Biomedical subjects

L A Rothenberger

Publications and source records attributed to L A Rothenberger.

8 recordsLinked to original sources

PubMed1990

Results of a work-site educational and screening program for hypertension and cancer.

Cardiovascular disease and cancer account for 68% of deaths in the United States each year. Office-based screening efforts to detect early or asymptomatic disease have been modestly successful at best, as neither patients nor physicians routinely follow American Cancer Society guidelines. The work site, representing a captive group of patients, is an alternative screening site. Eight hundred eighty-eight employees at 10 work sites were screened for hypertension and six types of cancer (oral, breast, rectal, colon, prostate, and testicular). Fifty-one employees with new onset or poorly controlled hypertension were identified, along with two early cancers (rectal, breast) and four malignant precursors. Potential dollar savings to employee, employer, and society were three times the cost of the screening program. Screening at the work site represents an efficient, cost-effective approach for the early detection of hypertension and cancer.

Adult↗

PubMed1985

Effects of clorazepate on breathlessness and exercise tolerance in patients with chronic airflow obstruction.

Five patients with severe chronic lung disease were given placebo or 7.5 mg of clorazepate, a benzodiazepine, at bedtime for two weeks using a double-blind cross-over study design. Exercise tolerance, arterial blood gases, pulmonary function tests, self-rated breathlessness, and self-administered depression and anxiety scores were similar during drug treatment, placebo treatment, and washout periods. Higher doses of clorazepate were not tolerated by three of five patients. Nonanxious patients with chronic lung disease seem not to benefit subjectively or objectively from a low-dose benzodiazepine regimen.

Aged↗

PubMed1984

Foot problems in athletes.

The primary care physician who cares for athletes encounters a variety of foot problems from skin maladies to deformities of the bone. As foot injuries can be totally debilitating, they are of especially great consequence to competitive athletes and must be diligently investigated to reach a proper diagnosis. In most cases the proper use of tape, foam, felt, metatarsal pads, and bars can easily solve what may be a perplexing problem. Occasionally, manufactured orthotic devices may be necessary. In all instances, athletes must be carefully advised on ways to treat and, more important, prevent foot problems.

Athletic Injuries↗

PubMed1984

The efficacy of personalized audiovisual patient-education materials.

Patient education is considered an important component of primary care medicine. The traditional methods of patient education have been physician-patient dialogue and printed handouts. This study compares the relative efficacy of pamphlets, one-to-one dialogue, and audiovisual presentations. The results indicate that the slide and sound presentation was most effective in conveying patient information.

Adult↗

PubMed1984

Breast-feeding behavioral patterns among La Leche League mothers: a descriptive survey.

Many studies have documented the behavioral patterns of unrestricted breast-feeding among Third World mothers, but knowledge of this behavior among Western women is lacking. La Leche League International is a strong advocate of unrestricted breast-feeding, a feeding behavior more characteristic of women in developing countries than in Western society. To investigate the breast-feeding patterns of La Leche League mothers, a pilot study of 24 active members was undertaken. Utilizing a home diary, a 2-month record of suckling frequency, vaginal bleeding, sexual intercourse, solid food supplements, and six-hour intervals without a suckling episode was maintained. The results show the La Leche League mother in this sample to be an average of 29 years old, white, and well-educated. She fed an infant an average of 15 times per day and frequently slept with her child. Frequency of mother and child sleeping together was inversely related to the frequency of marital intercourse. Prolonged lactational amenorrhea was also found, as 92% of the mothers nursing infants 5 to 16 months old had not regained their normal menstrual flow. La Leche League mothers represent a subset of nursing mothers who have a life-style of which the primary care physician must be aware in order to provide optimal maternal-infant care.

Adult↗

PubMed1984

Computer literacy for physicians.

Medical schools and residency programs can help physicians acquire a basic knowledge of computers by offering education in computer literacy. The program currently being offered in the Family Practice Residency Program at Moses H. Cone Memorial Hospital has been integrated into the practice management curriculum and has proven very successful in its initial year. It has served to broaden the residents' knowledge of automation systems and has prepared them for the future automation of their offices. It is hoped this knowledge base will help physicians make sound decisions concerning the purchase of a computer system.

Computers↗

PubMed1984

Implementing an automated financial management system for medical practices.

The increase in availability, affordability, and sophistication of computer technology over the past few years has prompted the development of numerous high-quality software packages for management of medical practice. Although the prices of computer hardware and software continue to decrease, the purchase of an automated system remains a major investment. To ensure a successful purchase and implementation of a system, physicians and office managers must first become knowledgeable about computers and their applicability to medical practice and then devise a strategy for the purchase of a system.

Computers↗

PubMedDate not supplied

Prevalence and types of injuries in aerobic dancers.

A sample of 726 aerobic dancers was surveyed by questionnaire to document the prevalence, types, and severity of injuries experienced. Data were gathered on demographics, exercise behavior, and environmental conditions during a 1 week period. Most of the subjects (66%) engaged in aerobic dance classes at least every other day, with a mean exercise time of 195 minutes per week. Twenty-eight percent of the subjects had been exercising 1 to 2 years, and 26% had been exercising 2 years or longer. Forty-nine percent of the subjects reported a history of at least one injury related to aerobic dancing. Most of the injuries were to the shin (24.5%), lower back (12.9%), and ankle (12.2%). Among those subjects injured, 23% reportedly saw a physician because of their injury. The frequency with which subjects exercised was associated with a history of injury. Subjects who exercised fewer than four times per week reported fewer injuries (43%) than those who exercised four times per week (60%) or more (66%). This study is a first step toward providing data to help physicians counsel aerobic dancers regarding injury prevention.

Adolescent↗