Cognitive aspects of Wolpe's behavior therapy.
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Behavior Therapy↗
Biomedical subjects
B M Brown
Publications and source records attributed to B M Brown.
Use of range in testing heterogeneity of variance.
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Mathematics↗
Pulmonary lymphangitic carcinomatosis from hypopharyngeal adenosquamous carcinoma.
Although pulmonary lymphangitic carcinomatosis (PLC) is not uncommon for breast, bronchial, and stomach cancers, it is rarely associated with head and neck malignancy. A case of PLC is reported with the primary lesion being an adenosquamous carcinoma of the hypopharynx. A literature review is discussed, highlighting the varied radiographic picture of PLC, the possible diagnostic modalities, the proposed pathogenesis, and the treatment options. The prognosis even if antemortum diagnosis and treatment are given remains fatal, although with temporary improved quality of life and lengthened survival. There is hope that with greater awareness of the disease process an increased incidence of diagnosis may allow progress to be made in therapeutic interventions.
Adenocarcinoma↗
The gastric bypass operation reduces the progression and mortality of non-insulin-dependent diabetes mellitus.
Of 232 morbidly obese patients with non-insulin-dependent diabetes mellitus referred to East Carolina University between March 5, 1979, and January 1, 1994, 154 had a Roux-en-Y gastric bypass operation and 78 did not undergo surgery because of personal preference or their insurance company"s refusal to pay for the procedure. The surgical and the nonoperative (control) groups were comparable in terms of age, weight, body mass index, sex, and percentage with hypertension. The two groups were compared retrospectively to determine differences in survival and the need for medical management of their diabetes. Mean length of follow-up was 9 years in the surgical group and 6.2 years in the control group. The mean glucose levels in the surgical group fell from 187 mg/dl preoperatively and remained less than 140 mg/dl for up to 10 years of follow-up. The percentage of control subjects being treated with oral hypoglycemics or insulin increased from 56.4% at initial contact to 87.5% at last contact (P = 0.0003), whereas the percentage of surgical patients requiring medical management fell from 31.8% preoperatively to 8.6% at last contact (P = 0.0001). The mortality rate in the control group was 28% compared to 9% in the surgical group (including perioperative deaths). For every year of follow-up, patients in the control group had a 4.5% chance of dying vs. a 1.0% chance for those in the surgical group. The improvement in the mortality rate in the surgical group was primarily due to a decrease in the number of cardiovascular deaths.
Adult↗
Ultrasonographic anatomy of the caudate lobe.
The caudate lobe, like the other segments and lobes of the liver, can be defined anatomically as well as pathologically utilizing gray-scale ultrasonography. It is anatomically distinct from the left and right lobes as it has its own portal veins, hepatic arteries, hepatic veins, and bile ducts. Sonographically the limits of the caudate lobe can be defined using readily identifiable vascular landmarks such as the proximal left portal vein anteriorly, the inferior vena cava posteriorly, and the main portal vein inferiorly A wide variety of pathologic conditions that affect the caudate lobe, including cirrhosis, infection, and neoplastic lesions, can be demonstrated by ultrasonography.
Blood Vessels↗
Innovative nuclear pharmacy service. A comprehensive management plan for clinical investigations.
OBJECTIVE: To provide an overview of the investigational nuclear pharmacy service at the Medical University of South Carolina. DATA SOURCES: References were selected from published bibliographies of nuclear pharmacy and hospital pharmacy articles and from specific-topic searches of the MEDLINE computerized database (all languages, through 1992). STUDY SELECTION: Studies of clinical pharmacy functions that were considered relevant to the specialty practice of nuclear pharmacy were chosen. DATA EXTRACTION: Studies were reviewed for internal consistency and appropriateness. DATA SYNTHESIS: Data on the clinical impact of nuclear pharmacy services do not exist. CONCLUSIONS: Based on our experience in establishing an investigational drug service, we conclude that nuclear pharmacists should take an active role in clinical investigations. The outcomes of this kind of involvement are very rewarding.
Drug Evaluation↗