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Biomedical subjects

D R Ginn

Publications and source records attributed to D R Ginn.

9 recordsLinked to original sources
PubMed1998

The northeast Tennessee Spirituality and End of Life Issues Survey.

We developed the northeast Tennessee Spirituality and End of Life Issues Survey and randomly distributed it to 1,000 patients in our internal medicine practice. We received 568 surveys at least partially completed. Most of the participants demonstrated a spiritual interest and at least half believed it appropriate for their physician to share their diagnosis and prognosis with their spiritual leader. Only 0.9% of patients thought it was necessary for their physician to know about their spiritual heritage in order to serve their needs better. Less than 30% of respondents had a living will or durable power of attorney for health care. A large majority of patients did not want CPR (67.8%) or i.v. fluids (69%) or mechanical ventilation (74.5%) if their physician determined they were at the end of their life. This was true whether or not they could identify a house of worship or a spiritual leader. Less than one-third of patients who did not want terminal CPR or mechanical ventilation had a living will or durable power of attorney for health care.

Adult↗
PubMed1995

P-pulmonale.

Explore the source record for details and available documents.

Atrial Function, Left↗
PubMed1991

Guillain-Barré syndrome. An uncommon but severe illness.

It is important for primary care physicians to be familiar with Guillain-Barré syndrome, a relatively rare disorder that may occur after another illness or after stress such as surgery. Although most patients recover fully, respiratory failure and cardiovascular failure are possible complications. Rapid diagnosis and referral to specialists experienced in plasmapheresis therapy can significantly benefit patients.

Diagnosis, Differential↗
PubMed1990

Respiratory infections in ambulatory adults. Choosing the best treatment.

The diagnosis and treatment of respiratory tract infections in ambulatory adults is challenging. The prevalence of these conditions outstrips the medical profession's efficiency and effectiveness in dealing with them. However, selecting diagnostic techniques that identify causative organisms and therapeutic agents targeted to those organisms should lead to a reduction in the morbidity and mortality associated with these illnesses.

Adult↗
PubMed1986

Outpatient conversion of treatment to potassium-sparing diuretics.

Thiazide diuretics frequently cause a decrease in serum potassium levels. In this study, 34 percent of patients taking hydrochlorothiazide had serum potassium levels below 3.5 meq/liter. The response of the serum potassium level was studied after treatment in 56 patients was switched from 50 mg of hydrochlorothiazide daily to either two capsules of hydrochlorothiazide/triampterene (Dyazide), or one tablet of hydrochlorothiazide/amiloride (Moduretic) daily, over nine to 15 months. The 24 patients whose treatment was changed to Dyazide had a rise in serum potassium levels from a mean of 3.56 meq/liter to 4.17 meq/liter in two to three weeks. The 32 patients whose treatment was changed to Moduretic had a rise in serum potassium levels from a mean of 3.76 meq/liter to 4.14 meq/liter in two to three weeks. The resultant rise in potassium levels was stable throughout the follow-up period in both groups. Patient acceptance of this change was excellent.

Adult↗