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Biomedical subjects

G D Taylor

Publications and source records attributed to G D Taylor.

At least 37 records · Page 2Linked to original sources

Intravenous vancomycin usage in a tertiary care hospital.

Intravenous vancomycin usage at our institution was examined by a five-month retrospective chart review. Cardiovascular surgery, neurosurgery, and intensive care units accounted for the most use. Sixty courses in 48 patients were reviewed; 42 percent was considered inappropriate, which extrapolated to an annual drug acquisition cost of $51,338. Inappropriate use was categorized as mainly due to documented infection with a beta-lactam sensitive organism in a patient with no history of an allergy (40 percent of inappropriate use) and excessive duration of empiric therapy (28 percent of inappropriate use). Concurrent monitoring by pharmacy staff was felt to be the approach most likely to be effective in modifying this problem.

Alberta↗

Rhinofacial zygomycosis caused by Conidiobolus coronatus: a case report including in vitro sensitivity to antimycotic agents.

A case of zygomycosis caused by Conidiobolus coronatus, occurring in a 31-year-old priest from the Ivory Coast, is reported. Lesions eventually resolved after 2 1/2 years, during which the patient was variously treated with intravenous amphotericin B and miconazole as well as surgical resection. It is difficult to be certain which, if any, of these treatments contributed to resolution of lesions. A report of in vitro sensitivity data to a variety of antifungal agents is included.

Adult↗

Traumatic transection of the pancreas: a report of four cases.

Four patients with transection of the pancreas by blunt trauma are reported. All were treated by distal pancreatectomy and splenectomy. The three patients who survived were free from exocrine or endocrine deficiency at the time of discharge from hospital. One patient, whose transection was missed at the initial laparotomy, was operated upon later when in renal failure, and died from sepsis. Distal pancreatectomy with splenectomy seems the appropriate because other operations have high complication rates, and extirpation of the distal pancreas is not debilitating.

Adult↗

The bifid uvula.

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Adolescent↗