This study examines the affect regulation function of different types of nonsuicidal self-injury (NSSI) in 177 female eating-disordered inpatients. Almost 45% of the eating-disordered patients displayed at least 1 type of NSSI. Cutting and scratching were the most common forms of NSSI followed by bruising and burning oneself. For all types of NSSI except bruising, the affect regulation function...

A young lady presented to the hospital following a penetrating abdominal trauma. She was haemodynamically stable during the initial assessment. Despite fruitless finding from blood test, plain radiograph and computed tomographic scanning, a bowel contusion was found during an explorative laparoscopy. Here, we highlight the need for laparoscopy as a diagnostic and therapeutic tool in haemodynami...

We postulated that the analysis of regional image texture in two-dimensional (2D) echocardiograms would be an accurate method to differentiate normal from abnormal myocardial structure. We tested this hypothesis with quantitative texture measures to study the regional, spatial distribution of echo amplitudes in 2D echocardiograms performed before and immediately after blunt left chest trauma wa...

In recent months, the use of video cameras in nursing facilities has received an increasing level of attention. USA Today ran a front-page article on resident advocates’ efforts to place video cameras in residents’ rooms. In Maryland and Texas, legislation was introduced to establish the right of a resident or a family member to place a video camera in the resident’s room. In this journal’s Nov...

IN BEN OKRI'S PRESTIGIOUS BOOKER PRIZE WINNING NOVEL, THE Famished Road, one finds the story of Azaro, a spirit child who is born only to live for a short while before returning to the idyllic world of his spirit companions, but who chooses to stay in the world of the living. Azaro says "There was not one amongst us who looked forward to being born. We disliked the rigours of existence, the unf...

Physical examination revealed a pigmented macule in the left scapular region; its purplish red coloration gave the lesion a bruise-like appearance and ecchymotic spots were visible in the central area (Fig. 1A) The most characteristic dermoscopic findings were areas characterized by a lightish brown fine reticular pattern around the periphery and a pseudo-lacunar background pattern dotted with ...

Paediatricians are often requested to give an opinion on the age of a non-accidental bruise. In forensic textbooks, the colour changes which a bruise undergoes with time are not based on research in children. The purpose of this study was to document the sequence of colour changes in photographs taken following accidental bruising in children. Fifty accidental bruises of known age in 23 childre...

Admitted to hospital on the morning of the 16th. The lens is lying in the vitreous humor completely turned back into a horizontal position. It appears completely detached, and is moveable on pressure on the outside of the eye. The lens is slightly opaque, only sufficiently so as to render its position clear without the opthalmoscope. There is loss of sight, and he says scintillation in the eye ...

Cardiac contusion is an infrequent but occasionally serious complication of deceleration injury. According to ATLS teaching, the true diagnosis of contusion can only be established by direct inspection of the myocardium. The clinically important sequelae of myocardial contusion are hypotension and arrhythmia. Despite recent advances in investigative techniques, myocardial trauma remains an impo...