Unnamed: 0
int64
0
10.4k
id
int64
0
10k
text
stringlengths
166
4.02k
label
stringclasses
23 values
9,400
2,143
Combined orthopedic and vascular injury in the lower extremities: indications for amputation. A retrospective review was undertaken to determine risk factors associated with amputation after open fractures of the lower extremity that were complicated by vascular injury. During an 11-year period ending in December 198...
C21
9,401
2,755
Bakers' asthma: prevalence and evaluation of immunotherapy with a wheat flour extract. One hundred thirty-nine bakers and pastry cooks were included in a prevalence study of IgE-mediated hypersensitivity to wheat flour demonstrated by skin tests, specific IgE to wheat flour (RAST), and inhalation challenge. From the ...
C21
9,402
5,118
The effect of an alpha-2 agonist on bladder function and cord histology after spinal cord injury [retracted by Weiss R, Tomasula JJ, Sotologo JR Jr. In: J Urol 1991 Aug;146(2):426] Spinal injury in cats is accompanied by urinary bladder and hind limb dysfunction. Ten cats subjected to spinal contusion at the ninth th...
C21
9,403
780
Plastic bullet arterial embolization following gunshot injury to the heart. Case report and review of the literature. A plastic bullet penetrating the heart through the right ventricle embolized to the right profunda. Suture of the heart and extraction of the bullet resulted in uneventful recovery. The literature re...
C21
9,404
5,670
Health assessment of the early adolescent. Challenges and clinical issues. Although early adolescence spans only 4 years, it is a critical time in the life of a young person in forming opinions and selecting options. Specific attention to the growing and changing needs of this population is imperative if their health...
C21
9,405
6,964
Sensory nerve evoked responses in spinal cord injury. Previous studies have documented the presence of fibrillations, positive waves, and decreased motor evoked response amplitudes in spinal cord injury (SCI) subjects. The purpose of this study was to further evaluate sensory nerve status in this population. Twenty-...
C21
9,406
6,522
A case-control study of the effectiveness of bicycle safety helmets in preventing facial injury. In a case-control study we sought to assess the potential effectiveness of helmets in preventing facial injuries. Our study included 212 bicyclists with facial injuries and 319 controls with injuries to other body areas, ...
C21
9,407
8,578
Hypersensitivity pneumonitis. The lung is constantly exposed to a wide variety of environmental insults. In its defense against these environmental challenges, however, the lung responds through a limited number of pathophysiologic mechanisms. This is well illustrated by a group of diseases which are collectively re...
C21
9,408
3,631
Anterior acromioplasty for treatment of the shoulder impingement syndrome. Between 1975 and 1979, anterior acromioplasty was performed in 65 patients with 66 involved shoulders. The procedure appears to be safe and reasonably effective. Of the 65 patients in this study, 50 had chronic tendon inflammation with fibros...
C21
9,409
311
Factors influencing the results of open reduction and internal fixation of tibial plateau fractures. Forty-three displaced tibial plateau fractures were treated with open reduction and internal fixation. The fractures were classified into four groups, and the clinical results were evaluated using a standard 100-point...
C21
9,410
6,034
Osteoporosis and back pain in the elderly. A controlled epidemiologic and radiographic study. The incidence of back pain was investigated in hip fracture patients, 50-99 years of age, and in 70-, 75-, and 81-year-old controls from the same population. The prevalence of vertebral fractures were evaluated from spinal r...
C21
9,411
4,617
Heterosexual transmission of human immunodeficiency virus among intravenous drug users. To examine sexual transmission of human immunodeficiency virus (HIV) among heterosexual intravenous drug users (IVDUs), HIV antibody status of IVDUs with intravenous drug-using sexual partners (IVSPs) was compared with that of IVDU...
C21
9,412
5,017
Toxicological screening: a three year experience in poisonings in Kuwait. The results of toxicological screening of body fluids (urine, blood and gastric lavage) from pediatric patients were analyzed for the period January 1985 - December 1988. Of the 119 cases, approximately one half were positive for at least one f...
C21
9,413
421
Pulmonary functional impairment associated with pleural asbestos disease. Circumscribed and diffuse thickening. To define the pulmonary functional impairment associated with pleural asbestos signs (PAS), we compared 738 men with only circumscribed (plaques) or diffuse pleural thickening on chest roentgenograms but no ...
