ABSTRACT“Radiosurgery” is stereotactic neurosurgery in which the usual rigid needles or probes are replaced with beams of ionizing radiation directed toward an intracranial target so as to achieve local tissue destruction. No skin incision or skull opening is required. Lars Leksell originally defined the concept and over a prolonged research…
ABSTRACTA retrospective study of 73 assessable patients with spinal cord compression due to metastatic tumor was conducted. Fifty-five patients had paraparesis and 18 were paraplegic. Treatment consisted of surgical decompression in 22 patients, radiotherapy in 31 patients, and a combination of both modalities in 20 patients. The three groups were…
ABSTRACTElectrocardiographic abnormalities have been reported during ritodrine tocolysis. No previous studies, however, have included controls. The purpose of this study is to evaluate the electrocardiographic tracings of patients receiving ritodrine tocolysis and compare them with those of matched controls. Holter monitors were placed on eight patients receiving ritodrine tocolysis and…
ABSTRACTOf 125 patients with neuroleptic (dopamine blocking) drug-induced movement disorders who had been referred to a specialized clinic to differentiate the predominant movement disorder, 63% had tardive dyskinesia, 30% had parkinsonism, 24% had dystonia, 7% had akathisia, and 2% had isolated tremor. Two or more movement disorders coexisted in 31…
ABSTRACTPhotoelectric plethysmography is not new, but is a simple noninvasive technique to determine erythrocyte volume and oxygen saturation. The data are immediately available, accurate, repeatable, and recordable. Methods currently used for estimating microcirculation and oxygen saturation include clinical tests such as observation of skin color, temperature changes, capillary refill, and…
ABSTRACTRecent literature indicates that the vitamin K cycle plays a role in the calcification process, presumably via its intervention on γ-carboxylation of the noncollagenous proteins of bone osteocalcin and matrix γ-carboxyglutamic acid protein. The major clinical evidence of this interference is fetal bone defect caused by oral anticoagulants given to…
ABSTRACTStrict interpretation of the package insert for hepatitis B vaccine (Heptavax-B and Recombivax HB) would preclude its administration to anyone with a history of ocular sensitivity to thimerosal, but data to support this are hard to find. Given the large number of vaccinees, many of whom wear contact lenses, reported…
ABSTRACTThe police officer is exposed to stress outside the range of usual human experience, which often leads to his demoralization and brutalization, and predisposes him to a posttraumatic stress disorder similar to that found in the Vietnam veteran. With posttraumatic stress disorder comes functional deterioration that can lead to significant…
ABSTRACTThirty-three anterior staple capsulorrhaphies of the shoulder were reviewed at an average 49.7 months postoperatively (range 12 to 127 months); one postoperative dislocation occurred. The patients' quality of athletic participation improved with surgical therapy in 50%, remained the same in 38%, and was lowered in 12%. Average loss of external…
ABSTRACTThis paper describes patterns of drug use such as choice of drug, other substances abused, and route of administration in 174 women who reported methamphetamine, cocaine, heroin, or “Ts and blues” abuse during pregnancy. Seventy-five percent (130/174) reported using more than one drug. Other than tobacco, alcohol and cocaine were…
ABSTRACTVibrio infections constitute a continuing source of morbidity and mortality in Florida. Seven fatal infections caused by Vibrio parahaemolyticus or V cholerae non-O1 were reported in Florida between 1981 and 1988. Review of those seven medical records and Vibrio case investigation forms showed that although all patients died of sepsis,…
ABSTRACTWe compared the functional status of 94 poor patients with financial barriers to recommended medical care with that of 94 poor control patients without such barriers in a university-affiliated community clinic. Financial barriers existed when an insured patient's health insurance failed to cover recommended care or when an uninsured patient…
ABSTRACTWorry is commonly viewed as synonymous with anxiety. The majority of references to worry describe its adverse effects on health. Worry is useful as a way of coping, but has its limits.
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