Browse Items · NEOMED Bibliography Database

Early Uncomplicated Appendicitis-Who Can We Treat Nonoperatively?

This study evaluated nonoperative treatment for mild appendicitis and reviewed selection criteria to be used in introducing this option into clinical practice. A retrospective review of 73 consecutive cases of appendicitis treated by a single surgeon…

Improving Vitamin D Levels in Hospitalized Individuals at Risk of Falls.

The article reports on research which was conducted to investigate vitamin D levels and vitamin D supplementation in hospital patients at risk of falls. Researchers evaluated the vitamin D levels of 190 patients. They found that 63.7% were vitamin D…

Trauma history as a resilience factor for patients recovering from total knee replacement surgery.

Research concerning the impact of trauma history on individuals' ability to cope with subsequent events is mixed. While many studies find that trauma history increases vulnerability for conditions such as post-traumatic stress disorder and chronic…

Tags: 2015, 80 and over, Aged, Arthroplasty, Bivariate Statistics, Center for Epidemiological Studies Depression Scale, Clinical Assessment Tools, Coefficient Alpha, Convalescence, CORRELATION (Statistics), Cremeans-Smith Julie K, Delahanty Douglas L, Descriptive Statistics, Effect Size, EFFECT sizes (Statistics), Female, Functional Status, Funding Source, Greene Kenneth, Hardiness, Human, Impact of Events Scale, Knee – Psychosocial Factors, Knee – Rehabilitation, Life Change Events, LIFE skills, Male, Middle Age, Ohio, Pain Measurement, Post-Traumatic, POST-traumatic stress disorder, Psychological, Psychological Tests, Psychology & Health, recovery, Rehabilitation, Replacement, RESEARCH funding, RESILIENCE (Personality trait), Risk Factors, Scales, Statistics, Stress, STRESS (Psychology), Stress Disorders, T-test (Statistics), T-Tests, total knee replacement, TOTAL knee replacement – Psychological aspects, trauma, TREATMENT effectiveness, Treatment Outcomes, WOUNDS & injuries

Dementia update. Pharmacologic management of agitation and psychosis in older demented patients.

Tags: 2003, Aged, Antipsychotic Agents/administration & dosage/standards/*therapeutic use, Dementia/*complications/*drug therapy, Geriatrics, Humans, Psychomotor Agitation/*drug therapy/etiology, Psychotic Disorders/*drug therapy/etiology, Zaraa Adel S

The cataract revolution: what the primary care physician needs to know.

Older patients often come first to their primary care physicians with complaints of blurred vision associated with cataracts. An initial office-based diagnosis includes a simple patient history and examination of the retina with an ophthalmoscope.…

Tags: *Cataract/diagnosis, 1993, Aged, Cataract Extraction/adverse effects/methods, Contraindications, Geriatrics, Humans, Patient Education as Topic, Weinstock F J

Overexpression of beta-catenin and cyclinD1 predicts a poor prognosis in ovarian serous carcinomas.

UNLABELLED: Ovarian serous cancer is the most common subtype of epithelial ovarian cancer, and is the leading cause of death from gynecologic cancer. There is an important need for exploration of diagnostic and prognostic markers for this disease.…

Cyanide toxicity in the surgical intensive care unit: a case report.

Hypertension is a widespread entity in the surgical intensive care unit. Not only is the clinical spectrum varied, but the armamentarium available to the clinician is also wide-ranging. Sodium nitroprusside, a potent vasodilator with a short…

Tags: 2001, Aged, Cyanides/*poisoning, Female, Humans, Hypertension/complications/*drug therapy, Intensive Care Units, Nitroprusside/administration & dosage/pharmacokinetics/*poisoning, Poisoning/diagnosis/therapy, Porter J M, Sipe E K, The American surgeon, Trienski T L, Wounds and Injuries/complications/therapy

Dual-catheter covered stenting: a novel approach to the treatment of large coronary artery perforations.

