Uterine bleeding may be caused either by benign organic pathology as well as different dysfunctional conditions. Medical treatment with progestins, danazol or GnRH analogues is usually used as the first choice therapy. Where the symptoms persist, hysterectomy is generally proposed; it has been calculated that from 500,000 to 700,000 such ...

Aerotitis, an acute inflammation of the middle ear caused by the difference in air pressure between the airplane cabin and the middle-ear space, is becoming more common in the United States as our society becomes increasingly mobile. We describe a case in which a 33-year-old woman with a resolving upper ...

A lightweight radiographic package is described for use in highly mobile operations, especially light units. Weight, volume, and power requirements of the current medical field x-ray machine create a situation in which radiographic support is impractical if not possible in the early phase of high mobility medical operations. A method ...

A retrospective study of the effect of the implementation of an unlocked seclusion policy was conducted on three child psychiatric inpatient units in a state hospital in Pennsylvania. Unlocked seclusion was associated with 1) increased use of tranquilizing medications administered as needed on all three units, 2) increased clustering of ...

On the evening of March 14, 1881, Emory Upton inexplicably and unexpectedly committed suicide. He was acknowledged as the United States Army's leading tactician of his day; his drill manual, A New System of Infantry Tactics, Double and Single Rank, had been officially adopted by the Army in 1867. The ...

Experimental allergic uveitis (EAU) is an induced autoimmune disease by administering soluble retinal S antigen and complete Freund's adjuvant (CFA). In rabbits, the result is the occurrence of chorioretinitis in 90% of the cases. The first inflammation is followed by spontaneous relapses. The EAU of the rabbit was utilized to ...

In the military nothing is more crucial for mission accomplishment than the leadership of an organization or unit. The author argues that physicians by their education and training are uniquely fitted to Command units that have the mission of providing medical care. A systematic exposition is provided that utilizes a ...

Military literature fails to describe a successful methodology for developing and implementing active Army/active Army Reserve mutual medical support and mobilization planning. The author presents a method for addressing these critical issues that evolved over a period of 11 years between the 3274th Army Hospital (1000B), a Reserve unit in ...

Samuel Albert Levine was a key figure in modern cardiology in the United States. During the first world war he was one of a select group of United States medical officers assigned to the British Military Heart Hospital where he encountered the "British medical giants"--Clifford Allbutt, William Osler, James Mackenzie, ...

The American Medical Association's Committee on Medical Aspects of Automobile Safety recommends that pregnant women use seat belts. Currently, all military installations, 39 states, and the District of Columbia mandate varying degrees of seat belt usage. A survey was conducted to evaluate seat belt usage in the antepartum population at ...

Pharmacologic inhibition of uterine contractions remains the mainstay of treatment for preterm labor despite the ongoing controversy regarding its effectiveness. A diverse variety of tocolytic medications have been proposed for clinical use, with betamimetics and magnesium sulfate being the common therapeutic agents of choice in the United States today. The ...

To compare the complication rate in patients having a dual chamber versus a single chamber pacing system, 337 consecutive procedures performed during a 3-year period were analyzed prospectively. Two hundred fifty-eight patients (77%) received a VVI pacemaker and 75 (23%) a DDD unit. Thirteen VVI (5%) and 4 DDD (5.3%) ...

Sporothrix cyanescens has been recovered from blood and a finger lesion at several medical centers in the United States. The morphology and physiology of these and three additional isolates were studied. S. cyanescens was distinguished from S. schenckii and S. fungorum by white to lavender colonial pigmentation and from S. ...

Advances in medical technology and practices have been associated with improved patient outcomes. At times, the price of this progress has included great financial costs and human suffering. During the last two decades, there have been significant changes in medical practices in America. In the late 1960s and early 1970s, ...

Persons with overwhelming damage to the cerebral hemispheres commonly pass into a chronic state of unconsciousness (ie, loss of self-awareness) called the vegetative state. When such cognitive loss lasts for more than a few weeks, the condition has been termed a persistent vegetative state, because the body retains the functions ...

The death of the well-known black leader, Steve Biko, in detention in South Africa in 1977 has continued to generate debate in the international medical literature. The three doctors who examined him during his terminal illness made a diagnosis of malingering in spite of overwhelming evidence suggesting that he had ...

"Agriculture was a major stumbling block to immigration reform [in the United States], largely because Congress was unwilling to assign explicit priorities to the competing goals of protecting American workers and admitting supplemental immigrant farmworkers. This article describes the Special Agricultural Worker or SAW legalization program that generated 700,000 applications ...

