed for soft). Later these generalizations are confined to the right grammatical category (e.g., keped for kept) and finally to the right group of words (regular verbs). The authors conclude that children first see these spelling patterns merely as exceptions to the phonetic system and later grasp their grammatical significance. The study included two new measures of grammatical awareness, both involving analogies, that predicted success with spelling inflectional morphemes in later sessions.

This work is a retrospective study of latrodectism in the State of Bahia, Brazil, from August 1980 to July 1990. The data concerning the accidents were obtained from file cards at the Antivenom Information Center of Bahia (AVICB). Latrodectus curacavienis was the ethiologic agent identified in 28% of the arachnid accidents. The major incidence was registered in urban area (57%) affecting men (70%) more than women, with 10 to 29 year-old age group (58%). Local pain (56%), erythematous papula (29%) and light oedema (17%) were the principal local symptoms. Pain in the limbs (29%), tremor and rigidities (29%), sweating (28%), limbs and arms paresthesia (21%) and abdominal pain (17%) were systemic ones. The treatment was mainly symptomatic (67%) and antivenin serum was used in 21% of the cases. After serotherapy, 64% of the patients left the hospital within less than 24 hours.

Objective: The authors studied 14 children with myocarditis in order to correlate clinical and laboratorial data with evolution., Design: Retrospective study of all cases with myocarditis admitted during a 2 year period., Setting: Unidade de Cardiologia Pediátrica do HSJ., Patients: 14 patients, aged 7 to 34 months, with the diagnosis of myocarditis on the ground of biopsy or necropsy findings. The clinical data analysed were: medical history, physical examinations, hematological and biochemical studies, chest X ray, electro and echocardiogram, virus and immunological studies and cardiac catheterization., Results: All the patients had congestive heart failure and 10 had a history of a previous viral infection. Those who survived the first week were submitted to hematological and biochemical studies, chest X Ray, electrocardiogram, echocardiogram, virological and immunological studies and cardiac catheterization. All patients were treated with captopril and furosemide, 11 received dobutamine and 6 an immunosuppressive regime. Six patients died in the first week and one, nine months after diagnosis. One patient had an unfavourable course and the other six improved clinically., Conclusions: The authors were not able to find any correlation between laboratorial data and the disease outcome. Age less than one year and an abrupt onset were associated with 100% mortality. Immunosuppression was associated with improvement in 66% of the patients.

The authors present a case report of hypoglycemic tumor (insulinoma) of the pancreas. The tumor had benign histology and the greatest volume among the tumors of this type described in the literature.

Aerosol samples collected in the industrial area of Estarreja, Portugal, were used to assess the source classes responsible for the particulate levels observed in the local atmosphere. Principal Component Analysis was applied separately to the concentrations of aerosol constituents and meteorological variables to obtain the number of Principal Components and to verify the influence of weather conditions on ambient air quality. The technique led to the conclusion that soil and transport emissions represent important aerosol sources even in this industrial environment. The quantitative contribution of each source class was calculated using Multilinear Regression Analysis; 37% of the aerosol mass had a soil origin, 8% was from sea spray, 18% resulted from transport emissions and 24% contained ammonium salts. Twelve percent of total suspended particle (TSP) mass could not be explained by any of the six Principal Components retained. Ammonium salts and two other minor Principal Components seem to result mainly from industrial emissions. More specific information about the contribution of each particular source was not possible with this technique.