Coronary perforation is an infrequent but potentially devastating complication of coronary intervention. Treatment of a broad-based perforation usually requires emergent pericardiocentesis and thoracotomy. We present a novel approach to closure of…

Solitary lesion on the left ankle.

Tags: 2015, Aged, Ankle, Cutis, Department of Internal Medicine, Diagnosis, Differential, Humans, Male, Mostow Eliot N, NEOMED College of Medicine, Porokeratosis/*diagnosis/pathology, Shenoy Renuka

[Clues to recognition of kidney disease in archaeologic record: characteristics and occurrence of leontiasis ossium].

The possible osseous effect of kidney dysfunction was evaluated in a modern skeletal population for future use in assessment of archaeologic samples. Frequency and distribution on the bones of cysts, articular surface alterations, subperiosteal…

Delayed presentation of an inflammatory polyp following colonic ischemia.

Inflammatory polyps are usually associated with inflammatory bowel disease. The majority of these lesions are asymptomatic, however, they may be a source of obstruction or hemorrhage. These polyps represent re-epithelialization of the damaged colonic…

Tags: 1993, Aged, Colitis/*etiology/pathology/surgery, Colon/*blood supply, Colonic Polyps/diagnosis/*etiology/pathology/surgery, Colonoscopy, Female, Hlivko T J, Humans, Ischemia/*complications, Pidala M J, Slezak F A, The American surgeon, Time Factors

Tonsillar metastasis of signet-ring cell adenocarcinoma of the colon.

Cases of primary colorectal signet-ring cell carcinoma metastatic to the tonsil are extremely rare. To the best of our knowledge, only 4 such cases have been previously reported in the literature. We report a new case in a 76-year-old white woman.…

Tags: 2010, Aged, Biopsy, Carcinoma, Colonic Neoplasms/*pathology, Ear, nose, & throat journal, Female, Head and Neck Neoplasms/drug therapy/pathology/radiotherapy/*secondary, Humans, Needle, Park Kelly K, Park Youn W, Signet Ring Cell/drug therapy/pathology/radiotherapy/*secondary, Terminal Care, Tonsillar Neoplasms/drug therapy/pathology/radiotherapy/*secondary

Transcatheter retrieval of intracoronary detached angioplasty guidewire segment.

A transcatheter technique of removing a detached angioplasty guidewire segment from the diagonal branch of the left anterior descending coronary artery is described. A standard 0.014 angioplasty guidewire was modified into a "snare" apparatus for…

Tags: *Coronary Vessels, 1988, Aged, Angioplasty, Balloon/*adverse effects/instrumentation, Catheterization and cardiovascular diagnosis, Catheterization/*methods, Coronary Angiography, Coronary Disease/therapy, Equipment Failure, Female, Foreign Bodies/*therapy, Hanson M W, Humans, Mikolich J R

Cardiac computed tomographic angiography and the primary care physician.

Through advancements in computer processing speed and storage capacity, new cardiac imaging modalities have become clinically feasible and useful. Cardiac computed tomographic angiography, a new diagnostic imaging modality, is capable of assessing…

Effect of digital rectal examination (and ejaculation) on serum prostate-specific antigen after twenty-four hours. A randomized, prospective study.

The purpose of this randomized, controlled, clinical trial was to determine the effect of the digital rectal examination (DRE) on the prostate-specific antigen (PSA) serum levels in view of conflicting literature reports and screening methods and…

Tags: *Palpation, 1993, 80 and over, Adult, Aged, Ejaculation, Geller L, Gerson L W, Humans, Male, McAleer J K, McMahon D, Middle Aged, Prospective Studies, Prostate-Specific Antigen/*blood, Rectum, Time Factors, Urology

Dermatosis neglecta: a series of case reports and review of other dirty-appearing dermatoses.

