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Biomedical subjects

D L Smith

Publications and source records attributed to D L Smith.

At least 415 records · Page 23Linked to original sources
PubMed1981

Comparative costs of diagnosis and treatment in acute pharyngitis.

Throat cultures from 86 consecutive patients with a clinical diagnosis of pharyngitis yielded 23 (27%) that were positive for beta-hemolytic streptococci. The cost of using oral antibiotics and of obtaining and processing throat cultures was determined. Using these data the following two theoretic strategies were cost accounted: Strategy A: Empiric Treatment. Obtain no cultures but treat all patients with oral antibiotics for ten days. Total cost = the cost of antibiotics for 86 patients. Strategy B? Selective Treatment. Obtain throat cultures on all patients. Treat patients have cultures positive for beta-hemolytic streptococci with a ten-day course of oral antibiotics. Costs were similar for the two strategies. Culture costs are itemized, and methods for cost reduction are suggested. This study presents economic justification for selective treatment as the appropriate approach in the majority of cases of acute pharyngitis of undetermined cause.

Acute Disease↗
PubMed1981

Decision story strategy: a practical approach for teaching decision making.

Teachers are usually very enthusiastic in their evaluations of decision stories. Decision Story Strategies offer a change of pace, promote student involvement and stimulate creative thinking, problem solving and everpresent creative teaching-learning opportunities. The real-life problems presented within the structure of a decision story provide meaningful learning opportunities for students. Students begin to think in a broader perspective when considering other points of view and information sources. The Decision Story Strategy used with the Decision-Making Model provides a powerful tool for health educators to develop skills for making and evaluating decisions in an interesting and meaningful context. It may not be a panacea for all health educators, but is an effective strategy for the teacher concerned with developing independent decision makers. Most importantly, students are provided opportunities to solve their present problems as well as develop decision-making skills for the future.

Adolescent↗
PubMed1981

The triage of stroke rehabilitation.

In this paper we describe the use of triage to select patients for a trial in which a comparison was made of the effectiveness of a stroke unit and medical units in the rehabilitation of acute stroke. Completing the triage for hospital admission of stroke enabled an estimate to be made of the size of a stroke unit per unit of population.

Acute Disease↗
PubMed1980

Determination of sulfur dioxide by adsorption on a solid sorbent followed by ion chromatography analysis.

A method for sampling and analysis of atmospheres for sulfur dioxide is presented. This method is based on adsorption of sulfur dioxide on an impregnated charcoal sorbent followed by desorption and analysis by ion chromatography. The precision and recovery of the sampling and analytical method were determined at 2, 1, 0.5 and 0.1 times the present OSHA standard of 5 ppm.

Adsorption↗
PubMed1980

Cytotoxicity of oxymetholone to endothelial cells in vitro.

Morphologic and chromium release studies demonstrated degeneration in monolayer cultures of endothelial cells exposed to the anabolic steroidal hormone oxymetholone. The concentrations approximated those occurring transiently in the hepatic sinusoidal blood after oral administration of the drug during treatment for aplastic anemia. It is suggested that damage to sinusoidal endothelium, with impairment of its ability to maintain sinusoidal collagenous reticulin, is a mechanism by which oxymetholone can cause peliosis hepatis in these patients.

Cells, Cultured↗
PubMed1980

HLA-B27 typing.

Explore the source record for details and available documents.

HLA Antigens↗
PubMed1979

Fusarium oxysporum endophthalmitis.

A 27-year-old man sustained a thorn injury to his left eye and a culture-proven Fusarium oxysporum endophthalmitis developed. This was successfully treated with a vitrectomy, intravitreal and intravenous amphotericin B, and oral flucytosine. The patient maintains 20/20 vision at this time in his left eye. We recommend combined therapy for this filamentous fungal infection.

Adult↗