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Biomedical subjects

J Bass

Publications and source records attributed to J Bass.

At least 109 records · Page 6Linked to original sources
PubMed1985

Group support for the families of psychiatric patients.

The use of such a group model would seem to be useful for all families of psychiatric patients, and most particularly, for families experiencing an initial hospitalization episode. The benefit of mutual support, it is concluded, is a powerful and effective means of meeting the needs of families during the hospitalization phase of the patient's illness.

Adaptation, Psychological↗
PubMed1985

Preventing superficial phlebitis during infusion of crystalloid solutions in surgical patients.

Thirty patients who received routine intravenous therapy (3.3% dextrose and 0.3% normal saline at a rate of 100 mL/h) were randomized prospectively into two groups to receive an antiphlebitic mixture of heparin-hydrocortisone-sodium bicarbonate or placebo in a double-blinded fashion for 4 to 7 days. The code was then broken and the data were analysed using chi 2 analysis with respect to the clinical grade and incidence of phlebitis. Phlebitis developed in 2 of 14 study and 10 of 16 control patients. All study patients tolerated their intravenous lines longer and needed less restarting. The antiphlebitic mixture effectively prevented superficial infusion phlebitis in patients receiving dextrose-saline solutions.

Anticoagulants↗
PubMed1984

Complications of gastric partitioning for morbid obesity.

Death rates for the morbidly obese are at least 11 times higher than for the nonobese, although the most popular and frequently cited study involved men only. In addition to the risk of disease, morbidly obese patients are subject to social and economic discrimination. This severely impairs their ability to function in society. The benefits from weight loss include frequent amelioration of complications, such as hypertension, cardiorespiratory disease, diabetes, and so forth. But a reduction in the mortality with weight loss has not yet been demonstrated, and many obese patients are in apparent good health for years. Surgery seems to offer the only hope for these unfortunate patients, but it is important to avoid over enthusiastic approaches until long-term, prospective studies clearly establish efficacy and unsuspected complications. The literature suffers from short follow-up periods and lack of standardization of the operative procedure. Various methods of reporting results have made comparison and interpretation difficult.

Anesthesia↗
PubMed1984

Surgical management of persistent postoperative chylothorax in children.

Chylothorax occurring postoperatively in children is found most commonly after cardiovascular operations, but may occur after almost any thoracic procedure. Seven cases of postoperative chylothorax seen at the Children's Hospital of Eastern Ontario in Ottawa from 1976 to 1983 are reported. Two resolved with nonoperative management and five required surgical intervention. The authors discuss the clinical presentation, treatment and outcome. They describe a simple, safe and effective method of ligation of the thoracic duct just above the diaphragm.

Child↗
PubMed1984

Recurrent pericardial effusion: an unusual complication of epicardial pacemaker placement.

A pericardial effusion developed in a patient after placement of an epicardial pacemaker electrode. She was treated by a vigorous regimen combined with pericardiocentesis. The effusion reaccumulated relentlessly, ultimately requiring pericardiectomy for control. The finding of recalcitrant pericardial effusion complicating epicardial pacemaker placement merits consideration of early pericardiectomy.

Child↗
PubMed1984

Intralipid causing adult respiratory distress syndrome.

Adult respiratory distress syndrome developed in a patient after he was administered intralipid. Intralipid was implicated as the causal agent after careful assessment of the complete clinical picture. To the authors' knowledge this is the first documented case of intralipid-induced adult respiratory distress syndrome. Clinicians should be aware of the possibility of its occurrence.

Aged↗
PubMed1983

Hypoglycemia associated with pediatric surgical procedures.

Hypoglycemia, a plasma glucose level below 2.2 mmol/l, was noted perioperatively eight times in association with 61 operative procedures performed on 46 infants. It was most common in children with complications of neonatal necrotizing enterocolitis. It was related to grossly inadequate caloric intake perioperatively and was associated with increased mortality. Because the glucose requirement of the infant brain is high, cerebral damage must be seriously considered in infants with hypoglycemia postoperatively.

