We cared for a term female newborn, who at 108 hours of age, with a total serum bilirubin of 15.4 mg/dL, was discharged from the hospital on home phototherapy. At a return appointment 44 hours later, her total serum bilirubin was 41.7 mg/dL and signs of acute kernicterus were present. Maternal/fetal blood group O/B incompatibility was identified, with a negative direct antiglobulin test, which ...

impression that kernicterus has virtually " become extinct " with the near elimination of Rh disease is incorrect. In fact, this neurological condition is experiencing a re-emergence, likely due to earlier hospital discharge and a " more lax " approach to the treatment of neonatal hyperbilirubinemia. 1 Up to one in 700 healthy term newborns may be at risk of kernicterus due to severe hyperbilir...

Unconjugated hyperbilirubinemia is a common condition in the first week of postnatal life. Low levels of bilirubin exert antioxidant effects, but some neonates may develop very high levels of unconjugated bilirubin (UCB), with an increase of the unbound free fraction (Bf), able to diffuse through the blood brain barrier. Amount and duration of hyperbilirubinemia and the neurodevelopmental age (...

Acute macular neuroretinopathy is an infrequently encountered condition in which there is a sudden mild central vision loss, photopsia and red-brown wedge-shaped lesions in the macular region with corresponding scotomata in the central visual fields. The condition may be associated with the use of oral contraceptives or with a recent febrile illness. It is self-limiting and non-recurrent. The c...

This article argues that the mid-1960s saw a dramatic shift in how 'brainwashing' was popularly imagined, reflecting Anglo-American developments in the sciences of mind as well as shifts in mass media culture. The 1965 British film The Ipcress File (dir. Sidney J. Furie, starr. Michael Caine) provides a rich case for exploring these interconnections between mind control, mind science and media,...

background: crohn’s disease is an inflammatory bowel disease that can affect any part of the gastrointestinal (gi) tract including the mouth. bowel symptoms are predominant. oral involvement may precede the gi symptoms. this case report presents a patient affected by crohn’s disease with oral onset. case presentation: we present a 30-year-old pregnant woman complaining of chronic, multiple, yel...