Patent Ductus Arteriosus (P.D.A.) (An analysis of 37 surgically proved cases)

An analysis of the clinical picture on 37 cases of patent ductus arteriosus proved by operation is presented, including the chest X-ray and electrocardiographic findings. In 13 cases preoperative hemodynamic studies were necessary to establish the diagnosis, although in most of the cases it could be based on clinical findings only. During the years 1968 to 1973, 37 patients were operated upon for patent ductus arteriosus (PDA) at the Cardiologic Center, Dr. Cipto Mangunkusumo Hospital, Medical School University of Indonesia, Jakarta. This paper is meant to analyze the clinical picture and in some instances, the hemodynamic findings of those 37 patients.

Conjunctival Mycobacteriosis

A 6 1/2- year old Indonesian girl with 30 kg of body weight was consulted to the Department of Child Health, Cipto Mangunkusumo Hospital - Medical School University of Indonesia , Jakarta, for eye, surgery tolerance. At 3 1/2 years old, she came for the first time with a granulomatous tumor on her left eye. Excision was done, and histopathologic examination revealed granulation tissue corresponding to tuberculosis. The patient was referred to the Department of Child Health for further exploration. Sensitin test was positive for Mycobacterium intracellulare, not for Mycobacterium tuberculosis. The tumor reappeared twice and the last histopathologic examination revealed nonspecific granulation tissue.

Effect of Low Lactose Milk "Eiwit Melk" (E.M.) on Low Birth Weight Infants with Diarrhoea

Thirty-nine low birth weight infants suffering from diarrhoea hospitalized in the Department of Child Health, Dr. Tjipto Mangunkusumo Hospital/Medical School University of Indonesia from July 1972 to December 1973 were treated with "Eiwit Melk" (low lactose milk).Results are not satisfactory although better than with the routine formula.9 out of 39 cases (23%) give excellent result.3 out of 39 cases (7.6%) give good result.27 out of 39 cases (69.4%) give poor result.In low birth weight infants, next to lactose intolerance, other factors in causing diarrhoea among others fat malabsorption should be considered. Trials with formulas combining easily absorbable fats should be encouraged.

New Classrooms: Old Struggles

Charles Bell was an internationally renowned teacher of anatomy and surgery and an eloquent advocate of natural theology. His writings on the anatomy of expression had a major influence on art and on the training of painters and artists, and they gave birth to physiological psychology. Bell founded his own anatomy school, took over the well-known Hunterian school in Great Windmill Street, was a clinical teacher at one of the great London hospitals, was the most famous professor appointed to the medical department when the University of London was established, helped to found the Middlesex Hospital Medical School, and, finally, held a prestigious chair of surgery at the University of Edinburgh. His association with the University of London was brief, however, because his role was unclear, the institution was mismanaged, and the environment was acrimonious.

Shirley Winifred Jeffrey 1930–2014

Australian scientist Shirley Jeffrey was a pioneer in oceanographic research, identifying the thentheoretical chlorophyll c, and was a worldwide leader in the application of pigment methods in quantifying phytoplankton as the foundation of the oceanic food supply. Her research paved the way for the successful application of microalgae in aquaculture around the world. Jeffrey earned bachelor's and master's degrees at University of Sydney, majoring in microbiology and biochemistry, followed by a PhD from the King's College London Hospital Medical School. Returning to Sydney, she was hired by the Commonwealth Scientific and Industrial Research Organisation (CSIRO) to research chlorophyll c. Following this successful effort, she became a research fellow at the University of California, Berkeley from 1962 to 1964. She then became affiliated with the Scientific Committee on Oceanic Research. After a 1973 sabbatical at the Scripps Institution of Oceanography in San Diego, she returned to CSIRO, where she spent the rest of her career.