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10,002,600 | Individualization of theophylline dosage using a single serum sample following a test dose. | [
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10,002,601 | Because formulas for theophylline requirement based on weight alone carry the risk of overdosing and toxicity, this study was designed to test a clearance nomogram for determining daily theophylline requirement after a known initial dose of theophylline. Twenty asthmatic children who had not taken theophylline for at least 36 hours fasted and were given one dose of anhydrous theophylline (5 mg/kg). Six hours later the serum level was measured and the appropriate dosage of sustained-release theophylline to achieve a serum level of 10 micrograms/ml was selected from the clearance nomogram. Three to seven days later a six-hour theophylline level was obtained. Of 20 patients, therapeutic levels of 10 to 30 micrograms/ml were achieved in 15, and the remaining five patients had levels close to this (range 6.2 to 16.0 micrograms/ml). The dosage requirement per 24 hours ranged from 10 to 32 mg/kg/24 hr. This method of determining theophylline requirements for children required measurement of the serum theophylline level only once for the determination of a safe and effective daily dose. It is especially valuable when follow-up is difficult and is a safe way to avoid serious overdosing while being certain of effective dosing. | [
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10,002,602 | Fetal gonorrhea with deep tissue infection occurring in utero. | [
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10,002,603 | An unusual case of gonorrhea in utero is reported. The 30-week-old fetus died in utero at least four hours prior to delivery. Infection, therefore, occurred by aspiration of infected amniotic contents rather than by the more common route of passage through an infected birth canal. The infection resulted in deep-seated fetal tissue inflammation. Neissseria gonorrhoeae was cultured from maternal and fetal tissues and Gram-negative diplococci were stained in microscopic sections. | [
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10,002,604 | Dilation in neonates: a protocol. | [
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] |
10,002,605 | Medical evaluation of sexually abused children: a review of 311 cases. | [
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10,002,606 | The case records of 311 children and adolescents who were medically evaluated for sexual abuse are reviewed. Only 18% of these victims were assaulted by strangers; 131 of the assailants were relatives. Thirty percent of the victims reported multiple assaults over a time period of one week to nine years. Physical examination showed no abnormalities in only 23% of the patients. Twenty-one patients had gonorrhea and seven patients were pregnant. Guidelines for the medical evaluation of patients suspected to be victims of sexual abuse are discussed. | [
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10,002,607 | Selenium sulfide: adjunctive therapy for tinea capitis. | [
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10,002,608 | Selenium sulfide lotion used as a shampoo has been shown to be an effective adjunctive agent to griseofulvin in the treatment of tinea capitis. Of 16 children with Trichophyton tonsurans infections 15 had negative fungal cultures at two weeks following a regimen of daily oral griseofulvin and selenium sulfide shampooing twice weekly. All patients treated with griseofulvin alone or in combination with either a bland shampoo or topical clotrimazole had positive cultures not only at the two-week interval but also as long as eight weeks later. In vitro analysis shows selenium sulfide to be sporicidal, correlating well with the in vivo observations. It is postulated that selenium sulfide usage may lessen the chances for spreading of infectious spores to other individuals. | [
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10,002,609 | Diagnosis of vein of Galen arteriovenous malformation by two-dimensional ultrasound and pulsed Doppler method. | [
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10,002,610 | Intrinsic auricular muscles and auricular form. | [
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10,002,611 | Plical folding of the cartilagenous ear plate is largely determined by the insertions of four extrinsic and seven intrinsic auricular muscles. Dissection of ten external auricles from anencephalic fetuses of six or more months' gestation was done. The transversus and obliquus auricular muscles found in association with the antihelical fold were evaluated. Four auricles were of normal form and had the transversus and obliquus auricular muscles with typical insertions in the cartilage. Six of the ten auricles had a simplified form, with no antihelical folding in five and minimal development in one. Fibers from neither the transversus nor the obliquus auricular muscles were identified in these six ears. The results of these dissections strongly suggest that antihelical folding is determined by the presence of functioning transversus and obliquus auriculae muscles. Similarly it is proposed that normal folding of the auricular cartilage is dependent on the presence of functioning auricular muscles. In evaluation of the child with absence of normal ear form, these findings suggest that the unusual shape is due to abnormal placement and/or function of the intrinsic and extrinsic auricular muscles. These changes may be a subtle sign of neuromuscular weakness, abnormal muscle insertion or absence of muscle. | [
