Search Results
Results 401 - 450 of 706
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Davidson J - - 1995
A case of emphysematous cystitis in an immunocompetent male is described. The diagnosis is generally rare, but may be made in the Emergency Department. A history of pneumaturia is highly suggestive of the entity, but is rarely offered by the patient. The evaluation and management of emphysematous cystitis are discussed.
Derner R - - 1995
A retrospective study was performed at the Denver Doctors Hospitals in which 3818 surgical cases on the foot and/or ankle were reviewed over a 4-year period from July 1986 through May 1990. From the 3027 ankle tourniquet cases reviewed, it was determined that pneumatic ankle tourniquets are safe and effective ...
Topley J M - - 1995
During a 5-month period in 1991 four infants with choanal atresia or stenosis were born at one hospital. We therefore reviewed our experience of this condition during the past 6 years and compared the patients who presented before with the four clustered cases. No definite explanation has been ascertained for ...
Tuchler R E - - 1995
Cortical blindness is an uncommon but well-documented entity that results from occipital ischemia or insult. We present a case of blindness following a failed free tissue transfer and review the pertinent literature. Careful history and physical examination can usually distinguish cortical blindness from other organic or psychogenic causes. The workup ...
Alexander B - - 1995
A review of the literature regarding bartonellosis or Carrion's disease in Colombia and Ecuador is presented, together with observations made by the author in areas of both countries from which the disease has been recorded. There is evidence from pre-Columbian artifacts that verruga peruana, the cutaneous form of the disease, ...
Spivak B - - 1995
Transmigration of souls is one of the central beliefs of the Druze religion and culture. However, in rare cases this belief can represent psychopathology. A case of an 18-year-old Druze soldier suffering from generalized anxiety disorder whose presenting symptom was a belief in transmigration of souls is described. This case ...
Wilson A - - 1994
OBJECTIVE: To determine what proportion of health promotion activities reported by the patient is recorded in the general practice notes and to compare these methods of assessing health promotion with audio tape analysis. DESIGN: Secondary analysis of data obtained in a controlled trial of differing appointment lengths. After each consultation ...
Irby D M - - 1994
Teaching in response to case presentations is an essential feature of clinical teaching in medicine. Yet, this form of case-based teaching is often done poorly. Using qualitative methods of interviews, observations, and recordings of teaching rounds, the author describes three different yet exemplary pedagogical strategies for organizing teaching rounds in ...
Carr N F - - 1994
Sore throat is one of the commonest presenting symptoms in general practice in Australia, and results in the prescription of an antibiotic in 50-90% of cases, despite the finding of bacterial throat infection in around 30% of cases or fewer. This study set out to examine whether inaccurate knowledge about ...
Eccles M - - 1994
BACKGROUND: Previous studies have examined the differences in the work of trainees and trainers. However, they have not investigated how many of these differences are due to differences in the case mix seen by trainees. AIM: A study was undertaken to investigate the effect of case mix on the content ...
Liebenberg W H - - 1994
When evaluating the worn intact dentition, there are instances when supervised monitoring and piecemeal restoration is the only treatment required. In other cases, especially those which do not fit the stereotype of the aging dentition, full corrective dentistry should be the treatment option. The challenge of reestablishing the vertical dimension ...
Lucas S M - - 1994
From 1966 to 1991 91 cases of bites due to mygalomorph spiders were recorded at the Hospital Vital Brazil, Instituto Butantan, São Paulo, Brazil, representing less than 1% of all spider bites. The diagnosis was confirmed by positive identification of the spider involved. Envenoming is generally mild, the main symptom ...
Rolinson G N - - 1994
A review of the published literature over the period 1978-1993 was undertaken to assess any changes in the prevalence of beta-lactamase-producing bacterial pathogens and also any changes in the susceptibility in these pathogens to amoxycillin/clavulanate. The review has involved the examination of over 1500 publications. The review shows that in ...
