BACKGROUND Small bowel obstruction with perforation is an unusual and rare complication of bezoars. OBJECTIVE To describe our use of emergency laparotomy to treat intestinal obstruction caused by bizarre bezoars. CONCLUSIONS An aggressive surgical approach to intestinal obstruction in the pediatric disabled or mentally retarded population is recommended.

iV whom the duties of Statutory Supervision under the Mental ^enciency Acts were being carried on for the London County Council, and this work gave her an intimate knowledge of the needs of mentally handicapped children and the value of Occupation Centres. In 1932 she came to the Central Association for Mental Welfare to fill the post of Case Secretary. Later she became Education Secretary when...

The purpose of this paper was to understand the meaning adolescence has for parents of adolescents with mental disability. The methodology used was the narrative analysis according to the guidelines of Thompson (1998) and Byron-Good (1996). Although the parents identified some typical characteristics of adolescence in their children, not always they did in fact consider them adolescents due to ...

brothers and fathers between the two groups was to the advantage of the patients with 47,XXY and not to the patients of 46,XY. Finally, it should be mentioned that to secure an unbiased attitude on the part of the examiner the psychological investigation was carried out blindly, the psychologist possessing knowledge of neither anaznnestic data, psychiatric evaluation, or results of physical and...

You have done me the honour of inviting me to speak to you tonight upon the subject of "The Day-toDay Management of the Handicapped Child in its own home." I have much pleasure in doing so because so great a part of the daily medical work of myself and my colleagues and the nursing staff in our hospital is concerned with problems common to yours in the care of these children. As many of you are...

An aetiological study of mentally handicapped children in Edinburgh has provided an opportunity for assessing the prevalence of mental handicap in this area and the distribution of handicapped children by severity of defect and clinical type. A definite cause of mental handicap is found in only a minority of cases. Nevertheless, any aetiological investigation must begin with an attempt to class...

The crucial factor involved in habilitating the mentally retarded, or other individuals, for produc­ tive employment is not, as is often erroneously as­ sumed, the decision concerning the vocation that the client may succeed in, but the position that is taken concerning this unique person. In this re­ gard, an analysis of the habilitation process indicates that at each decision-making point a p...

Although immigration was limited quantitatively in 1929 and the depression has caused a greater proportion of emigration for the nonce, no forward step has been taken towards a better qualitative selection of aliens arriving even today in the United States. This has portentous socio-psychological results. The quota law allows yearly 153,714 immigrants, though but 35,576 entered in 1932, and the...

Determining why normative values for a test may change is not easy. For instance, intelligence test scores have been changing at a dramatic rate, though the cause remains unclear (Flynn, 1999; Raven, 2000). Each time an IQ test is renormed, the same level of cognitive capacity is associated with a lower score. The ability that would have produced an IQ of 100 two generations ago would now only ...

This report describes a case where 4 digits were replanted in a mentally retarded patient with a history of smoking and the inability to follow postoperative arrangements.