The Medical journal of Australia
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It is generally acknowledged that malignant melanoma is very rare in children before puberty, but recommendations for the treatment of pigmented moles often seem to discount this information. To document the frequency of malignant melanoma in Australian children of prepubertal age, several methods were used. ⋯ It is, therefore, suggested that prophylactic removal of pigmented moles is generally not indicated in children before puberty, and that removal of a pigmented mole because of the possibility that malignant melanoma has developed should rarely be necessary in this age group. This information may help to reduce the concern that is often expressed about pigmented lesions in children, and to prevent unnecessary surgery.
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The ability of 100 members of the nursing staff to administer artificial ventilation was tested on a manikin. Six techniques of artificial ventilation were used. ⋯ It was concluded that mouth-to-mouth technique was the best form of ventilatory support provided by the nursing staff tested in this trial. In general, the use of mask systems should be restricted to highly trained staff members who have demonstrated continuing proficiency.
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A case of ocular toxicity of quinine is described. The effectiveness of a number of treatment modalities is evaluated in the light of its pathogenesis and potential for spontaneous recovery of sight.