Browse Items · NEOMED Bibliography Database

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…

Surgical correction of rhinophyma.

Tags: 1990, Archives of dermatology, Humans, Laser Therapy, Lloyd K M, Male, Middle Aged, Rhinophyma/drug therapy/*surgery, Rosacea/*surgery, Sulfacetamide/therapeutic use, Tetracycline/therapeutic use

Surgical-orthodontic correction of transverse maxillary deficiency.

A conservative osteotomy of the zygomaticomaxillary buttress in combination with a rapid palatal expansion appliance is a dependable technique for the treatment of horizontal maxillary deficiency in adults. This procedure has been used successfully…

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

An eyelash in the vitreous cavity without apparent etiology.

Intraocular eyelashes are an infrequent complication of trauma to the eye. Intraocular cilia have a variable prognosis ranging from acute inflammation to remaining dormant within the vitreous for several years. However, intraocular cilia in the…

Tags: *Eyelashes, 1996, Eye Diseases/diagnosis/etiology/surgery, Eye Foreign Bodies/diagnosis/*etiology/surgery, Female, Humans, KT-(Kean) Oh, KT-(Kong) Oh, Middle Aged, Ophthalmic surgery and lasers, Postoperative Complications, Recurrence, Retinal Detachment/etiology, Singerman L J, Vitrectomy/adverse effects, Vitreous Body/*pathology/surgery

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

Bilateral adrenal metastases simulating abnormal renal uptake on a Ga-67 scan.

Tags: 2001, Adrenal Gland Neoplasms/pathology/*secondary, Carcinoma, Chalfant M L, Clinical nuclear medicine, Diagnosis, Differential, Female, Gallium Radioisotopes, Goyal M, Humans, Kidney/*diagnostic imaging, Konez O, Lung Neoplasms/*pathology, Middle Aged, Non-Small-Cell Lung/pathology/*secondary, Radionuclide Imaging, Radiopharmaceuticals

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…

Possible leukopenia associated with long-term use of echinacea.

Tags: 2002, Echinacea/*adverse effects, Female, Franco Kathleen N, Humans, Kemp David Eric, Leukopenia/*chemically induced, Middle Aged, Phytotherapy/*adverse effects, The Journal of the American Board of Family Practice, Time Factors

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…

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

Changing concepts of deep venous thrombosis of the upper extremity–report of a series and review of the literature.

Deep venous thrombosis (DVT) of the upper extremity has recently been recognized as being more common than previously reported (probably because of the increasingly frequent use of subclavian venous access). A retrospective review of patients in whom…

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…

Nosocomial fungemia in a large community teaching hospital.

This report reviews 48 episodes of hospital-acquired fungemia that occurred over a four-year period at a large community teaching hospital. The incidence of hospital-acquired fungemia increased eightfold during the study period. Candida albicans…

Tags: *Cross Infection, *Hospitals, 1987, Adult, Amphotericin B/therapeutic use, Archives of internal medicine, Candidiasis/complications/drug therapy/*etiology/mortality, Community, Department of Internal Medicine, Harvey R L, Hematologic Diseases/complications/drug therapy/*etiology/mortality, Humans, Middle Aged, Myers J P, NEOMED College of Medicine, Retrospective Studies, Sepsis/complications, Teaching

Disseminated brown tumors from hyperparathyroidism masquerading as metastatic cancer: a complication of parathyroid carcinoma.

Osteitis fibrosa cystica (brown tumors) can be a skeletal manifestation of advanced hyperparathyroidism, including parathyroid cancer. Severe osteitis fibrosa cystica can mimic metastatic bone diseases especially in patients with a history of cancer.…

Tags: 2001, Carcinoma, Carcinoma/*complications, Diagnosis, Differential, Female, Gupta A, Horattas M C, Humans, Hyperparathyroidism/complications, Kidney Neoplasms/pathology, Middle Aged, Moattari A R, Osteitis Fibrosa Cystica/*diagnosis/*etiology, Parathyroid Neoplasms/*complications, Renal Cell/secondary, Shorten S D, The American surgeon

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

Locked-in syndrome: report of a case.

Locked-in syndrome is a unique clinical condition associated with ventral pontine lesions. The locked-in state is characterized by tetraplegia and mutism with maintenance of alertness as well as vertical eye movements and eye blinking, by which…

Tags: *Quadriplegia/diagnosis, 1989, Coma/diagnosis, Department of Emergency Medicine, Diagnosis, Differential, Fontanarosa P B, Gallo U E, Humans, Male, Middle Aged, NEOMED College of Medicine, Prognosis, The American journal of emergency medicine

Local blistering reaction complicating subcutaneous injection of pegylated interferon in a patient with hepatitis C.

PEG-Intron is a covalent conjugate of recombinant alpha-2b interferon with monomethoxy polyethylene glycol (PEG). Compared to standard interferon-alpha injections, this preparation has a longer half-life allowing for once-weekly injections and…

Tags: *Interferon-alpha/*administration & dosage/*adverse effects, *Polyethylene Glycols, 2003, Blister/*chemically induced/pathology, Brodell Robert T, Gallina Kelly, Hepatitis C/*drug therapy, Humans, Injections, Interferon alpha-2, Journal of drugs in dermatology : JDD, Male, Middle Aged, Naffah Farid, Nedorost Susan, Recombinant Proteins, Subcutaneous

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

Postoperative femoral motor neuropathy: diagnosis and treatment without neurologic consultation or testing.