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10,002,612 | Benign essential tremor: features that aid in diagnosis. | [
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10,002,613 | Benign essential tremor can be distinguished from parkinsonism by its rapid frequency, the involvement of voice and head, and the common finding of a positive family history. Essential tremor is less incapacitating than parkinsonism and less inexorably progressive. Propranolol (Inderal) is the best therapy available at this time. The transient beneficial effect of alcohol is deceptive. Patients with this disorder, although they find the tremor embarrassing, are generally not incapacitated and are otherwise in excellent health. | [
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] |
10,002,614 | Introduction. Infectious disease: a four article-symposium. | [
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10,002,615 | Pneumonia in the elderly. | [
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10,002,616 | The organisms to which the elderly are most susceptible are different from those affecting younger pneumonia patients. Furthermore, the pathogenesis of the disease varies with age, partly because of an increased incidence of underlying disease in older persons and partly because of the effects of the aging process itself. Presenting symptoms of pneumonia may be more subtle in the elderly than in younger patients, and clinical findings may also vary. Elderly pneumonia patients should always be hospitalized and treated immediately and aggressively with parenteral antibiotics according to results of the Gram stain. Once the pathogen involved is identified, more specific antibiotic therapy is begun. If physicians understand the unique characteristics of pneumonia in the elderly and act accordingly, they should play an important part in decreasing the relatively high mortality from the disease in this age-group. | [
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10,002,618 | In the child with recurrent infection, early recognition of defects in host defenses is critical for appropriate treatment and for patient survival and well-being. Familiarity on the physician's part with the clinical clues of an anatomic or functional defect can save time, money, and patient discomfort. When no such defect is apparent, the problem may be in the child's immunologic system and more specific testing is necessary to identify whether the defect is in cell-mediated immunity or is in the functioning of the phagocytic, complement, or humoral system. Treatments for these problems are available, but their success depends on early diagnosis before recurrent infection and malnutrition result in irreversible tissue damage. | [
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10,002,619 | "Rustproofing" people: wellness in perspective. | [
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10,002,620 | Potholes on the road to compliance. | [
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] |
10,002,621 | Percutaneous nephrostomy in a child with obstructive uropathy. | [
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10,002,622 | The advantages of percutaneous nephrostomy include (1) achieving rapid, safe drainage of an obstructed collecting system with use of local anesthesia and sedation rather than general anesthesia, and (2) facilitating use of antegrade pyelography under fluoroscopic guidance to determine the cause of the obstruction. In addition, during temporary diversion the functional status of the obstructed kidney can be evaluated. If function is adequate, a pyeloplasty or reimplantation of a ureter may supplant nephrectomy. Use of percutaneous nephrostomy is a relatively new technique for treatment of obstructive uropathy in children. In the case reported here of an 8-year-old girl with a duplicated right collecting system and distal obstruction of the upper pole ureter, the procedure offered a rapid and safe alternative to surgical insertion of a nephrostomy tube. | [
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10,002,623 | Massive pulmonary embolism: intervention and prevention. | [
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] |
10,002,624 | Gynecologic disorders in the geriatric patient. | [
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10,002,625 | The woman past 65 years of age is as much in need of periodic gynecologic examinations and the ancillary tests used to diagnose early genital cancer as her premenopausal counterpart. Many gynecologic ills peculiar to the geriatric patient result from the tissue shrinkage that follows menopausal loss of estrogen secretion. Some of the resulting distress can be relieved by local estrogen or androgen therapy. A number of minor vulvar and vaginal disorders may appear with advancing age, often causing the patient discomfort and worry until she is reassured that they are benign. The incidence of some genital neoplasms declines after menopause, but several others--notably vulvar, vaginal, and endometrial carcinoma--actually increase in incidence as patients become older. Geriatric gynecology is not a separate discipline, but older women with genital disorders are a special group of people. Many are very old; some are sick. They are easily worried and frightened. They need not only awareness of their problems but also kindness, tact, gentleness, and thoughtfulness, all of which should be natural attributes of a physician. | [