C21
9,414
309
The outcome of nonoperatively treated complete tears of the anterior cruciate ligament in active young adults. The results of nonoperative treatment of 72 patients with complete anterior cruciate ligament (ACL) tears, documented by examination under anesthesia and arthroscopy, were evaluated. All patients had an acut...
C21
9,415
8,101
Extending intramedullary rods in congenital pseudarthrosis of the tibia. Five patients with Boyd type II congenital pseudarthrosis of the tibia underwent excision of the pseudarthrosis and double onlay bone grafting. Stability was maintained by extending intramedullary rods. Clinical union was achieved in all cases ...
C21
9,416
5,206
Portrayals of alcohol on prime-time television. Alcohol portrayals were analyzed for a 3-week composite sample of prime-time fictional television programs aired in the fall of 1986. Approximately 64% of the 195 episodes contained one or more appearances of alcohol. Alcohol was ingested on 50% of all programs. Overa...
C21
9,417
9,838
Case report: severe ethylene glycol intoxication with normal osmolal gap--"a chilling thought". This is a case of a 23-year-old male presenting with altered sensorium, vomiting, and right flank pain. Despite a normal osmolal gap, he was found to be suffering from ethylene glycol intoxication. This little-described p...
C21
9,418
7,311
Acute opioid physical dependence in humans: effect of varying the morphine-naloxone interval II. Previous studies have demonstrated antagonist-precipitated withdrawal from 45 min to 24 hr after acute opioid administration in nondependent human subjects. The purpose of this study was to examine longer postagonist inte...
C21
9,419
2,668
Plasma noradrenaline, platelet alpha 2-adrenoceptors, and functional scores during ethanol withdrawal. Plasma noradrenaline and platelet alpha 2-adrenoceptor density (sites/cell using 3H-rauwolscine with and without phentolamine) were correlated with withdrawal score in 23 hospitalized patients undergoing ethanol with...
C21
9,420
3,786
Retroperitoneal air after routine hemorrhoidectomy. Report of a case. Retroperitoneal air as a complication after routine hemorrhoidectomy has not been reported in the literature. This occurred recently after hemorrhoidectomy in a 34-year-old patient receiving glucocorticoid therapy for rheumatoid arthritis. Adverse...
C21
9,421
2,081
Histopathologic correlation of magnetic resonance imaging signal patterns in a spinal cord injury model. Magnetic resonance imaging (MRI) provides a noninvasive method of monitoring the pathologic response to spinal cord injury. Specific MR signal intensity patterns appear to correlate with degrees of improvement in ...
C21
9,422
5,861
The radial forearm flap for reconstruction of the upper extremity. The radial forearm flap, owing to its good-caliber arteries of long length and equally well distributed venous system, has proved very reliable. It has not only earned its place and recognition in reconstructive hand surgery, but also has emerged as a...
C21
9,423
7,867
Endotracheal tube cuff pressure assessment: pitfalls of finger estimation and need for objective measurement. Estimation of endotracheal (ET) cuff pressure by finger palpation is one of the methods currently used in the clinical setting. We compared the accuracy of this method with instrumental intracuff pressure mea...
C21
9,424
762
Long-term prognosis of soft-tissue injuries of the neck. We reviewed 43 patients who had sustained soft-tissue injuries of the neck after a mean 10.8 years. Of these, only 12% had recovered completely. Residual symptoms were intrusive in 28% and severe in 12%. Pain in the neck and lower back was the commonest compl...
C21
9,425
5,208
A comparison of familial and nonfamilial male alcoholic patients without a coexisting psychiatric disorder. Both family history of alcoholism and the presence of additional psychiatric disorder in male alcoholic patients are associated with an earlier onset of problem drinking, greater alcoholism severity and poorer c...
C21
9,426
2,689
Alterations in splanchnic blood flow following chronic ethanol exposure. The purpose of these experiments was to determine whether or not tolerance develops to the effect of 3.0 g/kg ethanol on total and regional splanchnic blood flow in male Wistar rats. The animals were given the Lieber-DeCarli liquid diet containi...
C21
9,427
3,637
Femoral neck fractures in patients receiving long-term dialysis. The morbidity and mortality of 11 femoral neck fractures were analyzed to compare operative and conservative management of femoral neck fractures in dialysis patients. All fractures occurred in older men with severe cardiac, pulmonary, gastro-intestinal...
