Browsing by Author "Mann, M D"

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    Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned
    (Health and Medical Publishing Group, 2006) Rode, H; Cywes, S; Lawrenson, J; Numanoglu, A; Fieggen, A G; Brown, R A; Davies, M R Q; Hewitson, J P; Hoffman, E B; Jee, L D; Mann, M D; Matthews, L S; Millar, A J W; Peter, J C; Thomas, J; Wainwright, H
    Conjoined twins represent a rare but fascinating congenital condition, the aetiology of which remains obscure. Over the past four decades, the paediatric surgeons at Red Cross Children's Hospital have been involved in the management of 46 pairs of conjoined twins, of which 33 have been symmetrical and 12 asymmetrical. Seventeen symmetrical twins have undergone separation with 22 children (65%) surviving; all of the live asymmetrical twins survived separation. We describe the important features of this unique cohort, outline our approach to management and present the results of this approach. We consider some of the ethical and moral dilemmas we have confronted, and discuss the prenatal diagnosis, obstetric implications and postnatal care of these children, including the relevant investigations and anaesthetic and surgical management. Specific aspects related to the cardiovascular system, hepatobiliary and gastrointestinal tracts, urogenital tract, central nervous system and musculoskeletal system are highlighted.
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    Potassium in young children
    (1972) Mann, M D; Hansen, John
    Potassium i.s one of the major constituents of the human body but its role in metabolism is not clearly defined. One reason for this is the predominant intracellular distribution of the ion and the attendant difficulties in the detection of deficiency states. Serum potassium levels are of little value as over 95% of the potassium in the body is intracellular. Balance studies and the analysis of biopsy material have been used. However, they are so time consuming that they are only of use in establishing the diagnosis retrospectively and give very little indication of the severity of the deficit. Exchangeable potassium measurements do give an indication of the severity of the deficit. However, they involve the administration of an isotope which is not always available because of its short half-life. The development of the whole body counter has overcome most of these problems.