Should coronary arteries with less than fifty percent stenosis be bypassed?
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Biomedical subjects
Publications and source records attributed to J R Kramer.
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This paper presents a small group design, part of a two-year training program in family therapy, using video playback to enhance self-awareness. Congruence among multiple channels of communication enhances therapist effectiveness; the visual mode has unique advantages in identifying incongruence. Details of the design are described, emphasizing the staging of gradually increased risks from general exercises to more specifically personal foci. The concurrent building of an atmosphere of safety is essential for risk-taking.
In an exclusive interview, Jeannette R. Kramer, a specialist in the provision of long-term care, discusses the concept of the therapeutic community that she and her husband have instituted in the skilled nursing care facility that they own and operate. By providing an environment in which patients, their families, and the staff can communicate easily, the nursing facility can pinpoint problems and solve them early.
Routine coronary angiography to determine the prevalence of severe coronary artery disease (CAD) has been recommended to all patients under consideration for elective peripheral vascular reconstruction at the Cleveland (Ohio) Clinic since April 1978. Those found to have severe, correctable CAD have been advised to undergo myocardial revascularization prior to performance of elective peripheral vascular operations. Forty-one of the 68 patients with abdominal aortic aneurysms (AAA) and 26 of the 71 patients with aortoiliac occlusive arterial disease (AI) had clinical evidence of CAD; coronary angiography demonstrated severe, correctable CAD in 23 patients with AAA and in 14 patients with AI. Twenty-seven patients with AAA and 45 patients with AI had no clinical evidence of CAD; severe, correctable CAD was found in six patients with AAA and in six patients with AI. Ninety-six patients, including 26 who had staged cardiac procedures performed, have had elective aortic reconstruction, with one operative death.
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