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Biomedical subjects

J B Reuler

Publications and source records attributed to J B Reuler.

At least 37 records · Page 2Linked to original sources
PubMed1985

Psychosocial events and subsequent illness--a review.

The public readily accepts the relationship between psychosocial events and illness and acknowledges that stress is important in the acquisition of disease. However, scientific documentation of these relationships has not been convincing and many clinicians remain skeptical. In this review we survey selected studies from socioepidemiologic, psychologic and physiologic research, chosen for their methodologic rigor, that help clarify the relationship between psychosocial events and illness. We conclude (1) though difficult to prove, available data support a positive relationship between psychosocial events and illness, and (2) psychologic well-being is important for good physical health.

Disease↗
PubMed1985

The swollen leg.

Explore the source record for details and available documents.

Diagnosis, Differential↗
PubMed1984

Herpes zoster: epidemiology, clinical features, and management.

Herpes zoster is a commonly encountered infectious disease primarily affecting the elderly and immunosuppressed. The natural history and complications of the disease and the principles of management are often not appreciated by clinicians in a variety of disciplines who may see the patient during the acute phase. Recent literature has furthered our understanding of the virology of herpes zoster and the roles of corticosteroid and antiviral therapy. We review the clinical features, diagnostic principles, and management controversies of herpes zoster.

Acyclovir↗
PubMed1984

Pressure sores.

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Aged↗
PubMed1983

Phenazopyridine-induced hemolytic anemia.

An elderly man was seen with hemolytic anemia due to the urinary tract analgesic, phenazopyridine hydrochloride. The mechanisms underlying this toxic reaction are presented. Cautious use of this drug in elderly patients and in those with renal insufficiency is emphasized.

Aged↗
PubMed1983

Management of suspected temporal arteritis. A decision analysis.

Management strategies for suspected temporal arteritis range from bilateral temporal artery biopsy to empiric corticosteroid therapy. A decision analysis of the clinical situation was constructed, and a sensitivity analysis for varying prevalences of temporal arteritis was used to calculate costs for different management strategies. Conclusions suggested by the analysis include the following: (1) due to the high cost of blindness, suspicion of disease must be low (less than 1.4%) not to biopsy; (2) at high suspicion of disease (greater than 30%), empiric steroids are the cheapest management; (3) when diagnostic procedures are indicated, bilateral biopsy is the cheapest initial diagnostic procedure; and (4) if unilateral biopsy is negative, a second biopsy is always cost effective.

Biopsy↗
PubMed1982

Cost analysis of a needle stick protocol.

A protocol for prophylaxis against hepatitis B in an employee health program was analyzed for cost-effectiveness. Over a three-year period, 302 needle-stick incidents involving 282 employees and 234 patients were reported. No new HBsAg-positive patients or employees were identified, and 6% of employees were found to be anti-HBs positive. Given the low prevalence rate of hepatitis B infection in our population, cost analysis supported curtailment of serologic screening for routine needle-stick exposures.

Accidents, Occupational↗
PubMed1981

The pressure sore: pathophysiology and principles of management.

The pressure sore is a common clinical problem, although its pathophysiology and management are poorly appreciated by many physicians. The impact of these lesions in terms of patient morbidity and rehabilitation, and health care expenditures is great. Shearing forces, friction and moisture, as well as pressure, contribute to the development of these sores. This paper reviews the clinical settings, causative factors, complications, and principles of prevention and management of the pressure sore. Early surgical consultation is important, because of the deceptive nature and multiple sequelae of these wounds.

Amputation, Surgical↗
PubMed1980

Cerebral venous sinus thrombosis due to indwelling transvenous pacemaker catheter.

Venous thrombosis from transvenous cardiac pacemakers may result in thromboembolism and cerebral venous sinus thrombosis. Although uncommon, both are potentially fatal complications. The latter is not well appreciated. The patient described illustrates this entity and the spectrum of venous thrombosis as a complication of intravascular foreign bodies is discussed.

Humans↗
PubMed1980

The chronic pain syndrome: misconceptions and management.

The management of chronic pain is a universal and vexing problem for physicians. Literature indicates that health care providers have a poor understanding of basic concepts relating to pain, which leads to frustration for the physician and inadequate relief for the patient. This paper addresses misconceptions about organic versus functional pain, discusses placebos and administration of narcotic analgesics, and outlines therapeutic alternatives. Emphasis is on distinguishing chronic pain of benign origin from that secondary to malignancy as an individual treatment plan is formulated.

Acupuncture Therapy↗