Biomedical subjects

M J Short

Publications and source records attributed to M J Short.

At least 19 recordsLinked to original sources

PubMed1998

Management of postmenopausal osteoporosis for primary care.

OBJECTIVE: The shift in health care delivery from a subspecialty to primary care system has transferred the responsibility of preventing osteoporotic fractures from specialists in metabolic bone disease to the web of physicians--family practitioners, general internists, pediatricians, and gynecologists--who provide the bulk of primary care. The challenge for this group of physicians is to decrease the rising prevalence of osteoporotic hip and vertebral fractures while operating within the cost parameters. It is the goal of this brief summary to provide primary practitioners with focused guidelines for the management of postmenopausal osteoporosis based on new and exciting developments. Prevention and treatment will change rapidly over the next decade and these advances will require changes in these recommendations. DESIGN: We identified patients at risk for osteoporosis and provided indications for bone mass measurement, criteria for diagnosis of osteoporosis, therapeutic interventions, and biochemical markers of the disease. RESULTS: Prevention and treatment are discussed, including hormone replacement therapy and use of calcitonin, sodium fluoride, bisphosphonates, and serum estrogen receptor modulators. CONCLUSIONS: Postmenopausal osteoporosis should no longer be an accepted process of aging. It is both preventable and treatable. Primary care physicians must proactively prevent and treat osteoporosis in their daily practice, and combination therapies are suggested.

Absorptiometry, Photon↗

PubMed1977

A follow-up study of disturbed children treated in a Re-ED program.

In 1974 the authors undertook an evaluation of the children's program at Marshall I. Pickens Hospital in Greenville, South Carolina. The program, based on the Re-ED model, accepts only boys of normal intelligence between the ages of six and 12; most are referred because of disruptive behavior in the classroom and at home and low academic achievement. To evaluate the program, questionnaires were mailed to the families of all children who had been discharged from the program six months or longer a total of 123. Sixty-three of the 101 parents responding said the program had provided very much help for their child. At follow-up 89 children were enrolled in some kind of school program, and one had graduated from high school. However, 66 parents reported their child continued to have academic problems. The authors compare the findings with follow-up studies of three other Re-ED programs and discuss possible modifications that might make such programs more effective for children who fail to adjust.

Achievement↗

PubMed1977

The electroencephalogram in dementia.

The EEG in normal aging and in dementia due to a variety of diseases has been described. In dementia due to degenerative diseases, metabolic disorders, normal pressure hydrocephalus, and deficiency states, the diffuseness of the abnormalities observed has been emphasized; whereas with cerebrovascular disease and with intracranial massess, the focal nature of the changes has been stressed. Although a normal EEG does not rule out the diagnosis of dementia especially in its early stages, the EECG can nevertheless be a significant instrument in the identification or organic processes when the diagnosis is uncertain, in differentiating diffuse from focal cerebral lesions, and in following the course of the disease. Because electroencephalography is easily performed, is safe, and can be frequently repeated, it should be considered one of the more useful tools in the clinical evaluation of patients with dementia.

Aged↗

PubMed1976

Comprehensive occupational therapy evaluation scale.

This paper presents the Comprehensive Occupational Therapy Evaluation Scale (COTE Scale) for use by occupational therapists in short-term, acute-care psychiatric facilities. The scale defines 25 behaviors that occur in and are particularly relevant to the practice of occupational therapy. The scale is used as an initial evaluation, as a record of patient progress, and as a means of communicating the evaluation, progress, and treatment to other hospital departments. Ratings of patients that indicate improvement and readiness for discharge are supported by the evaluations of other disciplines.

Humans↗

PubMed1975