A comparison of two computer programs for searching the medical literature.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to F A Simon.
Explore the source record for details and available documents.
Although the growth of uterine leiomyomas is influenced by estrogens, growth during pregnancy has been documented in only a small fraction of cases. Degeneration or torsion of a pedunculated leiomyoma can cause pain. The cesarean section rate is not increased. Pregnant patients with leiomyomas should be followed with serial ultrasound to document the location, size and growth of the tumors, as well as fetal growth. The majority of pregnancies in women with leiomyomas have good outcomes.
Explore the source record for details and available documents.
Hemophilus influenzae infections are increasing in frequency in the general population. As a result this organism must be considered an etiologic agent of disease in the neonate. Proper culture technics must be routinely employed to isolate this fastidious organism, and appropriate antimicrobial therapy must be instituted in infants suspected of having sepsis or meningitis. Three cases of H influenzae infection occurring in neonates are presented.
Three cases of acute phosphorus poisoning are reported. The source of this poison was a rodenticide, which may be in more common use presently because of the increasing resistance of rodents to warfarin derivatives. The safest method of managing poisoning from this highly toxic substance is prevention. Two of the patients had a history of previous medicine overdose.
A computer-assisted learning program for teaching clinical pathology to second year medical students has been developed and evaluated. These programs are designed to be used as supplements to formal lectures, laboratory exercises, and small group discussions. Students are given case histories and asked to select differential diagnoses, order and interpret laboratory and diagnostic tests, and make final diagnostic conclusions. In some cases, laboratory monitoring of treatment, e.g., drug therapy, is emphasized. The performance of the student is objectively evaluated during each stage. In addition, the amount spent for each workup is recorded with penalties given for excess or inappropriate test ordering. Separate evaluations are performed to assess the effectiveness of these programs as an alternative teaching format to (1) formal lectures and reading assignments, and (2) faculty-directed small group discussions. It is concluded that the computer-assisted learning method is equivalent to lectures and group discussions and is a format that is well accepted by students.