Effect of gastric operations on glucose homeostasis.
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Biomedical subjects
Publications and source records attributed to H Moses.
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The feasibility of using lithium-7-fluoride thermoluminescent dosimeters under field conditions for natural radiation at levels of 5 milliroentgens is demonstrated. Radiation dosages in tree trunks increased threefold from winter to spring and summer. This increase is attributed to the gamma radiation field resulting from relatively high levels of potassium-40 and other radionuclides present in the foliage and branches during the growing season.
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Spinal subdural hematoma, though rare, is an established complication of lumbar puncture. A young man with persistent back and neck pain after a traumatic lumbar puncture for the diagnosis of lymphocytic meningitis is presented. A diagnosis of spinal subdural hematoma at T2 to T8 levels without significant spinal cord compression was confirmed by magnetic resonance imaging. Symptoms resolved after one month of analgesics and muscle relaxants.
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Managed care creates several dilemmas for the physician executive. Effective management is hindered by lack of analytical tools that stem from current limitations in outcomes research and treatment protocols, altered financial incentives that are controversial and that seem at odds with traditional incentives, and values that create conflict between the needs and expectations of individual patients and populations or groups under managed care. The executive must manage a process that resolves apparent conflict in an explicit ethical framework that acknowledges the limitations of data, with full awareness of the potential conflict between financial incentives and clinical judgement.