Glass R P - - 1994
This case report describes an infant who presented with coughing and choking during breastfeeding. Comprehensive clinical evaluation of these difficulties included assessment of sucking, swallowing, and breathing. Stridor and difficulty interspersing breaths during sucking bursts were observed, although sucking mechanics were normal. Further evaluation of airway structure revealed asymmetric laryngomalacia. ...
Dull D - - 1994
Regulatory and program developments during the past year are reviewed. These include the Good Laboratory Practices (GLP) enforcement case initiative, the implications of the Bio-Tek Industries decision, and the status of the Craven Laboratories case. The status of the Agency's laboratory accreditation workgroup is discussed, as well as the responses ...
Manders S M - - 1994
Acute generalized exanthemic pustulosis often presents dramatically with the abrupt onset of a widespread pustular eruption on an erythematous base, with a frequently positive Nikolsky sign. In most cases, penicillins or macrolides are causally related. The main differential diagnosis of a generalized pustular eruption in a febrile patient is pustular ...
Salvati M - - 1994
Osteosarcoma of the skull as a second neoplasm after radiation therapy is unusual. This neoplasm generally occurs after doses of over 10 Gy. CT, MRI and biopsy are the main diagnostic procedures for this lesion. We report two other cases of osteosarcomas of the skull and review the pertinent literature.
Röcken C - - 1994
The prevalence of gastrointestinal amyloid was determined in 110 consecutive autopsy patients aged 85 years and older. Paraffin sections from the esophagus, stomach, small intestine, colon and rectum were stained with Congo red and inspected in polarized light. Amyloid was found in 38 patients (36%). Four patients had generalized amyloidosis ...
Salako B L - - 1994
A study has been undertaken of 52 "charts review" cases (postmortem) formally discussed by Resident Staff of the Department of Medicine, University College Hospital, Ibadan at meetings over a period of 24 months. The senior registrars' diagnosis were correct in 39 (75%) cases while the registrars diagnosis were correct in ...
Korrick S A - - 1994
The purpose of this study was to determine the feasibility of using Massachusetts workers' compensation data for passive surveillance of occupational carpal tunnel syndrome (OCTS). Workers' compensation claims for OCTS (n = 358) and for possible cases of OCTS (n = 1,121) active during the first 6 months of 1989 ...
Morrow P L - - 1994
Varicose veins are a common, worldwide medical problem, but are generally considered non-life-threatening. We report three cases of fatal hemorrhage resulting from varicose veins and review the literature. The pathology of acute perforations onto the skin surface in varicose venous disease is described.
Heasman P A - - 1994
This report describes the case of a 21-year-old female who presented with localized gingival ulceration that over a period of 4 weeks became generalized, affecting all the buccal gingiva as well as the lower lip. A detailed medical history suggested that the patient was generating the lesions herself. She was ...
Mahoney J M - - 1994
OBJECTIVE: To report a case of pleural effusion associated with chronic dantrolene administration. DESIGN: Case report. SETTING: Private, university-affiliated, teaching hospital. RESULTS: Twelve years after the initiation of low-dose dantrolene therapy for chronic spasticity, a 35-year-old man developed a pleural effusion with pleural and peripheral eosinophilia. This reaction gradually resolved ...
Fisher D - - 1994
Cystic lymphangioma is a very rare condition of unknown aetiology. It is generally regarded as a developmental malformation in which obstruction or agenesis of lymphatic tissue results in lymphangiectasia secondary to lack of normal communication of the lymphatic system. Most lymphangiomas occur in the neck (75%) and axillary region (20%). ...
Piper D M - - 1994
Shoulder dystocia is a rare but serious obstetric complication that can result in significant neonatal and maternal morbidity and in costly litigation. Conflict exists in the literature regarding definition, incidence, predictability and preventability, relationship to neonatal injury, and appropriate management models. Anticipatory clinical interventions for potential shoulder dystocia have included ...