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10,002,626 | Sweet's syndrome: report of two atypical cases. | [
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10,002,627 | Sarcoidosis presenting with posterior mediastinal lymphadenopathy. | [
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10,002,628 | A young man with exertional dyspnea, maculopapular skin lesions, and generalized lymphadenopathy was found to have a posterior mediastinal density on a chest roentgenogram. Sarcoidosis was diagnosed on the basis of lymph node and skin biopsy findings, and corticosteroid therapy was started. After six months of treatment the patient was free of symptoms and the posterior mediastinal density had resolved. Although posterior mediastinal lymphadenopathy is an infrequent roentgenographic manifestation of sarcoidosis, this possibility should be kept in mind in the differential diagnosis of a posterior mediastinal density. | [
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10,002,629 | Bladder incontinence: four types and their control. | [
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10,002,630 | Autonomic pain: features and methods of assessment. | [
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10,002,631 | The distribution of pain originating in the sympathetic nervous system does not match the somatic segmental sensory distribution at the postganglionic level. The two types of distribution are separate and different. At the preganglionic level, fibers show typical segmental sensory distribution, which resembles but is not identical to somatic segmental sensory distribution. Instead, sympathetic pain has its own distribution along the vascular supply and some peripheral nerves. It cannot be called atypical in terms of somatic segmental sensory distribution. Several techniques are available to assess autonomic function in cases of chronic pain. Infrared thermography is superior to any other physiologic or pharmacologic method to assess sympathetic function. Overactivity of sympathetic function in the area of pain is the probable cause of temperature reduction in that area. Accordingly it would appear that in cases in which thermography demonstrates decreased temperature, sympathetic block or sympathectomy would provide relief from the pain. | [
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10,002,632 | The pharmacist as a member of the primary care team: experience in a university-based program. | [
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10,002,633 | Joint receptor contributions to reflexive and kinesthetic responses. | [
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] |
10,002,634 | This article presents a review of the neuroanatomy and neurophysiology of joint receptors. The role of joint receptors in signaling position and movement has been studied since the early part of this century. Morphological descriptions and reflexive and kinesthetic contributions of articular receptors in the regulation of motor behavior have been identified in studies on anesthetized animals and to a lesser extent in studies on human subjects. Areas for future laboratory and clinical research include articular receptor input in motor learning and relearning tasks as well as standardization of methodology and responses for assessing joint position. | [
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10,002,635 | Autonomic hyperreflexia following passive stretching to the hip joint. | [
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10,002,636 | Autonomic hyperreflexia may occur in patients with severe upper thoracic and cervical spinal cord lesions. This syndrome, consisting of episodic hypertension, bradycardia, diaphoresis, and headaches, is an autonomic reflex evoked by a variety of stimuli applied below the level of injury. This article describes three cases in which autonomic hyperreflexia was provoked by passive hip joint stretching. | [
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10,002,637 | Phonophoresis with hydrocortisone in the treatment of temporomandibular joint dysfunction. | [
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10,002,638 | Positioning device for individuals with neuromuscular disabilities. | [
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10,002,639 | Making clinical research a reality. | [
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10,002,640 | An approach to foster research by individual physical therapists in a specific clinical setting is presented. The issues surrounding the establishment of a mechanism for the conduct of clinical research are discussed and a process for establishing the support system is discussed. | [
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10,002,641 | Justice in the distribution of health care resources. The position of physical therapists in the United States and Sweden. | [
