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Biomedical subjects

K Kay

Publications and source records attributed to K Kay.

At least 19 recordsLinked to original sources
PubMed2000

The great imitator: miliary peritoneal tuberculosis mimicking stage III ovarian carcinoma.

PURPOSE: To report a case of peritoneal tuberculosis initially mistaken at the time of surgery for metastatic ovarian carcinoma. CASE REPORT: A 31-year-old Filipino female was found to have increasing abdominal pain, ascites, early satiety, increasing abdominal girth and bilateral complex masses. Diagnostic laparoscopy revealed the presence of > 4 liters of ascites, a frozen pelvis secondary to what appeared to be bilateral ovarian carcinomas, along with miliary seeding of the entire anterior abdominal wall, omentum, small bowel and small bowel mesentery, right and left diaphragmatic surfaces, and hepatic surface. Frozen section, at the time of laparotomy, revealed necrotizing granulomas most consistent with disseminated tuberculosis that was confirmed at the time of final pathologic review and culture. CONCLUSION: Peritoneal tuberculosis can be mistaken for widely metastatic ovarian carcinoma at time of surgery.

Adult↗
PubMed1991

A retrospective cohort study of falls in a psychiatric inpatient setting.

Several factors increase the psychiatric inpatient's risk of falling, including side effects of medications and mental disorders that decrease awareness of environmental hazards. In this study, rates of falling were determined for a cohort of 4,156 psychiatric inpatients over 34 months. A total of 494 falls occurred among 376 patients. Thirty-five percent of the patients who fell required medical or nursing intervention. Forty-eight percent of the falls occurred in the over-60 age group. When other results were adjusted for age, neither gender nor diagnosis was found to increase the risk of falling, except for depressed patients under 20 years old, who were at less risk, and psychotic patients in their 60s, who were at greater risk. The authors discuss the costs of falls and preventive efforts instituted in their setting.

Accidental Falls↗
PubMed1990

Contraband: the hidden risk.

In a 28-month retrospective study of contraband possession in an inpatient psychiatric setting, 54 incidents of contraband confiscation were identified. Incidents were analyzed according to day and shift of occurrence, nature of contraband, patient diagnoses and characteristics, and patient outcome of contraband possession. Study findings stress the importance of clearly stated contraband policies and procedures, especially in light of patient and staff rights and responsibilities.

Drug and Narcotic Control↗
PubMed1989

AIDS--a global concern.

HIV and AIDS are diseases which have rocked the health care agencies throughout the world in the 1980's. The editor of Midwifery has tried to secure a paper on the impact of AIDS on midwifery in some parts of the world. As much research has still to be done this paper is not available at the moment. The following paper was offered for publication and although written for nurses (it was presented at the 3rd International Intensive Care conference, Montreal Canada in August 1988) its message is for all health care workers.

Acquired Immunodeficiency Syndrome↗
PubMed1989

Transmission of human immunodeficiency virus (HIV) in health-care settings worldwide.

Based on the information available, transmission of human immunodeficiency virus (HIV) can and does occur in health-care settings. No cases of such transmission have been reported from an infected health-care worker to a patient. Transmission of HIV from an infected patient to a health-care worker has been documented after parenteral or mucous-membrane exposure to blood. However, this risk is less than 1%, is limited to exposure to blood, and can be further minimized through adherence to routine infection control measures. Patient-to-patient transmission through invasive equipment or through HIV-infected blood, blood products, organs, tissues, or semen also occurs but can be prevented by proper sterilization of instruments and through donor-deferral, donor screening, and heat treatment of Factors VIII or IX to inactivate the HIV. In health-care settings, prevention of HIV transmission requires education of all health-care workers and ancillary staff, provision of necessary equipment, and strict adherence to general infection control practices.

Acquired Immunodeficiency Syndrome↗
PubMed1974

Inorganic particles of agricultural origin.

Substantial quantities of mineral silicates are used as carriers for agricultural pest control agents. Most of this material is applied by air dissemination, either dry or as a droplet spray. Therefore, pulmonary and gastric deposition of the mineral carriers (and active agents) will occur among pesticide application personnel and some proportion of the general population in the vicinity of pest control operations-to the extent that particle size of the disseminated material is below the critical 5mum respirable diameter. Furthermore, ingestion of particulates deposited on food crops may be expected as well as mineral finding its way into drinking water supplies. It has been found that the silicates widely used in America can contain three forms of asbestos, anthophyllite, tremolite, and chrysolite. Of these, anthophyllite and chrysotile have been found associated with a neoplastic outcome after many years of exposure. It is therefore proposed that comprehensive mineralogical investigation of pesticide carriers is warranted, including epidemiological and clinical study of formulation and application personnel as well as exposed nonoccupational populations.

Animals↗