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Biomedical subjects

J Burns

Publications and source records attributed to J Burns.

At least 199 records · Page 11Linked to original sources

Lymphocele in a cat.

A 21-month-old spayed domestic shorthair cat was examined to determine the cause of a chronic fluctuant swelling involving the left hind limb. A lymphocele was tentatively diagnosed on the basis of results of blood tests, radiography, and cytologic examination. Lymphangiography revealed the lymphocele and 2 tortuous collateral lymphatic channels. The lymphocele and a mass of fatty tissue were excised and 3 aberrant lymphatic vessels were ligated. Histologic examination did not reveal evidence of neoplasia. The cyst wall was composed of a layer of collagen and fibroblasts. The mass was an inflammatory nodule incorporating a lymphatic vessel. The authors believe this cat had an acquired lymphocele. The exact cause of lymphoceles is uncertain, but acquired lymphoceles have been reported secondary to tissue trauma or surgery in human beings. Treatment has included aspiration, tube drainage, open drainage and second-intention healing, surgical excision, ligation of lymphatic vessels, and chemical sclerosis of the cyst.

Animals↗

Preparing for what's ahead.

With healthcare reform on the horizon, healthcare companies and providers are positioning themselves for a new environment in which cost-effective medical treatment is the Holy Grail. Not only will providers be required to measure the efficiency of their treatments, but all parties in the medical-care delivery system will need to share financial risk. In the following pages Modern Healthcare staff members look at how specific industry segments are preparing to face the changes expected during the rest of the 1990s. Industry experts also express their views.

Ambulatory Care↗

Pediatric critical care.

The search for more effective therapies and techniques directed toward shock and resuscitation continues to be the subject of extensive research in the critical care literature. One area of intense focus is the hypothesis that nonsurvivors with poor oxygen delivery can be converted to survivors if their oxygen delivery variables are maximized. Based on recent controlled clinical trials, this remains controversial. In addition, the notion of monoclonal antibody as the magic bullet for endotoxin-induced septic shock is undergoing reexamination. New techniques to supplement basic cardiopulmonary resuscitation continue to be evaluated, but so far survival outcomes are not significantly different from the standard technique introduced over 30 years ago. Finally, debate continues on the efficacy of ribavirin in the treatment of otherwise well infants mechanically ventilated for respiratory syncytial virus infection.

Child↗