Localized scaling and hyperpigmentation is a common finding and often a diagnostic and therapeutic challenge. Dermatosis neglecta (DN) represents a failure to adequately clean or scrub the skin, often in an area of hyperesthesia or prior trauma. We…

Tags: 2006, 80 and over, Adult, Aged, Brodell Robert T, Dermatology online journal, Feldman Steven R, Female, Humans, Lucas Jennifer L, Male, Middle Aged, Skin Care/*methods, Skin Diseases/*etiology/*therapy

Recognition and management of obesity in a family practice setting.

BACKGROUND: Research on the diagnosis and management of obesity in primary care is limited. Our study goals were to describe the rate of obesity in a primary care setting, to identify factors associated with clinically recognized obesity, and to…

Elapsed time from symptom onset and acute myocardial infarction in a community hospital.

STUDY OBJECTIVE: Previous reports have emphasized that thrombolytic therapy for acute myocardial infarction should be initiated within three or four hours of symptom onset to obtain the best clinical outcomes. However, our clinical impression was…

The use of radioisotope scans in the evaluation of primary lymphoma of bone.

Primary lymphoma of bone is a rare lesion comprising less than 5% of all malignant primary bone tumors. Because of this rarity, the diagnosis of this lesion based on clinical findings and standard radiographic evaluations is extremely difficult and…

Leiomyosarcoma of the popliteal artery. A report of two cases.

Leiomyosarcomas (LS) are relatively uncommon soft-tissue sarcomas that occasionally involve the extremities. LS are usually tumors of adults and most often involve the gastrointestinal tract and uterus. When a soft-tissue sarcoma is suspected,…

Tags: 1990, Aged, Amputation, Clinical orthopaedics and related research, Female, Humans, Leeson M C, Leiomyosarcoma/diagnostic imaging/pathology/*surgery, Makley J T, Malaei M, Male, Middle Aged, Movement, Popliteal Artery/diagnostic imaging/pathology/*surgery, Postoperative Period, Radiography

Giant intraarticular loose bodies of the knee. Cases demonstrate spectrum of the lesion.

Synovial chondromatosis is a well-known, well-described clinical and histopathologic entity. Occasionally, loose bodies in the knee joint can continue to grow and become large enough to impinge on joint motion. Extremely large synovial chondromata…

Tags: *Knee Joint, 1986, Aged, Chondroma/*diagnosis/surgery, Diagnosis, Differential, Ewing J W, Female, Greenberg B, Humans, Joint Diseases/*diagnosis, Joint Loose Bodies/*diagnosis/surgery, Leeson M C, Male, Orthopaedic review, Wilcox P

The accuracy of alkaline phosphatase isoenzyme determination.

Alkaline phosphatase isoenzyme determination (APID) is in common use despite evidence suggesting that the results correlate poorly with actual sites of disease. To assess the predictive value of this test in clinical practice, 99 APIDs performed on…

Tags: 1988, Aged, Alkaline Phosphatase/*blood, Bone Diseases/diagnosis, Clinical Enzyme Tests/*standards, Female, Humans, Isoenzymes/*blood, Journal of general internal medicine, Lamb G C, Liver Diseases/diagnosis, Male, Retrospective Studies, Roush G

Nutrition for the elderly.

Nutrition in the older person is complex because of changing physiology, changes caused by multiple chronic diseases, changes induced by pharmacologic agents, and commonly, failing protein/caloric intake. This article is designed to explain the…

Tags: *Nutrition Disorders, 1989, Aged, Horvath M C, Humans, Kvale J N, primary care

Frictional asymptomatic darkening of the extensor surfaces.

Frictional asymptomatic darkening of the extensor surfaces (FADES), also known as hyperkeratosis of the elbows and knees, is commonly seen by dermatologists but has never been well characterized. Patients present with uniform, asymptomatic, brown…

Tags: *Friction, 2005, Adult, Aged, Brodell Robert T, Cutis, Diagnosis, Differential, Elbow, Humans, Keratosis/*diagnosis/drug therapy/*etiology, Knee, Krishnamurthy Smita, Male, Middle Aged, Sigdel Saroj

Life prolongation: views of elderly outpatients and health care professionals.