OBJECTIVE: To review the diagnosis and treatment of postoperative femoral motor neuropathy without neurologic consultation or testing. STUDY DESIGN: A retrospective review of 6 consecutive patients with postoperative femoral motor neuropathy…

Laparoscopic-assisted vaginal hysterectomy for uteri weighing 1000 grams or more.

INTRODUCTION: Prospective randomized trials have proven the benefits of laparoscopic-assisted vaginal hysterectomy (LAVH) compared with abdominal hysterectomy. The purpose of this study was to evaluate the safety and efficacy of LAVH performed for…

Tags: 2008, Adult, Clemons Jessica, Fanning James, Female, Fenton Bradford, Humans, Hysterectomy, Johnson Jil, JSLS : Journal of the Society of Laparoendoscopic Surgeons, Laparoscopy/*methods, Leiomyoma/surgery, Middle Aged, Organ Size, Switzer Michella, Uterine Neoplasms/surgery, Uterus/*pathology, Vaginal/*methods

Findings from a 10-year follow-up of bone mineral density in competitive perimenopausal runners.

OBJECTIVE: To evaluate bone mineral density (BMD) in perimenopausal competitive runners with long-term follow-up. STUDY DESIGN: Fifteen master female runners between 40 and 50 years old who ran at least 20 miles per week were evaluated. BMD was…

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

The many facets of occupational asthma.

Occupational asthma is an all-encompassing term that describes asthma derived from, worsened by, or encountered in an occupational setting. The diagnosis can be elusive and is easily confused with other disorders. Nevertheless, clarity of the…

Tags: 1991, Adult, Asthma/*diagnosis/etiology/rehabilitation, Cleveland Clinic journal of medicine, Demeter S L, Disability Evaluation, Humans, Male, Middle Aged, Occupational Diseases/*diagnosis/etiology/rehabilitation

Confronting the communication gap between conventional and alternative medicine: a survey of physicians' attitudes.

CONTEXT: An estimated 60 million Americans use some from of complementary and alternative medicine, though approximately 70% do not tell their physicians about this use. Open communication between conventional medical providers and patients in this…

Tags: *Attitude of Health Personnel, *Complementary Therapies, *Physician-Patient Relations, *Physicians, 1999, Adult, Alternative therapies in health and medicine, Crock R D, Female, Humans, Jarjoura D, Male, Middle Aged, Ohio, Polen A, Rutecki G W, Surveys and Questionnaires

Hyperacute T-wave criteria using computer ECG analysis.

Hyperacute T waves (HATWs) have been described as tall-amplitude, primary T-wave abnormalities sometimes seen in the early phases of transmural myocardial infarction. Despite numerous human and animal studies addressing the presence and significance…

From mechanisms to management: translating the neuropathic pain consensus recommendations into clinical practice.

Chronic neuropathic pain poses a treatment challenge, and is associated with significant psychologic distress, physical disability, and impaired functioning, which impact the activities of daily living. Efforts to provide relief are often inadequate…

Swelling of the lips.

Tags: *Edema/blood/diagnosis/etiology, 2015, American family physician, Brodell Robert T, Bukavina Laura, Complement C1 Inhibitor Protein/*analysis, Complement C1q/analysis, Complement C3/analysis, Complement C4/analysis, Diagnosis, Differential, Humans, Lip/*pathology, Male, Medical History Taking, Middle Aged, Rangwani Neil

Stump pemphigoid.

Stump pemphigoid is a localized variant of bullous pemphigoid characterized by specific clinical, pathological, and immunofluorescent characteristics. The early diagnosis of this entity guides treatment toward this specific immunologically mediated…

Tags: 1996, Amputation Stumps/*pathology, Anti-Bacterial Agents/therapeutic use, Biopsy, Brodell R T, Bullous/drug therapy/immunology/*pathology, Cutis, Fluorescent Antibody Technique, Humans, Korman N J, Male, Middle Aged, Niacinamide/therapeutic use, Pemphigoid, Tetracycline/therapeutic use

The prevalence of osteoporosis risk factors and physician intervention.

To determine the prevalence of osteoporosis risk factors and the probability of physician risk recognition and intervention, the medical records of a cohort of 243 women aged 40 to 65 years were reviewed retrospectively. A historical cohort design…

Correlates of screening mammography in a family practice setting.

The medical records of 243 asymptomatic women aged 50 years or older were reviewed at a community-based family practice center to determine the proportion who had been referred for a screening mammogram and to identify correlates of mammography…

Tags: *Family Practice, *Mammography, *Referral and Consultation, 1988, Aged, Bourguet C C, Breast Neoplasms/diagnostic imaging, Female, Gilchrist V J, Humans, Kandula M, Middle Aged, Retrospective Studies, Risk Factors, The Journal of family practice

The consultation and referral process. A report from NEON. Northeastern Ohio Network Research Group.

BACKGROUND: Consultation and referral are essential components of the practice of primary care. Despite this, little is known about the factors that contribute to the success of a referral. We examined the short-term outcomes of communication between…

Intramedullary fixation of unstable distal radius fractures. A method of fixation allowing early motion.

During a four-year period, we have treated unstable fractures of the distal radius with closed anatomic reduction and insertion of a Rush intramedullary rod through a small dorsoradial wrist incision, followed by early controlled range of motion. In…

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