Questionnaires that are used in studies with severely patients should be as short as possible. Abridged versions of existing inventories are very practical in these instances. The answers of 444 subjects in three samples (cancer patients, medical students, surgical patients) were used to investigate the possibility of constructing short and ...

For potassium and sodium monitoring, an Ionometer EF2 was installed in our dialysis unit. The apparatus measured linearly, and between-series and within-series variations were comparable to flame photometry. No difference in performance was disclosed when operated by one or several persons. The 95% limits of agreement between Ionometer EF2 and ...

Solid state fermentation systems were developed for the production of cephalosporins with Streptomyces clavuligerus and Cephalosporium acremonium. S. clavuligerus NRRL 3585 was grown on moistened barley under optimum solid state fermentation conditions for 7 days; approximately 300 micrograms cephalosporins per g substrate were extracted from the kernels. C. acremonium C-10 ...

The new Regional Secure Unit for the West Midlands, the Reaside Clinic, had a total of 85 patients referred for admission during the first year of operation, of whom 32 were considered unsuitable for admission. The characteristics and outcome of these patients are discussed, together with the implications for forensic ...

While hallucinations are known to occur as conversion symptoms in non-psychotic psychiatric states such as hysteria and grief, there is a lack of distinction between true and pseudo-hallucinations in such cases. We discuss the rationale which has necessitated this distinction, affirm that true hallucinations can occur in non-psychotic states, discuss ...

Steady-state plasma levels of nortriptyline and E- and Z-10-OH-nortriptyline were determined in 55 depressed patients during long-term treatment. Dose-corrected steady-state levels varied by a factor of 20 for nortriptyline, a factor of 7 for E-10-OH-nortriptyline (sum of enantiomers), and a factor of 12 for Z-10-OH-nortriptyline (sum of enantiomers). The E-10-OH-nortriptyline ...

Medical Readiness Education and Training Exercises (MEDRETEs) enable United States military medical personnel to sharpen their skills in diagnosis and treatment of common illnesses in rural third world populations. We report our experiences on MEDRETEs conducted during recent exercises in the Republic of Kenya involving United States and Kenyan forces. ...

A number of groups in the United States have received funding that will permit evaluation of the clinical efficacy of the neutron capture therapy (NCT) procedure. Various reactors are being modified to allow the construction of an epithermal neutron beam. At the Brookhaven Medical Research Reactor (BMRR), the patient irradiation ...

An assembly line process for filling 24-hour unit dose medications in a 699-bed hospital is evaluated. Time studies are reported on different numbers of technicians and different rotational assignment alternatives. The data support evidence that too many technicians involved with the 24-hour fill process results in a less efficient and ...

The rapid increase in the use of helicopters for hospital transport during the 1980s is the culmination of several hundred years of military medical innovation. Mass battefield casualties spurred both technologic and medical changes necessary for today's sophisticated helicopter systems in use worldwide, particularly in the United States. The Napoleonic ...

The armed forces of the United States of America maintain bases throughout the United States as well as in many other countries. The current situation with regard to the investigation of the approximately 2,500 non-combat deaths each year as well as other deaths occurring on military reservations in complex, confusing, ...

Once dependent on the educational and professional resources of other countries, by the end of World War II the United States was recognized as one of the preeminent centers of the world for medical science and teaching. A period of nearly open access to the American medical education system between ...

Maternal serum alpha-fetoprotein (MSAFP) screening is rapidly becoming a standard of practice in all regions of the United States and Canada. This paper will review the initial results of MSAFP screening in 761 patients at USAF Medical Center Keesler, and offer recommendations for Department of Defense hospitals offering such testing.

Some seat belt use laws exempt occupants in certain seating positions and in certain types of vehicles, or both. A state-by-state analysis was conducted of the extent to which passenger vehicle occupants killed before the laws went into effect would have been covered by the laws subsequently passed. Only five ...

The extent to which post-1965 declines in infant mortality could be attributed to (1) US medical and antipoverty programs and/or (2) internationally available medical advances was examined using data on infant, neonatal, and postneonatal mortality rates (IMRs, NMRs, PNMRs) in four western countries. The results showed that while post-1965 improvements ...

American medicine is respected worldwide, and our ability to respond with aid is beyond that of any nation. While we cannot administer aid indiscriminately, our ability to provide swift, effective humanitarian aid is one way in which we can demonstrate that we are truly relevant in the Third World. Recent ...

Professional dominance, autonomy, and control have been consistently emphasized in theories of the medical profession. Recently, however, the professional hegemony that physicians have enjoyed is increasingly being questioned in the light of profound changes that are taking place in the organization of health care in the United States. Debates about ...