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10,002,642 | This study compared physical therapists from the United States and from Sweden regarding the interpretations of justice they judged as the most appropriate for distribution of health care resources. A two-part questionnaire was used. Results showed that Swedish therapists were more consistent in their responses than United States therapists, and that they favored a "needs-based" approach over a "utilitarian," "contract," or "skeletal" approach. The impact of the responses upon the physical therapists' involvement in the formulation of this type of health policy is discussed. | [
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10,002,643 | Breast reconstruction after mastectomy using the temporary expander. | [
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10,002,644 | Breast reconstruction after a radical mastectomy using the temporary subcutaneous tissue expander is described. The main principle of this method is recovery of the amount of lost tissue through expansion of the remaining chest skin to large proportions and filling of the breast envelope with a smaller permanent mammary implant. Sixty-eight patients were reconstructed with an average follow-up of 18 months. Average expansion time for breast development was 6 weeks, with an average reconstructed breast size of 300 to 400 cc. Contralateral round dermal mastopexy with simultaneous nipple enlargement, contralateral subcutaneous mastectomy through a similar round dermal mastopexy, and reconstruction of the nipple are discussed. | [
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10,002,645 | Poland's syndrome: correction with latissimus muscle transposition. | [
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10,002,646 | Reinsertability after breast prosthesis pocket infection: an experimental study. | [
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10,002,647 | We report the development of an animal model for the study of S. aureus infection in silicone gel-filled prosthesis pockets. The purpose of this study was to determine (1) whether successful reinsertion of a prosthesis into a contaminated pocket requires a finite recovery period between implant removal and reinsertion, and (2) whether parenteral antibiotic treatment affects the success of reinsertion. All infected pockets were lavaged with saline and none were drained, either after wound closure or after implant reinsertion. The results indicate that a delay of 2 or more hours between lavage and reinsertion protects against implant exposure. Therapeutic parenteral antibiotic treatment neither prevented implant exposure nor altered the effect of temporal delay on reinsertion. These studies coupled with recent clinical reports suggest that women who develop breast pocket infection need not wait months for restoration of breast symmetry. | [
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10,002,649 | Cranial base deformity in Apert's syndrome. | [
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10,002,650 | Cleft lip nasal reconstruction: correcting the classic unilateral defect. | [
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10,002,651 | Role of scalp reduction in the treatment of male pattern baldness. | [
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] |
10,002,652 | Scalp reduction applies the principle of staged excision to the alopecic area in male pattern baldness. Two to rarely five excisions are performed as outpatient office procedures under local anesthesia. The reduction greatly enhances the results obtainable by supplementary hair transplantation and may reduce or eliminate the need for it. A personal series of 30 patients is presented. Technique and expected results are illustrated. Complications and limitations of the method are discussed. Wider consideration of scalp reduction in the treatment of patients seeking hair restoration is encouraged. | [
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10,002,653 | Chilling port wine stains improves the response to argon laser therapy. | [
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10,002,654 | Twenty-three patients with facial port wine stains were studied to determine whether chilling lesional skin at the time of treatment could improve the outcome of argon laser therapy and whether this effect could be attributed to increased hemoglobin content of chilled sites, as hypothesized on clinical grounds. Each patient was biopsied in two representative and clinically identical sites, once at room temperature and once immediately after application of ice to the skin surface for 2 to 3 minutes. Two additional identical sites were treated with an argon laser in the same manner. Histologic sections of the port wine stain after application of ice tended to have a higher percentage of erythrocyte-filled vessels, but the effect of chilling on the dermal vasculature varied greatly among patients and was not statistically significant. In contrast, chilling of lesional skin prior to laser therapy resulted in a significantly better average outcome (p = 0.0002), with 57 percent of chilled sites superior to the paired room temperature control and none inferior. In nearly all instances of differential response, the site treated at room temperature manifested scarring, while the chilled site did not. Overall, after an average evaluation period of 4.8 months, 65 percent of the patients achieved a good or excellent result in the control site, and 87 percent achieved this result in the chilled site. These data establish the potential benefit of lesional modification prior to argon laser therapy and suggest that in the case of port wine stain chilling, this benefit is due to reduced heat injury of nonvascular elements in the skin. | [
