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Biomedical subjects

D Day

Publications and source records attributed to D Day.

At least 73 records · Page 4Linked to original sources
PubMed1984

The Clarke Institute experience with electroconvulsive therapy: II. Treatment evaluation and standards of practice.

Contemporary standards of practice of electroconvulsive therapy with respect to the treatment procedure, clinical indications, and dosage (number of treatments per course) are summarized. The actual clinical practice at one psychiatric hospital over a 16-year period, comprising 22,647 treatments, was compared to those standards. The most significant findings in this series were the over-representation of patients with a diagnosis of schizophrenia and the absence of any clinically significant difference in the treatment dosage for schizophrenia and affective disorders. The significance of these findings is discussed with respect to their identification of patient subgroups that warrant case auditing. In addition, the results are used as a basis for a critical examination of the rationale for the presently recommended maximum treatment dosages.

Affective Disorders, Psychotic↗
PubMed1983

Effective delegation.

Explore the source record for details and available documents.

Administrative Personnel↗
PubMed1981

Roentgencephalometric analysis of craniofacial growth in the Johanson-Blizzard syndrome.

Two male patients with Johanson-Blizzard syndrome are presented. Radiocephalometry of the craniofacial complex disclosed findings previously unreported. The radiographic observations, extending from age 6 months to 5 years of age in one case, revealed a decelerating growth pattern with minimal effect on the neurocranium, but with greater effect on facial growth. Maxillary growth was more severely retarded than mandibular growth. The phenotypic characteristics related to growth retardation are age dependent in the severity of their expression.

Abnormalities, Multiple↗
PubMed1976

Necrotizing 'sarcoidal' angiitis and granulomatosis of the lung.

A case of necrotizing sarcoid angiitis and granulomatosis (NSG) presenting as a peripheral lung 'tumour' in a 63-year-old man is recorded, and the clinical and pathological features are compared with those of Liebow's original cases. Resection may be avoided if the diagnosis is made by biopsy as the disease is possibly steroid responsive and the prognosis appears favourable. The aetiology is obscure but an immune disturbance is suspected.

Arteritis↗
PubMedDate not supplied

Observations on the sonographic measurement of cervical length and the risk of premature birth.

OBJECTIVE: There is increasing evidence that sonographic measurement of cervical length may be a useful predictor of the risk of spontaneous premature birth. The purpose of this study is to determine whether the measurement of cervical length in a high-risk population at 24 weeks gestation, or the relative change over 24-28 weeks gestation, is more accurate in predicting the risk of spontaneous preterm birth before 35 weeks gestation. METHODS: Over a 4-year period from 1993-1996, 443 patients with a singleton pregnancy who were at increased risk of preterm birth were studied by serial endovaginal sonography performed at 24 and 28 weeks gestation. RESULTS: There was a positive association between a short cervix and increased risk of preterm birth (F = 13.3, P < .0001). The variable with the highest predictive value for preterm birth was the cervical length at 24 weeks gestation. Changes over time did not substantially improve the predictive accuracy for spontaneous preterm birth. CONCLUSIONS: We conclude that a short cervix as determined by endovaginal sonography has a significant association with preterm birth in a high-risk obstetric population. Measurements taken at 24 weeks gestation are most accurate in assessing this risk, and serial observations of the cervix over time have less accuracy for predicting preterm birth.

Adult↗
PubMedDate not supplied

Population-based screening with the Coronary Heart Disease Risk Factor Calculator.

Data from the Framingham Heart Study and risk-appraisal models were used to develop a Coronary Heart Disease (CHD) Risk Factor Calculator for early identification of high-risk individuals. The Calculator was tested at an employee health fair for a large northeastern US corporation. Of the 590 employees who registered for cholesterol screening, 514 had their CHD risk calculated, and 134 (26.1%) of this group had a relative risk greater than 2. Elevated risk increased with age, ranging from 26.2% of those younger than 35 years to 75% of the over-64 group. Of special concern was the percentage of individuals below 45 years of age whose relative risk of CHD in the next 10 years was more than twice that of coevals with standard risk. The program also estimates and visually demonstrates possible benefits of interventions, allows monitoring of progress, and serves as an educational aid to motivate behavior modification. In this test, the software functioned as designed, and graphic demonstration of individual risk estimations appeared to motivate several participants to seek medical follow-up.

Adult↗
PubMedDate not supplied

A new tool for predicting erectile dysfunction.

The Sexual Health Inventory for Men (SHIM) is an effective way to assess erectile difficulty (ED). Despite documented efficacy, however, many physicians may be reluctant to incorporate it into clinical practice because of the intimate nature of the questionnaire. In an attempt to devise and test an easy-to-use computer-based SHIM score indicator for office use, more than 30,000 SHIM questionnaires were administered to men visiting physicians' offices in 2000. Information about age, current smoking status, diabetes, depression, hypertension, prostate disease, and cholesterol levels was also collected. A logistic regression model with a sensitivity of 81.8% and a specificity of 57.7% was created to predict the likelihood of ED in a patient scoring below 21 (SHIM definition). This model was built into a highly graphic Windows-based program. The SHIM score indicator is a convenient way to rapidly identify patients at high risk for ED who should be further assessed.

Adult↗
PubMedDate not supplied

The relationship between health care reform and nurses' interest in union representation: the role of workplace climate.

Market-based reforms are rapidly changing the landscape of the American health care system. Over the last decade, a great deal of attention has been paid to these reforms, particularly the advent and rapid growth of managed care and the vertical and horizontal integration of provider institutions. The ramifications of these changes on both individual and institutional consumers has also been widely considered by scholars and policymakers. Yet, although these market reforms are driving the massive restructuring of work in hospitals and other health care organizations, comparatively little attention has been paid to the impact these changes have on health care employees and the environment in which they work. This article reports the results of an exploratory study examining the relationship between health care market reforms, nurses' perceptions of the climate for patient care in hospital settings, and nurses' interest in union representation. A model is proposed to help explain nurses' support for union representation in the presence of market-based reforms.

Health Care Reform↗
PubMedDate not supplied

The effects of consecutive day propofol anesthesia on feline red blood cells.

This study investigated the potential for multiple exposures of propofol to induce oxidative injury, in the form of Heinz body production, to feline red blood cells. Anesthesia was induced in six healthy cats with propofol (6 mg/kg, intravenous [IV]) and maintained for 30 minutes with a propofol infusion (0.20 to 0.30 mg/kg/min, IV). The initial protocol was designed for each cat to receive 10 consecutive days of propofol anesthesia. All cats spontaneously breathed room air. Heart rate, respiratory rate, and indirect blood pressure were measured and recorded before and during anesthesia. Time to complete recovery after each infusion was measured and recorded. Heinz body analysis was performed before and after each day of propofol anesthesia. Based on predetermined criteria for discontinuing daily infusions, the mean number of consecutive days of propofol anesthesia was six and propofol administration did not continue beyond 7 days in any cat. Heart rate, respiratory rate, and indirect blood pressure did not change significantly during propofol anesthesia compared with awake values. Following the third consecutive day of propofol anesthesia, there was a significant increase from baseline in the mean percentage of Heinz bodies. Hemolysis was not detected in any cat. Recovery time significantly increased after the second consecutive day of propofol anesthesia compared with the first day. Five of six cats developed generalized malaise, anorexia, and diarrhea on day 5, 6, or 7, and two cats developed facial edema.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Intravenous↗