Biomedical subjects
G F Moore
Publications and source records attributed to G F Moore.
Implants in nasal surgery.
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Otitis media in the cleft palate patient.
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Surgical management of clefts.
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Cocaine: current clinical use and potential abuse.
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Smokeless tobacco: questions of clinical significance.
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Dissociation between emotional and endocrine responses preceding an academic examination in male medical students.
A study was made in 2 consecutive years of the emotional states and morning and afternoon serum levels of prolactin, cortisol and testosterone of male medical students during a 4- to 5-week period preceding a major university examination. 'Distress', 'anxiety' and, to a lesser degree, 'depression' increased during the 2 weeks immediately preceding the examination and were positively correlated with personality anxiety or neuroticism traits. Group means for hormones showed no consistent change over the same period. Neither was there evidence for a correlation between endocrine and emotional changes within individual students during the pre-examination period. A restricted study showed that there were significant increments in cortisol in samples taken during the examination itself. Changes in emotional state before an examination occurred in the absence of equally dramatic changes in levels of the three hormones studied, though this relationship may have altered during the examination itself. This suggests that the factors controlling the two categories of response may relate differently, in some way, to the imminence of this stressful event.
Uvulopalatopharyngoplasty: a surgical procedure for obstructive sleep apnea and social snoring problems.
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Complications of mandibular fractures: a retrospective review of 100 fractures in 56 patients.
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Extended follow-up of total inferior turbinate resection for relief of chronic nasal obstruction.
Total inferior turbinectomy has been proposed as a treatment for chronic nasal airway obstruction refractory to other, more conservative, methods of treatment. Traditionally, it has been criticized because of its adverse effects on nasophysiology. In this study, patients who had previously undergone total inferior turbinectomy were evaluated with the use of an extensive questionnaire. It confirms that total inferior turbinectomy carries significant morbidity and should be condemned.
Voice restoration following total laryngectomy.
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The otolaryngic evaluation and management of the dizzy patient.
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Use of full thickness skin grafts in canalplasty.
Split thickness skin grafts have uniformly been used in the past as the tissue of choice to line the external auditory canal during canalplasty. The success rate of STSG has been reported to be approximately 95%. From our experience with institutionalized patients and their special problems, we have observed that STSG appears to have a greater degree of postoperative contracture, exposing epithelialized bone which has less resistance to trauma than the normal tissue of the EAC. With this in mind, a full thickness skin graft was utilized to line the EAC in conjunction with canalplasty. The use of FTSG in the institutionalized mentally retarded patient has shown no evidence of restenosis or recurrent infection, and we feel it is the treatment of choice in this type of patient and should be considered in the occasional patient who fails a split thickness skin graft canalplasty. Longer term follow-up is required to determine whether FTSG should supplant STSG as the tissue of choice in canalplasty.
Group practice accounting: up close and personal.
There is a distinct need today for timely, consistent, and accurate accounting methods for tracking the financial health of modern medical group practice. For all but the largest groups, the personal computer is the answer. Personal computers are powerful, dependable, and inexpensive, and for accounting, cost projection, inventory control, word processing, and data base analysis, they can outperform all the alternatives and pay for themselves in one year or less. Given the profusion of products on the market, however, it is essential that careful consideration be given to the areas of cost, time, software, hardware, and applications when making a personal computer purchase.
Potential complications of unrecognized cerebrospinal fluid leaks secondary to mastoid surgery.
Unrecognized cerebrospinal fluid (CSF) drainage from a dural tear created during mastoidectomy rarely occurs, but when it does the consequences may be catastrophic. The potential complications discussed in this article are CSF otorrhea, meningitis, pneumocephalus, and hydrocephalus. The pathophysiology and diagnosis of these complications are individually discussed. The medical management and surgical procedures required to treat such complications are reviewed using a case presentation as an illustration. In addition, a flow sheet detailing the interrelationship between these potential complications and their treatment is outlined.
Smokeless tobacco: a risk factor in oral cancer.
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Evaluation and management of head and neck masses.
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