C21
9,428
8,103
Bone lysis in well-fixed cemented femoral components. We have reviewed 25 cases of focal femoral osteolysis in radiographically stable, cemented femoral implants. In three hips retrieved at post-mortem from two patients, we have been able to make a detailed biomechanical and histological analysis. The interval betwe...
C21
9,429
9,233
Early detection of myocardial contusion and its complications in patients with blunt trauma. Myocardial contusion remains an elusive clinical entity, which consumes a disproportionate amount of scarce and expensive critical care resources for the purpose of cardiac monitoring. This study attempts to define a group of...
C21
9,430
2,781
Castor bean intoxication. We report the cases of a child who ingested two or more castor beans and two adults who each ingested four beans. All three patients developed severe gastroenteritis and recovered without sequelae after receiving IV fluids. The literature contains reports of 424 cases of castor bean intoxic...
C21
9,431
4,411
Direct visualization of ruptured chordae tendineae by transesophageal two-dimensional echocardiography. To determine the value of transesophageal echocardiography in the detection of ruptured chordae tendineae, 28 patients who had surgical therapy for pure mitral regurgitation were evaluated prospectively by conventio...
C21
9,432
7,837
Risk factors for the development of osteoarthrosis of the knee. The roles of physical activity (both work and leisure time), obesity, and history of significant knee injury on the development of severe osteoarthrosis (OA) of the knee were evaluated. A case-control design compared 46 cases with a history of severe OA ...
C21
9,433
9,700
Tardive dyskinesia: managing a common neuroleptic side effect. Neuroleptics are useful medications for the treatment of psychosis and severe behavioral disturbances in the elderly. Unfortunately, older patients are at a high risk of developing deleterious side effects from these medications, especially persistent tar...
C21
9,434
8,935
Carcinogen hemoglobin adducts, urinary mutagenicity, and metabolic phenotype in active and passive cigarette smokers. In 100 healthy volunteers, we have studied the relationship between the type (air- or flue-cured) and number of cigarettes smoked and different biomarkers relevant to the risk of bladder cancer, includ...
C21
9,435
6,321
Lead poisoning and thalassemia trait or iron deficiency. The value of the red blood cell distribution width. The cause of microcytosis and anemia in lead poisoning was investigated using red blood cell distribution width as a screening parameter in 21 consecutive patients with lead poisoning and seven nonrandomly sele...
C21
9,436
2,774
Clinical evaluation of an acetaminophen meter for the rapid diagnosis of acetaminophen intoxication. STUDY OBJECTIVES: To test the accuracy of a newly developed meter that determines serum acetaminophen concentration after a 30-second analysis of one drop of whole blood. DESIGN: Sixty-six blood samples from patients ...
C21
9,437
2,410
Fatal big cat attacks. Two cases of fatal attacks by large cats are presented. In the first case, a 30-year-old female zoo worker was attacked by a jaguar that had escaped its cage. In the second case, a 2-year-old girl was fatally injured by her father's pet leopard. The pattern of injuries in these cases is nearl...
C21
9,438
7,425
Rigid fixation of internal orbital fractures. When large portions of the internal orbit are destroyed (two to four walls), standard bone-grafting techniques for immediate and late orbital reconstruction may not yield predictable eye position. Critical bone support is most often deficient inferomedially. CT analysis ...
C21
9,439
9,012
Effects of lesions in the anterolateral columns and dorsolateral funiculi on self-mutilation behavior in rats. The possible role of the anterolateral columns (ALCs) and dorsolateral funiculi (DLF) in pain mechanisms was examined from the effects of lesions in these tracts (alone or combined) on tests for chronic deaff...
C21
9,440
2,671
Application of the Tridimensional Personality Questionnaire to a population of alcoholics and other substance abusers. To assess its construct validity and application, Cloninger's Tridimensional Personality Questionnaire (TPQ) was administered to 267 inpatient substance abusers. One hundred seventy-two of the patien...
C21
9,441
754
Transient cyst-like cortical defects following fractures in children. Medullary fat within the subperiosteal haematoma. Asymptomatic cyst-like cortical defects appearing after fractures in children have been occasionally reported. Typically, these defects appear during fracture consolidation, within the newly formed ...
