ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Safety restraints have proven effective in the prevention of serious automobile injuries and deaths, but safety education has been ineffective in getting consumers to use restraints. We surveyed the personal and counseling practices of a group of pediatricians over a one-year period to determine whether prenatal and postpartum safety education of parents influenced the pediatricians' own use of car restraints and their counseling practices. Seventy-two percent of participating pediatricians reported that they always or often wore restraints, but usage had not increased at the conclusion of the study. Seventy percent of pediatricians stated that they provided safety counseling in the prenatal and postpartum periods and during health examinations. There was a strong correlation between personal seat belt usage and frequency of counseling.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

The threshold approach to clinical decision making proposed by Pauker and Kassirer is a potentially useful tool in actual patient care situations. By adapting this method to a hand-held programmable calculator, this approach makes decision analysis a functional part of clinical medicine. Two examples illustrate its use.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

We studied 12 patients with occupational exposure to asbestos to evaluate the pulmonary diseases that result from protracted exposure to this fibrogenic and oncogenic fiber. The spectrum of diseases includes diffuse interstitial fibrosis, bronchogenic carcinoma, and malignant mesothelioma. Cigarette smoking is found to be a cocarcinogen with asbestos. Because of the impairment of pulmonary function in these patients, surgery plays a limited role in their management.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

We recorded clinical information over a 12-month period on consecutive consultations to the gastroenterology service of the Durham VA Medical Center. Of 902 consultations, 789 were prospectively collected. Eighty-five percent of the patients were between 40 and 70 years old. Seventy-five percent of the referrals were from the internal medicine service. The most frequent reasons for consultation were abdominal pain (19%), GI bleeding (active, 16%; occult, 9%), abnormal results of liver tests (18%), and request for a procedure (11%). Diseases of the liver (32%) and “peptic diseases” (30%) were the most common diagnoses. One or more procedures were done in 71% of consultations. When these data are compared with those of a practicing gastroenterologist, using an identical instrument, it is apparent that trainees' experience with structurally identifiable gastroenterologic disease and with a variety of procedures was similar in scope. There were, however, differences in that the physicians at the VA saw substantially fewer patients with so-called “functional” illness. If these data are applicable to other VA Medical Centers, then the training of physicians in gastroenterology at a VA Medical Center should probably be broadened.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

I selected a study group of 39 geriatric patients with asthma to evaluate the therapeutic effects of beclomethasone dipropionate aerosol (BDA) over a two-year period. Twenty-seven were steroid-dependent and. 12 were not. BDA was a valuable adjunct to the treatment of asthma in this geriatric population.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

The adrenal glands are inaccessible to diagnostic evaluation except by indirect or invasive means. Computerized tomography (CT) allows consistent visualization of normal glands and accurate detection and characterization of adrenal disease. CT is the screening procedure of choice for the diagnosis of adrenal masses.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Since first reporting the association of hyperlipoproteinemia with inner ear disease in a study of 300 patients in 1973, I have continued to focus attention on the presence of lipid abnormalities in patients with inner ear dysfunction. With over 1,400 patients now identified with both abnormal lipids and inner ear symptoms, it has become increasingly apparent that most patients seen by otolaryngologists because of Meniere's disease come from that same large population group who are prone to obesity, maturity-onset diabetes, coronary artery disease, and atherosclerosis. These patients share the common problem of being unable to handle refined carbohydrates well. Based on the reports and studies of many authorities, a hyperinsulinism exists in these conditions. These patients are helped by replacing refined carbohydrates with complex carbohydrates having increased fiber. When these conditions can be identified in patients with Meniere's disease, dietary management has been found to be the most effective therapy.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Temporal arteritis is not a common disease, but it is often incorrectly diagnosed in elderly patients with a high ESR and pain in the temporal area. Such an incorrect diagnosis can subject the patient to needless biopsy and the serious side effects of therapy with large doses of prednisone. When temporal arteritis is suspected yet presentation is atypical, careful consideration should be given to ENT and neurologic examination, and even psychiatric evaluation. Temporal artery biopsy should be done on the tender side, with multiple serial sections. A negative biopsy does not rule out temporal arteritis. Therapy should not be deferred until biopsy results are reported. It consists of 40 to 60 mg of prednisone daily for at least four to six weeks with a gradual decrease thereafter.

ISSN:0038-4348    

出版商:OVID    

年代:1981

数据来源: OVID