A peculiar dynamic in communication exists between those who are most likely to be involved in life-prolongation decisions. We found that both the elderly and health care professionals talk about life-prolongation, but not with one another; that they…

Gallstone pancreatitis: a prospective randomized trial of the timing of surgery.

The correct timing of surgery in cases of gallstone pancreatitis is debatable. To delineate more clearly the influence of the timing of surgery in the treatment of the disease, a prospective randomized clinical study of early surgery (less than 48…

Emergency department protocol for the diagnosis and evaluation of geriatric abuse.

As the number of elderly persons in the United States continues to increase, geriatric abuse has become the most recent manifestation of domestic violence seen in the emergency department. Recent data suggest that 1 million elderly persons are…

Tags: *Elder Abuse, *Emergency Service, 1988, Aged, Annals of emergency medicine, Clinical Protocols, Cunningham W, Dougherty J, Family, Female, Hospital, Humans, Jones J, Male, Ohio, Psychological/diagnosis/epidemiology, Retrospective Studies, Schelble D, Stress

Continuous emergency department monitoring of arterial saturation in adult patients with respiratory distress.

Continuous measurement of arterial oxygen saturation (SaO2) using pulse oximetry has become a common monitoring and management technique in critically ill hospitalized patients. To determine the impact of SaO2 monitoring on emergency patient…

Variation in heart disease mortality across census tracts as a function of overdispersion and social class mixture.

Variation in heart disease (HD) mortality rates across census tracts is greater than expected given binomial error and available explanatory variables. We extended an extra-binomial variation model for rates standardized by the direct method. The…

Tags: *Demography, *Models, *Social Class, 1990, Adolescent, Adult, Aged, Department of Family & Community Medicine, Female, Heart Diseases/*mortality, Humans, Jarjoura D, Logue EE, Male, Middle Aged, NEOMED College of Medicine, Ohio/epidemiology, Statistical, Statistics in medicine

A reappraisal of appendicitis in the elderly.

Historically, appendicitis in the elderly is associated with higher morbidity and mortality. Ninety-six patients over 60 years of age with appendicitis treated over a 10-year period were reviewed. Only 20% presented classically with anorexia, fever,…

Tags: 1990, 80 and over, Aged, American journal of surgery, Appendicitis/complications/*diagnosis/mortality/surgery, Diagnosis, Differential, Female, Guyton D P, Horattas M C, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Time Factors, Wu D

Randomized comparison of gastric pH control with intermittent and continuous intravenous infusion of famotidine in ICU patients.

OBJECTIVE: To compare gastric pH control using intravenous famotidine as a primed, continuous infusion versus intermittent infusion. METHODS: In a prospective, double-blind study, 40 ICU patients at risk for stress ulceration were randomly assigned…

Access to medical care among the elderly in rural northeastern Ohio.

BACKGROUND: Conventional wisdom holds that the elderly living in rural areas suffer poor health and have limited access to health care compared with their urban peers. The relation between poor health and limited access, however, has yet to be…

Tags: *Rural Population, 1993, Aged, Buss T F, Female, Gillanders W R, Health Services Accessibility/*statistics & numerical data, Health Services for the Aged/*supply & distribution, Health Status, Humans, Male, Middle Aged, Ohio, Reproducibility of Results, The Journal of family practice

Drug abuse and depression: possible models for geriatric anorexia.

The central biochemical pathology of anorexia and the natural aging of the brain is similar. Biochemical models for drug withdrawal and depression may also assist in understanding geriatric anorexia. Norepinephrine, corticotropin releasing factor and…

Tags: 1988, Aged, Aging/metabolism/*physiology, Anorexia/etiology/*physiopathology, Corticotropin-Releasing Hormone/physiology, Depression/etiology/*physiopathology, Dopamine/physiology, Feeding and Eating Disorders/*physiopathology, Giannini A J, Humans, Morphine/pharmacology, Neurobiology of aging, Norepinephrine/physiology, Substance-Related Disorders/complications/*physiopathology

Portal pyelophlebitis identified by CT scan in a patient with ischemic bowel.

