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Biomedical subjects

M G Watson

Publications and source records attributed to M G Watson.

28 records · Page 2Linked to original sources

Cryptococcosis of the larynx.

An unusual case of cryptococcosis of the larynx is described in a non-immunocompromised patient. To our knowledge this is the second reported case in the literature.

Adult↗

Investigation of salivary gland disease.

The various techniques available for the investigation of salivary gland disease are described and their clinical applications discussed. Sialography and scintigraphy are most helpful in cases of recurrent glandular swelling, and CT or MRI in the evaluation of tumors.

Humans↗

Neurilemmoma of the vagus nerve in the neck.

Two cases of vagal neurilemmoma are presented and are added to the 64 such cases previously reported. Current management is discussed, with emphasis on diagnostic procedures, which include preoperative CT scanning and exploration of the neck, with careful definition of the tumor under general anesthesia. The operative techniques used are discussed. Attention is also drawn to severe transient bradycardia that may occur during removal of these tumors.

Aged↗

Nasal surgery: does the type of nasal pack influence the results?

A prospective study was performed on 106 patients undergoing routine nasal surgery to compare the influence of three different packing methods on the final outcome. Pneumatic balloons were found to cause persistent nasal obstruction and an increased incidence of adhesion formation, while lubricated ribbon gauze was more uncomfortable for the patient. Glove finger packs were associated with the least problems.

Humans↗

Minitracheotomy and laryngeal function. A prospective study.

The 'minitracheotomy', i.e. an indwelling narrow-bore endotracheal tube which is inserted via the cricothyroid membrane to provide access for the removal of secretions from the tracheobronchial tree following major thoracic and abdominal surgery, has recently been developed. In order to investigate whether its use may be injurious to the larynx, a prospective study was carried out assessing laryngeal function pre- and post-operatively in 14 patients. No permanent changes in laryngeal function were found and it was concluded that, when used for short post-operative periods, the larynx is not adversely effected.

Adult↗

Vaginal bleeding and abuse: assessing pregnant women in the emergency department.

PURPOSE: This study was done to determine the prevalence of physical abuse among an ethnically stratified group of pregnant women experiencing vaginal bleeding. DESIGN: The design of this study was a cross-sectional survey using two screening tools: the Abuse Assessment Screen (AAS) and the Danger Assessment (DA). SAMPLE: The study sample consisted of 261 African-American, Hispanic, and Anglo pregnant women seen for vaginal bleeding in private and public emergency departments in a large (more than 2,000,000 people) metropolitan area. METHOD: All women with vaginal bleeding were interviewed in a private examination room. With the help of an interviewer, each subject completed both screening tools and was later offered information about abuse as well as community resources. Each woman's pregnancy status was validated with either a urine pregnancy test or a serum beta human chorionic gonadotropin, and her discharge diagnosis was obtained from the emergency department record. DATA ANALYSIS: Of the 261 pregnant women interviewed, 87 (33.3 percent) reported abuse, that is, 26.7 percent of the African-American women, 25.2 percent of the Hispanic women, and 58.3 percent of the Anglo women. Overall, Anglo women reported significantly more abuse (X2 = 21.96; df = 2; p < .00002) than non-Anglo women. We found no significant differences in reported abuse among the diagnostic groups. Abused and nonabused women significantly (p < .0005) differed on their DA scores (2.89 vs .55, respectively), but these scores were not significantly different among ethnicities. CONCLUSIONS: Abuse of pregnant women reporting to emergency departments is common and can be detected readily with a two-question, five-minute screen. Once an abused woman is identified, a danger assessment screen can further identify whether she is at high risk for escalating violence in her home.

Adolescent↗