All human beings are "endowed with reason." This assumption is the basis of the United Nations' Universal Declaration of Human Rights, as clearly expressed in its very first article. Obviously the authors of the declaration had not considered the particular case of the process of parturition, when there is no room for rational means of expression. One cannot interpret literally the irrational l...

We report our experience of a 29-year-old female with a complete atrio-ventricular septal defect leading to a single ventricle physiology and Eisenmenger syndrome. The patient successfully underwent spinal anesthesia for cesarean section in the 31 st week of pregnancy. A multidisciplinary approach involving cardiologist, cardiac surgeon, obstetrician, and anesthesiologist was utilized to achiev...

A review of recent literature in pediatrics, pediatric orthopedics, and general orthopedics revealed a lack of information on pediatric orthopedic assessment of the newborn and infant. This paper presents a description of a 3-to-5 minute physical examination intended to detect congenital anomalies of the musculo-skeletal system, or to reassure the concerned parents that their offspring is healt...

R. JOneS was surprisingly relaxed and jovial considering that he had driven two hours from Bakersfield to Los Angeles to have his thirteen-month-old child examined by half a dozen doctors. no doubt he was sustained by his faith: on his T-shirt was boldly emblazoned “Got Jesus?” The examination rooms are usually crowded in the Intersex Clinic (now the Disorders of Sex Development [DSD] Clinic) a...

there has been a recent development and explosion of interest among academicians across a wide range of disciplines in the use of virtual class room. utilization of the virtual class room as a laboratory experimentation for teaching and learning has increased significantly in recent years as development tools for web based applications have become easier to use and computers have become more ca...

Von Willebrand's disease is the most common hereditary coagulation disorder in young women. This report aimed at describing the case of obese patient with von Willebrand's disease scheduled for cesarean section. We report the case of an obese patient, 26 years old, with von Willebrand's disease, admitted to the emergency room in early labor. Cesarean section was indicated because the baby shows...

The authors develop a conceptual, testable model suggesting lack of developmental synchrony between cortical and subcortical neural tracts necessary for breathing control underlying human vocalization (speech breathing), potentially leaving infants vulnerable to inconsolable crying. They propose that this lack of developmental synchrony also helps explain the human susceptibility to sudden infa...

About 400 million individuals worldwide have been affected by the inherited disorder of glucose-6-phosphate dehydrogenase (G6PD) deficiency that predisposes individuals to neonatal jaundice or hemolytic crisis due to drugs or infections. A descriptive observational study with longitudinal design was undertaken among 109 live newborns, delivered in labor room of IPGME and R, Kolkata during the p...

A questionnaire survey was conducted amongst parents in the military community in British Forces Germany to investigate the prevalence of known and suspected risk factors for Sudden Infant Death Syndrome. Over a thousand questionnaires were returned (response rate 58%) and these showed that the prevalence of babies being placed in the prone position to sleep is now extremely low and the use of ...