Yamamoto L G - - 1994
In a retrospective case review of inpatient and emergency department (ED) records during a 55-month period, 155 hospitalizations for Kawasaki syndrome (KS) were identified, of which 44 were seen in the ED. In 16 cases, KS was already suspected by their private physicians and confirmed in the ED by a ...
Baktari J B - - 1994
BACKGROUND: We report a dramatic case of factitious hemoptysis in a 36-year-old black man who presented with hemoptysis and chest pain. METHODS: After an exhaustive evaluation, including many invasive procedures, we discovered that the patient's complaints were fabricated, although the method used to simulate hemoptysis was not determined. Documentation was ...
Laird M - - 1994
Since a 1988-89 survey of northern New Zealand revealed no additions to the known mosquito fauna, this country's used tire importations have much increased. Relevant entomological quarantine was thus monitored in a November 1992-January 1993 Auckland project, during which almost 1/3 of 8,549 casings from Japan proved wet on inspection. ...
Epstein R H - - 1994
The flash-lamp pumped pulsed dye laser is the current treatment of choice for cutaneous port-wine stains. In our practice, most children with these lesions are treated under general anesthesia. At energy levels used clinically, it is possible to ignite hair in the presence of supplemental oxygen; we are aware of ...
Kopelman L M - - 1994
Case methods of reasoning are persuasive, but we need to address problems of bias in order to use them to reach morally justifiable conclusions. A bias is an unwarranted inclination or a special perspective that disposes us to mistaken or one-sided judgments. The potential for bias arises at each stage ...
Martin D R - - 1994
When restriction sites are modeled by a random process, the number of solutions to the double-digest problem (DDP) increases exponentially with the length of the DNA molecule. Cassette transformations define equivalence classes on the set of solutions to the DDP for the case of no coincident cut sites. Pevzner (1994) ...
Agrawal V - - 1994
Periocular anesthesia is a proven alternative to retrobulbar anesthesia. A prospective evaluation of 1,000 cases was done to study the advantages of single point, low volume periocular anesthesia. This method is efficacious and has an excellent safety profile. The small needle length and the low volume of injected anesthetic enhance ...
Parks T E - - 1994
Reynolds found in 1981 that with increased viewing time of a pattern which may or may not produce illusory contours there were: first, reports of the pattern without an illusory figure; then, at longer exposures, an increase in the frequency with which illusory figures were reported; and then, with still ...
Sigler L - - 1994
Non-dermatophytic fungi are increasingly being recognized as agents of onychomycosis. In 1990, three cases of chronic infection of the great toenail in adult female residents of Canada were attributed to Onychocola canadensis, a previously unknown hyphomycete. Three additional cases were suspicious but unconfirmed. This report documents seven new records, including ...
Ceccaldi M - - 1994
Forced laughter generally occurs in bilateral or diffuse lesions of the brain and is generally associated with pathologic crying. We report the cases of 3 patients in whom temporary forced laughter occurred after unilateral supratentorial infarction demonstrated by CT scan or MRI. In all cases, the lesion was exclusively subcortical ...
Blumberg M S MS Kaiser Foundation Health Plan, Inc., Oakland, CA - - 1994
Using the 1989 Medicare provider analysis and review (MEDPAR) file, we calculated a 30-day indirectly standardized mortality ratio (SMR) for all "fresh" acute myocardial infarction (AMI) Medicare aged cases (i.e., fresh AMI patients are those who had not reported an AMI in the prior 8 weeks) at 2,900 hospitals, as ...
Bhan A K - - 1994
Right-sided chest leads V1 to V6R were recorded in the 4th to 7th intercostal spaces in 25 cases of corpulmonale secondary to chronic obstructive pulmonary disease and in an equal number of age-matched controls. Results were compared with findings in the conventional electrocardiogram. Chest leads recorded in the seventh right ...
Payne C - - 1994
A case of extraskeletal myxoid chondrosarcoma with intracisternal microtubules is presented. The microtubules were generally straight, parallel, closely packed, and evenly spaced, but they did not form geometric arrays. Aggregates of stromalike myxoid material were present in the cisternae and the adjacent cytoplasm. Microtubules were never found within the cytoplasm. ...
