2,223 research outputs found
A caecal diaphragm in cystic fibrosis
No full textA right iliac fossa mass may be a difficult diagnostic problem in a patient with cystic fibrosis. We present a patient with such a mass who was thought to have a non-obstructing intussusception on clinical and radiological grounds. However, at laparotomy she was found to have a pathology not previously described in cystic fibrosis. She had a partial diaphragm almost blocking the lumen to her appendix. The differential diagnosis of a right iliac fossa mass is considered and the cause of her pathology discussed
Lung resection in cystic fibrosis patients with localised pulmonary disease
No full textThe results of lobar resection to treat severe localised bronchiectasis in six children with cystic fibrosis are described. Sustained clinical improvements occurred in children undergoing this surgical approach to treatment. Detailed assessment and intensive preoperative and post-operative medical treatment are essential to a favourable outcome in carefully selected patients.</p
Dietary fibre and the occurrence of gut symptoms in cystic fibrosis
No full textObjective - To evaluate the effect of currently recommended energy rich cystic fibrosis diets on fibre intake and to investigate the relationship between fibre intake and the occurrence of gut symptoms. Method - Prospective completion of non-weighed five day food diaries by 28 children with cystic fibrosis and comparison of mean daily fibre intake with age matched controls who did not have cystic fibrosis. Prospective completion of similar diaries to a total of 68 children with cystic fibrosis and comparison of fibre and Lipase intake with the occurrence of gut symptoms. Results - Mean daily fibre intake in children with cystic fibrosis was 7.00 g compared with 14.65 g in controls (p<0.001). Mean daily fibre intake in eight patients troubled with moderate or severe abdominal pain was 0.144 g/kg. This was significantly lower (p<0.01) than mean values for 22 patients with occasional but mild symptoms (0.249 g/kg) and 38 with no gut symptoms (0.312 g/kg). There was a trend towards higher pancreatic enzyme doses (lipase/kg/day) in children with abdominal pain. Conclusions - Currently recommended cystic fibrosis diets have a low fibre content. A low residue diet might be an important factor in the pathogenesis of gastrointestinal symptoms.</p
Diagnosis of cystic fibrosis: Indian perspective
No full textCystic fibrosis (CF) is one of the common life limiting inherited diseases in Caucasian population. Recent reports suggest that the diagnosis of cystic fibrosis in Indian children is missed or delayed due to low index of suspicion. The diagnosis of cystic fibrosis is suspected by the typical clinical features and should be confirmed by doing sweat chloride estimation. If sweat test is not available, ancillary tests including blood electrolyte and acid base balance, airway microbiology, tests to identify pancreatic insufficiency and semen analysis for obstructive azoospermia in post pubertal boys should be carried out. Positive results of these tests make the suspicion very strong. A strongly suspected case should be treated as cystic fibrosis, but for giving a diagnosis of CF, sweat test should be done from the nearest centre where it is available. In the presence of typical clinical features with borderline sweat chloride values sweat test should be repeated 2-3 times and the child should be investigated for alternative diagnosis. In the absence of alternative diagnosis with consistently high or borderline sweat chloride values an attempt should be made to get tests for mutations. (Indian J Pediatr 1999; 66 : 923-928).</p
C.J. Koch (1932 - )
No full textBiographical, bibliographical, and literary historiography of Australian author C.J. Koch
Audio Interview with Mr. C.J. Rayner Whiteley
No full textAudio - Mr. Whiteley recounts the story of delivering the message of the flood of 1904. He took seventeen hours by horse to travel from Perryvale to Edmonton. Billy Loutit took the same message by foot arriving in Edmonton about the same time. Mr. Whiteley discusses early settlers, farming, homesteading and businesses. He has many anecdotes about life and people living in Athabasca at the start of the twentieth century. He freighted for ten years with the Hudson's Bay Company and also discusses early farming prices and technology extensivelyInformative Interview of Mr. C.J. Raymor Whitely In April 1961 on a Reel to Reel tape recorded onto cassette by R. Tanhas March 198
Specialty farming in Idaho: Selecting a site
No full textBulletin no. 744 Moscow, Idaho :University of Idaho, College of Agriculture, Cooperative Extension System, 1992-10-01. Author(s): Barney, D.L.; Finnerty, T.L.; Mancuso, C.J
The Actors' Perceptions and Expectations of their Roles in BIM-based Collaboration
No full textThe inter-organisational collaboration with Building Information Modelling (BIM) is one of the hottest topics in construction sector nowadays. The implementation of BIM is a complex inter-organisational process, and the sharing of information among numerous actors from multi-disciplinary backgrounds may affect the actors’ role perception and performance. This study offers insights into the BIM roles of various actors by analysing a BIM-based project carried out by an integrated partnership across many tiers. The analysis identified inconsistencies between the actors' perceptions and their partners’ expectations of their BIM roles. Inconsistencies in BIM roles were more related to soft rather than hard (domain- or technical) skills. Mismatches were found in the architect's role, as it was deemed necessary to be more domain- and BIM-related, contrary to their perceptions. Likewise, the suppliers' role called for an enhanced BIM orientation. The paper concludes with set of suggestions for increasing the joint responsibility and supporting the multi-actor collaboration.Design & Construction ManagementSustainable Housing Transformatio
Strange Fellah! Review of Philip Butterss, An Unsentimental Bloke: The Life and Work of C.J. Dennis
No full textC.J. Dennis, author of The Songs of a Sentimental Bloke (1915), was once considered the unofficial poet laureate of Australia. Throughout his career he was erroneously conflated with his famous character 'the Bloke' in the public imagination. 'Many have imagined him as a sentimental bloke', argues Philip Butterss, 'an easygoing fellow with a naïve and slightly romantic view of the world'(1). Since three previous biographical works have the word 'sentimental' in the title, Butterss' decision to add the 'un' to 'sentimental' immediately signals his intention to examine the darker side of Dennis
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