A 65-year-old male was found to have hepatic portal venous gas (HPVG) by computed tomogram secondary to ischemic bowel. Despite aggressive surgical and antibiotic treatment, the patient died within 12 hours. Portal pyelophlebitis, when identified by…

Tags: *Portal System, *Tomography, 1995, Aged, Air/diagnostic imaging/*etiology, Embolism, Fatal Outcome, Ghani A, Humans, Intestine, Ischemia/*complications/pathology, Kasirajan K, Male, Necrosis, Phlebitis/diagnostic imaging/*etiology, Small/*blood supply, Smith J, The American surgeon, X-Ray Computed

Risk of imbalance in elderly people with impaired hearing or vision.

We evaluated the effect of impaired hearing and vision on balance in a sample of 977 elderly people residing in the community. Of the sample, 21% reported balance problems, 27% vision problems, and 30% hearing problems. The increased relative risk…

Linking the elderly to community services.

Sometimes, the only contact elderly patients have with outside medical services is through the EMS network. Find out how one city uses prehospital providers to link these patients with community services tailored to their needs.

Tags: *Social Support, 1991, Aged, Community Health Services/*organization & administration, Department of Family & Community Medicine, Emergency Medical Services/*organization & administration, Forms and Records Control, Gerson L W, Health Services for the Aged/*organization & administration, Hoover R, Humans, Interinstitutional Relations, JEMS : a journal of emergency medical services, McCoy S, NEOMED College of Medicine, Ohio, Organizational Innovation, Palmisano B, Referral and Consultation

Recognition of subarachnoid hemorrhage.

The medical records of 109 patients who presented to the emergency department during a five-year period with proven nontraumatic, spontaneous subarachnoid hemorrhage (SAH) were retrospectively reviewed. The clinical presentation, diagnostic…

Adult epiglottitis.

Adult epiglottitis (or "supraglottitis") is an uncommon but increasingly recognized entity. Though prior studies emphasized the fulminant nature of the disease, recent evidence suggests that epiglottitis in adults may follow a relatively less severe…

Tags: *Epiglottitis/diagnosis/therapy, *Laryngitis/diagnosis/therapy, 1989, Adolescent, Adult, Aged, Department of Emergency Medicine, Female, Fontanarosa P B, Goldman G E, Haemophilus Infections/diagnosis/therapy, Haemophilus influenzae, Humans, Male, Middle Aged, NEOMED College of Medicine, Polsky S S, The Journal of emergency medicine

Barrett's esophagus: an acquired condition with genetic predisposition.

We describe four families with a strong familial expression of Barrett's/gastroesophageal reflux disease (GERD) complex spanning one to four generations with two to seven affected members per family. The purpose of this report is to highlight genetic…

Tags: 1993, Adenocarcinoma/genetics, Aged, Barrett Esophagus/*genetics/pathology, Biopsy, Dominant, Esophageal Neoplasms/genetics, Esophagus/pathology, Fahmy N, Female, Gastroesophageal Reflux/*genetics, Genes, Humans, King J F, Male, Middle Aged, Pedigree, The American journal of gastroenterology

Gastric epithelial polyps. A 10-year study.

We have reviewed the 10-year experience of a community teaching hospital with gastric epithelial polyps and have analyzed 121 polyps removed from 35 patients. Hyperplastic polyps constituted nearly 75% of the polyps examined; fundic gland polyps…

Tags: 1989, 80 and over, Adult, Aged, Deppisch L M, Female, Humans, Journal of clinical gastroenterology, Male, Middle Aged, Polyps/*pathology/surgery, Retrospective Studies, Rona V T, Sex Factors, Stomach Neoplasms/*pathology/surgery

Browse Items (424 total)