Lincoln Institute

About: Lincoln Institute is a based out in . It is known for research contribution in the topics: Occupational therapy & Rehabilitation. The organization has 116 authors who have published 153 publications receiving 2616 citations.

The Bkb (Bamford-Kowal-Bench) Sentence Lists for Partially-Hearing Children

Abstract: Linguistic guidelines for the design of sentences for speech audiometry with children are described, and new lists of test sentences which are based on such guidelines–the Bamford-Kowal-Bench Sente...

Delayed diagnosis of cervical spine injuries.

Abstract: Over a 32-month period, the cases of all patients with multiple injuries on whom cervical spine roentgenograms (CSRs) were obtained during blunt trauma evaluation in a trauma center were reviewed to determine the incidence, outcome, and clinical consequence of delayed diagnosis of cervical spine injuries. A total of 1,331 patients had CSRs following blunt injury. Sixty-one (4.6%) of the patients had documented cervical fractures or dislocations. The patients were seriously injured (mean Trauma Score, 12; mean Glasgow Coma Scale score, 11; and mean Injury Severity Score, 30.3). Eleven of the patients died in the trauma room; 9 with fatal atlantoaxial dislocation. Of the 50 survivors (81.9%), neurologic deficits were present in 15 (30%), and 8 of those had complete spinal cord injuries. The diagnosis of the cervical spine injury was made during the initial evaluation in 56 of the 61 patients (91.8%). Five patients had delayed recognition of their cervical spine injury (2-21 days). The reason for the delay was incomplete CSRs in all patients, despite multiple views (up to 13). The missed injuries occurred in patients in whom complete visualization of the spine was most difficult (i.e., severe degenerative arthritis of the cervical spine in two patients; previous cervical fractures in one patient; instability during resuscitation in one patient). Radiologic misinterpretation occurred in one patient. The diagnosis of cervical spine injury was pursued because of persistent neck pain in two patients, and the development of subtle neurologic findings in three. The neurologic deficits in the three patients resolved.(ABSTRACT TRUNCATED AT 250 WORDS)

Ultrastructure of cortical granule release and zona interaction in monospermic and polyspermic human ova fertilized in vitro

Abstract: Cortical granule release and interaction with the zona pellucida are reported in monospermic and polyspermic fertilized ova and early human embryos cultured in vitro. Twenty-seven preovulatory oocytes from women with tubal or idiopathic infertility were recovered by laparoscopy, after induction of follicular maturation with clomid and human chorionic gonadotropin. These were then inseminated with husband's or donor sperm, cultured for 3–72 hr, routinely fixed in glutaraldehyde/osmium and examined ultrastructurally. Evidence of cortical granule release was observed in all ova and embryos investigated and their contents were identified either at the egg surface or in the perivitelline space or interacting with the inner zona, apparently reinforcing its structure. The latter is very likely the morphological expression of the zona reaction. Delayed release was seen in certain regions of normally fertilized ova and particularly in polyspermic ova, where massive “explosions” of granules occurred. This was attributed to delayed cortical maturation. The mechanics of release were similar in both monospermic and polyspermic ova. Spontaneous dehiscence was also described in one injured unfertilized oocyte. The significance of the cortical and zona reactions as an effective block to polyspermy at the level of the inner zona, which becomes more impenetrable to supplementary sperm, is discussed.