Nicol J W - - 1993
We present a patient with established histiocytosis who developed dysphagia, retching, regurgitation, hoarseness and stridor. These symptoms were managed with carbon dioxide laser vaporization, electively on three occasions, and once as an urgent procedure, while awaiting radiotherapy, to control her airway. Histiocytosis is a rare cause of a number of ...
Rosenberg J N - - 1993
This study establishes a protocol and normal values for magnetic stimulation of the brachial plexus at the mid-clavicular point. We evaluated twenty normal subjects bilaterally, and determined normal latencies to the abductor pollicis brevis, abductor digiti minimi, biceps, triceps, deltoid, infraspinatus, latissimus dorsi, and rhomboid major. Our values were comparable ...
Benson-Mitchell R - - 1993
Adenotonsillectomy is traditionally performed as an in-patient procedure. Although day-case adenotonsillectomy is practised in some units in the USA, Canada, Finland and Israel, it is rarely practised in the UK. This study looks at a cohort of 100 consecutive children admitted for adenotonsillectomy and follows their progress after discharge. It ...
Lawal S O - - 1993
A review of 168 patients referred with IUCD related problems was done. The two most common indications for referrals were difficulty at removal (73.8%) and missing/lost IUCD thread 23.8%. In 22.5% (9) of cases referred as missing/lost IUCD, the threads were visible on inspection of the cervix during speculum examination ...
Mackenzie J S - - 1993
OBJECTIVE: To review the various clinical manifestations of Murray Valley encephalitis (MVE) or Kunjin virus encephalitis in patients in Western Australia. DESIGN: Review of clinical records, 1978 to 1991. PATIENTS: Of 26 reported cases of Australian encephalitis, four were excluded from study because the patient's symptoms were not definitely associated ...
Uejima K - - 1993
A case of extramedullary plasmacytoma presenting with biclonal gammopathy is reported. The patient was an 82-year-old man in whom monoclonal-protein (M-protein) was not noted during his first hospitalization. On his second hospitalization generalized lymph node swelling and biclonal gammopathy (IgG-kappa, IgA-kappa) were observed. Histological findings were compatible with those of ...
Rajput A H - - 1993
Parkinsonian features, notably resting tremor may be seen in some essential tremor patients but the significance of those is unknown. The reported risk of parkinsonism in essential tremor patients varies from being unchanged to 35 times higher than expected. We studied 9 patients with essential tremor who had autopsies. In ...
Carrotte P V - - 1993
A report is presented of a study which was carried out to investigate the standard of impressions for anterior crowns received at a commercial dental laboratory in Great Britain. Aspects examined were the type of tray and its suitability to the impression technique used, fixation of the impression to the ...
Satterfield M J - - 1993
In reviewing the literature, no studies were found reporting the use of retro running on flat and hilly terrain, which elicited enthesopathy (stress reaction) at the ischial tuberosity. Therefore, this case study of an atypical enthesopathy condition warrants careful scrutiny in order to generate future research. This case study describes ...
Weeks A M - - 1993
The Supervisors of Anaesthetic Training in Australia and New Zealand were surveyed and asked to report any cases of chemical dependence from anaesthetic registrars at their hospital from 1981 to 1991. From 83 questionnaires there were 65 (78%) returned. There were 14 departments (22%) with experience of one or more ...
Awada A - - 1993
The patterns of degenerative ataxias as seen over a six year period at the King Fahad Hospital of the University, Al Khobar in the Eastern Province of Saudi Arabia are reported. Twenty two cases were seen, giving a hospital frequency of 7/100,000 patients. Early onset ataxias were the most common, ...
Taylor D S - - 1993
Immatures of Haemagogus aeritinctus are reported from a black mangrove (Avicennia germinans) tree hole on an offshore key in the Belize barrier reef. This is the first report of this species from other than coastal mainland sites in Central America. The high salinity (10,000 ppm) recorded in the tree hole ...
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