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Biomedical subjects

J P Santoro

Publications and source records attributed to J P Santoro.

At least 19 recordsLinked to original sources

Follow-up of discrepancies in X-ray and electrocardiogram interpretations, and positive laboratory results.

This article describes the 1-year follow-up program implemented at Baystate Medical Center Emergency Department during 1999. Our previous system used staff who worked clinically, which led to prolonged delays in follow-up. Before initiating the program, 57% [95% confidence interval (CI): 55-59%] of all follow-up cases were done within 3 days. After program implementation, 69% (95% CI: 67-72%) of all follow-up cases were completed in the same time frame. We reduced our "delayed" follow-up cases from 20% (95% CI: 18-22%) to 4% (95% CI: 3-5%) of all cases. Critical to the new system is the assignment of nurse-physician pairing to do follow-up when they are not doing direct patient care.

Continuity of Patient Care↗

The tendo Achillis as it relates to rearfoot position. A new classification for evaluation of calcaneal stance position.

In summary, it has been demonstrated by the statistical analysis of 48 subjects (96 feet) that as the foot moves from the neutral to the resting calcaneal stance position, the tendo Achillis alignment is displaced lateral to the center of gravity. Class I heels demonstrated a direct correlation with tendo Achillis deviation suggesting that their subtalar joint motion is in the transverse plane. Class II and III heels did not directly correlate with Achilles deviation, suggesting probable frontal plane variability. Class IV heels showed no correlation with rearfoot pathology and are considered to be a consequence of distal or proximal pronatory forces. We advocate the recognition of the Achilles tendon as it interacts with transverse and frontal plane subtalar joint motion and believe that it deserves ample attention when evaluating the patient biomechanically as well as surgically.

Achilles Tendon↗

Peroneal tendon balance procedure.

The authors introduce the peroneal tendon balance procedure and discuss normal and hypermobile function of the first ray. The procedure is based on the theory that the peroneus longus tendon is a primary retrograde stabilizer of the proximal portion of the first ray. The theory emphasizes that abnormal pronation results in a positional weakness of the peroneus longus tendon, which induces first ray hypermobility. This surgical procedure involves an anastomosis of the peroneus longus to the peroneus brevis tendon. It is designed to increase the force of the peroneus longus tendon in order to reduce first ray hypermobility.

Humans↗

The murder-suicide. A study of the postagressional suicide.

The authors studied a series of 18 cases of homicide followed by suicide or attempted suicide by the aggressor, analyzing: 1) the frequency of such acts; 2) the age and sex of the aggressors; 3) the means or arms used for the murder and suicide; 4) the period of time between the two events; and 5) the motives for the homicides and the relationship between the victims and their aggressors.

Adult↗

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Dental Cavity Preparation↗