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10,002,655 | The effect of the proline analogue l-azetidine-2-carboxylic acid (LACA) on epidermal and dermal wound repair. | [
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10,002,656 | To evaluate epidermal-dermal interdependency during the wound-healing process, the proline analogue L-azetidine-2-carboxylic acid (LACA) was topically applied to split-thickness skin wounds in young domestic pigs. LACA is incorporated into collagen and the collagen containing this analogue is extruded from the cell at a decreased rate. Wounds were assigned to one of three treatment groups: control (no treatment), LACA (0.2 mg in 0.1ml of water), and placebo (0.1 ml of water). On days 2 through 10 after wounding, several wounds from each treatment group were excised and the epidermis was separated from the dermis. The epidermal sheet containing the wound was evaluated for integrity and the underlying dermis was assayed for hydroxyproline. LACA was found to decrease both the rate of reepithelialization and the hydroxyproline levels. LACA did not seem to directly affect the epidermis, since epidermal collagen did not differ markedly. These results suggest that during wound healing, the migrating epithelium is partially dependent on the underlying connective tissue. | [
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10,002,657 | Experience with anastomoses of arteries approximately 0.20 mm in external diameter. | [
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10,002,658 | Planimetric elongation of skin by Z-plasty. | [
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10,002,659 | The present paper investigates the elongation of skin that can be achieved by Z-plasties. The following observations have been made: 1. Traditional Z-plasties always result in a stereometric transfer of skin with two kinds of elongation, the stereometric and the planimetric. 2. The stereometric elongation accomplished within the Z-plasty was immediately below the mathematical values if measured stereometrically under in vitro conditions. Stereometric elongation can effectively be used only in connection with stereometric structures. 3. The planimetric elongation of the skin was accomplished outside the Z-plasty and extended far into the surrounding tissue. Planimetric elongations are needed for scar corrections on plane surfaces. 4. Only Z-plasties with tip angles of alpha/beta = 75 and 60 degrees were suited to make optimum use of the planimetric elongation in the primary direction of a scar. All other Z-plasties under study provided smaller planimetric elongation values. Z-plasties with tip angles alpha/beta = 30 degrees even produced shortenings. The mechanical and geometric reasons for these findings have been discussed. | [
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10,002,661 | Restoration of elbow flexion and arm contour with the latissimus dorsi myocutaneous flap. | [
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10,002,662 | Radial, median, and ulnar nerve dysfunction associated with a congenital constricting band of the arm. | [
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10,002,663 | Correction of the whistling tip deformity using a palatal mucosa graft. | [
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] |
10,002,664 | Bite-block blepharoplasty. | [
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] |
10,002,665 | Camouflage of the postauricular scar in rhytidectomy. | [
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10,002,666 | Trochanteric lipectomy: a new approach. | [
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10,002,667 | Current management of squamous cell carcinoma of the oral cavity. | [
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10,002,668 | Suturing the donor site in hair transplants. | [
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10,002,669 | A helpful mixture for the rapid closure of small granulating wounds. | [
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10,002,670 | On reconstruction of the penis with urethra and a dorsal skin-lined socket socket for a removable prosthesis: a new approach. | [
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10,002,671 | The ambiguity of confidentiality in a psychoanalytic institute. | [
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10,002,672 | Traditionally, psychoanalytic training institutes have used the knowledge which faculty gained in the psychoanalyses of their student patients to evaluate the progress of those students. The training institute that we shall call Eastern Institute regarded such a practice as unacceptable, and organized its program with the intention that analysis would exercise no power over their student patients' careers. The institute's commitment to the confidentiality of psychoanalytic relationships led to an ambiguous definition of confidentiality. This ambiguity meant that some faculty members violated the confidentiality of the analytic relationship even though they believed thye were sustaining it. This paper examines the ways in which confidential information was managed, the conditions under which it was compromised, and the significance of this paradoxical situation in the life of the Institute and in the wider psychoanalytic world. | [