C21
9,442
3,174
The influence of prophylactic orthoses on abdominal strength and low back injury in the workplace This study was designed to determine the effect of multimodal intervention and the prevention of back injury, and to evaluate the adverse side effects of using a lumbosacral corset in the workplace. Subjects were 90 mal...
C21
9,443
9,266
The use of diazepam in chloroquine poisoning. A 39-year-old patient was found to be unconscious after having taken 2.5 g of chloroquine. Treatment consisted mainly of gastric lavage and diazepam. Experimental and clinical evidence is presented to show that diazepam in varying doses significantly decreases the mortal...
C21
9,444
3,612
Uterine rupture. Uterine rupture is a sudden, unforeseeable event that carries a high rate of maternal and perinatal mortality. When the diagnosis of uterine rupture is suspected, prompt surgical intervention with an experienced pelvic surgeon and blood product replacement should be considered. At the time of uterin...
C21
9,445
301
Subtrochanteric fractures. A retrospective analysis. In a retrospective review of 107 patients treated during an eight-year period for subtrochanteric fractures, the average follow-up period was 25.5 months (range, six to 96 months). Comparisons of fracture patterns, fixation devices, and complications of osteosynthe...
C21
9,446
8,283
Laparoscopic tubal sterilization. The potential for thermal bowel injury. One of the most severe complications of laparoscopic tubal sterilization is bowel burns, although they often go undetected at the time of laparoscopy. Controversy remains over whether these injuries are caused directly by operator error or indi...
C21
9,447
336
Toxic psychosis due to chloroquine--not uncommon in children. Toxic psychosis due to Chloroquine is a relatively uncommon occurrence in childhood. This entity must be kept in differential diagnosis in a case of unexplained psychosis, before resorting to a sophisticated array of detailed investigations. The purpose o...
C21
9,448
8,093
Biomechanical strength of non-vascularised and vascularised diaphyseal bone transplants. An experimental study. We studied the healing and torsional strength of non-vascularised (28) and vascularised (28) sections of tibial diaphyses in 56 cats. Both types of graft achieved fracture union in the same period of time, ...
C21
9,449
9,573
Protection of the small intestine against irradiation by means of a removable prosthesis. In radiation therapy of tumors, several techniques are used to prevent injury of the intestinal loops. Their purpose is to drive the intestine out of the external beam. Understanding the disadvantages they present, a temporary ...
C21
9,450
6,573
Relationship of oxygen dose to angiogenesis induction in irradiated tissue. This study was accomplished in an irradiated rabbit model to assess the angiogenic properties of normobaric oxygen and hyperbaric oxygen as compared with air-breathing controls. Results indicated that normobaric oxygen had no angiogenic prope...
C21
9,451
2,122
Management of the pregnant patient with carcinoma of the breast. The diagnosis of carcinoma of the breast during pregnancy poses a challenging dilemma. Although once regarded as incurable, recent reports reveal similar long term survival rates for pregnant and nonpregnant patients who have carcinoma of the breast. W...
C21
9,452
2,579
Magnetic resonance imaging of radiation optic neuropathy. Three patients with delayed radiation optic neuropathy after radiation therapy for parasellar neoplasms underwent magnetic resonance imaging. The affected optic nerves and chiasms showed enlargement and focal gadopentetate dimeglumine enhancement. The magneti...
C21
9,453
3,900
Post-traumatic epilepsy: cellular mechanisms and implications for treatment. Epilepsy complicates severe head trauma. Development of persistent seizures appears to correlate with the extent of trauma. Although early reports suggested that prophylactic administration of antiepileptic drugs would prevent epileptogenes...
C21
9,454
2,687
Effects of alcohol on the import of aldehyde dehydrogenase precursor into rat liver mitochondria. We previously showed that incubation of rat liver mitochondria with alcohols resulted in the inhibition of the import of aldehyde dehydrogenase precursor but not that of ornithine transcarbamylase precursor (Wang TTY, Far...
C21
9,455
3,098
Experimental alcoholic skeletal muscle myopathy is characterised by a rapid and sustained decrease in muscle RNA content. An investigation was made into the effects of ethanol feeding (36% of total calories) on skeletal muscle. From 7 to 42 days, muscle weights and protein and DNA contents of alcohol-treated rats wer...