Ecthyma contagiosum (orf), a viral disease endemic to sheep and goats, can be zoonotically transmitted to humans through contact with infected animals. While the disease is common among sheep and goat herders worldwide, it comes to medical attention infrequently since it is generally a mild self-limited illness. We recently treated ...

Forty-nine hospital wards in the United States and Canada were surveyed during specified periods for one year to document assaults by inpatients on staff or other patients. Nine (5.7%) of the 158 assaults by adult psychiatric inpatients were sufficiently severe to require medical treatment. Four others occurred on the only ...

Dementia registries have been legislated or are under discussion in at least seven states (California, Florida, Maryland, Michigan, South Carolina, Illinois, and Virginia). Future reporting requirements and recommendations for state mandated reporting systems were discussed in February 1988 at the first Alzheimer's Disease Registry Workgroup Meeting, sponsored by the University ...

As the first in a series, the present study was designed to compare and provide a consumer-oriented overview of commercially available auditory evoked potential (AEP) units with a basic price of less than $10,000 (i.e., the "economy" units). The following AEP units fell under this category: Algo-1/Algo-1PLUS, Amplaid MK-10, Nicolet ...

After a documented decline in the incidence of acute rheumatic fever in the United States during the past three decades, an apparent resurgence has occurred in the mid-1980s. Although standards of living have continued to improve with concomitant decrease in crowding and easier accessibility to medical care, the precise reasons ...

Leeches possess properties that make them uniquely able to assist with venous compromised tissue. Their saliva contains an anticoagulant and a histamine-like vasodilator that promote local bleeding, a local anesthetic, and hyaluronidase that promotes the local spread of the other leech salivary secretions into the wound/bite. In addition, active pharyngeal ...

OCSE is amending the Child Support Enforcement program regulations governing medical support enforcement. Prior regulations required State child support enforcement (IV-D) agencies to perform certain medical support enforcement activities. The regulation requires State IV-D agencies to extend these activities to certain IV-D cases no embraced by the prior regulations and ...

Microsomal membrane preparations from growing regions of etiolated pea stems catalyzed the transfer of [14C]fucosyl units from GDP-[U-14C]-L-fucose into exogenously added xyloglucan acceptors, as well as into endogenous xyloglucan. The transfer was more effective using nonfucosylated tamarind seed xyloglucan than with pea wall xyloglucan in which almost all galactose units ...

Neurocysticercosis is no longer a medical curiosity in the United States. Two hundred thirty-eight patients with neurocysticercosis were studied between 1981 and 1986 at the Los Angeles County-University of Southern California Medical Center, Los Angeles. Presenting signs and symptoms were protean--ranging from a single convulsion to coma and death. Fifty-one ...

The method of paying doctors under Medicare has never been workable; it creates disputes and confusion for physicians and everyone else and will soon be replaced. The problem is the need to develop a simple and predictable method that will avoid both government dictation and financial bankruptcy. Every other developed ...

The number of states that license radiologic technologists has grown since federal legislation aimed at promoting licensure was passed in 1981. The federal government, however, has played a limited role at best in encouraging states to comply with the law, and many states still do not regulate certification of radiologic ...

Mandatory medical assignment bills have been presented to the legislatures of 16 states since 1985, when a bill passed in Massachusetts tied acceptance of assignment to medical licensure, In November 1987, an initiative appeared on the Washington State voter's ballot asking that it be considered a consumer protection violation for ...

A medical diagnosis support system based on a fuzzy model for illnesses is proposed. The model for each disease is a lattice structure composed by unidirectional fuzzy relations among intermediate diagnostic units (IDU). Its evaluation is sequential: it starts at the bottom units, the observable medical evidence (symptoms), and progresses ...

One hundred and seventy nine cases of acute poisoning constituting 1.1% of all admissions to the medical unit over 3 years were analysed. Eighty-three per cent of the patients were under 30 years of age and 72% were males. The common agents were: OP insecticides in 51%, kerosene oil in ...

A comparison of the chemical purity, toxicology and potency of HI-6 (1-[[[4-(aminocarbonyl)pyridinio]methoxy]methyl]-2- [(hydroxyimino)methyl]-pyridinium dichloride) obtained from various sources (Canada, Israel, Yugoslavia, The Netherlands, United Kingdom) was performed. There were no significant differences between HI-6 obtained from Israel, Yugoslavia, The Netherlands and Canada regarding their potency, when combined with atropine, as ...

It is said that we can learn as much about social processes from so-called 'deviant' institutions than from the more legitimate. 'Deviant' medical occupations have not attracted much attention from social scientists. Naturopathy is one of these nonconventional health occupations. It emerged in the 18th and 19th centuries and moved ...