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Biomedical subjects

J T Metzger

Publications and source records attributed to J T Metzger.

5 recordsLinked to original sources

[Diagnosis and treatment of paroxysmal tachycardia].

The practising physician's knowledge of paroxysmal attacks of tachycardia is frequently disappointing. In this article a description is given of mechanisms and possible sites of origin of tachycardia. This is followed by a discussion on the typical history and the findings in these patients. Lastly, therapeutic guidelines are given. A discussion of the electrocardiographic features of the different types of paroxysmal tachycardias falls outside the scope of this article.

Electrocardiography

Cardiac transplantation: the changing faces of immunosuppression.

Many advances have been made in immunosuppressive therapy and other aspects of cardiac transplant management since the first cardiac transplantation was performed in the late 1960s. The cellular immune response and rejection process are better understood. This knowledge changed the way existing drugs were used to control rejection and led to the development of new drugs that could more effectively control the rejection process. Early drug protocols used combinations of azathioprine, antilymphocyte globulin, and steroids. Later protocols used combinations of cyclosporine, steroids, and antithymocyte globulin. After problems related to cyclosporine were identified, protocols came full circle. They now include drugs that were used in earlier protocols, as well as cyclosporine. The purpose of this article is to describe how protocols for immunosuppressive therapy have evolved based on our expanded knowledge of immunosuppression and methods of best using new and old drugs to achieve this goal.

Heart Transplantation

Immediate reconstruction of simple lacerations.

A subjective description of a technique of immediate reconstruction of cutaneous defects due to laceration is presented. Extension of the use and range of the Z-plasty is emphasized and its benefits and limitations are discussed. The reconstructive surgeon is challenged to consider wider and more frequent use of these methods.

Adult

The prevention of postanesthetic delirium.

We recommend the use of one dose of physostigmine salicylate, a few minutes before the termination of a general anesthetic, to prevent confusion, struggling, disorientation, or delirium during the recovery from anesthesia. We believe that it is well to prevent such behavior, particularly in patients who have just undergone reconstructive surgery where the unmanageable behavior could jeopardize surgical results. Our results indicate that such behavior is largely preventable.

Adult

Ferris Smith.

Important events and renowned persons are seen and remembered differently by those who live the happening or know the person. In As I Remember Ferris Smith, four of his trainees provide a kaleidoscopic view of the doyen.

History, 19th Century