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Biomedical subjects

J R Pierce

Publications and source records attributed to J R Pierce.

52 records · Page 3Linked to original sources
PubMed1978

Effectiveness of optometric vision therapy.

One hundred consecutive optometric vision therapy patients' records were evaluated to determine what changes occurred in the visual processing system. An ordinal visual performance scale was utilized to rate visual functioning on a one hundred point scale. The scale divides the visual processing system into 10 functions of 10 points each. Each of the 10 functions improved at the .001 level of significance as a consequence of the binocular vision therapy treatment program.

Accommodation, Ocular↗
PubMed1972

Communication.

Explore the source record for details and available documents.

Auditory Perception↗
PubMed1967

The future of scientific journals. A computer-based system will enable a subscriber to receive a personalized stream of papers.

Since many of the problems that beset readers, authors, and publishers of scientific journals are caused by the growth of science or by the frailties of human nature, we cannot hope for complete solutions. In an effort to make progress, within the framework of the possible, we propose that journals stop binding papers into issues and, instead, distribute to each subscriber a personalized stream of papers, abstracts, and titles. This type of distribution, which has been made possible by the advent of high-speed computers, would not affect the traditional roles of editors, referees, and libraries. We also propose that journals recognize the need for very rapid communication in certain fields, and meet the threat of public preprint-exchange systems in these fields by themselves publishing preprints in an appropriately limited manner.

Computers↗
PubMedDate not supplied

Cimetidine-associated depression and loss of libido in a woman.

A healthy young woman developed marked depression and loss of libido while taking cimetidine. Her symptoms promptly resolved after discontinuation of cimetidine suggesting that her symptoms represent an adverse drug reaction. Mental confusion and other neurologic symptoms have been attributed to cimetidine administration, but depression has not been previously reported. This case can not be explained by the presently accepted theory regarding the pathogenesis of cimetidine-associated central nervous system abnormalities.

Adult↗
PubMedDate not supplied

Immediate postmortem cultures in an intensive care nursery.

The results of several published studies suggest that bacterial infection plays an important role in the mortality of Neonatal Intensive Care Unit (NICU) patients. To evaluate more thoroughly this role we have routinely performed postmortem cultures of blood and cerebrospinal fluid on all infants who die in our NICU. During a 5-year review period 25.9% of infants who died had one or both cultures positive for an organism considered to be pathogenic in the neonate. The organisms most commonly cultured were Klebsiella pneumoniae, Escherichia coli and Group B Streptococcus. Of those infants who had positive postmortem cultures and who had an autopsy, 95% had histologic evidence of infection. Forty-three percent of our infants with positive postmortem cultures were not suspected of having a serious infection and had not received antibiotics before death. Postmortem cultures appeared to be helpful in identifying NICU patients in whom serious infection may have played a role in mortality. Unsuspected serious infection is a common finding in infants who die in a neonatal intensive care setting.

Bacterial Infections↗
PubMedDate not supplied

Enrollment in English-as-a-second-language class as a predictor of tuberculosis infection in schoolchildren.

OBJECTIVE: To assess the rate of tuberculosis infection among Hispanic students enrolled in English-as-a-Second-Language classes compared with Hispanic and non-Hispanic students not enrolled in such classes. METHODS: Using Mantoux tuberculin skin tests, the authors screened 720 students--out of 844 eligible--in two schools with predominantly Hispanic populations. Ethnicity and enrollment in the English-as-a-Second Language classes were recorded for each student. The rate of skin test positivity was compared for students enrolled and not enrolled in these classes. RESULTS: The incidence of positive tests among Hispanic students enrolled in an English-as-a-Second-Language class was 10.6%, compared with 1.3% for Hispanic students not enrolled (relative risk 8.3, 95% confidence interval 2.92, 23.8). There was no statistically significant difference in incidence rates for non-Hispanic students (0.5%) and Hispanic students (1.3%) who were not enrolled in English-as-a-Second-Language class (relative risk 2.4, 95% confidence interval 0.27, 20.9). CONCLUSION: School-based tuberculin screening programs targeted at students enrolled in English-as-a-Second-Language classes can be effective and are not racially discriminatory.

Adolescent↗
PubMedDate not supplied

The transformation of a local health department.

In 1993, the health department serving the city of Amarillo, Texas, and surrounding communities was merged with the city's tax-supported Hospital District, which operated a public hospital and clinics providing medical care to poor people. Three years later, the public hospital and clinics were sold to a for-profit corporation, privatizing most medical services for the poor. The proceeds from this sale created a community trust fund for the provision of indigent care and eliminated Hospital District taxes. The city government reassumed operation of the Health Department, which redefined itself primarily in terms of public health functions not involving the provision of personal health services. These functions included communicable disease control, monitoring the health status of the community, identification of public health problems, and health promotion. The new Health Department, with a smaller budget and fewer staff members, is now funded by the for-profit corporation that purchased the public hospital, the community trust fund, and grants from the state health department.

Budgets↗