C21
9,456
378
Aspiration and the elderly. Aspiration is prevalent in the elderly but its association with impairment of oral intake and gastroesophageal reflux is often misunderstood. This paper describes the causes, pathophysiology, and consequences of aspiration and their unique features in aged persons. It also explains how vi...
C21
9,457
7,044
Willingness of health-professions students to treat patients with AIDS. This 1988-89 survey of 319 students in the medical, dental, nursing, and allied health-care professions revealed that over one-third had some reservations about treating acquired immunodeficiency syndrome (AIDS) patients. Most were unwilling to p...
C21
9,458
7,039
Medical and dental students' attitudes about the AIDS epidemic. This study investigated changes, over a one-year period, in medical and dental students' attitudes toward various issues related to contact with AIDS patients. In 1988 and 1989, the authors surveyed second- and third-year medical and dental students at o...
C21
9,459
5,204
Anomie, alcohol abuse and alcohol consumption: a prospective-analysis. Cross-sectional and 36-month prospective analyses of the relationships among anomie and both alcohol abuse and alcohol consumption patterns provided little support that anomie was directly associated with ethanol ingestion patterns in a sample of 3...
C21
9,460
9,224
Arterial abnormalities of the hand in athletes. Vascular lesions of the hand may be seen in athletes exposed to repetitive blunt trauma. Thirteen athletes seen from 1983 to 1988 experienced symptoms related to hand ischemia. Nine were professional baseball catchers. The majority of patients complained of chronic sy...
C21
9,461
2,238
Management of penile gunshot wounds. The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospital from 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum...
C21
9,462
2,795
The relationship between respiratory impairment and asbestos-related pleural abnormality in an active work force With the general improvement in environmental controls in workplaces where asbestos is used, an increasing number of workers are seen who exhibit isolated pleural plaques. The question as to whether these...
C21
9,463
7,417
Frostbite. Methods to minimize tissue loss. If frostbite is to be treated successfully, direct and indirect effects of injury must be understood. Rapid rewarming helps to preserve tissue by limiting the amount of direct cellular injury. Selective management of blisters helps protect the subdermal plexus, and applica...
C21
9,464
4,180
The lateral approach for operative release of post-traumatic contracture of the elbow. A lateral approach was used to release a post-traumatic contracture of the elbow in seven patients, and the results were evaluated an average of thirty-eight months postoperatively. Extension improved from an average flexion contra...
C21
9,465
5,608
Replantation: an analysis of 29 teeth. The results of replantation of 29 teeth are described. Maxillary incisors constituted 85% of 27 permanent teeth. The period between avulsion and replantation ranged from within an hour to 86 days, but the actual extraoral period was within 5 hours in all but one case. Nineteen...
C21
9,466
9,235
Trend toward nonoperative management of splenic injuries. Treatment of splenic injuries has evolved over the past decade to reflect more effort to conserve function of the spleen. Records of 169 patients admitted over a 6-year period were identified as documenting the treatment of splenic injuries. We collected data...
C21
9,467
9,436
Biomaterial calcification without direct material-cell interaction. This report summarizes 1) features of the local redistribution of calcium ions and formation of complexes with calcium (Ca) in the presence of polymer samples; 2) the adsorption of Ca ions and Ca containing complexes onto biomaterial surfaces; 3) the ...
C21
9,468
3,176
The supraspinal anxiolytic effect of baclofen for spasticity reduction. Recent studies in the psychiatric literature indicate that baclofen has an anxiolytic action in certain psychopathologic conditions. Clinical observation has shown that manifestations of spasticity are increased in anxious individuals, implicatin...
C21
9,469
997
Treatment of phenobarbital poisoning with multiple dose activated charcoal in an infant. A 28-day-old infant developed lethargy, hypotonia, and hypothermia following a phenobarbital overdose secondary to a pharmacist's error. He was treated with multiple dose activated charcoal (MDAC) and alkalinization of the urine,...
C21
9,470
5,863
Calcium carbonate gel therapy for hydrofluoric acid burns of the hand. Hydrofluoric acid is used extensively as an industrial cleaning agent for metals and glass. Many workers are injured by cutaneous contact of the acid with exposed skin surfaces, particularly hands. Hydrofluoric acid burns are characterized by del...
