Use of a Wilson Convex Frame in removing "irretrievable" epidural catheters.
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Biomedical subjects
Publications and source records attributed to D J Greenberg.
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Three days after initiation of migraine headache therapy with ergotamine tartrate and propranolol, severe acute arterial insufficiency of the lower extremities developed in a 48-year-old woman who had been in general good health. Angiography revealed hypoplastic aortoiliac arteries, with tubular narrowing of the leg arteries. Lower extremity blood pressures rapidly returned to normal with a single intraarterial injection of 25 mg of tolazoline. Cases of peripheral ischemia due to either ergotamine or propranolol have been reported. Combined use of these two drugs may enhance the risk of acute arterial compromise.
Of an estimated 17632 participants of the 1979 Peachtree Road Race, a 10-km race held at 0800 on 4 July in Atlanta, Georgia, 29 had severe heat injury (collapse with altered mental status and rectal temperature of 39.7 degrees C or greater); all 29 recovered promptly. The temperature was 24.0 degrees C; the relative humidity, 83%; and the wet bulb-globe index, 23.0 degrees C. Compared with unaffected participants matched by age, sex, and predicted finishing time, case-runners were taller, had slower best recent 1.6-km and 10-km times, had run less in June, were more likely to achieve 89% of estimated maximum aerobic capacity during the race, less often splashed with water, were more likely to have underestimated their predicted finishing times based on their best recent 10-km times, and were more likely to live in Georgia. Height, sprinkler use, and underestimating predicted finishing times were each significant in the presence of the others. These observations suggest that participants of similar races, particularly those taller than 179.2 cm, should splash with water at least twice and base their predicted finishing times on their best recent 10-km times; adherence to these recommendations by runners at risk should reduce their severe heat injury risk at least 8.1 times.
Between June 18 and July 9, 1979, Legionnaires' disease (LD) developed in 13 persons who had visited a hotel complex in Wisconsin. All had visited the part of the hotel that contains the restaurants and meeting rooms (building A). Legionnaires' disease occurred in 1% who had been exclusively in the meeting rooms and in 0.1% who had eaten only at the hotel restaurants. Furthermore, 1.5% exposed to meeting room 1 and none of those exposed only to the other meeting rooms had LD. Legionella pneumophila was isolated from water in the cooling tower on top of building A. Located within 5 m downwind of the cooling-tower exhaust, a chimney with an open damper allowed cooling-tower exhaust (as demonstrated by air tracer studies) to enter meeting room 1 via the fireplace. Although cases did not occur after the cooling-tower water was treated by continuous hyperchlorination and the chimney was sealed, a seven-day lag occurred between treatment and elimination of the organism from the tower water.
To examine the effects of the number of stimuli presented when the visual-preference technique is used to measure attention in infancy, 2- and 4-month-old infants were randomly assigned to 1 of 3 experimental conditions. In the first condition, infants were shown 3 different checkerboards using the single-stimulus visual-preference methodology; in the second condition, 4 checkerboards; and in the third condition, 5 checkerboards. Infants in both the 3- and 4-pattern conditions were able to order the patterns as predicted by scaling theory. However, there was a significant decrease in the number of infants in the 5-pattern condition who could do so. The results are discussed in terms of both their methodological and theoretical implications.
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To investigate the contrary position of perceptual incongruity and social interaction theories regarding birth order and reactions to novel persons within the first year of life, novel persons were presented to 96 first and later borns 8 and 12 months of age. Because firstborns, exposed to more positive social interaction within the family within the first year of life, were more positive towards strangers than were the later borns, the authors concluded that by the end of the first year of life the nature of the infant's social interaction within the family, rather than the number of perceptual encounters, is the major determinant of infants' reaction to novel persons in their enviornment.
To examine the relationship between visual attention in infancy and the stimulus variables of contour and numerosity, 2- and 4-month-old infants were placed in 3 experimental conditions. In the first condition, the patterns shown to the infants varied in amount of contour but had an equal number of elements; in the second, they varied in numerosity but had an equal amount of contour; and in the third, the patterns varied in both numerosity and contour. The results showed that contour and numerosity acting in tandem are responsible for the age-complexity shift observed in previous investigations of infant attention.
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