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Biomedical subjects

C Levine

Publications and source records attributed to C Levine.

At least 55 records · Page 3Linked to original sources

HIV and childbearing.1. Uncertain risks and bitter realities: the reproductive choices of HIV-infected women.

Although most babies born to women with HIV will not develop AIDS, many health professionals and segments of the public object when these women will not forgo pregnancy. Such a view fails to consider fully the cultural, political, and socioeconomic contexts in which seropositive women make reproductive choices. HIV infection is only one of many conditions of chronic disease that can be passed from a woman to her fetus, and should not be singled out as a target for coercive policies. Rather, government and society have an obligation to empower women to protect themselves against HIV infection in the first place, and to offer them options for self-esteem and achievement independent of reproduction.

Acquired Immunodeficiency Syndrome↗

AIDS and changing concepts of family.

The family in contemporary America may be defined as a group of individuals who by birth, adoption, marriage, or declared commitment share deep personal connections and are mutually entitled to receive, and obligated to provide, support of various kinds. As more people live in nontraditional arrangements, the gap between their needs and interests and official designations of family widens; AIDS has accelerated this change, affecting legal definitions, medical decisions, and questions of housing and child custody. While existing families adjust to the exigencies of AIDS, changing laws and customs may also affect the formation of new families. The epidemic threatens the intimacy and acceptance that ideally bind family ties, while at the same time reinforcing their necessity.

Acquired Immunodeficiency Syndrome↗

Use of drug lists.

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Family Practice↗

Intestinal obstruction in a neonate with adrenal hemorrhage and renal vein thrombosis.

Adrenal hemorrhage and renal vein thrombosis are two distinct vascular entities encountered in the newborn period. Occasionally, both entities may co-exist in the same patient. A premature infant of a diabetic mother presented with intestinal obstruction secondary to extrinsic compression by the mass effect of the enlarged hemorrhagic adrenal and thrombosed kidney on the left hemicolon, a phenomenon which to our knowledge has not previously been described.

Adrenal Gland Diseases↗

Primary disorders of the lymphatic vessels--a unified concept.

Congenital defects of lymphatics constitute a spectrum of disorders that may manifest with a variety of clinical presentations including lymphedema, chylous effusions, lymphangiomatous malformations with cystic masses and localized gigantism, and intestinal lymphangiectasia with malabsorption. These entities constitute a relatively rare group of disorders, the origin of which remains somewhat controversial, but in some it appears to be due to early lymphatic obstruction. Five cases are described, which demonstrate the anatomical pathology of these entities. A classification and description of the defects is also presented. An attempt is made to present a unified theory of origin for this seemingly diverse group of diseases. While these entities may be challenging from a diagnostic and therapeutic standpoint, a wide variety of imaging modalities, which includes lymphography, computed tomography scanning, and ultrasound, may be used to diagnose the extent and internal structural characteristics of the abnormalities.

Adolescent↗

Sequential cranial computed tomography in infants with retinal hemorrhages.

Five whiplash-shaken infants presented initially with lethargy, vomiting, irritability, and intraocular hemorrhage and had sequential cranial computed tomography (CT). In three of the five infants, results of the initial CT scans of the head were either normal or demonstrated subtle abnormalities. However, significant subdural hemorrhages which were demonstrated by subdural aspiration developed subsequently in all three infants. Results of repeat CTs of the head showed progressive ventricular dilation and symmetrical bilateral fronto-parietal subdural hematomas. The retinal hemorrhages preceded both the clinical and radiologic recognition of subdural hematoma. Results of the initial head CT of the remaining two children showed intracerebral hemorrhages, cerebral edema and subsequently subdural hematoma. The finding of unexplained retinal hemorrhages in some infants, even though the initial CT head scan may show only minimal changes, warrants monitoring of the head circumference, fundus, and repeat head CT as indicated.

Brain↗

HIV antibody screening. An ethical framework for evaluating proposed programs.

We believe that the greatest hope for stopping the spread of HIV infection lies in the voluntary cooperation of those at higher risk--their willingness to undergo testing and to alter their personal behavior and goals in the interests of the community. But we can expect this voluntary cooperation--in some cases, sacrifice--only if the legitimate interests of these groups and individuals in being protected from discrimination are heeded by legislators, professionals, and the public. Yet voluntary testing is not enough. We must proceed with vigorous research and educational efforts to eliminate both the scourge of AIDS and the social havoc that has accompanied it.

Acquired Immunodeficiency Syndrome↗

Computed tomography in the diagnosis and follow-up of American Burkitt's lymphoma.

CT scans of Burkitt's lymphoma in 8 American patients are presented. Computed tomography was the major diagnostic imaging modality in 4, and the abdomen was the most commonly involved site in our patients. CT was found to be the method of choice for diagnostic purposes and for assessing the size of abdominal masses. Furthermore, because of the relative effectiveness of modern chemotherapeutic agents in treatment of this type of lymphoma, CT did and can play a unique role in follow-up of these cases during therapy.

Abdominal Neoplasms↗