ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The subsequent misuse and abuse of sedatives and hypnotics prescribed to 190 patients of the family practice program at the Medical University of South Carolina was investigated by medical record abstract and patient interviews. Results indicated little misuse and no abuse, with most respondents indicating they took fewer doses than directed. Concerns about dependence were widespread and were most likely in patients who said they never took fewer doses than directed. These patients were also more likely to have side effects. Ten percent of respondents said they had shared their sedative or hypnotic with others, usually relatives. Because of the nature of the population, mostly female and with an average age of 50 years, the results are likely to underrepresent misuse and abuse and to overrepresent concerns with dependence as compared with the general patient population. The results indicate the need for a prospective study to determine the process of becoming a misuser and factors associated with dependency fears.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Hickman right atrial catheters are useful in providing prolonged access for chemotherapy. Their presence does alter body image, however, and the maintenance of catheter patency during periods of outpatient care demands patient cooperation and participation. To determine whether the alterations in body image and life-style brought about by catheter insertion would have a negative effect upon the self-esteem of patients with acute leukemia, “purpose-in-life” testing was done prospectively in two groups of patients treated over a 30-day period with and without right atrial catheters. No significant alterations in self-esteem were noted during the study period in response to the use of Hickman catheters. The results suggest that Hickman catheters can be used as needed to improve venous access in patients with acute leukemia, without fear that this will adversely affect self-esteem.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The diagnosis of medullary sponge kidney (MSK) is usually made as an incidental finding on pyelogram. The essential abnormality of this condition is a “paintbrush” appearance of the calyces due to the presence of contrast within dilated collecting ducts. Since the radiologic features are similar to those of papillary necrosis, a history of analgesic abuse may make the differential diagnosis difficult. We describe a patient whose urogram strongly suggested MSK but who also had a history of analgesic abuse. Special studies demonstrating completely normal renal function and proven MSK in the patient's mother allowed the diagnosis of medullary sponge kidney. We reviewed the similarities and differences between MSK and papillary necrosis to identify features of diagnostic significance.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Sixty-nine patients were evaluated prospectively by sonography and history to determine the presence of cholelithiasis. Sixteen patients (23%) had a positive diagnosis. A control group was also prospectively evaluated. We have determined that patients above age 50 with a permanent ileostomy are at statistically significant risk of having cholelithiasis, and their risk is greater than that of a control group matched for age and sex. Radiologists should recognize this association and carefully evaluate the gallbladder of any patient with a permanent ileostomy who has abdominal pain.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

We studied 390 consecutive episodes of Staphylococcus aureus bacteremia in the four nonuniversity hospitals of one metropolitan area between 1977 and 1981. Overall mortality was 31%, with 52% of deaths being attributed to the infection. The 4.9% incidence of recognized endocarditis was lower than that previously reported. Although 41% of deaths occurred by the end of the third day after positive blood cultures had been obtained, choice of antimicrobial therapy bore no apparent relationship to eventual clinical outcome.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

We report the successful management of two patients with abdominal wall gas gangrene and emphasize the principles of proximal gastrointestinal diversion and the initial use of 100% fraction of inspired oxygen (FiO2). Each patient lacked an abdominal wall and intractable fistulas developed. Complete diversion of their gastrointestinal tracts at a proximal level facilitated closure of the fistulas and prevented possible peritoneal contamination. One patient's arterial oxygen pressure was maintained in the 200 to 300 range for two days after admission. This level has been shown to be adequate to stop clostridial alpha toxin production.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A preliminary report regarding the use of an intraoperative, intraperitoneal antibiotic solution in patients having transabdominal hysterectomy reveals that the postoperative morbidity assessed by the diagnosis of cuff cellulitis or pelvic abscess was 4.7%. This morbidity represents a substantial reduction in the incidence of cuff cellulitis (27.0%) noted in a comparison group of 367 patients having abdominal hysterectomy at our institution during a two-year period. These preliminary data strongly suggest that antibiotic solutions given intraperitoneally at the time of abdominal hysterectomy reduce morbidity due to cuff cellulitis.

ISSN:0038-4348    

出版商:OVID    

年代:1984

数据来源: OVID