C21
9,471
3,449
Unusual case of pacemaker lead migration. Pulmonary artery migration of pacemaker lead is rare and may result in pulmonary emboli originating from the thrombus around the infected catheter and causing multiple pulmonary infarcts. We report an unusual case of pacemaker lead migration to the right pulmonary artery with...
C21
9,472
5,019
Clinical course and pharmacokinetics following a massive overdose of amphotericin B in a neonate. Amphotericin is the drug of choice for the treatment of fungal infections in infants and children. When used in the recommended doses, amphotericin therapy is associated with high rates of adverse effects, including neph...
C21
9,473
7,430
The lateral arm fascial free flap: its anatomy and use in reconstruction. Free fascial transfer has been used for reconstruction of gliding surfaces of the upper and lower extremities or when thin, pliable coverage is required (hand, heel, nose, and ear). In our experience with the lateral arm fasciocutaneous flap, w...
C21
9,474
3,116
Methylene chloride: report of five exposures and two deaths. Five patients presented to the emergency department (ED) following exposure in an enclosed space to methylene chloride (dichloromethane), used for removing paint. Two workers and three rescuers were involved. Two rescuers complained only of dizziness and m...
C21
9,475
2,551
Intrapartum uterine rupture and inflammatory bowel disease. The incidence of uterine rupture in pregnant women ranges from 0% to 1.1% in large series. This case report describes a woman with a history of obstetric complications, uterine rupture, and active inflammatory bowel disease that was treated with high-dose pr...
C21
9,476
4,179
Comparison of a hybrid with an uncemented total hip replacement. A retrospective matched-pair study. The efficacy of a type of uncemented total hip replacement was compared with that of a hybrid total hip replacement in which an uncemented acetabular and a cemented femoral component were used. Twenty-five patients wh...
C21
9,477
3,823
Seizures in the alcoholic patient. The First International Symposium on Alcohol and Seizures (September 1988, Washington, DC) convened experts from North America and Europe to discuss the basic and clinical research findings in this field. Most of the observations communicated at this symposium are included in this a...
C21
9,478
6,746
Porta hepatis disruption from blunt trauma. Extrahepatic porta hepatis injuries from blunt abdominal trauma are exceedingly rare; all recently reported cases involve disruption of the common bile duct at its intrapancreatic portion. We herein report a patient with lacerations of the proper hepatic artery and bile duc...
C21
9,479
3,349
Stress in surgeons. A sample of 1000 members of the Association of Surgeons of Great Britain and Ireland was circulated with a postal questionnaire relating to their occupational stressors, their type A coronary-prone behaviour and their mental health. Six hundred and seventy-two (67 per cent) useable forms were retu...
C21
9,480
6,678
The validity and reliability of the navicular fat stripe as a screening test for detection of navicular fractures. STUDY OBJECTIVE: The purpose of this study was to determine if the navicular fat stripe (NFS) is a valid and reliable screening tool in assessing potential navicular fractures. DESIGN: Retrospective anal...
C21
9,481
3,817
Acute intoxication. Acute alcohol intoxication is a commonly encountered clinical presentation in Emergency Medicine. Its role should be considered in many Emergency Department presentations, specifically in major and minor trauma, and in gastrointestinal, metabolic, neurologic, and psychiatric disorders. The differ...
C21
9,482
7,613
Dyskinetic movements, cognitive impairment, and negative symptoms in elderly neuropsychiatric patients. The presence or absence of tardive dyskinesia, cognitive status, and psychopathology were assessed in a group of elderly male psychiatric patients (N = 49) in a nursing home setting. Twenty-five patients were found...
C21
9,483
2,406
Atlanto-occipital disarticulation. Accident characteristics. A retrospective study of cases of atlanto-occipital disarticulation was conducted to describe incident characteristics: 24 cases were identified, including nine motor vehicle drivers, two passengers, seven pedestrians, and five motorcyclists; one other perso...
C21
9,484
9,968
Substance abuse-related spontaneous bladder rupture: report of 2 cases and review of the literature. Spontaneous rupture of the normal bladder associated with alcohol abuse is rare, with only 20 cases reported in the English literature to which we add 2 cases. Heavy alcohol ingestion predisposes the bladder to ruptur...
