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Biomedical subjects

C Francis

Publications and source records attributed to C Francis.

At least 73 records · Page 4Linked to original sources

Three-drug chemotherapy combined with radiation therapy in small cell carcinoma of the lung.

In 43 cases of small cell carcinoma of the lung, a combined treatment has been initiated with three drugs (cyclophosphamide 750 mg/m2, adriamycin 50 mg/m2 and vincristine sulphate 1 or 2 mg total dosage), split-course-radiation therapy on the primary tumour (3500 rads) and prophylactic irradiation of the brain (2000 rads). The median survival of the 34 cases evaluable at day 50 attains 253 days. A more favourable evolution is observed for patients with a good response after therapy (median survival: 315 days) and for cases with limited disease (321 days) than for non-responders (median survival: 157 days) and for cases with extensive disease (median survival: 214 days). In spite of tumour site irradiation, prophylactic irradiation of CNS and chemotherapy, there were six local relapses, two CNS extensions and six metastatic relapses and only two autopsied cases without macroscopic evidence of relapse.

Adult↗

Demonstration of failure of body plethysmography in airway obstruction.

To demonstrate the role of extrathoracic airways in the overestimation of lung volumes by body plethysmography in airway obstruction, we induced in six normal subjects an artificial airway stenosis by inflating a balloon in the lower trachea. We measured thoracic gas volume in a body plethysmograph simultaneously from mouth pressure (Pm) vs. plethysmographic volume (Vbox) (TGVm) and from esophageal pressure (Pes) vs. Vbox (TGVes). During control measurements there was no difference between TGVm and TGVes (P greater than 0.1) in any subject. Balloon inflation (B) resulted in a significant (P less than 0.01) decrease of specific airway conductance (sGaw) from a mean value of 0.199 +/- 0.66 (SD) to 0.025 +/- 0.01 cmH2O-1 . s-1. TGVm significantly (P less than 0.02) exceeded TGVes in every subject (mean diff 1.24 +/- 0.56 liters) and Pm lagged behind Pes. In two subjects studied at different levels of airway obstruction we found a significant (P less than 0.05) correlation between TGVm-TGVes difference and sGaw. Bypassing the extrathoracic airways by a cuffed endotracheal tube resulted in each case in a degree of airway obstruction comparable to that during balloon inflation (sGaw 0.019 +/- 0.004 cmH2O-1 . s-1), but no difference between TGVm and TGVes (P greater than 0.1). We conclude that lung volume is overestimated by plethysmography in airway obstruction. The overestimation is due to the presence of a compliant extrathoracic airway, and it probably depends on both the degree of airway obstruction and the value of compliance of the extrathoracic airway.

Adult↗

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Consumer Organizations↗

Method improves consistency in L5-S1 joint space films.

This article describes a new way to determine the correct angle of the central ray for radiography of the L5-S1 joint space in the lateral position. The methods described in the most widely used positioning textbooks do not result in consistent results. This article provides an easy-to-apply alternative.

Humans↗

The relationship of ACT and ARRT test results.

This study examines the relationship between pre-admission American College Test composite scores and the American Registry of Radiologic Technologists examination results for one two-year technical college program. The resulting modification of program admission criteria and its effect upon ARRT exam results are discussed.

Educational Measurement↗