British medical journal (Clinical research ed.)
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A study of 62 glass injuries to children serious enough to warrant admission to hospital showed that 30 were due to architectural glass in doors or windows and 26 of these occurred in houses. Glass bottles caused 12 injuries. Architectural glass produced more serious injuries affecting major arteries, nerves and tendons, and internal viscera. In view of the frequency and severity of architectural glass injuries in houses, safety glass in recommended for all glass doors, French windows, patio doors, and the lower parts of windows.
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The incidence of acute appendicitis was compared among residents in nine towns in England and Wales, the towns having been chosen so that three were in the north, three in the central latitude band, and three in the south. Each group of three towns comprised one with "better,' one with "intermediate,' and one with "worse' socioeconomic conditions. The data were derived from hospital records for the years 1974-7. ⋯ There was no consistent variation with the socioeconomic state of the towns. The distribution of appendicitis in the nine towns differed from that of other "diseases of Western civilisation' and so weighs against the hypothesis of similar dietary influences in the aetiology of acute appendicitis and these other diseases. These findings are being followed up by dietary surveys in the towns.
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Br Med J (Clin Res Ed) · Oct 1981
Randomized Controlled Trial Comparative Study Clinical TrialImproved pain relief after thoracotomy: use of cryoprobe and morphine infusion.
In a randomised controlled trial carried out during the first to days after thoracotomy patients who had had intercostal nerves frozen with a cryoprobe or were given morphine by continuous intravenous infusion had significant less pain at rest than patients given intramuscular morphine. Differences between the groups with respect to pain on movement and during physiotherapy were not significant. ⋯ The trial did not distinguish between the cryoprobe and infusion treatment. The simplicity of the cryoprobe had much to commend it, but in units without access to this equipment a small infusion pump offers a satisfactory alternative.