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10,002,673 | Third-party confidences: the uses of information in a psychoanalytic institute. | [
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10,002,674 | The senior members of psychoanalytic institutes are required to determine which students should graduate as psychoanalysts, and which graduates should be appointed as faculty members. By virtue of having analyzed many relatives, friends and colleagues of the students and graduates being evaluated, the senior members of "Eastern Institute" sometimes used the confidential information gathered from the analyses of these third parties in reaching their decisions. This practice, which reflected the structural dilemma inherent in Institute life, created a distinctive system for the communication of privileged information and at times posed problems for the Institute's members. It also rendered the status of confidential information problematic. This paper discusses some of the characteristics of the Institute's system of communication and its significance in the psychoanalytic world. | [
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10,002,675 | The structure and technique of community meetings: the short-term unit. | [
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10,002,676 | Most psychiatric inpatient units call themselves therapeutic communities and hold community meetings where patients and staff meet for a specified period of time (Clark 1977; Joint Commission on Mental illness and Health 1961; Jones et al. 1953; Moline 1976; Wessen 1964). On short-term units which receive a wide spectrum of patients, including involuntary, acutely disturbed and demented patients, the structure and techniques used in running community meetings must be altered from the ways initially described by Jones et al. Certain patients do not function well if the more traditional, less structured model is followed. We will describe specific structural and technical parameters which permit the accommodation of the community meeting to the needs of these patients and result in fewer "failures." These parameters are in part based on the experimental studies by Abramczuk (1972), Daniels and Rubin (1968), and Rubin (1979), who demonstrated the need for more structure. We will describe a typical community meeting on a short-term unit, discussing recurrent themes and patient government. | [
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10,002,677 | Separation and individuation in an African society: the developmental tasks of the Gusii married woman. | [
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] |
10,002,678 | In this paper we will apply a psychoanalytically informed perspective to understand psychosocial adaptation and self-development in a group of women living in a standard African culture, the Gusii of southwestern Kenya. Specifically, we will draw upon the concept of separation-individuation to understand psychological development among married Gusii women (abasubaati, sing. omosubaati). We will briefly describe the institutional context of Gusii life, the psychological tasks of a Gusii woman's adult life course, and the progress of three particular women, each at a different stage in her childbearing career. The predominant theme running through our data concerns the process by which all Gusii women leave, forever, their natal homes and attempt to establish themselves in what they may initially perceive as a foreign and often inhospitable place. The process of giving up primary attachments and forming new ones certainly is not unique to Gusii women. The extremeness of their situation, however, provides an opportunity to explore a set of particular adaptations to what may well be a universal task in human development, the process of separation-individuation. | [
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10,002,680 | Lipid granulomatosis of the ribs: focal Erdheim-Chester disease. | [
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] |
10,002,681 | Injuries of the quadriceps mechanism. | [
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10,002,682 | The effect of lobar collapse on the distribution of free intrapleural air. | [
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10,002,683 | In patients with pneumothorax, the normal lung tends to maintain its original shape because its retractility is more or less uniform. Lobar collapse leads to a localized increase in the force of retraction and a greater tendency of air to collect in the overlying pleural space, sometimes leading to an unusual distribution of pleural air. Four cases of pneumothorax in supine patients with lobar collapse are presented. Knowledge of the factors governing the distribution of free pleural air is of value in the early detection of pneumothorax. In the presence of lobar collapse, and probably any degree of atelectasis secondary to airway obstruction, an unusual distribution of air should be expected. | [
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10,002,684 | Hilar and mediastinal adenopathy in septic pulmonary embolic disease. | [
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10,002,685 | The renal halo sign in pancreatitis. | [
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10,002,686 | Experimental transcatheter splenectomy using absolute ethanol. | [