C21
9,485
9,950
Effect of early feeding on the postburn hypermetabolic response in rats. The effect of early enteral feeding on the hypermetabolic response following burn injury in a rat burn model has been investigated. The rates of heat production and partitioned heat loss were determined on the fourteenth postburn day for five tr...
C21
9,486
2,260
Stress and hypertension In susceptible persons emotional stress results in immediate sympathetic stimulation, with a vasomotor response that results in a high-output state and elevated blood pressure; the vasopressor response seems to be transient. There seems to be no longitudinal epidemiologic validation of the at...
C21
9,487
7,753
The comportmental learning disabilities of early frontal lobe damage. Two adult patients are described who suffered bilateral prefrontal damage early in life and who subsequently came to psychiatric attention because of severely aberrant behaviour. A battery of developmental psychology paradigms (not previously used ...
C21
9,488
7,843
The fat embolism syndrome. A review. While fat embolism occurs in most (more than 90%) patients with traumatic injury, the fat embolism syndrome (FES) occurs in only 3%-4% of patients with long-bone fractures. FES involves multiple organ systems and can cause a devastating clinical deterioration within hours. The ma...
C21
9,489
5,300
Variations on the temporoparietal fascial flap. An improved understanding of the vascular supply of the layers of the temporal fossa has increased the potential of this region for new and ingenious reconstructive techniques. Separate and independently vascularized layers of this region include hair-bearing scalp, gla...
C21
9,490
3,828
Alcoholism and society. The problems of alcohol abuse are rampant in society and permeate the Emergency Department experience. The cost to society as measured by social, medical, occupational, and legal effects is exceedingly high and probably underestimated. Emergency physicians have the opportunity to intervene in...
C21
9,491
2,673
Brain and liver dolichol in chronic alcoholism: a necropsy study. Cerebral gray and white matter and liver dolichol levels were measured in postmortem samples from chronic alcoholics and nonalcoholic controls following recent suggestions that dolichol levels may be used as a marker for alcoholism. No significant diff...
C21
9,492
9,331
Motor unit numbers and contractile properties after spinal cord injury. The number of motor units in the thenar muscle group was estimated in 11 patients with cervical spinal cord injuries. The surface electromyogram and twitch force, in response to maximal stimulation of the median nerve was divided by the average s...
C21
9,493
983
Role of oxygen-derived free radicals in the pathogenesis of gastric mucosal lesions in rats. The role of oxygen-derived free radicals and lipid peroxidation in the pathogenesis of acute gastric mucosal erosion was investigated in rat models produced by burn shock stress, by treatment with regional hyperthermia, platel...
C21
9,494
6,520
Coding external causes of injury (E-codes) in Maryland hospital discharges 1979-88: a statewide study to explore the uncoded population. We examined the trends in hospital discharge E-coding in Maryland over a 10-year period. The overall proportion of E-coded discharges has increased from 40 percent in 1979 to 55 per...
C21
9,495
2,677
Murine model of ethanol-induced immunosuppression. Alcohol abuse has been associated with an increased susceptibility to infectious diseases and certain tumors. On the basis of these observations, an effect of ethanol on the immune system has been suggested. We have used a mouse model system in which male C57Bl/6 mi...
C21
9,496
5,021
Skin blisters as a manifestation of oxazepam toxicity. A 75 year-old comatous patient was admitted after ingestion of 200 mg oxazepam. Skin blisters, attributed to oxazepam toxicity, appeared on the left forearm the following day and regressed spontaneously nine days later.
C21
9,497
310
Isolated avulsion of the biceps femoris insertion. A case report. The clinical, roentgenographic, and operative findings of an isolated biceps femoris avulsion in a 21-year-old man demonstrated the significance of the static stabilizers about the knee, menisci, and articular cartilage. Examination of the dynamic stru...
C21
9,498
9,670
Lead. This article reviews historical and current uses of lead and sources of absorbed lead, such as water, lead-based paint, cookware, and bullet wounds. The means of absorption, collection of specimens, quantification methods, and effects of lead toxicity are discussed.
C21
9,499
4,642
Neisseria mucosa endocarditis. A case of Neisseria mucosa tricuspid valve endocarditis in an intravenous drug abuser is described. The patient was treated initially with intravenous penicillin G followed by oral penicillin VK but relapsed. He was cured after 4 weeks of combined therapy with penicillin G and gentamic...
C21