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In Sweden (
) the addition of automatic analysis of the ST waveform of the fetal electrocardiogram to conventional cardiotocography in labour improved recognition of fetal hypoxia. There were significant reductions in the rates of operative delivery and of metabolic acidosis in umbilical arterial blood at birth.
The most serious injuries to children from dog bites may be blunt rather than penetrating injuries. Of 39 children admitted to the paediatric trauma service in Denver, Colorado over a period of 6 years (
) eight had life threatening injuries and of those, six had blunt injury including head injury (3), arterial injury (axillary artery (1), carotid artery (1)), and spinal cord injury (1). One child died of exsanguination from a cavernous sinus tear. One child had a laceration of the trachea and another of trachea and oesophagus. The dogs involved were rottweilers (3), labradors (2), akitas (2), and husky (1); (pitbulls are banned in Denver).
You may be quick to detect nits in children, but what about NITS? The US Third National Health and Nutrition Examination Survey included audiometric testing of 5249 children from which it was concluded that 12.5% of American children have NITS (noise-induced …