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10,002,687 | Since ethanol is known to be effective for transcatheter infarction of the kidney, the authors evaluated it as an agent for splenic ablation in swine and dogs. Infarction was successful in 7 of 9 pigs and 4 of 5 dogs. Controlled segmental infarction using flow-directed balloon catheters was attempted and was successful in 3 pigs and 2 dogs. The maximum blood ethanol level was 78 mg/100 ml, and by 15 minutes after injection it was less than or equal to 20 mg/100 ml. There was no evidence of pancreatic or hepatic injury at autopsy. The authors conclude that with careful catheter positioning, controlled total or partial infarction of the spleen can be safely performed with absolute ethanol without risk of abscess formation, pneumonia, or significant damage to other organs. | [
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10,002,688 | Anteromedial diaphragmatic defects in infancy: current approaches to diagnostic imaging. | [
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10,002,689 | Sternal cupping: a new finding in childhood sickle cell anemia. | [
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10,002,690 | Discrete cupping of sternal segments has not been reported previously in children with sickle cell anemia (SCA). In a retrospective study, this phenomenon was observed in 8% of children with homozygous SCA and in 10.6% of children with sickle cell-hemoglobin C disease, and thus should be included in the spectrum of osseous abnormalities associated with this disease. In this review, sternal cupping was a temporary phenomenon of little clinical significance. However, radiologists should be aware of this finding so that it is not mistaken for a more serious pathologic process in the sternum. | [
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] |
10,002,691 | Ultrasonographic evaluation of the gallbladder in mucocutaneous lymph node syndrome. | [
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10,002,692 | Hydrops of the gallbladder was diagnosed by ultrasonography in five out of ten consecutive patients with mucocutaneous lymph node syndrome (MLNS). Certain signs and symptoms were correlated with the development of hydrops. Follow-up ultrasonography revealed the return of the gallbladder to normal size in four out of four patients. One patient was lost to follow-up. Hydrops of the gallbladder in patients with MLNS appears to be a self-limiting condition with a benign course. | [
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10,002,693 | Critical evaluation of the persistent loop sign in necrotizing enterocolitis. | [
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10,002,694 | A review of the records and radiographs of 21 newborn infants with necrotizing enterocolitis and 10 control infants was performed to test the significance of the persistent loop sign in necrotizing enterocolitis. Twelve clinical and laboratory variables were compared with the persistent loop sign. None of the control infants and seven of the 21 study infants had a persistent loop sign. Four of the seven infants were proven to have necrotic bowel. All four died. Four of the 14 study patients without the persistent loop sign had necrotic bowel. Two of these four infants died. The findings of this study do not support the use of a persistent segmental loop of bowel as a single criterion for surgical intervention. | [
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10,002,695 | Computed tomography of orbital tumors, including late-generation scanning techniques. | [
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] |
10,002,696 | The role of computed tomography (CT) in the detection and diagnosis of orbital tumors at the Mayo Clinic is reviewed. Special techniques of late-generation scanners, including multiplane reformatted imaging, off-axis projections, high-resolution retrospective analysis, and thin-section scanning, have been evaluated in various ways for their clinical application in 42 recent cases. The overall series involved 133 proved orbital tumors. The detection rate and information obtained established CT as the method of choice for diagnosis of tumors of the orbit. | [
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10,002,697 | Computed tomography and ultrasound in the evaluation of orbital infection and pseudotumor. | [
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10,002,698 | Twenty patients with orbital inflammatory processes were examined with high-resolution computed tomography (CT) and 14 of them were also evaluated with ultrasound (US). In eight cases of orbital infection, six abscesses were localized by CT; US contributed no significant additional information. The 12 cases of orbital pseudotumor could be classified into four forms by CT. US added specificity to the CT findings, especially in the tumefactive form. In all eight cases of pseudotumor where US was performed, low-reflective echoes were characteristically seen. In addition, edema in the retrobulbar fascia (four cases) was continuous with fluid along the optic nerve sheath (three cases) and muscle enlargement was identified in six cases. These US features were found to be important in the differential diagnosis of intra-orbital masses. | [
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10,002,699 | Computed tomographic appearance of the bulging annulus. | [
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