Blood Glucose↗
PubMed1981

Esophagoduodenostomy: a neglected reconstructive procedure after total gastrectomy.

Three types of esophago-enteric reconstruction are currently employed following total gastrectomy: end-to-end anastomosis, esophagus to duodenum; Roux-en-Y esophagojejunostomy; and interposition of jejunal or colonic segment between the esophagues and duodenum. For reasons not entirely clear, esophagoduodenostomy enjoys less popularity than the two alternative methods. A study of cases reviewed at the Jewish Hospital reveals equality of results in terms of mortality and morbidity. The procedure was found to have definite advantages over the others. Esophagoduodenostomy is recommended as the procedure of choice following total gastrectomy.

Aged↗
PubMed1980

Inhibition of human polymorphonuclear leukocyte chemotaxis by oxygenated sterol compounds.

When preincubated with certain oxygenated sterol compounds in lipoprotein-depleted serum [20% (vol/vol)], human polymorphonuclear leukocytes show inhibition of chemotaxis toward the synthetic dipeptide N-formylmethionylphenylalanine without alteration of random movement or loss of cell viability. These effects can occur at sterol concentrations as low as 6.25 microM and after as little as 5 min of preincubation, but they are increased at higher concentrations and longer preincubation times. The inhibition can be almost completely reversed by preincubation in lipoprotein-replete serum [human AB serum, 20% (vol/vol)] and may be partially corrected by addition of free cholesterol (0.125 mM) to the medium. These effects are unlikely to be due to inhibition of cellular sterol synthesis, competition for chemotaxin membrane binding sites, or deactivation of the leukocytes but they may be a consequence of insertion of the sterol molecule into the leukocyte plasma membranes.

Chemotaxis, Leukocyte↗
PubMed1980

Vascular injuries during lumbar laminectomy.

Vascular injury during lumbar laminectomy is an uncommon event. It is most often secondary to a biting instrument, such as a pituitary rongeur. Its diagnosis must be made rapidly in order to save the patient from exsanguination. This is well within the province of the general surgeon, who should be prepared to treat it at any time.

Adolescent↗
PubMed1980

Superior vena cava syndrome: report of a new operative technique.

A case of superior vena cava syndrome secondary to longstanding benign obstructing disease is presented. A new method of surgical technique is detailed. Clinical manifestations, etiology, anatomy, diagnosis, and treatment of superior vena cava syndrome are reviewed and principles of successful surgical treatment of the venous system are elucidated. The multiplicity of clinical and experimental techniques utilized in the past is succinctly tabulated.

Humans↗
PubMed1979

Slipping rib syndrome.

Three cases of slipping rib syndrome are presented. The pertinent anatomy of the costal margin and nerve supply are reviewed. The treatment of the disease is presented along with case histories. This entity is little known to the medical profession, although first described in 1919. Probably far more common than is realized, it should always be included in the differential diagnosis of thoracic and abdominal pain.

Adult↗
PubMed1978

Experience with intra-aortic balloon counterpulsation in a community hospital.

Intra-aortic balloon counterpulsation is well established as an adjunct in the treatment of refractory cardiac failure in university centers. We have analyzed the practicality of its use at a community hospital without cardiovascular resident coverage. Between 1971 and 1976, 27 patients were subjected to counterpulsation. The survival rate was 44%. This compares well with university centers where various reports listed survival rates between 14% and 50%. We believe that IABP is a valuable adjunct in the total care of cardiac patients and should be used in all community hospitals in which cardiac surgery is done.

Aged↗
PubMed1978

Gallbladder polyp mimicking an obstructive calculus.

The second documented case of obstructing polyp of the gallbladder-an extremely rare lesion-is presented. Symptoms were indistinguishable from those of acute obstructive cholecystitis. The mechanism of obstruction is hypothesized.

Adult↗