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Biomedical subjects

E D Frank

Publications and source records attributed to E D Frank.

At least 37 records · Page 2Linked to original sources
PubMedDate not supplied

Percutaneous lumbar sympathetic plexus catheter placement for short- and long-term pain relief: CT technique and results.

PURPOSE: The purpose of this work was to evaluate the use of percutaneously placed lumbar sympathetic plexus catheter placement under CT guidance in patients with complex regional pain syndrome (CRPS) or nonspecified neuropathic pain (NP) of the lower extremity. METHOD: Sixteen lumbar sympathetic plexus catheter placements were performed in seven patients with CRPS and seven patients with NP. A 19 gauge epidural catheter was placed anterior to the psoas muscle at the L2-3 level. Twenty-five to 840 mg of bupivacaine hydrochloride per day was administered for a 1 to 8 day duration. RESULTS: In CRPS patients, there was complete short-term pain relief in one patient, considerable in four, mild in one, and none in one. There was total long-term pain relief in one patient and considerable long-term pain relief in three. In three patients, there was enduring pain relief at last follow-up. In NP patients, the procedure yielded considerable short-term pain relief in four, mild in two, and none in one. There was no enduring long-term in any of these patients. A retroperitoneal abscess developed in one patient and resolved on intravenous antibiotics without sequelae. CONCLUSION: Percutaneous lumbar sympathetic plexus catheter placement is easily performed, achieves short-term pain relief in the majority of patients, and may prove effective in long-term pain relief of CRPS patients.

Adolescent↗
PubMedDate not supplied

Absenteeism: causes and cures.

Absenteeism can be categorized as either uncontrollable or controllable. Uncontrollable absences include family illness, accidents, jury duty and unexpected emergencies. A typical controllable absence may be dissatisfaction with the job. No matter which type, absenteeism is disruptive to the organization, reduces the quality of patient care and raises operating costs. The Bureau of Labor Statistics has established a standard for comparing the rate of absenteesim with other departments or organizations. The rate is equal to the number of days absent times 100, divided by the number of days worked. Four percent or more is considered excessive. Absence policies are often not used for the purposes they were intended. Managers may want to take a critical look at their policies, rather than accept abuse as routine or over-hiring staff to make up for absent staff. If, in fact, it's time to change your policy, you'll want to run possible changes by a legal advisor. You may also want to take a look at your corporate culture. Is it encouraging absenteeism? One company that paid employees who didn't use their sick time had to eliminate this benefit for budgetary reason. Its average sick time then increased 60%. You may want to use your culture to spread corporate norms. Employees are expected to be at work: those who are there on the job are more likely to receive promotions, for example. Paid-leave banks have been introduced by many companies to allow broader time-off flexibility for employees. Such a bank includes holidays, sick and vacation time, grouped together for use by the employee. A final word: employees will rise or sink to the level of your expectations.

Absenteeism↗
PubMedDate not supplied

Radiography of the ankle mortise.

Radiographers often use methods to position the ankle that produce inaccurate images of the ankle mortise. This article describes a technique using a 15 degree to 20 degree internal-oblique position of the leg and foot to demonstrate the ankle mortise radiographically. A textbook protocol also is included.

Ankle Joint↗
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Interpleural bupivacaine for postoperative analgesia following cholecystectomy: a randomized prospective study.

The effect of interpleural analgesia on postoperative hospital course was analyzed ina prospective randomized study of patients undergoing cholecystectomy. Control patients were treated in the standard manner with systemic narcotics alone; catheter patients had an interpleural catheter placed at the end of surgery and, in addition, could receive systemic narcotics if necessary. The catheter group received interpleural 0.5% bupivacaine with epinephrine every six hours for a total of four injections. Thirteen patients were in each group. Pain score, pulmonary function and narcotic requirement were measured over the first postoperative day. Catheter patients had a lower average pain score (visual analog scale (VAS), 3.6 versus 5.2), decreased narcotic requirement in the recovery room and improved oxygen saturation (96% versus 93%). However, there was no statistical difference in amount of morphine (catheter, 25 +/- 14 mg; control, 31 +/- 15 mg), number of narcotic injections (catheter, 3.8 +/- 1.5; control, 3.5 +/- 1.5), forced vital capacity (catheter, 44% preoperative control, 41% preoperative), recovery room time (catheter, 129 +/- 54 minutes, control, 117 +/- 39 minutes) or total hospital stay (catheter, 4.1 +/- 0.9 days; control, 3.7 +/- 0.8 days). Analysis of hourly VAS scores following a bolus indicated that the analgesia disappeared within approximately four hours. The mean time to a request for narcotic following a bolus was 4.2 hours (excluding 17 of a potential total of 52 instances when narcotic was not requested at all). Therefore, the duration of pain relief for subcostal incisions using interpleural 0.5% bupivacaine is approximately four hours.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
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Scatter radiation.

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Absorption↗
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Publishing a manuscript: manuscript preparation guide for authors. Part II.

Part II presents a guide for manuscript preparation. The guide describes 11 steps necessary to complete a manuscript and is designed to serve several purposes: making the process of having a manuscript published easier for the author and less tedious for the Editorial Review Board; reducing the number of revisions and the revision time; and providing the author with a better chance of getting his or her material published.

Publishing↗
PubMedDate not supplied

Publishing a manuscript: analysis of reviewed manuscripts with discussion. Part I.

Fifty-one manuscripts that were submitted for publication to Radiologic Technology were analyzed. The acceptance, revision, and rejection rates of those manuscripts are discussed. The specific reasons for the rejection and for the major revisions needed for many of the manuscripts are emphasized. Manuscript preparation is also discussed.

Periodicals as Topic↗
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X-ray tube warm-ups.

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Technology, Radiologic↗
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Scatter error.

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Humans↗