Biomedical subjects
Publications and source records attributed to M Frankel.
The case of a patient who had a rapidly growing anaplastic carcinoma of the nasal cavity is reported. The patient died from local recurrences, regional lymph nodes, and distant pulmonary metastases within seven months of the initial diagnosis.
Using data from a 1996/1997 survey of undocumented Latino immigrants in four sites, we examine reasons for coming to the United States, use of health care services, and participation in government programs. We find that undocumented Latinos come to this country primarily for jobs. Their ambulatory health care use is low compared with that of all Latinos and all persons nationally, and their rates of hospitalization are comparable except for hospitalization for childbirth. Almost half of married undocumented Latinos have a child who is a U.S. citizen. Excluding undocumented immigrants from receiving government-funded health care services is unlikely to reduce the level of immigration and likely to affect the well-being of children who are U.S. citizens living in immigrant households.
In view of the reported association between the use of oral contraceptives and gallbladder disease, 686 consecutive cholecystectomies for cholecystitis and cholelithiasis performed between 1967 and 1976 in our hospital were analyzed. Fifteen patients (2.18 per cent) were under 21 years of age and 78 (11.3 per cent) between 22 and 28 years of age. All the patients in the former group and 22% in the latter were females. There was a history of recent pregnancy and/or oral contraceptive use in a substantial number of patients. The increased incidence of gallbladder disease during the previous five years, 1972-1976, as compared to 1967-1971 in females between the ages of 22 to 28, from 8% to 17.6% may be attributed to the increased use of oral contraceptives (from 32% to 42%). The occurrence of previous pregnancies was nearly the same in both groups (84% and 83% respectively). The frequency of gallbladder disease was significantly higher in patients who had used oral contraceptives for six to twelve months as compared with women who had used them for longer or shorter periods.
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