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Biomedical subjects

H M Goldberg

Publications and source records attributed to H M Goldberg.

At least 19 recordsLinked to original sources

Tattoo allergy.

Explore the source record for details and available documents.

Adult↗

Preoperative and postoperative audiologic measurements in patients undergoing arthroscopy of the TMJ.

This article examines the hearing patterns of patients who have undergone arthroscopic surgery using pre- and post-operative pure tone audiometry. Of 29 patients (44 operated joints), one side of one patient showed a decrease of 15 dB immediately postoperatively. On examination there was no apparent anatomic disturbance of the middle or inner ear. The patient regained normal levels of hearing within 2 months. It is concluded that arthroscopic surgery of the TMJ is safe with respect to the middle and inner ear and that it does not affect hearing levels.

Arthroscopy↗

Trends in isodynamic and isometric trunk testing on the Isostation B200.

A total of 200 men and 100 women with no prior history of low back pain were evaluated by a series of 6 different tests on the Isostation B200 (Isotechnologies, Hillsborough, NC, U.S.A.) to obtain normative data on the functional performance of the low back. The data collected in this descriptive study were analyzed for significant patterns and differences between an asymptomatic male and female population. In the range of motion test, male subjects demonstrated greater range of motion in all planes; however, values for women showed greater standard deviations. In the maximum isometric test, male torque values exceeded female values, but male values showed greater standard deviations. A rank order of parameter values was made from values recorded during repetitive tests for both men and women. Coupling patterns observed during single-plane repetitive tests allowed secondary and tertiary axes to be identified. Torque values generated over the set resistance were calculated for the repetitive tests conducted in three different planes. A positive curvilinear, concave downward relationship was observed when these values were plotted against the predetermined resistance settings. Future research will study the effect resistance settings on maximum torque output and the role of velocity as a key discriminator between normal and abnormal populations.

Back↗

Psychological considerations in breast reconstruction.

A study of the psychological aspects of mastectomy and reconstruction was carried out. A review of the literature revealed varied emotional responses to the mastectomy experience. An initial, limited study was designed to investigate the attitudes of two groups of women, one that chose reconstruction after mastectomy and another that did not. In general, the women who had reconstruction experienced the mastectomy as a more serious blow to their self-esteem than the women who chose not to be reconstructed. The reaction a woman has to mastectomy seems to be more dependent on her self-image before the crisis. Breast reconstruction offers a chance to restore a near normal physical appearance, but is usually successful in restoring a woman's self-image as well. The authors favor the provision of supportive services for mastectomy and breast reconstruction patients. To save a woman's life by surgery and then not provide her with the emotional support needed to accept an altered body seems to be contradictory. A true healer heals not only the body, but the mind and spirit as well.

Attitude↗

Effect of washing closed head and neck wounds on wound healing and infection.

A group of 100 patients were compared with 100 control patients. Both groups had either traumatic or surgically incised clean wounds of the head and neck. The groups were similar except that the 100 test patients were allowed to wash their head and neck wounds with soap and water within hours after the repair, while the control group kept their wounds dry until all of the sutures were removed. On the basis of this study, we believe that allowing patients to wash their wounds and bathe routinely as early as 8 hours after wound closure hs no effect on wound or infection. We believe that good technique during surgery for incision or laceration closure is much more important than any manipulation of the wound or of the general body systems.

Craniocerebral Trauma↗

Surveillance systems: what to include and why.

There is no question that exposure to specific substances is associated with an increased risk of developing specific neoplasms. Exposure to soot by chimney sweeps was found to be responsible for scrotal cancer by Sir Percival Pott over 200 years ago. More recently we have obtained evidence of the adverse effect of asbestos fibers, benzene, vinyl chloride, arsenicals, beryllium, and other substances that have been addressed frequently in recent literature. NIOSH publishes a handbook entitled "Pocket Guide to Chemical Hazards," which contains 450 chemicals with varying degrees of toxicity, and these represent but a small number of the substances we deal with daily. In this article, the symptoms of short-term overexposure are set forth. What is not presented here, or contained, to a very limited degree, is the risk of low-level exposure over a long period of time. The reason this kind of information is not presented is because we have limited information on this question. In most instances we just do not know what the risks are of long-term exposure or low-level exposure. But we should know this and, the fact is, we do know how to find out.

Data Collection↗