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Biomedical subjects

B Smith

Publications and source records attributed to B Smith.

At least 649 records · Page 36Linked to original sources
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Health for a price?

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Delivery of Health Care↗
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Australian women and foster care: a feminist perspective.

Viewing biological and foster mothers through a feminist lens would make fostering a form of care in which both women would share. One agency has put this into practice. This article describes how both groups felt about the experience.

Adult↗
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Information wanted.

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Aged↗
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Aortobipopliteal bypass via the obturator foramina.

Patients with aortoiliac disease who have successive occlusion of aortofemoral bypass, femoro-femoral bypass, axillo-femoral bypass, and multiple thrombectomies have a very poor prognosis. In these patients, amputation is frequently inevitable and wound healing is often a problem. Aortobipopliteal bypass via the obturator foramina, without disturbing the collateral vessels which are unsuitable for bypass at the groin, is an alternate approach in the management of this type of patient. Three cases have been successfully constructed using dacron (No. 1) or PTFE (No. 2) prostheses with improvement of ankle brachial indices (0.3-0.6). One graft was patent for five years before occlusion of one limb. Two grafts have remained patent since 1983.

Aorta, Abdominal↗
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Low-level treadmill testing of 41 patients with acute myocardial infarction prior to discharge from the hospital.

It is recommended that patients with acute myocardial infarction be able to perform activities of daily living at approximately 3 METs at the time of hospital discharge. Implementation of this recommendation requires that the hemodynamic responses at the 3 METs level be assessed prior to discharge. Symptoms, blood pressures, heart rates, and electrocardiographic responses of 41 AMI patients (eight women and 33 men, mean age, 60 years) during a low-level treadmill test were studied 11 days after acute myocardial infarction. Twenty-nine of 41 patients (71 per cent) completed the test. Fatigue was the most common reason for stopping the test early. Between rest and maximum exercise there were increases of 13 per cent in systolic blood pressure, 25 per cent in heart rate, and 40 per cent in pressure-rate product. The resting systolic blood pressures, heart rates, and pressure-rate products were significantly higher (p less than or equal to 0.05) in the patients who were unable to finish the test. ST-segment elevation or depression larger than or equal to 1 mm. was seen in 14 patients. This low-level treadmill test was safe under well supervised conditions; it provided objective information about the patient's readiness for discharge. This type of information can be used for patient teaching and discharge planning.

Blood Pressure↗
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Costs and problems of finding women exposed to a hazardous drug.

We recorded the costs of identifying, tracing, and contacting women who had taken diethylstilbestrol (DES) during pregnancy. Among 6,143 women who delivered a live birth between 1940 and 1960 at this medical center there were 271 who were DES exposed. An additional 271 unexposed women were selected as a comparison group for a study of the late effects of DES. The costs of locating the women were initially low but rose steeply as progressively more complicated tracing methods were used. Geographic mobility, changes in marital status, and the scanty identifying information recorded in women's medical records complicated the search and added to the costs. Tracing would be easier and less expensive if standard identifying information, including maiden name, social security number, and date of birth, were included in the medical records for all women.

Diethylstilbestrol↗
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Symblepharon shield.

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Conjunctiva↗